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HomeMy WebLinkAbout017-180-019r1-11--11 ,, 6�� WILLIAM VANDEKAMP ��� 1934 Honeyrun Rd, Chico Contr: Four Co Roofing%%I Permit#2459-84B(reroof & �Oke%ieTSF� B07-0022 017-180-019 MISCELLANEOUS Roof Re -Pitch NEW ROOF STRUCTURE 1934 HONEY RUN RD KARLSSON, SOREN & JEANETTE B07-00 8686 0019 MISCEL'L`ANEOUS Electrical TEMP POWER FOR CONSTRUCTION 1934 HONEY RUN RD�l %/70 KARLSSON,-SOREN & JEANETTE B07-0273 017-180-019 MISCELLANEOUS Remodel REPAIR: ELEC, PLMG, FND, HVAC, V1 1934 HONEY RUN RD KARLSSON, SOREN & JEANETTE 0/7- /80 -,0/ 1401 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: 1934 HONEY RUN RD Owner: Permit No: B07-0022 APN: 017-180-019 KARLSSON, SOREN & MANET Issued Date: 01/18/2007 By KCG Permit type: MISCELLANEOUS PO BOX 1915 Subtype: Roof Re -Pitch YREKA, CA 96097 Expiration Date: 01/18/2008 Description: NEW ROOF STRUCTURE (530) 842-7706 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET CHICO, CA 95928 CHICO, CA 95928 (530) 894-3473 (530) 894-3473 Other Porch/Patio Total FEE INFORMATION Roof Structure Replacement $384.93 Total Charged: $384.93 Fees Paid: $384.93 Balance Due: $0.00 Receipt No: B1392 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 DOWNING T INC 803263 / B / 05/31/2007 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 1 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 X `� 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 v— 01/18/2007 ($500); Please check one of the following: CO r E Signature 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 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ftaction ft ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier The Contractor's License Law dows not apply to an owner of the property who builds or improves and policy number are; , thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the ' Carrier: 1838102 Policy Number: Exp. Date:09/0112007 Contractors License Law.). (This section need not be completed if the permit is or on'ed dollars ($100) or ass. F1I 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 01/18/2007 compensation provisions of Se 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X {' 01/18/2007 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 S19 Date WARNING: LURE TO SECURE ORKERS' 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 SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the 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 Pr rty own r or am author ed to act on the property owners behalf. CONSTRUCTION LENDING AGENCY J - r Af1 - c, 01/18/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a Of P rmittee [51(m] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; ElAgent for Own Agent for Contractor FILE COPY Lender's Address City State Zip BU'T'TE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam irst Name r Mailing Address ezn City ate Zip Phone Fax E-mail CONTRACTOR Name T, Address City State CA Zips Zip City Phone 'ER t{ - Fax . y2 SZbL, Eprrtail Uc. #03 CI t.••� Page APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number APPLICANT INFORMATION Name Address 1-1-1s City Stated Zip Phone 510 _ Fax E-mail APPLJQANTIGNATURE X For office use onI . AP# Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certfcate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. 0 BIN # PROJECT LOCATION AP# Property Addre s jCt�qQ. Vold L City .cry Cross Street UN �k WORKER'S COMPENSATION Policy Number jg � Carrier U If hiring anyone other than license contractors, a certfcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ai Sr�,oc_AV,L 1re- B 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: Amount: Bldg SRA Receip #: Sheriff _SMIP Date: i (' Other ��� Total DATE r 8/29/2008 I-- - - - REPORT TIME _ 13.87 LOCATION !11934 RP 0/7 -/So -6/c7 INCIDENT NUMBER EVENT NUMBER ll LOCAL FIRE NUMBER STATE FIRE NUMBER CASE NUMBER r PHONE NUMBER 'r _ _10004' 10834; LOGGED BY ISO ' -- 1 a� 1 Mai Firo RONAVARRO _ 1 actgtata Fires! rawer. BI 142B 1 actracnH MEDICS J PRA IK18 ' ECG ❑ I REPORT METHO BCSO LINE T WILDLAND FIRES ❑ ESTIMATED ACRES I FIRE INFORMATION STRUCTURE FIRE �RESIDENTIAL FIRE INFO SENT HOW EMAIL r BY JT TO OTHER FIRE 7 -DAY LOGGED INITIALS JT :S" MEDICAL AIDS } INCIDENT NAME 1934 HONEY RUN PSA/OTHERr— __---- _----=-� START DATE '----==--__- --__--=- ----' `- - - 8 /29/2006) START TIME - 13:84_ HAZ MAT _ DIAMOND # 1.1-1.8 Billable Incident ❑ CAUSE UNDETERMINED COMMENTS LAND USE JDOMESTIC STRUCTURE THREAT TO ACRES [ . -' `0! TYPE OF ACRES DIAMOND 6 ONLY $ DAMAGE TYPE j DOLLAR DAMAGE I78000.00 SAVE -' 280000.00 Lr INJURIES/FATALITIES ❑ # CIVILIAN INJURIESit "' EMD ❑ OES ❑ Interesting Event ❑ # FF INJURIES J- # CIVILIAN FATALITIES 'fir 0� --- — 0' # FF FATALITIES 0) 77 FC -40 INFORMATION ♦ New Incident- FCO ❑ DATE OF FCO INC AGENCY INC # INC P# FC -40 COMP DATE _ - - _ _ J FC -40 COMP BY- County Notifications © EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ SCANNED & ATTACHED TO PERMIT #: 0?