HomeMy WebLinkAbout021-240-017Tr
irite,c,? i . f > a s*. a.•1i'� 3 Z . •�,./a/
.. '4� ye iSy/' � x Y .. '�'� �a a �•* � M •* � d ♦ - •� j 41Fs ;, �+`� J �
BUILDING CODE VIOLATION
RE: CONSTRUCTION OF A POOL, -•' . 2
PATIO COVER & CARPORT
021-24-0-017
I J.2-6( 3o )qy DRISNUP, Mark 00-0713 E
197 Little
(ele serch)SFnue,,Gridley A101 "
f ; 021-24-0-017 f
DEWSNUP, MARK 00-0784
I97 LITTLE AVE., GRIDLEY i
! . _ • REROOF
a r ., � _ ' '_, _ � 1 1 • .. 1.
�
n
t
,Ren;• �'L++"�'° ' ti"i!'��.:Y _r3r+9'S-.;. Ti : "`rn �� �-r x•r,-7•.:.;'r,.:A Y.�SS`;' • _ .• .. .... _....>• x ... _ ., y y.;�
021-24 01017
t: DEWSNUP;> 00-0713 E.
197 Little Avenue
. se. Gr ;
(ele r ch)SF, idley.,
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By D �'
t r
PCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO.
APPLICATION AND PERMIT - '
ASSESSORPAfiCELNUMBER
_0
zGNING
BUILDING PERMIT
OWNER
MARV ,S
TELEPHONE
946-42,47
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
bI.U* LIBERTY RT), ngn)Try
i
C RACTOR'S NAME
TELEPHONE
CONTRACTORS M.AIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINf 1 2REEITMp AVE, GRIDLFY
j�J
Ener Plan Checking
Energy g Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑K ,Duplex ❑ Mobilehome ❑ Other
• SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: FLEC SFR CST
i
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�oo� oA mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POSINGLE
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.123.00
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation, insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall,
not dmploy any person in any manner so as to become subject to workers'
combensation lav �vs of,Cal'rfornia, end agree that'rf I should become subject to the
wdr ers' compe/nsation� provisions of section 3700 -of the Labor Code, I shall
ply with th se provisions.
X Date _
Sig- Owner ❑ Contractor gent
&Pplicaghi
Anequired for excavations over 5'0" deep and demolition or constructionof stories in height.
Main Service TO
46.00
CCU000A
WEE200A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( & ACC. BLDS. 3.5¢FT_
. .OUTLET
r,OL}po�,DMULTI
@7.50
8 OUTLET CIR. WER APPARATUS
Ex. Occup. ourLEr OR FOcruREs
20 @ 1.00
SAL @ .50
Ex. Occup. DFIx�E�D�A a LNSoR� 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00 23 JW
PERMIT FEE $ M
_
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FE_ E $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPe
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HO
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicate above for which tees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
r
Receipt No. ,:��- (
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 -MainStreet • Chico, CA * (530) 891-2751
7 County CenterEDrive • Oroville, CA i (530) 538-7541
CORRECTION NOTICE
' OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need 'additional explanation,
Please contact this office immediately.
L4 qt --
7
1
.i .
y3'
' REV 10/92
.i .
y3'
' REV 10/92
W
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) ' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-24-0-017
ZONING
BUILDING PERMIT
OWNER
MARK DEWSNUE
TELEPHONE
846-4247
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
CONTRACTORS NAME
ITNK OWN
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MNUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIL11 JORE4sITTLE AVE, GRIDLEY
1y� f�
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: ELEC SER CH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W I@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
vORMain Service p A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPPARATUS
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
at in the performance of the work for which this permit is issued, I shall
Knotoy any person in any manner so as to become subject to workers'
ation la alifornia, and agree that if I should become subject to the
comp sation provisions of section 3700 of the Labor Code, I shall
comp with th se provisions.
'of
X Qee'�
Sigpplicant Owner Contractor gentAnt is required for excavations over 5'0" deep and demolition or constructionof er 3 stories in height.
