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HomeMy WebLinkAbout028-062-006COMPLAINT GIVEN TO'BUILDING INSP. DATE: BUILD VIOLATE CODE VIOLATION, 30 DAY 'S �O 28-062-6 T.M.L., Inc. W/S Palermo Haicut Rd.,app.700'N.of Brown Rd., Oroville Permit 1928-78B,P,E,M(new single family)ZAA ( t O Igo 028-062-006 ` 05-0116 CARMONA, XAVIER 10110 PALERMO HONICUT HWY, HONCUT Cont: FOUR SEASONS ROOFING REROOF B07-0198 028-062-006 MISCELLANEOUS Water Heater C/O WATER HEATER REPLACEMENT (EI 10110 PALERMO HONCUT HWY MANUAL A. HUEZO ETAL t3(0 X)6-0073 ,R16-a1u3 0 April 25, 2002 Mr. Javier and Mrs. Elaine Carmona: 10110 Palermo Honcut Highway Oroville, CA 95966 RE: Building Code Violation Address: 10110 Palermo Honcut Highway Oroville, CA 95966 AP # 028-062-006 Dear Mr. Javier and Mrs. Elaine Carmona: BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the conversion of a garage to living space. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, At -w— 4 Scott Rutherford Chief, Building Inspector SR:th cc: Assessor THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE -25,' STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Palermo Honcutt Rc. Street # 2 Lot Number Tract No. EXTERIOR WALLS1 11 Manufacturer Certainteed Thickness/Type R Value. CEILINGS Batts: Manufacturer Thickness R Valu - Blown: Manufacturer Certainteed Thickness 8 3/� No. Bags -23 Wt./Bag Sq. Ft. Covered 1150 R Value_ �9 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness /Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE No. TITLE — DATE INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925 BY TITLE Owner DA'�TF. 10/9/78 PERMIT NO. 1928-7-8B7P-;E,M PERMIT EXPIRES OWNER T.M.L., Inc. CONTR. owner LOCATION (A.P. 28-062-6 W/S Palermo Honcut Rd., app.700'N.of Brown Rd., Oroville X Temp. Power Pole Called PG&E Temp. Elec. Serv. 3 Called PG&E Te p. Gas Serv. Called PG&E VFJOB INALED t { t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping. Forms Parapets 1st Floor - Main Bldg. Restroom Finish if 4 2nd Floor Footin s1 44Windows Final 3rd Floor = Stemwal I Siding ' To out Slab Roof Sheathing Water Piping Piers (j Roofing Sewer Garage Fdn. Vents11 Fixtures Footings - Stemwal I Garage Vents V U, Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio 1, FtEPLACEU Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh I MECHANICAL I Grd. Fault Prot. , 1 11 Scratch Heatina Service I V--1110 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------------- --- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M0816EUOME INSTALLATI N • .... • • .. • .... Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ay Ol �'�- p.tJ�•f° (.�. Lac . � ® �- � I� f 0 n mftbe made on this form each time you visit the job site.) -� Itz E 1 ,.f COUNTY OF*BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT allLIIU11LC ICIliC5C11l0lIVCS UI 11IC LUUIILy UI DULLU LU CALCI UNUII IIIC above-mentioned propertyfor inspection purposes. X Date Signature of Perrmitee or Agent Receipt No. 1:74 3 0 1 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 f hich fees hale been paid. R 7 F P�e L U C WORKS % (� BY Date ` Building permit expires Date/��� BUILDING Owner 4 ^ G, SQ. FT. OCC. BUILDING VALUATION Z023 0Y01 d Mailing Address O Telephone No. Contractor Mailing Address Fireplace Total Valuation S ta.010n U (� Telephone No. -OSO$� Permit Fee j 00 I Building Address t" �L2yj,� <<s Plan Checking Fee&/or Penalty Permit Fee js'C�Q SOC 104) p j PLUMBING No.1 @ I FEE PERMIT FILING FEE 1$3.001 .5,00 Each Trap 1.50 1,2, O O `�p9l�4tlo 9 Repair drainage or vent piping 1,50 A. P. No.�tZ?