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HomeMy WebLinkAbout079-250-0034 Sylvia Dyer, 6209 Upper Palermo Rd., Oroville (INSPECTION MADE FOR WELFARE DEPT. See recommendations in jacket) (UONTR: JAMES E. EDWARDS PERMIT #751+_76E(ADDING OOTLETS & CIRCUITS) SF toKIV ALVIN WIMBERY 6209 Upper Palermo Rd �+ Contr : Bud Strang PErmit#2888-87E(new ele ser/SF) TAYLOR, r Guy "t-vt B 6209 Upper Palermo S'aZ.a� (demo/SF) Ooville 01-1173 TAYLOR, GUY l 6209 UPPER PALERMO RD., OROVILLE CONTR: OWNER TEMP POWER B06-2285 079-250-003 RESIDENTIAL SFD-Custom/Model NSF DWELLING 6209 UPPER PALERMO RD JULIAN HOLDEN e�NcEUED 0 MMON 0o3 e , k `.'IJV—'e " I "5' • i 'k 'y:, f HAZARDOUS ELECTRICAL -'CONDITIONS 4 2%23/99 ry n 0 11 1000 cnI 0 0 o (_0 0 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS ' 0 .24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** ft N 4 f7 (Ell OWNER ,,Last Name Address Firste Address U StateC City Phone C>_��Z St t� AJ Zip D Phone ` Class Fax 7y,�_D�-7 E-mail E-mail 0 CONTRACTOR Name I e _ Address e City [�yd StateC Zip9� Phone C>_��Z FaxZ U —_7`11"Q6 7C EE -mail Lic. # Class APPLICANT N ME ARCHITECT/ENGINEER' Name ILS e Address 6vy �-� yr DL Address -7 o Type Const. City Fa E-mail S Zip q r Date Approved: Phone_, .1 Fax E-mail S i er APPLICANT N ME Name Zoning ILS e Address 6vy �-� Cit y Ie Au �r State Zi P l Type Const. Phone Fa E-mail Lot# PERMIT NO. BPQG2zT6 BIN # LOCATION. AP# `7LA Property Address � � � � ity Cross Street Q WORKER'S COMPENSATION Policy Number 1-7��7Z O Carrier _� STu-� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY v Name l 1 Address \ For office u e onl Zoning 2 Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map.Book Page Lot# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to jappW1 for a rt. INCOMPLETE SUBMITTALS WILL NOT 8 TED. ALL PLANS MUST BE GIBLEAND IN INK. 1. ite p ans, or4 sets, signed by the preparer of the plans. o graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. OP -1 3. Engineered truss details and layouts in duplicate (if required). No faxes! 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ; 0 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR ( PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2285 Date: 09/25/2006 Location: 6209 UPPER PALERMO RD By: KCG Parcel Number: 079-250-003 Sub Type: SFD-Custom/Model Owner Name: JULIAN HOLDEN Phone: (530) 682-3340 Description: NSF DWELLING The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ 1■=■l ■ ■ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Glum -�o oww Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 9566 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 6 i fen ib oulW Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 09/25/2006 BUTTE COUNTY FEE SUMMARY Permit Number: B06-2285 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 6209 UPPER PALERMO RD Contractor: HOLDEN CONSTRUCTION 6042 PARK AVE MARYSVILLE, CA 95901 Printed: 09/25/2006 2:25 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Dwelling - Custom, Model N - Permit Fee 0010-440001-4210500-1010 $2,368.09 Fire Ping Appl Fee (SRA) -Fire - 01004500014617240 -1010 $95.00 09/25/2006 $95.00 Fire Ping Appl Fee (SRA) -Bldg 0010440001-4210500-1010 $109.98 Dwelling - Production Phase N - Plan Review Fee 0010-440001-4210500-1010 $1,042.87 09/25/2006 $1,042.87 SMIP - Residential Printed By: Kourtni Graham At the time of permit checking process. Signature:. 