4p.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING DOC P.
OR ADDNS. ( a ATHBRANC, Bens.
SO
3.5QFT;
ga10 MULTI.OUTLET @7,50
a SINGLER AOUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES SAL @ .50
PP
Ex. Occup. oUTIEEDT3 .=.OEA_
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00 23.00
PRE INSP 23.00
PERMIT FEE S
or% nn
MECHANICAL PERMIT Fling Fee 26.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
2.A
p. FEES
IMP
FLOOD
COF
PARCEL
Pp
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
Date
PERMIT EXPIRES ON Q
r (0.45 f
Receipt No. G
WHITE-D.D.S.-B.D. ANARY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I , �� 41W -I,/�_z.
COUNTY OF BUTTE -DEPARTMENT OF D*EVELOPMENT SERVICES.- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALI]FORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT "PLICA TION DA TA SHEET
`
^� 0��� (7
Proposed Building Use: 0A Building Inspector: Date: L4�
At time of permit application, I was advised the foHowing data must be submitted prior to permLit pivcessing and/or issuance:
Date Received By
^~^.=""="""a°="=" -
O2.Plotpluuo.3/4. �.~"i"�xbythe yrepurerofplans ---------------------------------------------------
03. Complete
--'------'-----'--'-------'-O3.Comylete plans, 3/4 sets, signed bythe prepamerofplans -----------------------'----
� 114. Engineered plans, 3/4sets, with wet signature unplans. All engineering must 6cshown uuplans -----
� 05.Bo8inecredbnoodetuilouodluyoutiodupliuute(meJuircdp6urtoplaocev6ew) Nofax&---------
06.BoergyDesigoCoop6uom:uodm/yyortingdwuuoentatiou---------------------------___________
117 S��uou000flo�u���2�o�'B�u�duudx�CBu�d�go
� ` �-----_---------------------_-__---_--��- ------_
O��}��urdouuY�vm�iuJF000�---------------------------------------------
� ' -_--___-_--' ---_--_
u9�NiuoutacturdBonuodatuuodinstallmiouinstrocd000inuodingIioDovmn8pucifiuudoos--------------------
El 10.
---------Ol0. Fees u[5 ---------------------------------------------------�--- -------
011.impact fees as, shown uuthe attached schedule ---------------------------------- '
Ol2.California Department ofForestry plan approval/fees ----------------------------------------------------------
013. F)oodelevu6uoucrtdluate ---------------------------------------------------------------------------------
�---
Ol4.Sanitation and plot plan approval Health Department -----------------------
O�5..City ofChico plumbing permit ---------------------------------------------------------------------------- ----------------- -------
.
Ell 6.iplotplan and business license approval from the City uyBiggs -----------------------------------------------
____________
'Ol7.Planning approval a>r+A)Use: (B) Parking: --------------------------
El 18. Contac
------------OlW.Coutao Land Development about O Improvements,[]Druinugc.[]legu Parcel ------------------------
' Olg.Encroachment Permit for driveway (construction approval prior hmoccupancy) ---------------------
�'---'
�for
�
O2O�f��upc���
u� oxn��lI�x�ux�UoB��l�o8loop��oroo (Date)
.El 2l.Contractor's license information. (Nuober.Name Style, Classification) -------------------------------------
El 22
-----------------O22 Workers' Compensation carrier and policy number
I * rer-Builder Verification (Given to owner 0, Mailed to owner 0) - -----------------
or
Recorded copy of Agricultural Acknowledgment Statement - ---------------------------------------
` .-----------_ __-----
O2h�le�oruf�ue�uo6u��u�uoe�--------------------------------------'��-'
' � __-___----- -_-_--_
027. Manufactured Home mili' utility clearance -----------------------------------z--'
-----------_ -__----
020 Existing violations and/or expired permits --------
Wh i th �ayss,!*ollows 0 Mail to 0
,�hp you ssu P, owner Mail- contract /00
Telephone and hold for pickup at /Ice. El eliver 'th inspector.
