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HomeMy WebLinkAbout040-110-005rS T R B07-0800 - A. P.0-11-5 Betty Scheuermann /-z 1.2 w/s Esquon Rd. 4001 s , of Garden Rd., Durham CONTR: Moseley & Hill, Oroville- Permit 523-70B (fire damage) L�4,rm�.gA 40-11-5 MISCEL Lefn- n --- -Ar k­ _1��NEOUS Room Addn-First Stry Q fi LOT `ADD TO SF -MASTER BED'&, bATH'(5 Esquon Rd. a 1� . � pp.300'S.Of Garde '9873 ESOUON, RD. Durham n ontr:.Custem Exteriors, Inc . ,Sac to. ---�,'';UREHAR'T, B-- RIAN&TACHELLE TYPE PERMIJ: - ermit #5498 7R( PERMIT DESIGNATION: DEPARTMENT OF _BUILDING AND SAFETY siding/SF) 6 install exterior 40-11-5 9873 Esquon Rd,'Durham, - %Jconir: Sacto Sunarex /Permit#3364-84M(solar spacehtg)S a0 -1 -i0 -0d5 '--`-- 03-2648 AIREHART,,BRIAN-- ,9873 ESQUON UTA REROOF/S 040-110-005 03-3347..- tAIRHART, BRIAN 9873 ESQUON REHE�Ulpl, Cont: QWI�kR�­,:YJ - . REP WINDOWS,STUCCT MAIN—. +040-110-005, 03-3454 AIRHART;BR11AN`"*­,'1 9873 ESQUON,RD, CHICO' (Z� CONT: OWNER MISCWIR1NG/R�C „. 'a`., .. 040-1101005 MISCELLANEOUS" ,".''Electric Pan6l 5. MISC WIRING,-PANEL'AND NEW HV. 9873 FSQUON RD v 3 AIREHART, BRIAN-& RACHEI-CE,, B06-2305 ti .040-110-005 MISCELUANEOUS�,­- .,,- --- Re- Of R 'P - '"' 3Q) EROO. W/COMP (I 8 S 9873 ESQUON RD JwA AIREHART,,BRIAN & RA EL ID� E -L r R. S. 463,363 ---FP Esquon Rd. app 400' S of. Garden.. Sus Durham CONTR: - H. L.' Pratt, t. 1,Bx 427P,Chico (newq'sIngle family) 1. . - 7 —­* ' '1306 aye 06'2306, /0:30 0-110�05� -4MfSCELLANEOUS--.h wGIassDoor-- REPLACE, 10 WINDOWS & SIDING 9873 ESQUON RD AIREHART; BRIAN RACI­IEEI;-E--i,-!---! B -BUILDING P -PLUMBING E -ELECTRICAL TV -RADIO -TV ANTENNA U -USE PERMIT V -VARIANCE D��'i''O•'r T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT M001 � D r 3 -4 m N r xi m y D � r D Z 0 m N A C to 2 v A 3 Z C 3 m m N D 0 m O N C O D NUMBER 0 N_ 1 D N_ 0 D tll A I N m Dy II D N m D i N 2 O D i O D i O v G1 D i Q CZ. O 0 m Z C i O 3 N D N m m m A m Gl mrn m tD N m m m i m m -I m O m w 2 D to i N i m N_ LOCATION, O N O O O m m 0 IIA m FOUNDATION D i Y m O REINFORCING D i m STEEL O 0 I FRAMING m INTERIOR N_ Q O LATH i m EXTERIOR m Q D D r 3 -4 m N r xi m y D � r D Z 0 m N A C to 2 v A 3 Z C 3 m m N D 0 m O N C O D NUMBER 0 N_ 1 D N_ 0 D tll A I N m Dy II D N m D i N 2 O D i O D i O v G1 D i Q CZ. O 0 m Z C i O 3 N D N m m m A m Gl mrn m tD N m m m i m m -I m O m w 2 D to i N i m N_ LOCATION, O N O O O m m 0 m FOUNDATION D i m Ow r D m D 0 m N C D NUMBER 0 N_ 0pl D N_ 0 D tll A I N Dy D N m D i N 2 O D i O D i 2 v G1 D i Q CZ. 41 0 m Z C i O 3 N D N m m m A m Gl mrn m tD m m m m i m m -I m O m w 2 to N i LOCATION, N O O m FOUNDATION f1 O REINFORCING D i m STEEL O 0 I FRAMING m INTERIOR N_ Q O LATH i m EXTERIOR m Q D i m ,m PERMIT NUMBER 0 N_ 0pl D N_ 0 N_ tll (!1 N Dy D N D i 0 D i O D i O D i O D -(• G1 D i Q D i 41 D i i O i O D N D N m m m m m m m m m m i m O -I m O LOCATION, FORMS, FOUNDATION REINFORCING STEEL I FRAMING INTERIOR LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK J GARAGE FIREWALL FIREPLACE FINAL ,m BUTTE COUNTY' DEPARTMENT OF DEVELOPMENT SERVICES, - BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT NFORMATION Site Address: 9873 RD ESQUON . . Q Owner: permit No: B07-0800 APN: 040-110-005 AIItEHART, BRIAN &RACHEL Issued Date: 07/11/2007 By KEJ' Permit type: MISCELLANEOUS 9873 ESQUON RD Subtype: Room Addn-First Stry DURHAM, CA 95938 Expiration Date: 07/10/2008 Description: ADD TO SF -MASTER BED & BATH (530) 624-6121 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: AIREHART, BRIAN & RACHI Building Garage Remdl/Addn 9873 ESQUON RD 585 DURHAM, CA 95938 Other Porch/Patio Total (530)624-6121 585 c ' ':FEE INFORMATION 4" DBEH Building Review Fee $75.70 , DBF Room Addition - First Stor $428.92 DBMSC Room Addition -First Stor $643.39 t DBOMSCF FEMA Flood Zone Review .. $109.98 DBSMIP Residential . $3.80 79 Fees Paid: $ Balance Due: $0.00 Receipt No: B3840 "LICENSED CONTRACTORS`DECLARATIONf .. OWNER /.BUILDER DECLARATIONk ,.a y , Contractor (Name) State Contractors License No. /Class /Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/11/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE L _W WORKERS•_COMPENSATION.DECLARATION COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued.. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property Who builds or improves My Workers' Compansation insurance carrier and policy number are; - thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or oncehundreddollars ($100) or ess. �( JIE PT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS _a �J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' r Compensation laws of California,) nd agree that if I should become subject to the workers' X 07/11/2007 comps salion provi ions of, ecti n 3700 of the Labor Code, I shall forthwith comply with those pro sio s. � Owners Signature Date 07/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers; agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the ' CONSTRUCTION LENDING AGENCY +' v owner or am autho ed to act on the prerty ownefs behalf. >vG. 07/11/2007 - IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] ' Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner ❑Agent for Contractor Lender's Address 'Ci ty State Zip ///���--��� FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** AP# UL)v to Property Address Pv City —D .A COMPENSATION CONTRACTOR Name ir' g anyone other than license contractors, a certificate of worker's Address tion must be shown at the time of permit issuance. City State Zip Phone Fax LENDING AGENCY ame E-mail Lic. # Class Address OWNER INFORMATION Last Name Ai Z First Name -i�,k-ckn Mailing Addres � /e �V City D City t L.0 R14te CA I Zip g5G3� Phone y Zip ( .iizy a ttll E-mail AP# UL)v to Property Address Pv City —D .A COMPENSATION CONTRACTOR Name ir' g anyone other than license contractors, a certificate of worker's Address tion must be shown at the time of permit issuance. City State Zip Phone Fax LENDING AGENCY ame E-mail Lic. # Class Address IWA APPLICANT I ARCHITECT/ENGINEER Name Z Address 9 2 City �� J "-Address--n � /e �V � i dStatec City t L.0 Type Const. Zip ( .iizy Phone 2y5, V G Fax E-mail State ens Number IWA APPLICANT I ORMAT/ON Name-U,,7, � i Z Address 9 2 City �� J 01 V1 (ZState Zip —� p V Phone I Fax �jG 1 W61 O 1 a b E-mail Type Const. ESCRIPTION OR SCOPE OF WORK: 41�A Sq FT- Livingl5nGarag Open Cov ❑ Structure Built without Permits E) Proposed Change of Occupanc (Note previous use): �` For office use only: Zoning I A-10 I Flood Zone I A E I SR I Yes I No Occ. Type Const. r' .'Y: _ '.� .. *- . .- ^` -^..i.r .. .. n • •+ .+` ... .`• .ri,;�,� r..; ...-'^`..ter. 1 �-., w �•^! +Y +... BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ��� Building Department No. !! Tax Rate Area No. A.P. Number V ' Hoo _0 ( ,�(J_ Jurisdiction: = City (/ County Property Owner �r (a l/) A i re Aa/— Property Location/Address Subdivision Residential Development = Q No of Living Mobile Home Units Installation Commercial/Industrial A New Addition Building Department District Identification No. 63,53 Lot No. ....................✓..........................................._......................... Addition/ *Supplemental to Conversion Permit # *(No foundation inspection) :................................................_................................................. CD� - off 6—D Sq. Footaget) 1E S (Group R) Cr. Demo - existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) �aS0 Date ,(JJ1 P_Wt97-7) LWIA-/ 4C/7 School District certifies that g,�/ r�'1 k)/A�4�4a Y, (Payor) (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. by payment of $ representing JJ square feet. B 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1 PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IM (YE PROOVEMENT OR NO) &HAVEI NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: CITY PHONE CONTRACTORS 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 Description: ADD TO SF -MASTER BED & BATH (585) Reference Number: B07-0800 Applicant Name: AIREHaTB N & RACHELLE Owner's Name: AIRF & RAC ELLE AP # Signature of Property Owner. Date: 040-110-005 '?- t J: � BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) B" DURHAM RECREATION AND PARD DISTRICT (DRPD) Assessor Parcel Number (s) QLfQ —_ I (Q Property Owner (s) r't CC VI i V ''Q/L/\ Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Demo P Department OE- Building Permit Number 0�'7 —C) Q 0 Assessable Sq. Ftge Jig S_ Type of Residential.Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department Date ❑ FRRPD, ❑ CARD ❑ PUD 'Q� DUD certifies that: briAin Ptirchm-t 8011- $8SU I Applicant Name Phone Number 01813 Fsc ucrn 9xJ . _DLkr V,.,,m (A Rya 3�( Mailing Address I City State . Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of - Dwelling Units @ $ per unit for a total of $ '5 Square Feet @ $ per sq foot fora total of $ %2_9J5 Remarks: , Paid by Check No:. Paid by Casio: Receipt No: -19 U Recreation and Park District Representative Date Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530)538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0800 Date: 04/16/2007 Location: 9873 ESOUON RD By: KCG. Parcel Number: 040-110-005 Sub Type: Room Addn-First Str Owner Name: AIREHART, BRIAN & RACHELLE Phone: (530) 624-6121 Description: ADD TO SF -MASTER BED & BATH (585) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico_Area_u;creation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Ddiih�l&rRecre tion District, 9 47 Midway, Durham CA 95938 - (530) 345-1921 off. ru'� mate� Feat er ever creac ion & ark District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Pidleypc.Lol rr amUnifiedQScchhQol District, 9.20 Pu peYeDrive, Durham CA 95938 - (530) 895-4675 IWstrict, 429 MlagnoTia'; Oiidre(�y CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 04/16/2007 BUTTE COUNTY FEE SUMMARY Printed: 04/16/2007 7 County Center Drive 8:53 am Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0800 Job Address: 9873 ESQUON RD Contractor: Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 04/16/2007 $75.70 DBOMSCF FEMA Flood Zone Review 0010-440001-4210500-1010 $109.98 04/16/2007 $109.98 DBMSC Room Addition -First Stor 0010440001-4210500-1010 $559.70 DBF Room Addition - First Stor 0010-4400014210500-1010 $428.92 04/16/2007 $428.92 DBSMIP Residential 1001-0-280-1011298 $3.80 19178.10 $614.60 Printed By: Kourtni Graham Balance Due: $563.50 At the time of permit application, I was advis the above fees are required prior to issuance of the permit. These fees may change during the plan checking proa Signatur Date: 04/16/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or, from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O O 0 0 "ODIC National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0800 Location: 9873 ESOUON RD Parcel Number: 040-110-005 Owner Name: AIREHART, BRIAN & RACHELLE Description: ADD TO SF -MASTER BED & BATH (585) Dater 04/16/2007 By: KCG Sub Type: Room Addn-First Str Phone: (530) 624-6121 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: �e FILE Date: 04/16/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.�S OR NO) 2. I (DE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS PHONE CITY CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS 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 Description: ADD TO SF -MASTER BED & BATH (585) Reference Number: B07-0800 Applicant Name: AIREKT, IAN & RAC ELLE Owner's Name: AIREHA RA ELLE AP h Signature of Property Owne Date: 040-110-005 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. D Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made'upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0800 Date: 04/16/2007 Location: 9873 ESQUON RD Parcel Number: 040-110-005 Owner Name: AIREHART, BRIAN & RACHELLE Phone: (530) 624-6121 Description: ADD TO SF -MASTER BED & BATH (585) Signature of Property Owner: Date: 04/16/2007 FILE lbl� OPP1 1r - L U CGS yf (off ^W;w 161 ok, sm, 1— 1 -r I , L'—'o 510.r 4 Ch N 1 C44 W - Ji. U CIS 0 4� All 10rio 4- 114 r I LA, U/ I'Jew h existing) ting fascia, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2304 011 Issued: 09/26/2006 Address: 9873 ESQUON RD APN: 040-110-005 Permit Subtype: Electric Panel Owner: AIREHART, BRIAN & RACHELLE Applicant: AIREHART, BRIAN & RACHELLE Description: MISC WIRING, PANEL AND NEW HVAC a MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test' 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND V ID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 a _ CORRECTION NOTICE 46 t-1 Ani 0/6- � 3 �) 4�z OWNER PERMIT NO. t A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when;,correction of work is comple . If you have any questions pertaining to this matte, or need additional explanati lease contact the Building Inspector as indicated below. A Y lmmmmmL=— . 7U KS lis unc,Q ew w L G FCS' lv-31-o1: U 1AJL,,a 21 �2UV/V/6, l% r— � .:> (/1126- /�7w c !/ &/ -A'cI or Date0r -� G _ 04 Inspector- --------- REV 4/05 Phone # 7 - FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES , - , BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION - Site Address: 9873 ESQUON RD Q Owner: Permit No: B06-2304 APN: 040-110-005 AIREHART, BRIAN & RACHEL Issued Date: 09/26/2006 By KEJ Permit type: MISCELLANEOUS 9873 ESQUON RD Subtype: Electric Panel DURHAM, CA 95938 Expiration Date: 09/21/2007 Description: MISC WIRING, PANEL AND NEW I (530) 891-8861 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: AIREHART, BRIAN & RACHI Building. Garage Remdl/Addn 9873 ESQUON RD DURHAM, CA 95938 Other Porch/Patio' Total (530)891-8861 FEE INFORMATION A/C (Residential) $55.00 Mise Residential Wiring $55.00 Single Phase Service - Res $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/26/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be competed if the permitis for once hundred ($100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 09/26/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip t otai unarged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B275 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 09/26/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 09/26/2006 Owner Contractor .00: ❑Agent for Owner. ❑Agent for -INSPECTOR COPY • • • Date: 10/31/06 Job #: 06564 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address 9873 Esquon Road, Durham Builder or Installer Name McClelland Heating and Air Builder or Installer Contact Telephone McClelland Heating and Air (530) 891-6202 Plan/Permit (Additions or Alterations) Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample Group Number 1 Compliance Method (Prescriptive) Climate Zone 11 Certifying Signature i L Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ m Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. © The installer has provided a copy of CF -6R (Installation Certificate). ❑ New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). ✓ m MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ m Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: Did ✓ ✓ 3 1 Pass if Leakage Percentage < 6% [ 100 x [_(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct System Alteration and/or Equipment Chan a -Out. Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% 8 100 x Line # 5 / Line # 2 ❑Pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance. 9 Pass if Leakage Percentage < 15% [100 x [_(Line # 5) / (Line # 2)]] Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line # 7) / (Line # 2)1] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) /(Line # 4)]] 1 1 and Verification b Smoke Test and Visual Inspection ❑Pass ❑Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pas ❑ Fail Pass if One of Lines # 9 through # 12 pass F41fass ❑ Fail Residential Compliance Forms December 2005 • • Date: 10/31/06 Job #: 06564 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address 9873 Esquon Road, Durham Builder Name McClelland Heating and Air Builder Contact McClelland Heating and Air Telephone (530) 891-6202 Plan Number HERS Rater Mery Martin Telephone (530) 894-8466 Sample Group Number D Yes Compliance Method (Prescriptive) 0 Climate Zone 11 Certifying Signature Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 Pass City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓0 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ 0 The installer has provided a copy of CF -611 (Installation Certificate). ✓ El THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix R.I. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Date of Verification ✓ D Yes ❑ No visual verification that the TXV is installed on the system and 0 ❑ installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 °F and above Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 °F rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 f ''BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION COUNTY OF 7 County Center Drive Oroville, California 95965 • Telephone (5- 30) 538-7541 PERMIT NO. (Rev. APP APPLICATION AND PERMIT SSORFARCELNUMBER O r/� v I / ! 0O A WI (� ZONING BUILDINGPERMIT OWNER )' r&�, r- �-- T LFPHO NE 7 �- SO. FT. OCC. BUILDING VALUATION . OWNER'S yIJU// ( Dv(%/�V'A_/-L_,✓11 "-'5 3 CONTRAOME 'f TELEPHONE CONTRACTORS MAIIUNGG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS n Plan Checking Fee $ SUILDINGADDRESS J V',7 • ' r W Energy Plan Checking Fee $ Cl J $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK -New ❑ Addition ❑ Remodel ❑ . Utilities ❑ Installation ❑ Other ❑ Describe Work: c4- 1610effilic-04 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 t --vOR LESS Main Service za.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 Profesjsions Code, and my license is in full force and effect. I License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lgw 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for thet 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 Main Service zoOA TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5Q NO"EN.ROSID. MULTI- UTLETOUlrs @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FD(TUREs 2 0 01'50 BA0 .50 Ex. Occup. DuntrsAE.ssID.oERA, - 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating /T 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.) e 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 workers' compensation provisions of section 3700 of the Labor Code, I shall fo • hwith comply, -with those provisions. X %-L ��y\l '+`''�� Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ov. r 60" deep and demolition or construction of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate8' bove for which fees have been paid. ( / By f Date/ �+ PERMIT EXPIRES ON l r Vy Date Receipt No. 0 15^' 7P WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 040-110-005 r' .rgx4 03-3454, AIRHART, BRIAN.,` .` •r 9873 ESQUON RD, CHICO\t CONT: OWNER .; :, MISC WIRING/REP- HVAC n COUNTY OF BUTTE •t"� BUILDING DIVISION " os. DEPARTMENT OF DEVELOPMENT SERVICES 4 ✓ `� I 411 Main Street Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Vr 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. INV jJ vv C -P (X/ OA. ( I I -U -V- (.