- 002'L DATE: i IQL6 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PEkMIT 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: 1934 HONEY RUN RD Owner: Permit NO: B07-0068 APN: 017-180-019 KARLSSON, SOREN & MANET Issued Date: 01/11/2007 By TMP Permit type: MISCELLANEOUS PO BOX 1915 Subtype: Electrical YREKA, CA 96097 Expiration Date: 01/11/2008 Description: TEMP POWER FOR CONSTRUCTI Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET CHICO, CA 95928 CHICO, CA 95928 (530) 894-3473 (530) 894-3473 Other Porch/Patio Total FEE INFORMATION Temporary Service $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1479 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 DOWNING T INC 803263 / B / 05/31/2007 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 Divi ion 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 X ` basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 01/11/2007 penalty [$500]; Please check one of the following: Contract ts Signature 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 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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: ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and number The Contractor's License Law dows not apply to an owner of the property who builds or improves policy are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: 1838102 Policy Number: Exp. Date:09/0112007 Contractor's License Law.). (This section need not be completed if the permit is or one hundred 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 Califo , and agree that if I should become subject to the workers' X 01/11/2007 compensation provisions of S ion 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisi S. X 01/11/2007 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: AILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 HUNDRED THOUSAND DOLLAR ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with. the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioneciproperty for inspection purposes. I hereby certify that I am the property oAner or am aut z to on the property owners behalf. CONSTRUCTION LENDING AGENCY 01/11/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for NaWe of ermittee ISIG Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner � Contractor OR; Agent for Owner gent for Contractor FILE COPY b�'. Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name Address irst Name ! ej re Mailing AddreN j ont v. ? oc..cL City Zip _ L State CYA Zip Phone g y Z -2 '?()LI Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name Address Address City City 0 t State Co Zip _ L Phone Cr _ Fax F -m-ail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City City Zip'35-96 _ State Zip Phone Phone 5.70-3g 7 Z Fax E-mail State License Number APPLICANT INFORMATION Name .� SRA I Yes No Address $4. City tate, Zip'35-96 _ 04 - l.,n Date Approved: Phone 5.70-3g 7 Z Fax E-mail APPLICANT I NATURE X CDO For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. �6 b-7 CJ BIN # PROJECT LOCATION AP# Property Address/ �� 1`I3,�e < �,� 2d . y Cross Street WORKER'S COMPENSATION Policy Number X838 toZ-6 Carrier "S14/c 4� 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 Descript' or Scope of Work: 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. �J Received by: Amount: S�� Bldg SRA Receipt #: Q I Sheriff SMIP Other Date: J + �j /' r /_6 ( SS• �� Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, jinvironmental Health, and the California Department of Forestry for their clearances and approvals. Th>areme thi s youcan do to expedite your permit: 0 Make sure your application i mplete.0 Be responsive to requests from Co departments for any additiols or requirements. The Building Division places its highest priority on processing b 1 ding permits as y