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BUTTE COUNTY
DEPARTMENT OrDEVELOPMENT 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
ERMIT NO.
BP042615
LICENSED CONTRACTORS 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
Issued Date: 09/07/2004 APN- 007-250-064-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 3111 MICHAEL WAY CHI
Date: Contractor:
Map Index:
DeScriptlon: RE ROOF COMP 18 SQ.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
a
Contractors' State License Law for the following reason (Sec. 7031.5
I
Business and Professions Code: Any city or county which requires a
Owner: MANTONYA KRISTI L
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
3111 MICHAEL WAY
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
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
f 95973-7633
she is exempt therefrom and the basis for the alleged exemption. Any
I
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
CLwill do the work, and the structure is not
inter ed or offered for sale (Sec. 7044, Business and Professions
Applicant: MANTONYA KRISTI L
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
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
y
and Professions Code. The Contractors' State License Law does
contractor:
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.).
O I am Exempt under Article :� of the Business and Professions Code
�
Date:—i4/—Owner::
License #:
WORKERS' COMPI=NSATION 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
I
I
Labor Code, for the performance of the work for which this permit
is issued.
Architect: .• (^ ! S,
❑ I have and will maintain workers' compensation insurance, as
Engineer:
i
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:
1
r
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
❑ 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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
L
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.
CONSTRUCTION LENDING AGENCY
is lending agency for the
This permit is hereby issued under Ke applicable provisions of the Butte County Code 2ntt/or
Resol tions to o work indicated ov foe which fees have been paid.
I hereby affirm that there a construction
performance of the work for which this permit is issued (Sec 3097 Civ.)
/�� -c
'7'-7o ��
B r Date: / J'7
Y
Name:
PERMIT EXPIRES ON:
Address:
Date
❑ I 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 I am the owner or the duly authorized agent 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 official form or document of Butte County. I hereby
authorize re re entatives of Butte County to enter upon the above mentioned property for inspection urpo es.
r
Print Name. % Signatur .
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
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
PERMIT NO.
BP042615
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of pequry that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date' 09/07/2004 APN: 007-250-064-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 3111 MICHAEL WAY CHI
Date: Contractor:
Map Index:
Description: RE ROOF COMP 18 SQ.
p -
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
Owner: MANTONYA KRISTI L
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
3111 MICHAEL WAY
signed statement that he or she is licensed pursuant to the provisions of
CHICO CA
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
95973-7633
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
compensation, will do the work, and the structure is not
inten d or offered for sale (Sec. 7044, Business and Professions
Applicant: MANTONYA KRISTI L
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
COntraCtOr:
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.).
❑ I am Exempt under Article 34of the Business and Professions Code
Date: Owner:
License #:
WORKERS' COMP NSATION DECLARATION
I 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
Architect:
is issued.
Engineer:
O 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:
Cartier:
Total Square Ft: 0 S. F.
Policy a:
Valuation: $0.00
Census Code:
O 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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:�J���
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.
o'co
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under t e applicable provisions of the Butte County Code 2nrt/or
I hereby affirm that there is a construction lending agency for the
Resolutions to d work indicated a ov for whicFi"fees'have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
_, q -
Name:
BY , Date: `7 / (J
PERMIT EXPIRES ON:
Date
Address:
❑ 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 I am the owner or the duly authorized agent 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 official form or document of Butte County. I hereby
authorizere re ntatives of Butte County to enter upon the above mentioned property for inspection urpo es.
Print Name. > �/` Signatur .
Date:
O Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor
OWNER -BUILDER VERIFICATION
Attention Property Owner.
An "owner -builder' building permit has been applied for in' name'and bea iit pour side.
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. ,
*I. I personally plan to provide themajor labor and materials for construction of the proposed.
property improvement: YES -t- NO O
2. I . HAVE._E HAVE NOT ❑ signed an application for a building pmmit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed conshaction:
NAME:
ADDRESS: My ,
PHONE: CONTRACIOR'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:
ADDRESS: CTTy: ,
PHONE. CONTRACTOR'S LICENSE NO.
some.bM-Amr-krbui-I-havv-erouLtacted �e-f'oll `
�-� p�sons��ro�de
the work indicated:
NAME - ADDRESS ? PHONE TYPE OF WORK
V
SOCIAL.
DATE:
NOTE: This Owner.BuVer•VerU cation is regrdred'by Sec€ivn 11831 dnd 19832 of the
California Health and Safety. Code. Mis . verr kat on must be- completed and
returned to our of we before we are permitted to ima-P tl v n rf .
