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Home My WebLink About079-320-023Building Code Violation Complaint to inspector Zo 06 30 day violation letter 10 day violation letter Abated or Closed y APe� - MICHAEL PATTERSON w�s gMirada Ave., 3001 E. of Wa°ho7�- I V Ave . , Oroville � sa. \contr: Sunbeam Const., Los A ods Hi11s ;Permit# 112L, -75B P E,M(new_S ' - PERMIT#94-3054 RYAN, . DEBBIE'`f -2� 330 LA MIRADA AVE., OROVILLE ADD EAVES,REPLACE WINDOWS,STUCCO & REROOF/SF 03frfr3 02-086 r - SCHOEMAN, ILEEN 330 LA MIRADA ILLE CONT: P ENDELL CONST. AT HED GARAGE 24'X 32' rw i cnl Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile FACSIMILE COVER SHEET Date: 1125/07 To: County Counsel From: Kim McMillan Subject: Subpeona for public records Number of pages (including this cover sheet): 4 Fax Number: (530) 538-6891 If you do not receive all of the pages, please call (530) 538-6571 as soon as possible. Sincerely, Kim McMillan Administrative Assistant, Senior 49 X OFFICE' OF COUNTY COUNSEL REQUEST FOR LEGAL SERVICES FOR PUBLIC RECORDS ACT REQUESTS, SUMMONS & COMPLAINTS AND SUBPOENAS Department: Development Services Phone Number: (530) 538-6821 Phone Number: (530) 538-6571 PLEASE INDICATE THE TYPE OF ASSISTANCE REQUESTED Public Records Act Request Date Received: How Received: Mail or Personal Service (please circle one) Summons and Complaint Date Received: How Received: Mail or Personal Service (please circle one) Subpoena Date Received: 1/25/07 How Received: Mail or Personal Service (please circle one) Type of Subpoena: Personal Appearance Only Required: Name/Phone Number of Person to Testify: _ Records Only Required: x Records & Personal Appearance Required: Name/Phone Number of Person to Testify: _ PRIORITIZATION rate the priority of this request, taking into consideration any prior pending requests. iving a "high" priority will automatically take precedence over existing pending department ss otherwise indicated.. High Moderate Low to Received: _ ;orney Assigned: g Out'Date: INSTRUCTIONS TO PARTY BEING SUBPOENAED WORK ORDER # 34231-01 RECORDS RE: 330 La Miraga, Oroville APN# 036-640-023 INSTRUCTIONS: All documents pertaining to the real property commonly known as 330 La Mirada, Oroville, CA, APN 036-640-023, including but not limited to permits, applications for permits, inspection reports, correction noticies, correspon- dence and memoranda. 'rb 'J,a1, PLEASE COMPLY IN EVERY DETAIL WITH THE FOLLOWING INSTRUCTIONS: 1. Please read the subpoena and attached authorization (if applicable) for specific instructions as to the records requested. The authoriza- tion may have broader language to include protected records. 2. Include all financial billing relating to this matter if it is requested. 3. Do not include X-RAY films unless requested. 4. Have the records requested available early enough to comply with the time and date shown on the subpoena. 5. PLEASE CALL WHEN RECORDS ARE AVAILABLE FOR COPYING: (530) 895-8163 6. If you wish to COPY AND MAIL the records, please be sure to include the ORIGINAL SIGNED DECLARATION. PLEASE READ THE ATTACHED DECLARATION OF CUSTODIAN OF RECORDS THIS ORIGINAL FORM MUST BE SIGNED AND RETURNED PLEASE DO NOT SEND A COPY OF THE DECLARATION. WE MUST HAVE ORIGINAL. WHETHER OR NOT YOU HAVE RECORDS IF YOU HAVE ANY QUESTIONS, PLEASE CALL: (530) 895-8163 Le al S A T T O R N E Y S E R V I C E S P.O. Box 1542 ♦ Chico, California 95927 (530) 895-8163 ♦ FAX: (530) 891-6616 1.41 982 a 15.2 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY William G. Apger, RPF, Esq. (SBN 142992) Jessica F. Miller, Esq. (SBN 238746) Law Offices of William G. Apger 686 Rio Lindo Avenue Chico, CA 95926 TELEPHONE NO.: (530) 899-9575 FAX NO. (Optional): (530) 893-8245 E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): Plaintiff SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE STREETADDREss: 655 Oleander Avenue MAILINGADDREss: 655 Oleander Avenue CITYANDZIPCODE: Chico, CA 95926 BRANCH NAME: Civil Division PLAINTIFF/ PETITIONER: ILENE M. SCHOEMAN DEFENDANT/ RESPONDENT: WALTER J. ROUSSAN, JR., et al. DEPOSITION SUBPOENA CASE NUMBER: FOR PRODUCTION OF BUSINESS RECORDS 135451 THE PEOPLE OF THE STATE OF CALIFORNIA, TO (name, address, and telephone number of deponent, if known): BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION, 7 County Center Drive, Oroville, CA (530) 538-7541 YOU ARE ORDERED TO PRODUCE THE BUSINESS RECORDS