- Water piping 1.50 O Each gas water heater or vent 1.50 F S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 O EQA Parking Plans Parcel eciaration Parcel May 60' R/W Improvements P Each additional outlet .30 Building sewer 5.00 C� Parc _,oval PI s Approval Lawn sprinkler system 2.00 NEW ET ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 6,010 $ �t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q O Main service 600V OR LESS 100 All OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWEL G - P. Y OR ADDNS. ACC• B 20 sq ft 'Q 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 st le of: Y �vf / J_ . ,/I�G NEW RESID,CONST/MU NCH IR T NON-RESID 1 BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 50@250 BAL@1 Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID•) EA) 2.00 Temporary service 1.10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 10 $ C 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. 19 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FJI 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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3r -OD Heating ) ptj Cooling -0 Ventilation Hood 2.00 1 qO Permit Fee $ p p $ Qt 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 retating to building construction, and hereby Land Development Fee $ Cie TOTAL PERMIT FEE $ Q (p) allLIIU11LC ICIliC5C11l0lIVCS UI 11IC LUUIILy UI DULLU LU CALCI UNUII IIIC above-mentioned propertyfor inspection purposes. X Date Signature of Perrmitee or Agent Receipt No. 1:74 3 0 1 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 f hich fees hale been paid. R 7 F P�e L U C WORKS % (� BY Date ` Building permit expires Date/��� A G BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 695 OLEANDER AVENUE SEWAGE DISPOSAL PERMIT CHICO, CALIFORNIA 95926 747 ELLIOTT ROAD 7 COUNTY CENTER DRIVE Phone: 343-4211, Ext. 62 PARADISE, CALIFORNIA 95969 OROVILLE, CALIFORNIA 95965 Phone: 877-0852 Phone: 534-4281 Date Issued EXPIRES ONE YEAR FROM DATE OF ISSUANCE Permit Issued to ,&v/ 0 zRAC%T = �/ it/ eztt To construct a sewage disposal system for: Located at: SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Leaching Field Length: , , . , , , , ft, Total Length:. Q, ft. Width: . . . . , , , , , , ft, Trench width: , . ?,` inches Liquid depth: . Y . . . , , ft, Minimum No. of lines . J`_. . . Liquid capacity:7,4 ?�. . . gals. Rock under tile . .41*", . inches Special conditions: Additional leaching field will be required if experience shows it to be necessary. No part of the system may be located within 50 feet of the center line of any County Road. NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. � h Permit Fee $ U Penalty Fee $ Total�Fee $ Building Sewer Fee $ Issued By:�i%!/� 8 / ol / if /J" Sanitarian BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 10110 PALERMO HONCUT HWY Owner: Permit N0: B07-0198 APN: 028-062-006 MANUAL A. HUEZO ETAL Issued Date: 02/02/2007 By TMP Permit type: MISCELLANEOUS 10110 PALERMO HONCUT H Subtype: Water Heater C/O OROVILLE, CA 95966 Expiration Date: 02/02/2008 Description: WATER HEATER REPLACEMENT (707) 249-6468 Occupancy: Zoning: U Contractor Applicant: Square Footage: RISSE & SONS INC RISSE & SONS INC Building Garage Remdl/Addn PO BOX 67 PO BOX 67 RIO LINDA, CA 95673 RIO LINDA, CA 95673 (916)992-0875 (916)992-0875 Other Porch/Patio Total FEE INFORMATION DBP Water Heater (qty) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1702 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RISSE & SONS INC 264815 / C36 C20 C34 C42 C4 C2 / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 02/02/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's SI ature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. Dept of Industrial Ripolicy Number:4505-056 Exp. Date: Contractor's License Law.). (This section need not be completed if the permitis or one dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/02/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those wners Sig ure Date provisi X 02/02/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: F URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHAL UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pZ owner or am authorized to act on the roperty owner's behalf. CONSTRUCTION LENDING AGENCY ,S 