1001-0-280-1011298 $27.40 39643.34 $19137.87 Balance Due: $2,505.47 fees are required prior ro issuance of the permit. These fees may be changed during the plan Date: 09/25/2006 Pursuant to Government code ec on 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the prof or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiyalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2285 Location: 6209 UPPER PALERMO RD Parcel Number: 079-250-003 Date: 09/25/2006 Owner Name: JULIAN HOLDEN / 1 Phone: (530) 682-3340 NSF DWELLING Signature of Property Owner: /I-- \ f `� � � . Date: 09/25/2006 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax. www.buttecounty.net/dds 0 O 0 O O National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2285 Location: 6209 UPPER PALERMO RD Parcel Number: 079-250-003 Owner Name: JULIAN HOLDEN Description: NSF DWELLING Date: 09/25/2006 By: KCG Sub Type: SFD-Custom/Model Phone: (530) 682-3340 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 09/25/2006 IIGJIuGIV J IML— uvrt.ut•.ry .sa_vti�sl✓ ADDRESS , 'HEFT nF SHEETS Double mfarced /sr: �•x G= i/ . y Brick 2"4 x ~ Brick Shingle DESCRIPTION OF BUILDING Bed s Apartment Wood ,LASS B SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION Concrete Floor WINDOWS ROOM AND FINISH DETAIL /,:' k Li ht Sub -S ton dord Frame i "x sJ -?," �c Stucco an ,;rr _ Flat Pitch Goble /a Wirin K.T. Conduit Heatin Forced Cooling Clean.'g ROOMS FLOORS B / 2 FLOOR.FINISH TRIM INTERIOR FINISH Material Grade Wo//,s Ceilings ARCHITECTURE IStondard Sheathing Sidinq��x_ j, ° Nip / kla.X. LighNeov t I Coble jGrovil Humid. All CONSTRUCTION RECORD Permit I EFFEC. APPR. NORMAL % GOOD YFAR YFAR[Remain-al _ Above -Standard Concrete Block Shed 141 FIXtureS Wall Unit Stories Special B.d B. T. d G. Cut Up Cheap Ent. Holl TYPE Brick Shin le :i Dormers q. Med. Floor Unit LivinUse DeSI n FOUNDATION Adobe Shak¢ Roft x !Few ny Specio Zone Unit Dining Built-in Beds Venetian Blinds Sin le Concrete F/oor joist: B.&B.1 1rdG. 16.utters UM /NG Central., - Z e d o .7"IN '' Duplex Brick 2"4 x ~ Brick Shingle oo d, p Bed s Apartment Wood Sub -Floor Stone Shake /l . , c... Oil Burner 9 lOOb Flol- Court Piers Concrete Floor WINDOWS Tile Sink Mote/ D.H. Cowmen Tile Trim Loundry M-B.T. U. Insulated Ceilin s Mefo/ Sosh om o.; Water Hti:-Auto. Fire lace Kitchen Units LighNeov t tnsuloted Wolls I IScreens j( Compo.Shirrgle LJ Water-Softner Drain Bd. Molerio/: Lgth: Ft. Splash. CONSTRUCTION RECORD Permit I EFFEC. APPR. NORMAL % GOOD YFAR YFAR[Remain-al _ RATING (E, G, A, F P) J Arch: IFunc. I Con- 1510rogeS ceWorA- BATH DETAIL C1 xt_ FINISH I FIXTURES I SHOWER No. For Hmounr uure^Y� Life ""�' Affr. P/on form Cupbd Closet mhJnp Floors walls We Co, lub Type Grade r. v. I. G.D. tmisli 116/no 5 R 9 lOOb i r" s lzcS3 '" SPECIAL FEATURES Book Coses Built-in Beds Venetian Blinds Shufters COMPUTATION Appraiser and Dole 3 (,-`i 9g S-4-19 TC lo6 (--6 -3o-oL Unif Areo Unit Cost Cost Unit Cost Cost Unit Cost Cost Unit Cost Cost Unit Cosl COSI Unit Cost Cost Un! l Cost Unit Cost Cost Cost Res 9t" l0000 � ..t•.-' �_ c.. aooa on o'er FLA. —1 zo 0 0 0 0� SQ.I2.- el 11 W..o.In:. af' 3 Zz%o )1 S of- -4--q-0T TOTAL NORMAL ', GOOD R C L N D. ?DOD Q ZDp 0 1-o0c? - SSE DAS AH530A 1971 M15UCLLAIVCLIUO 3I rvvv t urtG,;p Structurd Fbu�hdj Cons. I Ext. I Roof I Floor I Int I Size, etc. ZI k4 COMPUTATIONS L Z?? Remarks: J z 72 L Z?? Illi III III I Illi I III I III I IIIII 11 �If i AND WHEN RECORDED MAIL TO: t Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION .` . Official Records 1 7 COUNTY CENTER DRIVE County of I CONFORi4ED COPY 1. OROVILLE, CA 95965 Butte I WMACE J. BRUBBS I County Clerk-Recorderl NZ 03:26PN 21 -Nov -2006 I Page I of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 11-2 2 0-0 G PROPERTY OWNERS: State of California County of i3u4t- On NUv. &-nOC_ before me, Hats L. BOG L personally appeared j„ 1 ,g�J lA o I(f,N Iper5aymy on wn a (or proved to me on the basis of satisfactory evidence) to be the personAga whose name(s) is/,4ee subscribed to the within instrument and acknowledged to me that he/ske4hey executed the same in his/herlttl lr authorized capacity(ies), and that by his/herftheir signatureKon the instrument, the person(spor the entity upon behalf of which the person(T) acted, executed the instrument. WITNESS my hand and official seal. Signat-a-3-6 Seal: 9-*CWm..Ex0m$eA2&2010 JAMES IAMAR KINSER COMM. 411695391 A.P. # f0' c�(�NOT PUBUCBUTTEC�� pR{wV�9'Z S•OO0,3 attachment no, 1 Legal Description PART F LOT 3, IN BLOCK 114, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO -SU . 