described in item 3, as follows: To (name of deposition officer): 'Legal Source Attorney Services On,(date): February 5, 2007 At (time): 10:00 AM Location (address): 48 Bellarmine Court, Suite 70 / P.O. Box 1542, Chico, CA 95927-1542 Do not release the requested records to the deposition officer prior to the date and time stated above. a. _ by delivering a true, legible, and durable copy of the business records described in item 3, enclosed in a sealed inner wrapper with the title and number of the action, name of witness, and date of subpoena clearly written on it. The inner wrapper shall then be enclosed in an outer envelope or wrapper, sealed, and mailed to the deposition officer at the _ address in item 1. b. by delivering a true, legible, and durable copy of the business records described in item 3 to the deposition officer at the witness's address, on receipt of payment in cash or by check of the reasonable costs of preparing the copy, as determined under Evidence Code section 1563(b). c. XX by making the original business records described in item 3 available for inspection at your business address by the attorney's representative and permitting copying at your business address under reasonable conditions during normal business hours. 2. The records are to be produced by the date and time shown in item 1 (but not sooner than 20 days after the issuance of the deposition subpoena, or 15 days after service, whichever date is later). Reasonable costs of locating records, making them available or copying them, and postage, if any, are recoverable as set forth in Evidence Code section 1563(b). The records shall be accompanied by an affidavit of the custodian or other qualified witness pursuant to Evidence Code section 1561. 3. The records to be produced are described as follows: All documents pertaining to the real property commonly known as 330 La Mirada, Oroville, CA, APN 036-640-023, including but not limited to permits, applications for permits, inspection reports, correction notices, correspondence and memoranda. Continued on Attachment 3. 4. IF YOU HAVE BEEN SERVED WITH THIS SUBPOENA AS A CUSTODIAN OF CONSUMER OR EMPLOYEE RECORDS UNDER CODE OF CIVIL PROCEDURE SECTION 1985.3 OR 1985.6 AND A MOTION TO QUASH OR AN OBJECTION HAS BEEN SERVED ON YOU, A COURT ORDER OR AGREEMENT OF THE PARTIES, WITNESSES, AND CONSUMER OR EMPLOYEE AFFECTED MUST BE OBTAINED BEFORE YOU ARE REQUIRED TO PRODUCE CONSUMER OR EMPLOYEE RECORDS. I DISOBEDIENCEFOR THE SUM OF FIVE HUNDRD DOLLARS AND ALL DAMAGES RESULTIiIG FRPM YOUR FAILURE TO OBEYBLE I Date issued: January a, 2007 ' William G. Agger (TYPE OR PRINT NAME) TURE OF PERSON ISSUING SUBPOENA) Attorney for Plaintiff (TITLE) (Proof of service on reverse) Form Adopted for Mandatory Use DEPOSITION SUBPOENA FOR PRODUCTION �+ nal Code of Civil Procedure, §§Crv?Code§ 150.)(0); 2020.440. Judicial Council of California JO LiLI I1S" 982(a)(15.2) (Rev. July 1, 20051 OF BUSINESS RECORDS t� p�j17C Government Code § 68097.1 BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!'. DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public....►►►►.►..►► (2) KAFORMMomplaint Form revl.doc z I. PERMIT NO. 1124-75tF. ;P,,M .! P E M • MH UTIL. PERMIT NO. PERMIT EXPIRES -7-7(o OWNER Michael Patterson CONTR. Sunbeam Const., Los Altos Hills 4LOCATION (A.P. 36-64-15&16 Port, w/s La Mirada Ave., 3001 E. of Wahoo Ave., Oro. d Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. 'Called PG&E JOB FINA LE6- '(Q6te) rr (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall `Z' % j Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish -v - 2nd Floor Footings ��i ' 7 Windows Z - 3rd Floor Stemwal I Sidin To out 2 Slab Roof Sheathing Z Water Piping Piers =/ -7 S Roofing Z - Sewer Garage Fdn. Vents Fixtures - , - �� 7:5—Footings -! G - 7h— Garage Vents Water Htr. Stemwal) Prov. for physically Heaters Slab handicapped Appliances Carport Coriformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation t Patio ! FIREPLACE Final ' Footin Footing ELECTRICAL Masonry Walls Throat Rou h 4-7-7 Reinf. Steel Final Fixtures Bond Beam - FIRE SPRINKLERS Motors Framing Z�. Test Water Htr. 46 Z - 7 ---,-)— Stucco Final Subpanels Q -z- Mesh Mesh MECHANICAL Grd. Fault Prot. -.7 �> Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath G G' /tiG Ventilation y i Permanent Door Closer ^/ ' 7 Final Final 1 ?j Y:. DATE REMARKS OR CORRECTIONS 0 6e(17 i 7q CALIFORNIA