'pp---
Departm ��B�^Date: B
Copy u[plans sent oHealth Department, oFire Department, oOther: Date:" �
1. Indexpermit application � �the numbered: -~ T'--O9l /Check List
2. Additional items required: -
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Divi�iori counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter by Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter: by Date'
^ Contractor,d^— owner, wasadvised - the above required data -'- phone, - mail, - Building Division counter, ./Date:
Plans Date: Plans approved by: Date:
_S�oofpbm�
omu6oioo9�oCuh��oA.folder, Note transfer b�
Y��wCopy'Department ofDevelopment Services, Building Division.
\
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev.'12/96) ' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB .'%� / �Q /R / -7ZONINGBUILDING PERMIT
OWNER�L10 0v`^5 (� 9/ TE qX L > SO. FT. OCC. BUILDING VALUATION
It /V %
C�-v
—7•---�
Temporary Service
Mobile Home Facilities Er23.00
ELECTRICAL PERMIT
CONSTRUCTION LENDER
Main Service
zoOA OR LESS
23.00
Main Service
200A TO I000A
LENDER'S MAILING ADDRESS
NEW CONST. OWELIJNG OCCUP.
OR ADONS. ( 8 ACC. Iffs
3.5¢S0.
FT.
Fireplace
07.50
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee
$
20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-
Plan Checking Fee
$
BUILDING ADDRESS Ll
I �T S
Energy Plan Checking Fee
$
[$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
New ❑ Addition ❑ Remod�ell 0
Describe Work: ��Ej V
TYPE OF WORK
Utilities 13 Installation ❑ l�OthherJ❑
rCZ C /`C/ �/
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
age
t
EX. OCCU . OUTLET OR FIXTURES IEZ 3 .�
PERMIT FEE $
Temporary Service
Mobile Home Facilities Er23.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
zoOA OR LESS
23.00
Main Service
200A TO I000A
46.00 `
NEW CONST. OWELIJNG OCCUP.
OR ADONS. ( 8 ACC. Iffs
3.5¢S0.
FT.
NEW CONST. / MULTI.OUTLET
NOWRESID. 1 M— rier�mc
07.50
age
t
EX. OCCU . OUTLET OR FIXTURES IEZ 3 .�
FIXED APPLNS. OR
Ex. Occup. OURETS RESID. EA
Temporary Service
Mobile Home Facilities Er23.00
Misc. Wirina ,.
PERMIT FEE $
MECHANICAL PERMIT Fling ree 20.00
Heatinq
6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE TOTAL FEE $
HAZ. I D. FEES IMP FLOOD CDF PARCELPO HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
i
P
R .,
o r
a, ,. ..
.... � ..
..
c
�_a�a�.� �a .,__� ��� �� �_, .-. __ ._ _- - � 1 __ ,__, _-.,� sem_., _ __.�_�_
�.e� ��, q � �� 1
...� :� 1� � � � � e . � A � A �.� .) e. ��" .� .. .. �.
B
��_ � `4 ���:, : �"may -' T"" •.r�".-,i�� -. ._ �. --_
� � .� x\ ���� �, 1 � `� '
' �'•-. w
D
d
� - ,
.,� ,�_ �+..����-_�>_-�.._.._.___—.-_._:_�_.�.�-..._..�,�...__.,..,.�,. m._�__.._-.>__...�._v-.rte
.=..+.ice, ��_._.��.}��.i�T1 _.r �—...T-+�---\t"'r�"�..`1�.�`�»._.��.��,��_.�..-__�.��,_����4.�_e. �s_ .._.��,
� ° _`_e
� .
i
ti
yy ;ate
'� ,, a .� �
� � `�
i
To Whom It May Concern, 4/18/00
In 1947 Wendell Dewsnup built the house in question at 197
Little Ave. In 1959 the house was sold to our Grandfather,
George Dewsnup, at which time the carport in question was
already in place. We called my uncle's wife, Louise Dewsnup and
she said that the little metal carport was put on in 1955 to shade a
window cooler on that side of the house.