6DIVISION-NO.1; OF•THE -PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OPFICE OPTHE RECORDER OF THE :COUNTY OF BUTT. -"E -STATE OF CALI=FORNIA, ON SEPTEMBER 17, 1888, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE MOST NORTHERLY CORNER OF SAID LOT 3; THENCE FROM THE POINT OF BEGINNING ALONG THE NORTHWESTERLY LINE01 SAID LOT;3, AN'D THE SOUTHEASTERLY=LINE OF CITRUS AVENUE,°SOUTHWESTERLY 234.00 F -ET, THENCE'AT RIGHT ANGLES TO THE: NORTHWESTERLY LINE' OF SAID LOT 3, SOUTEASTE HRLY 222.0 FEET; THENRLY LINE OF SAID LOT .3, NORTHEASTERLY TO A POINT ON THE LINE COMMON TO LOTS 2 AND 31W� D 6LOCK 114; THENCE ALONG THE LINE COMMON TO LOTS 2 AND 3, NORTHWESTERLY TO THE POINT OF BEGINNING. EXCEPTING THEREFROM AN UNDIVIDED 1/2 INTEREST IN ALL OIL, GAS, PETROLEUM, NAPTHA AND OTHER HYDROCARBON SUBSTANCES AND MINERALS OF WHATSOEVER KIND AND.NATURE, TOGETHER WITH CERTAIN RIGHTS, AS RESERVED `IN THE.DEED FROM FEDERAL FARM MORTGAGE CORPORATION;. A CORPORATION; TO RUFUS. A.; DOTSON AND .LUCY E. DOTSON, RECORDED DECEMBER 4, 1945, IN BOOK 371, PAGE 321, OFFICIAL RECORDS. G 7I ' 01-1173 1 r 6209 UPPER PALERMO RD., OROVILL.E z CONTR: OWNER ` TEMP POWER COUNTY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES'= `BUILDING'DIVISION 1 7 County Center Drive - Oroville, California. .95965 - Telephone (530)538-7541 PERMIT No. (Rev .12/96) APPLICATION -AND PERMIT (_/2 7 3 ASSESSOR PARCEL NbMB'J, 036-300-02012 ZONING BUILDING PERMIT OWNER I If��l �i GiJY TELEPHONE 534-4305 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 6209 UP11FA pALERK) ORO CONTRACTOR'S }NAME VI1I,L+i\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin'Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6209 UPPER PALERmD itD. OROVIUR Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: THT POWER FM T'UIURE DEVE;W1+04I Gas piping system 1 - 5 outlets 1.5.00 Building sewer 15.00 Mobile Home PS TG W 920.00 PERMIT FEE $ ' ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 .00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 44 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO ; DWE200ALLING OR ADDNS. I & ADC. BLDS. 3.5Q FT. T. NON-pESID. MULTI -OUTLET 97,50 APPARATUS a SINGLE OUTLET CI R. 20 ®t•00 Ex. Occup. OUTI.Er OR FIXTURES SAL® .so FIXED APPLNS. OR Ex. Occup. ourLErs RESID. EA. 5.00 Temporary Service '23.00 Mobile Home Facilities i 20.00 , Misc. Wiring 23.00 3.00 PERMIT FEE $ 89.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro vsions of section 3700 of the Labor Code, I shall forthwi _ comply wit rovisions. ! X " / Date .. / - L/ Signature of Aparit�- Owner ❑ Contractor [3 Agent An OSHA per IrrS't is required for excavations ovef 5'0" deep and demolition or construction of structures over 3 stories in height.' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLOOD CDF PARC �% PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By (' i'N " Date' /1 PERMIT EXPIRES ON !,11 /f 2 De`te ReceiptNo.-3zq 3 k WHITE-D.D.S.-B. CAN ARY-A SESSO K -INSPECT GOLDENROD -APPLICANT ,.. .,.. -•., . , .., :'.-, ,.�. ,.. - cr.• a. , ., _ _ .. .. ,- . ._ -, a .. n .. . .., ,.. a7, ,ry. , ro. 036-30-0-020 00-0711 B ., TAYLOR, Guy 6269 Upper Palermo Rd, Oroville (demo/SF) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7544 x, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITf ASSESSOR PARCEL NUMBER 036-•300-020 ZONING BUILDING PERMIT OWN - ��'Y TAXIAR TELEPHONE 534-4305 SQ. FT. OCC. BUILDING VALUATION . OTY3 ALVERDA AR. , _ OROVILLE, CA 95966 C061�fR.AJ_CTT S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6209 UPPER PALERMO RD OROVI= Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFY07 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK try New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: DEW SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESMain Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 