AMINISTRATIVE CME, TITLE 25. STATE OF CALIFORNIA, IN THE BUILDIND 1,0CATED AT: I -- 4�5;— 1 street Lot KUmbeF Tract no. EXTERIOR WALLS Planufacturer 2�-14/7Z)g;,61ckness/Type 'C CEILINU latts: Manufacturer Thickness a value )7,yle AA F AUJUf4 Blown: S=r Thickness NO. Sq. Ft. Cover*Q_2�b . R Value FLOM Manufacturer Thicknessffypo_ R Value SLAB ON GRACE Nanufactvror�__ ThickM$/TYP_ It Value Width of Insulation Inches FOMTIOX WALLS Manufacturer Thickness/Type a GENERAL C=MTOR k Tgo�z� XO -9 LICENSE MM CATE LICENSE Won �40TLE CATE Od ZZ4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 0 7 County Center Drive — Orovi.11e, California 95965 Telephone: 534-4541 .a APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date S� gnature of Permitee or Agent Receipt No. f_�9 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 paid. DIRECTOR OF BLIC WORKS By Date 4—"?— "7J ;Zling permit expires Date .................p.%:�.%..I?... BUILDING Owner eG ��cSQ SO. FT. OCC. BUILDING VALUATION ,O O C9 C� C9 . C9 (DMailing Address �,�21 J Q 0 *4 Telephone No. Fireplace Contractor,5'ON & 52' 4n Total Valuation , O O Mailing Address//% Q 00 �. Permit Fee Plan Checking Fee &/or Penalty OS s Ce Telephone No. rmlt Fee $ 2.00 $ roc Building Address PLUMBING No. @ FEE PERMIT FILING FEE ✓�vV` Each Trap 1.50 00 3 O a O UCT Repair drainage or vent piping 1.50 Water piping 1.50 15-0 Each gas water heater or vent 1.50 / .� z A. P. No. Co �"' �°i{' l Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 4-e—esQ�J Sq�lt'6tion EGA Parking Parcel Plans Declaration FireDept. Fire Zone Use Permit CWT W2—iA% Parcel a 60' R/W Im r P p ov ents Building sewer 5.00 Lawn sprinkler system 2.00 -oi�eca I Parce Approval I Plans Approval Permit Fee $ I A I I 5-1 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d U. Main service incl. 1 meter r C9v Additional meters, each 1.00 Sub -pane (12 or less) (more n 12) r Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ R e, Cook -top or Oven 1.00 /, Cy O WatemWeeal`er or Spa eater IS 1.00 8. C9 Light fixturesbol(410 l ts 11051 swit fix ouMal 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 style of: Hood, E&21W E&2or F. A. Furn. Motor 1.00 Q„ V O Eva oler, gar. disp. or D.W.1.00 00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. I_r3 2trdMisc. Classification wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6o $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code hich requires every employer to be insured against liability for orkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3► 0 O Heating Cooling Ventilation C.r4Je (9Cj Hood / 2.00 t> O Permit Fee $ Ov $ OC 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 TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date S� gnature of Permitee or Agent Receipt No. f_�9 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 paid. DIRECTOR OF BLIC WORKS By Date 4—"?— "7J ;Zling permit expires Date .................p.%:�.%..I?... LAND OF NATURAL WEALTH AND BEAUTY Vis^ DEPARTMENT OF PUBLIC HEALTH f: •"' :: ! RALPH F. ERLINGHEUSER, M.D., M.P.H., DIRECTOR DIVISION OF ENVIRONMENTAL HEALTH Address 7 County Center Drive, Oroville, California 93965 -Telephone: 916/534-4281 Reply to 0 747 Elliott Road, Paradise, California 95969 - Telephone: 916/877-0852 April 28, 1975 . Sunbeam.Constructior_.: G. Vistica -..11190 Hooper. .:Lane . Los AltosHills; California.' -94022 Dear Mr. Vis On.. 24, ` 1975, in the presence of lr. R. Hunt, septic system - installer; I reviewed you construction sites located*on La Iiirada Avenue, Oroville; and identified in the Assessors Parcel Maps as the following parcels '36-64=14; 36-64-15 and a portion of. 16, 36-b4-17.and a portion .of 16.. Due to. the, severe.leveling .fcr house sites, it is questionable Xi adequate septic. systems can be installed .for the above stated 'parcels. WTith respect .to the foregoing, the septic system' perrl�its issued on March 31, 1975 for the above stated parcels are hereby revoked, and shall' remain revoked until such time that sufficient area for a septic .system is' shoi-m on each parcel in question. If .you have any questions concerning this ,tetter, please contact me at the Environmental Health Department. Very truly yours, Edward L. Overhouse,-R.S. Sanitarian ELO : lg 992188 Certified -5120' ( I Al 112, 3 u 6// �S A 13 3p, 9 22 ' 20 0 a� '0' \ o Septic s tem anto\c f�ion it . inn drain stub -outs to e s or