as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and on null an id if the work authorized by such permit is not started or completed within one year from the date o ' suance of such permit. may be renewed (for a fee) prior to expiration an indefinite number of times, provid construction progress has been ��errru' ocu nted by the Building Division during each year during scheduled inspections. /N changes may be made in the originaplans a specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please c tact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at h=://municir)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0022 Location: 1934 HONEY RUN RD Parcel Number: 017-180-019 Date: 01/04/2007 Owner Name: KARLSSON, SOREN & JEANETTE Phone: Description: NEW ROOF STRUCTURE Signature of Property Owner: ,_.I Date: 01/04/2007 FILE T. Downing Inc. men( _l ,4 I s5o Cf l.. c Main level io• I1 Mein level 2006-12-06-1323 01/04/2007 Page: 2 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: 1934 HONEY RUN RD Owner: Permit NO: B07-0273 APN: 017-180-019 KARLSSON, SOREN & JEANET Issued Date: 02/14/2007 By KCG Permit type: MISCELLANEOUS PO BOX 1915 Subtype: Remodel YREKA, CA 96097 Expiration Date: 02/14/2008 Description: REPAIR: ELEC, PLMG, FND, HVA( Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 894-3473 (530) 894-3473 FEE INFORMATION DBMSC Remodel -Residential $357.44 DBMSC Stucco/Siding-All Other $110.00 Total Charged: $467.44 Fees Paid: $467.44 Balance Due: $0.00 Receipt No: B1834 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 DOWNING T INC 803263 / B / 05/31/2007 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 Busiiess and Professions Code] or that he or she is exempt therefrom and the t basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects j 02/14/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Contractor's Signatures ate Please check one of the following: ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION 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 notintended cr 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: v Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; I The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: 1838102 Policy Number. Exp. Date: 09/01/2007 Contractor's License Law.). (This section need not be completed if the permitis or one a hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 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, arVTagree that if I should become subject to the workers'X 02/14/2007 ccoom the Labor Code, 1 shall forthwith comply with those �visions. Owner's Signature Date �on �/ -X 02/14/2007 1 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 __1 -Signature — Date WARNING: FAILURE 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 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the abo toned party for inspection purposes. I hereby certify that I am the pr° pertyownersbehalf. CONSTRUCTION LENDING AGENCY �— /M, I 02/14/2007 'Name 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Permittee [SIGN)�—Print! ate the performance of the work for which this permit is issued. (3097 civ. code) Owner ,- arcontractor OR: Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameKA,ri First Name_50le Mailing Address City State Zip Phone Fax E-mail CONTRACTOR Name T vwn % L Address City G t✓c State C� Zip Phone d �Y y?3 Fax 3 E-mail A C, - Gv Lic. #Pp 3 2 6 -3 lass g APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. o7-b2� BIN # PROJECT LOCATION AP# 0 17 /fib DSI Property Address 3 y 90"y uh (� City G�AfGb lig 1' WORKER'S COMPENSATION Policy Number f r 7 pr /� —L —61 . f Carrier 1fk— FjV1 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. F'awa,.. ✓b'L U'�A Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. MIIH12NA8 13:55 5308422083 REMAX YREKA Soren & Jean Karlsson P O Box 1915 Yreka CA 96097 Butte County Dept of Development Services, 7 County Center Drive Orovil.le CA 95965 Fax # 530 538 2140 Re : Permit No. B07-0022 Dear Sir or ..Madam., Thank you for your Permit Expiration Notice = copy attached. PAGE 01 //111 -1 - Please be advised that the general contractor for the project was Ti.m. Downing Construction in Chico. It is my understanding that the permit Was substantially amended to include more work_ Work has been com- pleted, and I have a .lien release from: the general contractor. .Please. contact Tim Downing