46.00 NEW CONST. DWELLING OCCUCUP. SO WEE OR ADDNS. ( a ACC. BLDS. 3.5QFT: R NEW OSID. MULT.1 CRR UT 97.50 8 OUTLET OWER APPARATUCIR.S OIlTIET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL @ .50 Ex. Occup. OUTFIXLETS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 1 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) M I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho p isions. r•►^""" X Date 6 or [3 Agent -a Owner ❑ over Signature a it is reqn-Yuired An OSHA permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAL I D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ,T Date 04/10/00 w PERMIT EXPIRES ON 04/10/01 I pate) ReceiptNo. 5U2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,7.Cougty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9.6) - 4 APPLICATION AND PERMIT a/:1&73 ASSESSOR PARCEL NUMBER 036-300-020 ZONINGw / BUILDING PERMIT OWNER TAYLOR, 1 Yf�U , ^(�UY TELEPHONE 34-4305 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 6209 UPPER PALERMO OROVIL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6209 UPPER PALERMO RLQ. OROVILL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: TEED POWER FOR FUTURE DEVELOPIEN'T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE Main Service OA OFILE:: p AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 140.4 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so NEW CONST. DWELLING OCCUP. DWE200ALLING CC °, DNSEW . ( 3.5QFT0_ MuACC. uUDS TLET NON•RESID. 97.50 OWER APPARATUS PSINGLE OURET C'R. Ex. Occu ourLEroR FIXTURES 20 @' 00 aAL @ .so Ex. Occup. ourElE°TSA A OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23-0023.00 PERMIT FEE $ $9,00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro ' ons of section 3700 of the Labor Code, I shall forthwi comply wit a ovisions. X Date �� �� Signature of Ap a t - Owner ' ❑ Contractor ❑ Agent An OSHA per It is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD I CDF PARCK I PD HD S This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByDa PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. e D e Receipt No. WHITE-D.D.S.-B.0. CANARY -ASSESSOR INK•INSPECTO GOLDENROD -APPLICANT E.M. USE ONLY Plot Plan Attached Floor Plan A�Fhed Sant to B.D. �i — j7 / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance caner Location AP# Plan Approved for: Sewage Dispos�Water jly: Public Private Well Clearance for dwelling. Other U.. -I Winla finalsfor c earance NOTE: En'*Konm—enta-1 Health Specialist Date 8/96 'f./ it 4,J % r 0 ^ v 1 . • , o►rN� ox- 500- 2-2 1 D0-222 \'- 0\ ci C d Cc r r. -TO r APPROVED Butte County a. d. 44 33 3 Ul r) L APPROVED Butte County rye_ S -T fE\& r) L APPROVED Butte County OWNER: �/ j LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: PRE-INSPECTION.RE�ORT DATE: /J A.P. # C. ' ZONING: AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No_f'z Electric currently On_ Off_ Condition of Electric Gas: Natural Propane None Obvious Problems: Sanitation: Plumbing Working Well Working Q Obvious SewageProblems Currently On Off Potable Water /1 D MEN ACTION RECO ENDED: ISSUE: HOLD FOR ' Inspector: Date Sketch buildings on reverse and indicate location on property. zm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-300-020 ZONING BUILDING PERMIT OWNER GUY TAYLOR TELEPHONE 534-4305 SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 175 ALVERDA DR., OROVILLE, CA 95966 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1500 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6209 UPPER P Energy Plan Checking Fee $ $ PERMIT FEE s 35.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )ff Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: DEMO SF Gas piping system 1 - 5 outlets 15.00 -Building sewer 15.00 Mobile Home SG W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BUDS. SO 3.5QFT. NON-RE41DT. MULTI -OUTLET 97.