02/02/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner Contractor OR: DAgent for Owner D44ent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLYr, r OWNER INFORMATION Last Name7_0First N &Ij SAP Address to !l0 9-0/) c ,_nC U/+ City ©rov i 11-e— State C4 Zip p,SRr� 6 Phone -70-7-2y9r6(f6 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City%Q i U Address IZZES Zip City i Fax cou Rq I 3b0 State,,, Zip S(o-13 Phone % a 75 Fax Itn q I '3003 E- ail rAmem Planner tjc. #Z Class It 01, APPLICANT INFORMATION ARCHITECT/ENGINEER Name City%Q i U Address Zip City Fax cou Rq I 3b0 State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address 22 Ce S-F►r�, City%Q i U State Zip Phone t o, 2 15 Fax cou Rq I 3b0 E-mail i�,,�0 APPLICANT• ®' ' ��L �.t! [ � �.., :•�� is For office use only: Zoning Property Address !o/ Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: !\\/Cr] Ce_%n 011r13K"1TTA1 n r7r%111�CRACAITC PERMIT,d 6�' G � 'BP:. BIN ti PROJECT LOCATION AP# - Property Address !o/ City 0 rb Vl l k Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: C CJbakA Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:—e- Amount: V S °U Bldg SRA Receipt #: Sheriff MIP Other Date: � ` `C� •J Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No 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. ❑ 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 AIC 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). ❑ 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). El 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'approvalfrom 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 K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION 1 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. 2 License Class: v License Number: Date: _ -0 5 Contractor. Dl f • � _�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy #: ❑ 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 the 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 those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT- NO. BP050116 Issued Date: 01/18/2005 APN: 028-062-006-000 Site Address: 10110 PALERMO HONCUT HWY HON Map Index: Description: REROOF W/COMP TEAR OFF (20) Owner: CARMONA XAVIER & ELAINE E 10110 PALERMO HONCUT HWY OROVILLE, CA 95966-9609 Applicant: FOUR SEASONS ROOFING #11 COMMERCE COURT SUITE #1 95928 530-895-0418 Contractor: FOUR SEASONS ROOFING #11 COMMERCE COURT SUITE #1 95928 530-895-0418 License #: 659073 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 CONSTRUCTION LENDING AGENCY This permit iskeret I hereby affirm that there is a construction lending agency for the Resolutions t0690 -performance performance of the work for which this permit Is Issued (Sec 3097 Civ.) BY -----f-- Name: PERMIT EXPIRES Address: )r the applicable provisions of the Butte County Cods andlor above for which fees have been paid. 1JV Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ -Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that*l am the owner or the duly authorized age5 of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficlal form or do e o ul County. I hereby authorize representatives of Butte County o nter upon thef above mentioned property for inspection purposos. f Print Name: (�bl f' 19� ���>�r� .1 Signature: Cl Owner 0 Contractor 0 Agent for Owner Agent for Contractor (0 0 0 . 0' ►0 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 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 OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY** OWNER Last NarrC N e 1 , Address 4110 1,srMW,6 fm PA City w I •• Stat VA I Zi Phone Fax E-mail APPLI .j d zj // For office use only: CONTRACTOR Name 1 Name �'Mom` City City Address ! Zip Phone City 0 E-mail St State License Number Zip Phone Fax E-mail Lic. # d%3 7-1ri-3i APPLI .j d zj // For office use only: ARCHITECT/ENGINEER Name 1 Address SRA City City State Zip Phone Phone Fax E-mail E-mail State License Number APPLI .j d zj // For