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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.