&R ✓ q i b✓I c, _ - C^ I "D1/ I') t V D4- 4--r r wbih a 5,-:--, -fi) ntv Iuiae N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -'BUILDING DIVISION /' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. ,v.12/96) ` APPLICATION AND PERMIT '_�✓ ������ ASSESSOR PARCEL NUMBER oqo - I 1 D - `U o!5 v ZONING BUILDINGPERMIT OWNER hl_TELEPHONE^ SQ. FT. OCC. BUILDING VALUATION OWNERS Ml AD�,�ji �� 1 ✓t rV�,,•% f� i �� � CONfMCTOR'StNAM€ e [TELEPHONE •` - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ /0111U. UU ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 7 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �'-\ Energy Plan Checking Fee $ $ PERMIT FEE $ („f -J .4 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF,B/Duplex ❑ Mobilehome ❑ Other SPECIFY E Each Trap 7.00 ' Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK �/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Lfr Describe Work: Q t P y f t {, ' ry re s� i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800v OR LESS Main Service ..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.,Ex. 'the Contractors License I hereby affirm under penalty of perjury that I am exempt frro Lew for the following reason: `� I, as owner of the property, or `y employees with wages as their sol 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 TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. 3 SQSO. FT. rNjOµpESlpT MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Occup. OUTLET OR FDRURES BALI p .so PP FUCED ALNS. OR Ex. Occup. ounFTs RESID. EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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.) 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall r,forthwith comply with those provisions. �- (_ X _� ` Date ' r� I� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1-) T o0 HAZ. I D. FEES IMP I FLOOD I CDF pARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated6ab ve for which fees have l/ By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Z5 /f'� CDate ` I V 3 (D. N) ReceiptNo. ��% Co WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f I 5 93-2648 N ' �N DURHAM T 0-00= r. E040 110-00 5 93-2648., AIREHART, B'RIAW- 9873 ESQUON RD, DURHAM p REROOF/SF- e OFFICE COP Address— �0' GAS Mete'j B y Date RI ELE 7, C Mete, B Date ppppp,- .1 9 COUNTY OF BUTTEC DEPARTMENT OF DEVELOPMENT SEFM'CE§jE$.UJk DING -DIVISION 65 •T 41 'RMIT NO. 7 County Center. Drive Oroville, California 9595d6�3bIJ5' AE (Rev.4 ?1915) APPLICATION AND PERMITill' C' ON ASSESSOR PARCEL NUMBER Oq 0 10 0 ( :)S—' A. ZONING I BUILDINGPERMIT OWNER TELEPHONE PON SQ. FT.�'. ?dCC��_)i BUILDING VALUATION .OWNER'S NMAODRESS• I L, S U1 1-rii; C0111`1`11171)4, IE [TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 't. LENDER'S MAILING ADDRESSFireplace uhTotal I (N� (I A Valuation $ ARCHITECT OR ENGINEER I LICENSE NO. Filing Fee $ 20.00 Permit Fee $: o 104 L ARCHITECT OR ENGINEERS n RE _FIT Plan Checking Fee $ BUILDINGADDRESS V,C/. Energy Plan Checking Fee $ 9 �t,3114K 7 PERMIT FEE $ LOT NO. SUBDIVISIONS NAMEI R PA CEL MAP PLUMBING PERMIT Filing Fee 20!00 USEOFSTRUCTURE T SF 0 Ddpl6x 0 Mobilehome 0 Other,. -f SPECIFY Each Trap A} 7.00 Solar or heat pump water heater 23.00 Water .piping 15.00 Each gas water heater or vent 15.00 JYPE OF WORK \.I \; r, New 0 Addih.' 0 Utilities O/Installation 0 Other 0 01 1 1 2 Describe Work: 1d Gas pipin6 s'stem I - 5%outlets 15.00 Building s"er '15.0 Mobile Home IS I GI W1 W @20.00 PERMIT FEE r6, "Id 04 ELECTRICAL PERMIT Filing Fee 20.00 x 0V OR LESS Main Service 80.A OR LESS 200A E 23.00 23j� LICENSED CONTRACTOR'SIDECLARATION 'k , I hereby affirm under penalty of perjurYLthat I am liceniid,undei provisioriscif Chapter, 9 (commencing with Section 7000) of Division'3 of the Business and Professions Code, and my license is in full force and effect. 1, Ir License Class .',, 11 Lic. No—, '*--'OWNER-BUIL6_ER- DECLARATION I hereby affirm under penalty of,pe'rju�y that I am exempt from the Contractors . License, 11 1 Law for the following reason: t I 0 1, as owner of the property, or my employ�;es_w:flh w ages as their sole compensation, will do the work, and the structure is not intended or offered f6r'sal6. 1, as owner of the property, am exclusively contracting with licen!sed contractors to construct the project. A-1- 0 1 am exempt under Sec.. _ Business'and Professions Code for this reason � 1, Win Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. so. OR ADDNS. ate, BLDSU 3.50FT. NEW CONST. NON-RESID. =0=141, 97.50 OWER APPARATUS &PSING LE . _Er C.. Ex. Occup OUTLET OR FIXTURES OFIXEI APPIS OR Ex. Occup. EA 5-00 Terr�y6r ary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 \ PERMIT F EE WORKERS' COMPENSATION DECLARATION ,.