Thank You,
PRE -INSPECTION REPORT
OWNER: IN /Wn 5,1w
Ny P
DATE:
LOCATION: J ?`% L 1 -TT/ -F /wk, e4 bLAI A.P. # /
CONTRACTOR:
PRE-INSPETION FOR:
DATE TO INSPECTOR`" I ( — 0z-0 PERmrr
Building Description:
Commercial/Usage:_
Residential/# of Units:
Currently Occupied r/
Abandoned/Vacant
Electric:
Yes No
Condition of Electric
ZONING:
( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Electric currently On Off
Gas:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
.�,Fmmffm
ACTION RECOMMENDED: ISSUE:
Inspector:
HOLD FOR
Date
Sketch buildings on reverse and indicate location on property.
.,.-.COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMER S - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • lephon 30) 538-7541 PERMIT NO.
'i
(Rev. 12/96) APPLICATION AND PER
ASSESSOR PARCEL NUMB � �/Q2ONNG BUILDiNGPERMIT
OWNER V T SQ. Fr. OCC. BUILDING VALUATION
/l/
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
ARCHITECT OR ENGINEER
ARcwrECT OR ENGWEERS MARLING ADDRESS
OUILDiNGADDRESS , lZ �-7 %
LOT NO. I SUBON610NS NAME I PARCEL MAP
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel/l 0 /Utilities ❑ Installation
'r
/❑ OOthherf❑
Describe Work: %L V C -z l� R -I, `
-U t
Fireplace
PERMIT FEE
$
Total Valuation Is
Fling Fee 20.00
Service
Filing Fee
$
20.00
Permit Fee
$
_
Plan Checking Fee
$
OR ADCNS.
Energy Plan Checking Fee
$
N CONS /
i NON•RESID. 1
MULTI.OUTLET \
wceuru riori rtrc
S
'
PERMIT FEE
$
PLUMBING PERMIT
Fling Fee 1 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI WT---
1 (920.00
PERMIT FEE S 4s
ANICAL PERMIT Fling Fee 20.00
Heati
6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC CONST. TYPE TOTAL FEE $
HA2. 10. FEES'l IMP I FLOOD I CDF I PARCEL I PO I HDISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Service
a00Main
20.AORLESSOR S
23.00
Main Service
200A TO 1000A
46.00 `
NEN CONST.
DWELLING OCCUP.
3.SCSo
OR ADCNS.
6 ACC. BLDS.
N CONS /
i NON•RESID. 1
MULTI.OUTLET \
wceuru riori rtrc
77.50
PERMIT FEE S 4s
ANICAL PERMIT Fling Fee 20.00
Heati
6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC CONST. TYPE TOTAL FEE $
HA2. 10. FEES'l IMP I FLOOD I CDF I PARCEL I PO I HDISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
EX. OCCU . OUTLET OR FIXTURES
FlXEO APPINS. OR 5.00
Ex. Occup. OUTLETS RESID. EA
Temporary Service T23.00
Mobile Home Facilities 1 20.00
PERMIT FEE S 4s
ANICAL PERMIT Fling Fee 20.00
Heati
6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC CONST. TYPE TOTAL FEE $
HA2. 10. FEES'l IMP I FLOOD I CDF I PARCEL I PO I HDISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
April 30, 2001
Mark Dewsnup
725 W. Liberty Rd.
Gridley, CA 95948
RE: Building Code Violation
197 Little Ave., Gridley
A.P. #021-240-017
Dear Mr. Dewsnup:
B E A U T Y
DEPARTMENT OF DEVELOPMEI 115ERVIGE5
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
construction of a pool, patio cover and carport.
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 voluntarycompliance 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.