Butte Co ty - Healh op. R `J quirements. t\ \ • wa \ a A t o a z The BI . Setba k shall be 5 ft, from \ oco the side roperty ine and 50 ft. from the cente ine oft road, perm;ttFng This set of plans and epecificafiansMPJ a max* of a 2 ea overhang. Rept on e job at all times and it is ur 0 7 thf thoe � ` Make any changes or altera+lens on samew;t written permission from the Department of Public - Works, County of Butte. . GDT/S A/V0-iq PORT/ON OF LOT /fo p6a ' W4NOp PARK, A SUBo/v/S/O�/ OF 40r 9,3 OR0VIZ LE'' - WYANA1;'oTTE' FR01r.,MN09 OA117-#4 100-1 till NOTE:—All Ma+er;cls & Workrme+nship Shmll Be in Accordance with R�cagnized r=nad Prnc#ices r. ,a of ' a' quality prescribeA for +he S, = ,�� fcPa �.,sP ;n *ha Uniform Buildinq, Plumb;,q & Machanical Codes and the National Electrical Code. B C R _ Z D. Oa' BUILDING DEPARTMII4T� z APPROVED 4 VT See Master Plan on file for builcfiog plans. EFUN October 11, 2002 Ms. ILeen Schoeman 303 La Mirada Oroville CA 95966 RE: AP # 036-640-023 Building Permit # 02-0861 Dear Ms. Schoeman: You are due an additional refund from our office. Please find attached a general claim form ready for signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact me at (530)538-7541. Yours very truly, Tammie Powell Plans Applicant Assistant attachment COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ILEEN SCHOEMAN ADDRESS: 303 LA MIRADA CITY & STATE: OROVILLE CA 95966 DATE OF CLAIM: 10/11/2002 IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT OWNER DECIDED NOT TO BUILD. (AP#036-640-023, BP # 02-0861, RECEIPT # 343789, DATED: 4-12-02, OWNER: ILEEN SCHOEMAN. Total amount paid $ 472. 35 Total amount retained 174. 00 Total amount already refunded 174. 00 Total amount of additional refund due $ 124. 35 TOTAL $ 124. 35 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �(J,, Dated this � day of 1, 209 -at CO Lim.... Calk, - Si natup of Clairfiant I, the undersigned, hereby certify that, to the best of my knowledge, the services cles s ecifie ve h ve been performed or delivered and that there is a Budget Appropriation I ) or Specific Board Approval I ) (Check one) for the am Dated this �&* day of �, 2009-, at 0/& VIUe , Calif. Departifient Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 for $ 124.35 PAYABLE FROM CONSTRUCTION PERMITS Dept. Code 0100 Exp. Code PAYABLE FROM Dept Code Ex . Code PAYABLE FROM FUND. FUND FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. DEPT. & SUB. PROJ. COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ILEEN SCH®EMAN ADDRESS: 303 LA MIRADA CITY £r STATE: OROVILLE CA 95966 DATE OF CLAIM: 4-12-02 IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMFNTRECEiviNr; r.nnn.4z nR sFnvirFc. DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD.(AP # 036-640-023 BP # 02-0861 RECEIPT# 343789, DATED: 4-12-02, OWNER: ILEEN SCHOEMAN.) TOTAL AMOUNT PAID $472.'-'5 RETAIN REFUND PROCESSING FEE 25. 00 RETAIN BUILDING PERMIT FILING FEE 20. 00 RETAIN PLUMBING PERMIT FILING FEE 20. 00 RETAIN ELECTRICAL PERMIT FILING FEE 20. 00 RETAIN PLAN CHECK FEE FOR'l HOUR. 46. 00 RETAIN SRA PLAN CHECKING FEE 43. 00 TOTAL AMOUNT TO BE RETAINED 174. 00 TOTAL REFUND DUE 298.5 TOTAL $298. 5 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an as stated. Dated thi day of 20P4,at dl, 0 dA Calif. a�%n Signef—uhi,,of CI imant I, the undersigned, hereby certi t at, to the best of my knowledge, the services or articles specif above have bee orr ed or delivered and that t Budget Appropriation ( I or Specific Board Approval ( J (Check one) for the same. // ^ Dated this 3rd:. day of July 202 , at OROVILLE Calif. Dep rtment Hea or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 for131.00 PAYABLE FRdM CONSTRUCTION PERMITS Dept. Code Exp. Code 461 43, 00 PAYABLE FROM Dept Code Ex . Code PAYABLE FROM I DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. I SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING- DIVISION USE. Receipt Information: Number. Date: Issued To: Amount: F--es.Retained: V --'Processing Fee: v5ldg Filing Fee: 0)(bg'Filing Fee: Vll.-Iec Filing Fee: Meeh Filing. Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE 343789 4-12-02 Ileen Schoeman $ 4a1. 