-j 4_ 1 hereby affirm under penalty of perjury one of the foll8wing.declaratio'ns:j` __ 0 1 have and will maintain a certificate of conseft to self-insu re 1or, workers' compensation, as provided for by section 3700 of th6 Labor Code, for the performance of the work for which this permit is issued. r EI I 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 Filing 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.) certify that in the performance of the work for which this permit isL'issue'I shall not employ any person in any manner so as to become subject td-yworkers' laws of California, and agree that if I should become subject to the workers' compensation , provisions of section 3700 of the Labor -,Code, I shall forthwith comply with those provisions. i X __`Date Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 5'6'deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ NST. TYPE cod, TOTAL 0 0 7!7OD.,J CDF PARCELcompensation I I HD LssuE This permit is hereby issued under,the applicable provisions of the Butte County Code and/or Resolutions to do work � indic-7ated ab6V1 for which f es have been paid. A o By Date PERMIT EXPIRES WN L) - I pate) Receipt No. �//-7/- JU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4q 040-110-005 AIRHART)' BRIAN 9873 ESQUON RD, DURHAM Cont: OWNER RFp W I INDOWS,STUCCO)MAIN -3347 A. *C)(9- a -30(o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9873 RD ESQUON Q Owner: No: B06-2304 APN: 040-110-005 AIREHART, BRIAN & RACHEL]Permit Issued Date: 09/26/2006 By KEJ Permit type: MISCELLANEOUS 9873 ESQUON RD Subtype: Electric Panel DURHAM, CA 95938 Expiration Date: 09/21/2007 Description: MISC WIRING, PANEL AND NEW 1 (530) 891-8861 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: AIREHART, BRIAN & RACHI Building Garage RemdVAddn 9873 ESQUON RD DURHAM, CA 95938 Other Porch/Patio Total (530)891-8861 FEE INFORMATION A/C (Residential) $55.00 Misc Residential Wiring $55.00 Single Phase Service - Res $55.00 Total Charged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B275 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, . also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full farce and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/26/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR ' OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one a hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/26/2006 compensation provisions of Sectio 3700 of the Labor Code, I shall forthwith comply with those Own rs Signature Date pro n X 09/26/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signature ' Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) tby.is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above enhoned property for inspection purposes. I hereby certify that 1 am the y owner am u rued to act on the property owners rhalf. CONSTRUCTION LENDING AGENCY j /26/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN Print Date the performance of the work for which this permit is issued. (3097 civ. code) 1� IX I Owner Contractor OR: E]Agent for Owner ❑Agent for Contractor !�� FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" Name OWNER INFORMATION Last Name IC�v1 &+ irst Name c AddressQ 0 City ` Fax CA p Zip Phone Class State License Number *late G Q o (, E-mail Name CONTRACTOR Address IC�v1 City UO State Zip Phone Zip Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name IC�v1 Address UO City rin State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name IC�v1 Address UO City U rin State Q Zip Phone Map Book Fax / 1 l� 1 E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Addres"< _(0 l Flood Zone a SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION Al O jo _ O'er Property Addres"< _(0 l City a Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: c; q FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In. order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received . Amount: , t 6-- Bldg SRA Receipt #: -5 Sheriff SMIP Dater Other, Total Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed,.in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) . ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and. fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. C If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL 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((Y OR NO) 2. I e>LAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS 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 Description: REROOF W/COMP (18 SQ) Reference Number: B06-2305 Applicant Name: AIREHART, BRIAN & WHELLE Signature of Property Owner: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2305 Issued: 09/26/2006 Address: 9873 ESQUON RD APN: 040-110-005 Permit Subtype: Re -Roof Owner: AIREHART, BRIAN & RACHELLE Applicant: AIREHART, BRIAN & RACHELLE Description: REROOF W/COMP (18 SQ) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND"VOID 1 YEAR FRC 13W.T197,74MVMI N COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant .s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9873 ESQUON RD Owner: Permit NO: B06-2305 APN: . 