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES �0 @ 1.00 50 Ex. Occup. OUXTEjFTS p IESIES p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) K I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos isions. j � Date �\� /�' _ 12griature of & can - Owner ❑ tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I COF PARCELPD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ve for w ' fees have been paid. B A,_" to 04/10/00 PERMIT EXPIRES ON 04/10/01 Date Receipt No. 286502 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits. Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States .Environmental Protection Agency is not applicable to this demolition project. �Watt&e of Applicant 2/19/91 1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. - - Please complete . and , return this information at your earliest opportunity to 'avoid . unnecessary delay in processing and issuing your building permit. No building permit will, be issued until this verification is received. -1. I personally plan to provide the major labor and materials for construction of. the proposed property improvement : YES NO k ' Z, I HAVEJX4j HAVE NOT[ ) signed an application for a budding permit for the Proposed work.:.: i 3. I have contracted with the ,following ...person (firm) to .. provide. -the 'proposed construction: NAME: - . ADDRESS: :.,__ CITY: -CONTRACTOR'S. LICENSE NO.: 4: I plan to -provide` portions of this work -but I have hired the following person"to coordinate, supervise, and provide the major work: NAME• .. . ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. -5. I will provide some of the work but I have contracted (hired) the follo*g,+.eisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK L: PROPERTY OWNER: SOCLXL SECURITY NUMBER: DATE: ���� 1f — d� - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before ,we are permitted to issue the permit. May 1993 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcoiitract, 'you . = should be aware of the following information for your'benefit and protection: 0 If you employ or otherwise engage any ' persons other than your immediate family, and the woik -(including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability insurance costs, and unemployment compensation contributions. 0 There may be financial riskifor""you if you do not carry out these obligations,Fand these risks are_especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. lvlav 1995 2.27 February 23, 1999 - Gill Smith Pacific Gas and Electric 350 Salem St. Chico, Ca. 95926 ,quite Co, LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 6209 Upper Palermo RD.. Oroville, Ca. AP# 036-300-020 Meter # 707J61 Dear Mr. Smith This department received a complaint+alleging health and safety hazards at the above referenced living unit. On February 23, 1999 an inspection was conducted by this department. The owner (James Maphet ) and tenants are not currently occupying- the structure. The structure at this site has numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. As the Building Official for Butte County, I am requesting that the electrical and gas to the structure referenced above not be reconnected until appropriate actions are taken to resolve the hazards. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Mi hael C. Vieira Manager, Building Inspection 2888-87 OAlvin Wimbery "� 6209 Uppter Plaermo Rd.. Oroville < I OFFICE COPY Address' GAS Date • � Meter By R ELECTI, �@ Date Meter By r r- ti ( I �" E, {{ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W3FiKS:•'i =• t- ••t f•i ' 7 County Center Drive - Orovilld, California 95965 - Telephone: 916!539-7541` APPLICATION AND PERMIT ' ­ ' PERMIT NO� —ASSESSOR PARCEL NUMBER .,/K�r%���//�-L. ,ZZOO/NIINNG •/,� ^ y BUILDING PERMIT 5 OWNER �// ',,11 /f�v r.r W I M hA r/I TELEPHONE SO. FT. OCC. BUILDING VALUATION % %j p OWNER'S ,IILING41=' .lrr.