Dear Prop6dy Owner.
All Specified.
cx�aafar a building permit has been sobmiited is yarn name listing yourself as the binder of property
For yotaprotectiM you should be aware that as "owners y� are the responsible
a P pem>is are not regcmed to be signed by property owners unlessOu Pa* ofrecord on such
worm If your wmk is being p by smeone other than yourself S'may
are Personalty p�o�g their
liability if that person applies for the Proper P� in his or her name. mayPm yourself from possible
license from are �ed by law to be licensed and bonded by the State of California and to have a business
liveappn �Y or co: T� are also by law to Put their license number on all permits for whizh they
WYOU PIM to do
be aware of the folIowingyo oa13r Own �£ar y the moa ro various trades that yon plan to snbcontra� YOU should
yotn- benefit and prot�:
+ Ifyou employ or affimW seengage my persons other than your immediate family, and the work (iach�ding ia]s
and other costs) is $app or more for entire Prn] such persons are not licensed as consradars or
subcodracEors, then yon may be an employer.
♦ If yon are an employe, you mustrO&ter wig the State and Federal Govemm�ng.s as an erjemployer and
subject to sevehl obligations umclnding state and federal you are
income taa wiMo
♦ There may qDCjd
� disabiUy »ce costs, and unemplay mt
with respell to workees ct mp u if u out 9= obligations, 9=e risks are especially serious
♦ Foa•more specific IuflDZMabM about 3VMabligahoas under Federal Law
if you wish, tiie U.S. SmaIl Business Ad>n istradan . �ntract tip i�al Rzvetme Service (and,
State Lav►, contact the Dept of Benefit � Far more specific mon about your obligations under
�3'� and the Division ofFndusUW Aceidemu.
HIS dfructurs is mt„aded for sale, P mPm ty owners who are not licensed
workC:Ondp'aass � or through their
� employes, Wnhout a licensed conftactoror submintactor, only under limited
A frequent pracdce of unlicensed P=Ons Prnhming to be coabaam is to se = as ..owner buildea" building
Pte% sly mag aw The propmtyOw= is providing his or hSr own labor and p=�y. Bun
permits are not to be by propaty owners rrnle�� m naldin
Infnaaadon about licensed my obt ed Y are Pig � own work person.Ily.
WnMnuity or at 1020 H StreA S the s State License Board in your
PIease Iefe the CA. 95814.
�P "OWaer Fodder Yeaficadoe on the reverse side of bus foam so flint we can confirm that
are aware of these matters. The building per# will ant be issued tmtfi the verificadmi is 3'OII
OTS• Thin Owtser-Bur7derlt orrrsa{zort is required Iiy Sec on JR830 ofdie CWoraia Heart and Safety Code
At rT7v%
$uT rF Butte County Department 6f -Development Services
°°
0 0 YVONNE CHRISTOPHER, DIRECTOR WWW.buttecounty.net/dds�
o o r ,
o 0 7 County Center Drive '
o Oroville, CA 95965
UN : (530) 538.7601 Telephone ,
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING*. GIS *.PLANNING
August 6, 2004 _ c
Kristi Mantonya
3111 Michael Way
Chico, CA. 95973
RE: Building Code Violation .
' Location: 3111 Michael Wy. Chico Ca.. 95973
AP#: 007-250-064
Dear: Kristi Mantonya "
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the
above -referenced location, as follows:
- Failure to obtain the required permits, inspections 'and approvals from this office for the
re -roof of a single family residence. w
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 bepursued 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 Michael Vieira in this office at the address or
telephone number listed bove. 3
Si
Mich el Vieira a
' .Building Of:
a a
BB: ms _
cc: Assessor ,
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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!!!!!!!
r
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COUNTY UTTE
BU>L0|NzV/SKJW `
DEPARTMENT OF DEVELOPMENT SERVICES�411 Main '2/51 '
� 7County Center Dhve-e{}�ovUe.CA°(53O)538-7541
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CORRECTION - '--_ ' ' _ ' ' ' ' _ ---
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OWNER PERMIT NO.
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the following violations of butte countyOrdinances exist utthe
above addiess and wdumvo,mvwo. Please notice mis,o/mmwhen correction o/work ix
nbmp|o0� If you have any questions pertaining to this matter, o,need additional explanation, �
please contact. this office immouiowh/
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REV 10/92
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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!!!!!!!
f
(2)