040-110-005 AIREHART, BRIAN & RACHEL Issued Date: 09/26/2006 By KEJ Permit type: MISCELLANEOUS • 9873 ESQUON RD Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 09/21/2007 Description: REROOF W/COMP (18 SQ) (530) 624-6121 Occupancy: Zoning: Contractor Applicant: Square Footage: AIREHART, BRIAN & RACHI Building Garage Remdl/Addn 9873 ESQUON RD DURHAM, CA 95938 Other Porch/Patio Total (530)624-6121 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B277 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/26/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section need not a competed if the permit -isTor on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/26/2006 compensation provisions of Sectio 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provi X 09/26/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date • WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the abov mentioned property for inspection purposes. I hereby certify that I am the erty own.WeFqFn au orized to qg1jon the property wbehalf. 'C4 ( ner 4 09/26/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction :ending agency for Nam of Perrrtltta [SIGN] Print Date - the performance of the work for which this permit is issued. (3097 civ. code) s dig Owner ❑ Contractor OR El Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER INFORMATION Last Name 2-1- irst Name. G Address Q Ou City ` 1 State G Zip q�3d -� F O Phone Fax Fax G �� o E-mail Lic. # APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address SRA City I No State Zip Phone Zip�� Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Zip�� Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA I Yes I No City Type Const. State/' Zip�� U Lot # Planner Date Approved: Phone Fax Q� ' i UU 1 E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address—� 7� C�� _(� � Flood Zone Cross Street j SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT � P. a_-295 BP BIN # PROJECT LOCATION c� AP# ' C) Property Address—� 7� C�� _(� � City O` Cross Street j WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address k�Descri tion or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: l � /t Receipt /I SRA Sheriff SMIP Dare), ^ Other p Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) 2. I 406AVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: `I ADDRESS CITY PHONE CONTRACTORS 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 Description: REPLACE 10 WINDOWS & SIDING Reference Number: B06-2306 Applicant Name: AIREHA RIAN & LE Signature of Property Owner: Date: S_ zc-�-) C. 0(0-Z30S s o&—Z.�U BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax (530) 538-2140 Website: www.buttecounty.net/dds Permit NoA B0�06 Issued: 09/26/2006 Address: 9873 ESQUON RD APN: 040-110-005 Permit Subtype: Window/Glass Owner: AIREHART, BRIAN & RACHELLE Applicant: AIREHART, BRIAN & RACHELLE Description: REPLACE 10 WINDOWS & SIDING Doo ALL PLAN REVISIONS MUST BE APPRO I Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. VED BY THE COUNTY BEFORE PROCEEDING PERMITS BECOME NULL AND'VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR .RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 53877541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds (. PROJECT INFORMATION Site Address: 9873 RD ESQUON Q Owner: Permit No: .1106-2306 APN: 040-110-005 AIREHART, BRIAN & RACHEL Issued Date: 09/26/2006 By KEJ Permit type: MISCELLANEOUS 9873 ESQUON RD Subtype: Window/Glass Door DU DURHAM, CA 95938 Expiration Date: 09/21/2007 Description: REPLACE 10 WINDOWS & SIDING (530) 624-6121 Occupancy: . Zoning: Contractor Applicant: Square Footage: t AIREHART, BRIAN & RACM Building Garage RemdUAddn 9873 ESQUON RD DURHAM, CA 95938 Other Porch/Patio • Total (530)624-6121 FEE INFORMATION Siding/Stucco - All Other $110.00 Window/Door - Replacement $220.00 ' t _ FTotal Charged: $330.00 Fees Paid: $330.00 Balance Due: $0.00 Receipt No: B279 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY 9F PERJURY that I am licensed under provisions of Chapter 9 (commencing with Sectio�70�00)of Div' ion 3 of the Business and Professions Code, 'and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fo nd effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/26/2006 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date I Ig I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:. I the work himself or herself or through his or her own employees, provided that such improvements E]I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; .. I thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Dale: (This section nee not a completed if the permit is or one a hundred dollars ($100) or less.) f ❑IAM EXEMPT under Section B. & P.C. for this reason: - ' ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, X 09/26/2006 I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Se of the Labor Code, I shall forthwith comply with those Owner's Signature Date 700 pr ns. X 09/26/2006 I hereby certify that I have read this application and state that the above information is correct. I agree comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Dateto WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ] County to enter the aboLmentioned property for inspection purposes. I hereby certify that I am