In ely,
Mich el Vieira
Manager, Building Inspection
MCV:sk
cc: Assessor
alv
04-r'-F
—rte
of septic
T regttitae•
l
N
PLOT P, LA N
Min Scab: I. 82A
Gar. Kf t.
L.R.
Show size of door window openings
Show electrical layout on floor plan
Show location of p!umb.ng fixtures
SIDE. ELEVATION
FLOOR PLAN_
�_ Ite
Min.Scale: �(q
WFMOW��8�1 "Nai m0wrm-nill
FRONT ELEVATION
Min. Scale:
1
TYPICAL FRAMING
Min. Scale: %2'= II -060
:1X3 40
ft,7d
(7d �l ,�
ii
FOUNDATION PLAN
Min. Scale:
TYP. PIER SECT &B SECr.AA
FOJNDATION DETAILS
Min. Scale:
ALL INFORMATION SHOWN ABOVE TO BE USED AS A GUIDE
ONLY IN PREPARING PLANS TO BE SUBMITTED TO BLDG.
DEPARTMENT
Show all necessary dimensions, materials, sizes spacings
Li spans of structural members Stow gas appliances, plumbing
fixtures, elect equipz,app&ances,l!phts�switches� outltts and all other
pertinent data, including water heater and heating and
cooling equipment. 2
..NOTE: 3x45 and signed on
(1) It plans jo bq submitted inf. t:li W ns.
(2) Sanitot�on �ermit Inu�'� be �ssu3d� �r�or to building permit.
(3) Building must be permitted use In zoned area.
(4) All setbacks measured to closest portion of building.
COUNTY OF BUTTE
Dept. of Public Works
7 County Center Dr.
Oroville, CA. 95965
rt
'"
/mac
Gar. Kf t.
L.R.
Show size of door window openings
Show electrical layout on floor plan
Show location of p!umb.ng fixtures
SIDE. ELEVATION
FLOOR PLAN_
�_ Ite
Min.Scale: �(q
WFMOW��8�1 "Nai m0wrm-nill
FRONT ELEVATION
Min. Scale:
1
TYPICAL FRAMING
Min. Scale: %2'= II -060
:1X3 40
ft,7d
(7d �l ,�
ii
FOUNDATION PLAN
Min. Scale:
TYP. PIER SECT &B SECr.AA
FOJNDATION DETAILS
Min. Scale:
ALL INFORMATION SHOWN ABOVE TO BE USED AS A GUIDE
ONLY IN PREPARING PLANS TO BE SUBMITTED TO BLDG.
DEPARTMENT
Show all necessary dimensions, materials, sizes spacings
Li spans of structural members Stow gas appliances, plumbing
fixtures, elect equipz,app&ances,l!phts�switches� outltts and all other
pertinent data, including water heater and heating and
cooling equipment. 2
..NOTE: 3x45 and signed on
(1) It plans jo bq submitted inf. t:li W ns.
(2) Sanitot�on �ermit Inu�'� be �ssu3d� �r�or to building permit.
(3) Building must be permitted use In zoned area.
(4) All setbacks measured to closest portion of building.
COUNTY OF BUTTE
Dept. of Public Works
7 County Center Dr.
Oroville, CA. 95965
R .r �ti1c.2vT.NF1,S',,°+l'd.:k�7i.j,->.� sn :;h!r.; 'v'.'�.eb3sv.'v3{'. t'. ;:>.. . •n,,,r,..."r't+�r-• ;•.alb. .-tc�': ..N. v ,yft - _ as -.:a .:. `r'i,
—44
! 00-0784
021-24-0-017.
a -DEW SNUP,
197 LITTLE=AV —1 3RIDLEY
4 t
' � � • i �.../+`^j .. •/rte/���. _ • , i_
i../'0- O
R •
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�P I NO.