-/•A fid. 069, er 5�MA TM CONNTO/R.AITTT S NAM, r TELEPHONE CONTR'ACTOR'SMAILING ADUR S5 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 110,013 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Pion Checking Fee $ Penalty $ BUILDING ADDRESS '2 le Permit fee $ I PLUMBING PERMIT Filing Fee 10.00 � . Each Trap I 2.013 Solar or heat pump water heater 120.60 LOT NO.. SUBDIV15ION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF [9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilitiesn Installfa�tion❑tt Other Describe work: AJA_ rA% /00 ���+n Cr11@ V f Se ✓ v i Is P Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 V , ^ ` 1 �1 ]r `� ' rEPAik o2. REPLACE ALL I•IA1Al2DVV", VLfllelktil Cs, Main service 00v OR LE35 i00 AMP OR LESS 10.00 ^ /J, U�• Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole comport- satlon, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ' ors. (Sec. 7044) EJI tam exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pn OR AODNS. I ACC. BLOGS. / qft NEW CONSTR. U I• UTLET NON.RESID BRANCH IR I S 2.5088 /POWER APPARATUS e) /POWER OUTLET CIR, Ex. Occup 20 050C OUTLETS OR FIXTURES 2010! SO FIXED APPLN . OR Ex. Occup. OUTLETS IRESIDA EA. 2.013 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �Sn� ) pro - l f4.sl) 4S•. e)(/ , Permit Fee $ ; .:f Q. (f(. Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject • to the W. C. laws of California. Notice to Applicant: If after making this statement• should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such .provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3:00 Ventilation Permit Fee Contractor $ t 1 certify that I have read this application and state that the above information iscorrect. I agree to comply to all County Ordinances and State Laws relating to building construction• and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /•� V n„M ,/I v-'? !�_ P x / IA r'f Vii' �r'vrv� , Date 1 Sign re of Applicant r 0.4, 1/Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or cons rue ipn of structures over 33 storiesinheight. Mobile Home Installation Fee ,.$ I Energy Inspection Fee ; $ , ,J TOTAL PERMIT FEE $ OCeu P. CONST.TT.e I I 'Wool PANCEL Pr I ND. 1 159;1 r/ This permit is hereby Issued under sions of the Butte County. Code and/or work indicated, above for which DIRECTOR OF PUBLIC By 1# V PERMIT EXPIRES Date the appllution toprovi- resolutions to do. fees he �e been paid. WORKS Date Il"� �0pp Receipt No. � 10149 ... WNITL-B.P.W.: •ELLOW-ASeesaON. PINE -INSPECTOR. GOLDENROD -APDL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center -Drive - Oroville, California 35965 - Telephone: 916/538-7541 APPLICATION AND PERMIT APERMIT �Jrimer ASSESS R PARCEL NU B O ING BUILDING PERMIT OWNE r V f' TELEPHNE SO. FT. OCC. BUILDING VALUATION O WJO E�'SOMAI LING /1DDR �VS� CONTR O 'S N wa TELEPHONE CONTRACTOR'S MAILING AD S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS O rm Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 , LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF[I Duplex❑ Mobilehome❑ Other SPECIFY. Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities Install i n❑ Other Describe work: VD1.0V C' ►^ I i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 IEPAI►z olz fi✓EpLAC-C ALL N>1AIZD0a'c, VJ I V -10C4 Main service 100V OR OR L 100 AMP OR LESS 10.00 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification License El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 A New , CONSTR. ULTBI.OUTLET NON-RESID BRANCH CIRCUITS) .50 ea 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 1.200500 eALvso Ex. OCCup. OUTLETS P(FIXED RESID )NSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -Mipf. Wiring ris 15.00 >S .D Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. at31 I shall not employ any person in any manner so as to become subject L -P'4 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilationpanni! Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id Cou ty in conseque ce of the granting of this permit. X Date O` u Signature of Applicant — Ow Contractor ❑ Agent ❑ An OSHA permit is required f r ovations over 5'Q" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection.Fee $ TOTAL PERMIT FEE $ r Occup. CONST.TYPE TLOODJPARCEL.J PD I ND 13 This permit is hereby issued under sions the Butte County. Code and/or wor in icated ab a for which fees By VWEI Oil OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Q Date rPQ Q�Xy �� ✓i UU Receipt No. I WHITE-D.P.W., YELLOW -ASSES OR. PINK -INSPECTOR. GOLDENROD -APPLICANT +7 ...+'�i'ttj�l7a 1,r'�:A ¢, ".ely.FYri'^5t„ r�''1'i'� r tt ' Fai' �`^ ,��.�,..!? T�I , 7..tr 1r '. h�y ,'•� : •d w .`� qe, N' , � ' � J� .� �, /, � - _ - lrr{.i�,•t�t �,-� L 'i�"i-1 .11' .� •i'� ,{: .i —, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNjsYrr9-*VTU DRIVE - OROVIL F cC tFOANIAw95965 - TELEPHONE: 916/538-7541 r —_-;- PERMIT APPLICATION DATA SHEET Permit No. 1 ,5�^, OWNER /I� l V J lel W J �4eC , A. P. No. V -�D "d [/ `.;,Proposed Building Use 1164-1-4) v �� ✓ B6;4ding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED "APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ v� 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) _.__-.-._15. Improvements may be required. . . . . . . . . . . . �6. Mobilehome Installation ata._, ... . . . . . . . . . f C C l Y t ha Pre-Inspec. request t (Date) 7. Pre -Inspection for_-�.-.:__-. �- .. Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. -19. Driveway Permit. — 20. Plot plan approval from city of 21. _ — ;�. 22. — — When you issue the permit, process as follows: Mail rAt°� owner; Mail to contractor- r f Telephone and hold for pickup akJrO office, Deliver w/inspector. Othe?�7r Applicar� ��"V Aate Copy of plans sent Health Dept.; Fire Dept., OtI- Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone_ maiI—counter by date Contractor, designer, owner, was advised ct above required data by—phone —mail—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW t —q jet. -2- 7 C15, C' AIV A14 to 0 jr 4/ ,o,o r %. 74 ow c, -,g- -%re c /,.3 71� COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS ( r. _ 7•COunty Center Drive.-�Urovi!L., Califomia 965 I /"7r�� — j t rel ephone: APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes... Data .27151-24 Signature of Permitee or Agent ,-Receipt No. �'� — Q•-7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goidenrod;Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.. I- . DIRECTOR OF PUBLIC WORKS j By. Date Binding permit expires Date t 2I �' 77 BUILDING Owner P r SO. FT. OCC'. BUILDING VALUAT16NI Mal ling Address •, r'• _;1 ` s •' Telephone No. - Fireplace y A Contractor t��p� �- �/w a � . Total Valuation Mal Iing Address /.21 , --,g t' D.s s-�••� .Permlt Fee'. Plan Checking Fee&/or Penalty s . if /19-s.aJ�K. Telephone No. permit Fee { Building Address . ! p ��.. ,_ ''�'"""""" �i �% PLUMBING Nd. @. FEE -PERMIT FILING'FEE $3.00 i Each Trap 1.50I' - - - Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1:50 " -' •' • A. P. No., 3 c. Yev —. O yo - - Zoning & Planning Gas piping system 1 - 5 outlets ' 1.50 ' { . Each additional outlet ' � .30 { •Fee W!C. Sanitsfen FlreDept.' Fire Zone Use Permit ' Building sewer 5.00 { EOA -Parking PlansDeclaretlon' Parcel �, Parcel Me P 60' R/W improvements P Lawn sprinklers stem 2.00 i aid P.Ian,ft"' '' Parcel A proval Plans Approval Permit Fee '$ $.'• NEW ❑ ADDITION ❑ UTILITIES❑ OTHER Q ELECTRICAL No. �•. FEE . PERMIT FILIN9G FEE A- $3.00 . s.T •73-: £ �- C Main service 100 AMP ORSLESS' `' 5.00 An I.I '•" ' .Tc Cir['., ' �. Main service EA. ADD•L 100 AMP 2.50 ' Single Family Q , ' buplex ❑ .,,-Mobil Home ❑ Others ❑ OVER �Maln service 100 AMPP O OR LESS ZS.00 Main service EA. ADD -L 100 AMP 1.00 r - NEW CONST. DWELLING OCCUF, 5 OR ADONS (ACC. BLOGS. 26sq it ' NO N•R ESID •R' (.BRANCH CIRCUITS) 2.50ea - •� NEW CON5TIL POWEfl APPARATUS e NON -R ESIO. (BNOLE O TLET CIR. t. CONTRACTORS..LICENSE LAW I am; licensed under.