Constnmction at 530 894 3473 for further information on this matter. I am faxing them today a copy of both these letters. Regards, l Jean Karlsson v' Owner Encl. BUTTE COUNTY JAN 2 3 2008 DEVELOPMENT SERVICES s M/18/2U08 13:55 5308422083 REMAX YREKA Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95966 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netldde www.buttea-p,neralplan.net ADMINISTRATION' BUILDING' PLANNING January 16, 2008 KA.RLSSON, SO.REN & IEANETTE PO ROX-19 r s. Y.REKA, CA 96097 Subject: PFRMI'T EXPIRATION NOTICE I ORTANT: PAGE 02 -2- On 1/18/2007, our office issued building permit number B07-0022 for NEW ROOF STRUCTURE. This permit expires one year from the date of issuance. If work has begim and you have had ar least one inspection for this permit in the past year. you may qualify to renew the permit for the current renewal fee of $1.15.98. You must renew the permit within 30 days of expiration. Tf you fail to renew the permit, Butte County Code requires a new permit application. A new permit is in most cases, substantially more costly. To avoid the higher cost of a new permit application, we would advise that you commence work. and call for a building inspection prior to the expirationdate of your permit. Some non-structural permits do not qualify for a, renewal, such as electrical, plumbing- and mechanical. In these cases you may want to try to firal your permit before it expires to avoid having to apply .for a new permit.. If you have any questions, please contai:t us at. (530)538-7541 or the permit center at (530)538-6861, 7:30am - 4:30 pm on Mondays, Wednesdays - Fridays and 8:30am - 4:30pm on Tuesdays (Holidays excepted). Sincerely, Butte County Department of Development. Services. Permit Center BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 4 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0068 Issued: 01/11/2007 Address: 1934 HONEY RUN RD Area: CHICO Owner: KARLSSON, SOREN & J1APN: 017-180-019 Applicant: DOWNING T INC Map Page: Permit Type: Electrical Description: TEMP POWER FOR CONSTRUCTION/REB Flood Zone: None SRA Area: Yes Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwalUB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 _• OFFICE COPY NAbove Signed Address y YQ rU (e AQ i1 f? V GAS Meter By �- Date r N Meter �. ELECTRIC ��� O➢ T'Meter By 22%9!�f Date k Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: - --- — --- - - --------------- Finals _— • , Building Final 802 Electrical Final 803 A Y,17. a Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 "PROJECT FINAL 801 a . VJcu r11141 15 is toff uncaLc Vl MCCUPUMy for knesluentlal Mnly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION -Koo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �/ APPLICATION AND PERMIT / A46-57-19 L NV Z "Q BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION William Vandekmi) 342-1180 OWNER'S MAILING ADDRESS 1934 Honev Run Bond Chico CA 95926 26 square Shake Re -roof CONTRACTOR'S NAME TELEPHONE FOUR COUNTIES ROOFING CO. 343-1416 ,=1 �t1 U CONTRACTOR'S MAILING ADDRESS Fireplace 1060 Marauder St., Chico CA 95926 CONSTRUCTION LENDER UNKNOWN Total Valuation $ r3 C Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ An, nn ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ An nn BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Sr+ra•z an Above Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5•6utlets 5.00 USE OF STRUCTURE Building sewer / 5.00 Mobile Home / S G W 10.00 e SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY TYPE OF WORK Permit.Fee $ New Addition ❑ Remodel❑ Utilities Installation❑ Other C% Contractor Describe work: Re -roof Shake ELECTRICAL PERMIT Filing Fee 10.00 C \` Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 112.50 NEW CONST. ( DWELLING OC cup"') OR ADONS. 1 ACC. BLDGS. rz1/2QSq ft CONTRACTORS LICENSE LAW NEW CONSTR ULTI-OUTLET2,50 ea I declare under penalty of perjury (check one): NON.RESID BRANCH CIRC ITS)' NEW CONSTR POWER APPARATUS &' 0 I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID. %SINGLE OUTLETi CIR. Ex. Occu zo�$oa P�o TURES and Professions Code and m license is in full force and effect. y FIXED APPLNS, OR FIXED A PLNS. eALeaom License No. 275945 Classification C-39 Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 ❑ 1, as the owner, or my employees with wages as their sole compen- Temporary service' 10.00 sation, will do the work,and the structure is not intended or offered Mobile Home,Facilities 15.00 for sale. (Sec. 7044) 1 Misc. Wiring 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code I Permit Fee $ for this reason I Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating i ❑ The permit is for $100.00 (valuation) or less. / a I have placed on file with the County of Butte Building Department Cooling a Certificate of Workmen's Compensation Insurance or a Certificate Hood of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. 