(Rev. 12/96) APPLICATION AND PERMIT' t�
ASSESSOR PARCEL NUMBER
021-240-017
ZONING
,
BUILDING PERMIT
OWNER
MARK EIUSNUP
TELEPHONE-
846-4247
SO. FT. OCC. BUILDING VALUATION
20 SQ IP 1,200
OWNERS MAILING ADDRESS
725 WEST LIBERTY RD., GRIDLEY9 CA 95948
CONTRACTOR'S NAME
OMER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER '
Fireplace
LENDER'S MAIUMG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ • 00
ARCHITECT OR V IGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRSS
197 LITTLe, AVE. GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $ 49.00
LOT NO.
SUBONISIONS MIME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Du ❑ Mobilehome ❑.� Other .' t
t--' +•. �� SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each aswater heater or vent 15.00
1 TYPE OF WORK
New ❑ Addition ❑ Remodel A❑ Utilities ❑ Installation ❑ Other hN i 0
T-
" F' 20 CC�� f ,
Describe 'Mork: SQ
T
Gas piping stem 1 - 5 outlets 15.00 '
Buildingsewer 15.00 ..
Mobile Home S G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zoOA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION —
I hereby affirm under penalty of perjury that I am licensed'under provisionsjof Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. !
' OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: ~ F.
>O' fl, as 3wner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale:
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEIN CONST. DWELLMNi OCCUP. SO
OR ADONS. ( .
1N.pµgalp, T,',OUTLET 97.50
POWER APPARATUS
8 SINGLE OUTLEr CIR.
Ex. Occup. OUTLET OR FIXTURES SAL '_50
Ex. Occup. D ED R=.D�, 5.00
Temporary Service 23.00
Mobile Home Facilities
Misc. Wirin 23.00 l
PERMIT FEE _
WORKERS' COMPENSATION DECLARATION
1 hereby a -firm 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`fiw a and will maintain workers' compensation insurance, as required by Section
370) of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Polity Number
(The above sections need not be completed if the permit is for work of a valuation
of me hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
wor<ers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Xii /�.� F►.-, �. / Date / 7 i �J
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition construction
of structil�as over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 132.9!
HAZ.
p, FEES IMP
FLOOD
CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indica'above for which fees have been paid.
04/26/00
By ! Date
PERMIT EXPIRES ON `/2b/01
Date
ReceiptNa 1b65��/4ii.i1���1J�SOU�yJ�.'i` :i'.'t+il
WHITE-D.D.3.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,� nP NO.
(Rev. 12/96) APPLICATION AND PERMIT' //lj
ASSESSORPARCELNUMBEA
021-240-017
ZONING
BUILDING PERMIT -
OWNER
MARK DEWSNUP
TELEPHONE
846-4247
SO. FT. OCC. BUILDING VALUATION
20COMP 1,200
. OWNERS "UNG ADDRESS
725 WEST LIBERTY RD., GRID -LEY CA 95948
—SQ
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 29.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS ti
197 LITTLE AVE. GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE S 49.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Feel 20.00
USEOFSTRUCTURE
SFR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other iX
Describe Work: REROOF 20 SQ COMP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
a00VOR LES
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
Igr I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Mein Service To 46.00
CCU000A
VT200A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( DVT
ACC. BLAS. 3.5¢FT.
�µp�IpT am ULT.'0 TLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAL @ ':50
Ex. Occup. DFIXUTIEETSq.,p,OR, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
16 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'.
compensation laws of California, and agree that f I should become subject to the
workers' comp on provisions of section 3700 of the Labor Code, I shall
fo ith corn y wit those provisions.
X _ Date/00
Sig ata pplicant - ❑ Owner , Contractor ❑ Agent
An OSH it is required for excavations over 5'0" deme etTd d olition or construction
of struct over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 132.95
D FEEsIMP
FLooD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat above for which fees ve been paid.