35 $ $ $ WL60 $ $ $ $ Ca- E MAILING-AD.D.RESSl fiASSESS RORO PARCEL f: RE-CEIPT-NUMRER(=S) REFUND CLAIM APPLICATION 330 03� - �ecW - oa3 343 9 Oq w Request a refund of fees paid on. the above receipt number(s) for the following reasons: x Please refund any applicable fees in the following categoeies: (Check those.categories) twFiich_y_ou wish_to_have-r-efundedJ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees CDisposition_of=Plans: ( ) Plans returned to me at counter Please mail plans to me at above address. ( ) Please dispose of plans. •TIRF0 /.► • PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO. (Rev. 12/96) APPLICATION AND PERMIT 0 _6_, _ i ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I✓�J_1��'FI�-/lSJ CONTRACTOR'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 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I ereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is -w full force and effect.6 'cense 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 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. G?11 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 Boli nu er are: / l Carrier 10 r7( Policy Number T71z2 .,.-yo- (The above sections need not 1. completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 forth -with coryiply with those provisions. \ X Date _!Z6Z Q Signature of Applicant - Owner M ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOXaA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. S.3.50FT. NEWCONST.MULTI-OUTLET CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDRUREs BAL @ "00 0 FOXED APPLNs. OR Ex. Occup. ounETs REs1D. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERM IT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CAN RY-ASSESS R INK -INSPECTOR GOLDENROD -APPLICANT -s+n�,_r��!;'..�,_;naR„3'"►,{lral:.�t:+"+�+f.��;0�`•�7e'-N^ti�»+ww.. ,,M9'r!^,a�:•e'r+�t^rr`� „-;,aa.,"'t'..r•.�v+nh+Y+w-�u� :-a�.,r y=�.;.a.`n ,j COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION . -i7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET w OWNER: �`,IY ► ASSESSOR PARCEL NUMBER Q -3 /P X L'� Proposed Building Use: Q C(/L Counter Technician: C,�1X� 77 Date: T /.:)-1 c� Items required in order to apply for a permit. AVboxes MUST be checked OR marked NA in order to apply. >1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. \ " 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs............ '....................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ` 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑II—)Statement of Intent for Non -heated and A/C Buildings.................................. 16 Sanitation and plot plan approval from the Environmental Health Department in OD,p�) K(.J 17. City of Chico Plumbing permit ......................._._../.......................... .... . 18. California Department of Forestry plan approval (J"paid. Sent by:.......... )019. Planning approval for (A) Use: O K (B)Parking: (C) Parcel Check: H _'Zrj-62 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... I ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 4❑ . Pre -Inspection for required ................ 3. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier and Policy Number ..............:.............................. 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone andhold for pickup. I have been mfor ed olpthe above items and requirements for obtaining a building permit. (A)picant: Q 1. Index permit application for the above items numbered: '( 100e' 10/0"i ..1< eyiy;-r Plan Check Letter 2. Additional items required ontrac , designer, owner, was advised of t e v phone, ❑mail; ❑counter, by Date: S' '7- C Z Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.}8. USE ONLY Stat Pian Anachod Floor Ran A eha Sam to ®.D '^ ! TO: Building Department V4 FROM: Environmental Health 0,3 SUBJECT: Sanitation Clearance °l ? 33D Z-3 Owner Location AP# Plan Approved for: Sewage Disposes WM:41LA&-k>- Supply: Public 11Private Well Clearance for dwelling. Other �`� 3 Z Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 �/ /Cr62 Date -VRESIDENTIAL _ 036-640-023 PERMIT#94-3054 RYAN, DEBBIE 330 LA MIRADA AVE., OROVILLE ADD EAVES,REPLACE WINDOWS,STUCCO & REROOF/SF JOB FINALED (Date(P Signature I J=OK O = Not OK Applic NNototReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch f 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS . , . •,.Oi Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK 104 . . L O = Not OK -=Not Applicable = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- -------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ------ 18. D.W.V.:-Test-Fittings & Anchor -Nail Protection --------------- --------------------- 19. Shower Pan: Test. First Floor -Tub Access ------------- - ---------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ---------------------------------------------- -- --- 21. Gas Pipe: Size & Anchors -- DateCard B_1 ---- - Date - Card B-1 -------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------ -------------------- ---- --------------- ------------------ -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------ Equip.