• the provisions of Chapter g, Div. 3, of thea State of_Celifomia• Business & Professions Code under the name style-of: .2 i, .�� „ t''.r*.%itri i.n % i`.•i.+/ !•"/Jf_/,.. %�J .• - - I .Ex. Occup(OU,TLETS OR FIXTURES SAL P114 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID•) EA) 2;60 Temporary service • 10.00 { / r • "r Mobile Home Facilities 15.00 j License No., i%%li. Classification"•i Ci1 Misc. Wiring `• 6.25 Q I am. exempt from the Conir"'rs License Laws of the State of California: Permit Fee $ 1_/ j11112yi, $ , MECHANICAL No. @, FEE WORKMEN'S COMPENSATION INSURANCE I . I am aware of the provisions of Sectlon3700 of the California Labor ". Code•whicfi requires every employer to be insured against liability for Workmen's Compensation. I{ ❑I have placed on file with the County of -Butte a'certificate of Workmen's Compensationlnsurance. ❑•I' certify that in -the performance of the work for which this. •' permit is Issued I shall not employ.any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I' PERMIT FILING FEE $3,00 I Heating -I j { Coolifig ; Ventilation j Hood 2.00 permit Fee $; I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and. hereby I TOTALPERMIT FEE $ ��. 1� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes... Data .27151-24 Signature of Permitee or Agent ,-Receipt No. �'� — Q•-7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goidenrod;Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.. I- . DIRECTOR OF PUBLIC WORKS j By. Date Binding permit expires Date t 2I �' 77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 53d-4541 / APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No.. Fireplace Contractor �dlw�/� Total Valuation Mailing Address � Permit Fee Plan Checking Fee&/or Penalty � Telephone No. Permit Fee Building Address ,Z p csCc,..r,..� - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 36— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W. . Seltitetterr FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 B 'd Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 d. J✓ G o KT iS a6 �, r QTS Main service 100 AMP OROR LESSv 5.00 0 .o 16 1 111 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVERsoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACC`BLOGg,LINGCCUP. &) 22.sgft NEW CONSTRMULTI-OUTLET . NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) ( NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Styl Ex. Occup(OUTLETS OR FIXTURES)@L�" BALC�1 EX. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,p �� License No. ,��®��� Classification C � Misc. Wiring 6.25 (.x5 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ " $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. t& I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 5 auururrce representatives 01 the County of Butte to enter upon the above mentioned property for inspection purposes. Date Signature of P/e'rmiitee or Agent eceipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF PU LIC WORKS Date Zi permit expires Date Z ?'`�' 7% y�. BUTT E,,COUNTY DEPARTMENT OF SOCIAL WELFARE TO: Dept. of Public Works - Oroville 4 Date: 11-20-75 RE: Name: Sylvia Dyer n Address: 6209 Upper Palermo Road &6 3,0 — ,2�o Oroville. California 95965 Phone: 533-5255 Finding Directions: Request: Please verify the need for the following: Inspect home for damage. Mrs. Dyer has requested help with wiring, and water tank replacement. However, the south -side of the house has buckeled due to the earthquake. Elizabeth Wiard Social Worker lla TO: Dept. of Social Welfare Date: /I-2 q— 7,� Recommendation: �.�) Gvi4'�✓ �f►N LG V us•�r d o v (- N C G cI � k� l��i�/ e.� l— C ) �e �+a^ S-?/ J lZ' 0114-1 Ai :� aJ o �.-e, `fes ra ✓ f � 1 o/ve Oector 0 tte County Dept. -of Public Works INSTRUCTIONS: Complete in triplicate. - Send 1st and 2nd copies to Dept. of Public Works and retain 3rd copy in Welfare Dept Upon completion of its recommendations, -Dept. of Public Works will return 2nd copy. to Welfare Dept. Su 116 01 \l.