1 Date 04/26/00
PERMIT EXPIRES ON 04/26/01
Date
Receipt No. 286566/$49. 0O 286566/ 83.95REFUND
WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK-INSPE LDE OD -APPLICANT
y, CNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION -DATA SHEET
OWNER: U P ASSESSOR PARCEL NUMBER: 1_2 CQ ` "7
Proposed Building Use: Building Inspector: Date: L% / -7 eD C_j
At time of permit application, 14as advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------
------------ - ..
jl. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
1vr3rComplete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. --------------- ------------------------------------
El 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------- ---------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ;
❑ 10. Fees of $ --------------------
---------------------------------------------------=-------------
❑ 11. Impact fees as shown on the attached schedule. --------------------------- --------------------------------------
0 12. California Department of Forestry plan approval/fees.---------------------------------------------------------
El 13
-------------------------------------------------------
013. Flood elevation certificate. ----------------------------------------------------------------------------------------
14. anitation and plot plan approval Health Department. --------------` .---
--------------------------
❑ 15. City of Chico plumbing permit. -------------------------------------------------------------------------=---------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9.. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for required. Request to Building Inspector on - (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number.- "--------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
El 24. Letter of signature authorization. --------------------------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement. ---------------------- ----.------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
S
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
t
028. Existing violations and/or expired permits. ----------------------- ------- ----------------------------------------
❑29. 1143 A, C1 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
1, '
E130. Other: - � , .. r .. , ,:. ,. ------'
KWh you isVIP rhocessyas follows C1 Mail to owner, ❑Mail t contractor.
'-I�JTelephone d-L� ( and hold for pickup at /office. ❑eliv with inspector.
rl
Applicant: �l/� Date: i7 ZOv
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, p Air Polldtion Date: I By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: i Q Date: By:
1. Index permit application for the'above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
`Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised•of_the_above required -data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: ;./r Date: Plans approved by:. Date:
Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. J Note transfer by!--- Date:
Yellow Copy Departmerif of Development Service's, -Buil -ding -Division.
'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 IT NO.
�/96) ' APPLICATION AND PERMIT �����
csoR►ARCEINUN+BE* _
—C
ZONING BUILDINGPERMIT
TW -Egg q7 SO. FT. OCC. BUILDING VALUATION
-RACTOR7 NAYS_/�
LXJ / V /9Gc'�
FDMO APPLNS. OR
Ex. Occup. OVTLETs ESID.) EA 5.00
TELPNON!
Mobile Home Facilities 20.00
Misc. Wiring 23.00
cra S NIwNO �DDAESS
:TRVCTION LENDER
Fireplace
,ERS LWLINO ADDRESS
Total Valuation=
—�
UrEcT OR ENGINEER
LICENSE NO.
Filing Fee
b
20.00
Permit Fee
S
.7
°
Ma OR ENOWEER7 MAi1N0 ADDRESS
Plan Checking Fee
xaADO AEss 7
/ 1 -T7-
A -(e-
G0,0z-6
Energy Plan Checking Fee
=
`
PERMIT FEE
=
r
S
40.
SUBON6IONSNAUE
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
Each Trap
7.00
USEOFSTRUCTURE
❑ Duplex ❑ Mobilehome ❑ Other
BPEC'Y
Solar or heat pump water heater
23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
w ❑ Addition ❑ emodel ❑ Utilities ❑ Installation ❑ Other ❑
.scribe Work:
Gas piping astern 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Feel
20.00
Main Service z�oo�A oORR LLE
23.00
Main Service 20" TO IOOOA
46.00
NEW CONST. DwEi11D OCCUP. 3.5¢so
OR ADONS. •ACC. BIDS.
Ntw
Ne N.RES1o_ "-MU�TWIaT � i 07.50
'
EX. OCCU . OVTI TOR nKTURES I BAL .yo
FDMO APPLNS. OR
Ex. Occup. OVTLETs ESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
I CC � T/ 3,� , V
PERMIT FEE I _
MECHANICAL PERMIT I Fling Fee.1 20.00
Hood I 1 6.501 1
PERMIT FEt i
Mobne, Home Installation Fee =
Energy Inspection Fee S
°CCOME` '"M
E:ELL FEE $
I
NAZ I O. TEES I Wr I PLOOo I Cor I PAR EL I PO I ND I aSVE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By
Date +-
T1101
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
Instructions for recording Agricultural Statement of Acknowledgment:
Insert the legal description of the property in the space provided on the attached form.