-Ground- ----------------------------------Equip.Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- ------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------ -------------- -------------- ---------- ---------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------ - ----------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -- ------ - ------ - ----------- ----------------- . Equip Equip. --------------31Clearances - -Panels- ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- ---------------------------- ---------------------- - - --------------------- 33. Smoke Detector -------------------------- - ---- --- - ------- -- ----------------------------- - ---- --- Date Card B-1 Date Card B_1 ----------------------- ----------------------------------------- Date Card B-1 Date Card -8- 1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation -------------------------------------------------------- Condensate Drain & Overflow: Size & Grade ---------- ---- -------------------------------------._..... 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ------- 38 Attic Access & Platform if Furnance in Attic ------------------------- --------------- --------- - -- ----------------------- Date Card B-1 Date Card B-1 --------------- --- --- ----- - - --- - --- - ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils. Proper Material & Anchors -------- -------------- - --------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------------------------------- --- ---------------------- 42. Draft Stop in Walls (rat proof) ---------- -- ----------------------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------- ------------------------------------------------------------ 44. Headers & Beam -Size & Bearing Single & Duplex) Date FRA NG (Continued) 4 a ers-Post Caps -Anchors -Connectors Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 7. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------53.-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- --- 55. Siding -Nailing Veneer 5 tucco esh-Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls: Nailing -Bolts ___________ 59. Insulation -Walls -Ceilings 60. -Infiltration -Walls -Windows ---- --------------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s -------------- 61.- Ext. - Steps -Door & Sidelight Protection -Landings ------ -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------------------------ 64. Bedroom Exiting - 65. G. -F -.I. & Bath Fixtures & Tub Access -Spa ------ ---------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth ------------- - ------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -- --------------------------------------- ---- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper --------------------------------------- --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 .Insulation -Foam -Looked in Attic ❑ Yes ------------- 78. -Guard -Rails & Deck- Construction -Post Caps -------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------ . -- -------------------------------- 82. Follow' <tld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: 1�47* P ers ❑Yes ❑ No - - - I ,co. co Brown -Finish 82. A_C_Unit: Disconnect_ Electrical, Plumbing - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - --------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing - ------------------------------- - - -------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------ 87. Glass Protection _.... ------- ----------------------------- ------ ----- 88. Corrections from Previous Inspections - ------------ ---------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - ------- - ---- -- ------------------ --- 91. Energy Compliance Certificate -Other Certificates ------ ------- --------------I ----------------- ---- ---- DCard B-1 Date Card B-1 --ate---------------------------------------------------------- Date Card B-1 Date Card