11.1 Notice to Applicant: If after making this statement, should you become subject Perrnit,Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 40.00 Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against OCCOP. GROUP TYPE OF CONST. PARCEL PD ISSUE all IiabiIities, /judgments„costs, and expenses which may in any way accrue I rD I against said'County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- r r 8�1�84 X �' ' �' I r r l Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor E]Agentwork indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height./v DIRECTOR'OF PUBLIC t/ WORKS (� Y tf -) .. By Date Receipt No. �f ♦y' PERMIT EXPIRES Date ^ WHITE-D.P.W., YELLOW-ASS&SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT q PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 °Tal"ephone 916/534-4541 APPLICATION AND PERMIT` ASSESSOR PARCEL NUMBER 46-57-19 ZO NG' BUILDING PERMIT OWNER William Vandekam TELEPHONE 342-1180 SQ.FT. OCC. BUILDING VALUATICW OWNER'S MAILING ADDRESS 1934 Honey Run Road Chico CA 95926 26 s ua a Shake Re—roof CONTRACTOR'S NAME FOUR COUNTIES ROOFING CO. TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS 060 Marauder St., Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 30-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Same as Above PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or v 5.00 Gas piping system 1 - utlets 5.00 USE OF STRUCTURE SF[2 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G iEl 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other kR Describe work' Re -roof Shake — s ly ( P e rm 110ee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60v OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.e, OR ADONS. ACC, BLOGS. I 2/20sq ft CONTRACTORS LICENSE LAW penalty p l y (check one): I declare under enact of perjury ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. 275945 Classification C-39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTFMULTI-OUTLET wr 2,50 ea BRANCH CIRC IT NEW CONRESID NEW RESID. /POWER APPARAT &1 NON-RESID. ISINGLE OUTLEIItIR. Ex. Occu / zo@soa P\o o IXTURES 6AL@30Q A FIXED AP LHS. OR FIXED Ex. Occup. OUTLET (RESID,) EA.) 2.00 Temporary serviI 10.00 Mobile Home,49aciIities 15.00 Misc. Wir' g 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. �^ Notice to Applicant: If after making this'statement, should you become subject to the W. C. provisions of the Labor Code, youimust forthwith comply with such provisions or this permit shall be deemed revoked! •P , - Heating Cooling Hood 3.00 Ventilation Permit ee $ Co actor 1 certify that I have read this application and state that the above, information is correct. I agree to comply to all County Ordinances and State;Laws relating to building construction, and hereby authorize representatives of�the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgm ts, costs, and ex 'enses-which may in any way accrue against i ou ty in o e ue�nc of'the"granti,,`h f this permit. X �` Detec2`8/1/84 SignotUre o pplicant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 40.00 occuP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ') III" R R O CT PUBLIC f/J -F-73 By PERMIT EXPIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS Date -1%1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT , , • ya �g��► .y�av ��M ♦`610 10 w y000 3. Ir F if 11 •. ,. ..' ,m ..�i :".�..4, �.. ..,:si. rvv^;t n . 1.:r..�1.Y .. M1 :.c . .�'�=. �.:w, s 1 s.:5 � Fi�, .. BUTTEl, UT E y W� ul.rl tt .. .. = -:... . •: ... , A.xl ,� . NON aIrDIN:IDIiIi ' '�v��;Y�v� }� .,i-5'w�v..+�T: ,. ni ahrn .,.,a.:,,.:.La..., ti.♦ . .f'v'Ar.cYY4J' t:lr.3v'�. : � .. :�..... . ' �.,._.'. r .y.v:4f':, n. .�.' . • , - ct.:.., r: ". ., Yi 16 rN � -'� J Ll S�S 11.11 IL 11 11 y ems. ^ III—I Al.UAL 11.111111 ... , .. SCALNo 1 ' PROVED BY: DRAWN BY DATE: REVISED DRAWING NUMBER 4 i •.' � - � -. ii �� i s .. ��