The legal description is the narrative description of the property -which will be on your
deed. If you don't have access to the deed, the Recorders Office can provide this in-
formation. (The description may be handwritten or typed in the space provided or
attached on a separate sheet if more space is required.)
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at
25 County Center Drive, Oroville (the Administration Center building). The Recorder will
record both the original and copy. They will keep the original and return the copy to you.
Just bring the copy back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.00 - 1st Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. MONDAY - FRIDAY
9:00 a.m. - 4:00 p.m. for Recording
Attention Property Owner:
An "owner -builder" .building permit has been applied for in your name and bearing your
signature.
Please complete and , return . this information at your earliest opportunity .to avoid
unnecessary delay in processing and issuing your building permit. No building permit w.M .
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement_ : YES NO[ ].
Z. I HAVE HAVE NOT . . .
[ , ]signed an :application for a ;budding permit for the .
proposed work..;..:;
3. I have contracted with the following person (firm) to provide_ -the proposed
construction:
NAME:
ADDRESS: ::. CITY:
PHONE: CON'TRACTOR'S LICENSE NO...
4. I plan to provide' portions of this work, but I have hired_ the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBE
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
f
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as.the builder of .
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any' persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ..
0 There may be financial riskifor"you if you do not carry out these obligations,'`and these risks are. especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
ivlichael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
Ltay 1995 2.27
f
COUNTY OF BUTTE
Oroville, Califomia
GENERAL CLAIM
CLAIMANT: MARK DEWSNUP
ADDRESS: 725 WEST LIBERTY RD.
CITY & STATE: GRIDLEY, CA 95948
DATE OF CLAIM: 05/10/00
IMPORTANT. SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
SIDE
AMOUNT
CLERICAL ERROR OVER -CHARGED. AP 21-240-017 BP 0-0784 RECEIPT
#286566, DATED 04/17/00, OWNER: MARK DEWSNUP.
TOTAL AMOUNT PAID $132.95
TOTAL AMOUNT TO BE RETAINED $ 49.00
TOTAL AMOUNT TO BE REFUNDED $ 83.95
TOTAL 1
$831'95
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as
stated.
Dated this� T e ay of 20_, at Calif.
Si nature of Claim
I, the undersigned, hereby certify that, to the best of my knowledge, the services o a 'les specified a hav n performed or delivered and that there is a
Budget Appropriation I ) or Specific Board Approval I ) (Check one) for the sam .
Dated this 10TH day of MAY , 20 00 at OROVILLE _Calif.
Depadirlint Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM ! FUND
Det Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. 8 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
J
.a
FOR BUILDING DIVISION USE.
Receipt Information:
1/
Number:
-----... -
Date:
Issued To:
�1
Amount:
Fees Retained:
-
Processing Fee:
$
Bldg Filing Fee:
$
Plbg Filing Feer
$
Elec Filing Fee:
$
Mech. Filing Fee:
f
$
Energy P/C Fee:
Plan Check Fee:
$
Inspection Fee:
$
SRA Feer;
Total Amount Retained
$
CLAIMANT'S NAME
MAILING ADDRESS
ASSESSOR PARCEL #:
RECEIPT NUMBER(S)
REFUND CLAIM APPLICATION
lowing reasons:
Please refund any applicable fees in the following categories: (Check those. categories
which you wish to have refunded.)
.. (- -) Building Permit Fees
( ) SRA Fees (CDF Fire Planning)
Disposition of Plans:
.- (-- ) Plans returned to me at counter
.f
( ) Sheriff Fees
( ) Urban Area Fees
( ) Please mail plans to meat above address.
11
( ) Please dispose of plans.
SIGNATURE
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.