B-1 ---- ----------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWN PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. — e2k� v� Z-,- Date,Inspector REV 10/92 / v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754],, _� PERMIT NO. APPLICATION AND .PERMIT �j ASSESSOR PARCEL NUMBER 036-640-023 ZONING BUILDING PERMIT OWNER DEBBIE RYAN 909-1040 SQ' FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS 330 LA MIRADA OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ mig 99 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 6435 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 330 LAMIRA PERMIT FEE $ 183.35 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF RDuplex O Mobilehome ElOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20•00 TYPE OF WORK New ElAddition 1:1Remodel 1:1Utilities ❑ Installation 1:1Other ❑ Describework: ADD EAVES. MOVE & UPGRADE WINDOWS/ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 SLIDER/D/ OORS/STUC 0 SIDING/ R Main Service ( 200A OR LESS ) 23.00 ,R00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTg0., NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) EII am exempt under Sec. Business and Professions Coda forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. 9 .60 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Q 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 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 Count in consequence of the granting of this permit. J �112X Date / Si nature of Applicant - Owner CI Contractor ❑Agent 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 $ HAZ- I D. FEES I IMP I FLOOD I CDF PARCEL I PD ND I U 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 , Dat 9y V PERMIT EXPIRES ON C( 7 /Date/ ReceiptNo. 170601 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ai�'T* `�a„?)'+;�1-Lr+`�t� ►T14t Pw�wti�+'��.twt�tt{j.i��r�P:raS�Rer„-r��,?^'f'+%+rrrri^+�K"h�+�ti;i::ti>q+.n ; .-�., t COUNTYOF BUTTE -DEPARTMENT OF btVEC�OPMENTSERVICES - BUILDING DIVISIbN� �O97COUNTYCENTERDRIVEL, N,65- TELEPHONE (916) 538-7541 PrCJ �JLwR_MIT ` PLICATION DATA SHEET OWNER A o. Proposed Building Use Building Inspector- Date At time of perm -application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ r 2. Plot plans, 3/4 sets, signed by preparer of, plans . .......................... . 3. Complete plans, 3/4 sets, signed by prepa7rer of plans. ...................... ' 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .` 6. Energy Design Compliance and supporting documentation . .................. ., 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . ' 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . • 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................ .............. . 16. Plot plan and business license approval from City of Biggs/Gridley. ......... •.... . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ....'. 20. Pre4rispection request Pre -inspection for required. . to Building inspector (Date) ' 21. Contractor's license information. No., Name Style, Classification . ` 22. Certificate of Workmans Compensation Insurance. _. 23. Owner -Builder Verification (Given to owner , Mail to owner _)........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................ I............. 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ' 31. Existing violations/expired permits . ....................................... 32. Plan check list . ...................................................... 33. 34. When otrissue the permit, proces as follows: Mail to owner. Mail to contractor. Telephone nd hold for pickup at Q/L D office. "� Deliver with inspector. Other Parcel Creation /` Acreage Applicant Date 7A; Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health, Dept. Fire Dept. Other Date By 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 -mail Counter by _ Date Contractor, designer, owner, was advised of 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 - Department of Public Works COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION 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 or no) 2. I (have/have not) k &_Ue, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 following persons to provide the work indicated: Name Address Phone Type of Work Property Owner 21t� :ems --- Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 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.