office use only: APPLICANT NAME Name 1 Address SRA Yes City m Stateda (.j "lam ZipVn or Phone q5 C4j ( Fax E-mail Pate! proved: APPLI .j d zj // For office use only: Zoning Property Address, �� Flood Zone Cross Street SRA Yes No Occ. _ _ .... - - - -Type Const. - - - - Subdivision Name Map Book Page Lot # Planner Pate! proved: 0 PERMIT NO. 0 l �, BP BIN # LOCATION AP# V - G ^Dace Property Address, �� City Cross Street WORKER'S COMPENSATION Policy Number W g Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address - ` Description or Sco-ge of Work: �e !b Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMEN I b L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Rece' Receipt #: - Date: I/ t wt Amount: L(-. SRA - - - - - --- - - - - - - Sheriff - SMIP i Other Total REV 7-27-04 ti SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No 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. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (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). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 prier-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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Jan 18 05 10:33a P,1 0■ -1� lswson �ROOFING. ll Commerce Ct., Suite 1 •Chico, C:\ 95928 • (550) 895-0=178 FAX 895-9201 Y January 18, 2004 Butte County Building Division To Whom It May Concern: Chris Hibbard, an employee of hour Seasons Roofing, has the authority to sign for building permit that is required to work at CLN 10110p, 10110 Palermo Honcutt Rd in Oroville. If you should have any further questions regarding this matter, please do not hesitate to call me at my office (530) 895-0418. Sincerely, TerrTaylor Owner COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 4402 RETURN SERVICE REQUESTED JAVIER AND ELAINE CARMONA 10110 PALERMO HONCUT HIGHWAY OROVILLEY CCA 95966 is +.•.� Name CARMONAJAVIER &EL INE'EK' ;Fee # 028.062.006.000•; Statu'sACTIVE - . Stetus`Date �— Addrl 10110 PALERMO HONCUT,HVJY .- - Tax 000{ NORMgL-04VNERSHIP TRA 092.013 Addi2 OROVILLE CA95966• Situs 10110 •PALERMO'HONCUT•HWY HON , Addr3'— Base Dt Addr4 L°°and " =' "1?'954 ' t r AgPres Structure 55,661 Comments 2806200600'CONVERTED 09/08/88 r Etal •Fixtuies 0 (— Notes Creating Doc# 198580350500 Date Growing 0 r Bonds Current Doc# 1991 R21725 Date 06/04/1991 Total L&I 73,615 r Multi Situs 0 Killing Doc# Date Fix. RP r Flagl MH PP 0 Asmt Desc 10110 PALERMO SuplCntF r FIag2 PP 0 Zoning I" — Dwell r Asmt PP Pen Exempt 0 Acres 0.00 N/C 028 Net4— _ F Tax PP Pen •�. 73;615 — R/C#[ " r Appeal Pending . T/R r Split Pending R/C StatF— PHY I OWN EXP I TAX I H0N I ATT I SIT , APR, I PCL==`:I t` ► ►t Find. I*�� X2001 sa, 07125120013:27:21 PM 3 028-062-006 ---_V, i rnrobd Ey a H o vii w 9 E �c rt w yam r-+ • H H 9 O 0000 f1 '0 x o .4 N r rtCO m a o N ^ e W o b a b �s V O .I O Q� �y . 100 z r m O Fh � 4 i { • 1 r�� 4 Y � ,� a ij�`- BUTTE COUNTY DEVELOPMENT SERVICES Complainant:— Address:— Phone omplainant:Address:Phone Number:_ Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 Name CARMONAJAVIER & ELAINE E + Asmt # �GIr�:��I:���I�I:>r Status ACTIVE Addrl 110110 PALERMO H0NCUT HWY_ Tax �000 NORMA — — I�-i= Addr2 OROVILLE CA 95966 _- 1 Situs 10110 PALEI Addr3 -- _� Base Dt Addr4 161 AgPres Sti UFee # 1028062 Status Date= OWNERSHIP TRA 092-013 40 HONCUT HWY HON 17,954,! 55,661 � 1 73,615;1 07 T i Find 120013:27:21 PM Oji Etal 17� Notes Fixtures I. Growing Comments 12806200600 CONVERTED 09/08/88 Creating Doc# 198580350500 1 Datel Bonds Total L&I Current Doc# 1 991 8 21 725 Date �06!04!1991 Multi Situs Fix. RF Killing Doc# . � Date L �- Asmt Desc 10110 PALERMO SuplCntL j F Flag1 ag2 MH PP r PP — _ Zoning Dwell u� `�J Asmt PP Pen Exempt f — Acres! 0.00 NIC 028 Tax PP Pen Net 1 RIC# rJ Appeal Pending jj Split Pending i TIR Dt iRIC Stat PUY 11' nwN 17FYP �1 TAX �i7 HON i7ATT 17,954,! 55,661 � 1 73,615;1 07 T i Find 120013:27:21 PM wmH�� : I B H 0 k �aE r° w r