the pro owner at ont� property tersb half. AIL IcIvi-}- 09/26/2006 CONSTRUCTION LENDING AGENCY i I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me O Permittee [SIGN] Prin Date the performance of the work for which this permit is issued. (3097 civ, code) Owner Contractor OR Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State, Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER INFORMATION Last Name Flood Zone g+ irst Name. Address I No City { I State C Zip Phone Fax E-mail Class APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address UO City I No State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address UO City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Flood Zone Address UO City I No State/' A Zip�,y Phone Book Fax '3`1'(2Z(9 U � ( l E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Addres9 -�79 C _(� llJ Flood Zone Cross Street �jf'n SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION Al Property Addres9 -�79 C _(� llJ City o` Cross Street �jf'n WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �j ✓ Received -¢y: Amount: � Bldg SRA Rec5ipt #�^ � Sheriff ��fJ� '1 fl SMIP 5W L/ �2 :V, 4 Other I I Date: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPRROVEMENT.(YES R NO) 2. I �VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS 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 Description: MISC WIRING, PANEL AND NEW HVAC Reference Number: B06-2304 Applicant Name: AIREHRIAN & ELLE �y Signature of Property Owner: Date: 9 �'Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ) 538-7541 P 30ER�yT�No. (Rev. 12/96) APPLICATION AND PERMIT � 63-39 ASSESSOR PARCEL NUMBER D l.) '_ / {/ j J o ^ DOS- ZONING BUILDING PERMIT OWNER �rr I ` T :E SO. FT. OCC. BUILDING VALUATION . OWNERS /yv1O J ' ESS S „ �("]n CONTRACT 'S NAM TELEPHONE CONTRACTO S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ BUILDING ADDRESS .1 - J (J Energy Plan Checking Fee $ C $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCET MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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: ' ` I �" I G+.c� Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service w0Y OR LESS 2a0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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: 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. y Ate, gLpS. s0 3.5¢FT; NEW CONS . MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIx URES BA20@1.00 Ex. Occup. OFIx�LEED�Ra ) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ' 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.) 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' laws of California, and agree that if I should become subject to the workers' compensation pr visions of section 3700 of the Labor Code, I shall o with comply ^ith thos provisions. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingjS o Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ ' HAZ. D. FEES IMP FLOOD CDF PARCEL Hyl This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for w ' h fees have been paid. , By / / Date PERMIT EXPIRES ON (! — 1 J Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;41 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. /'v-12/96) APPLICATION AND PERMIT <f-..,) ei --7`to ASSESSOR PARCEL NUMBER 0q0 ,. I r1 _ 005 ZONING BUILDING PERMIT OWNER T ON / / SO. FT. OCC. BUILDING VALUATION WNERS Quo � V4 Du t/� CONTRACTOR•$•.(JA� �� TELEPHONE CONTRACTORSMAILINGADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _ 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ILDING ADDRESS\ V 1 ! Energy Plan Checking Fee $ 9 S� $ PERMIT FEE $ _DU DF.-. SUBDIVISION NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF,,@" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherc001 Describe Work: /� - C I\ � td_ (, C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zoOA 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, ( g ) 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: 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 Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS. SO 3.5¢FT: NEW CONST. MULTI -OUTLET NONRESIS. BRANCH CIRCUITS 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FVrURES 20 @'.50 BAL O .SO Ex. Occup. oFlxLITe�°TSA A�DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 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.) 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 workers' compensation Prov. ions of section 3700 of the Labor Code, I shall ith comply with those p visions. 0�-j ���� X Date 16 Signet 6Y Applicant - ❑ Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ L4_ 00 HA2. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ve for which fees have By PERMIT EXPIRES ONITE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. x I%7 Date (J u (Date) ceipt No. SZ - JC7 CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L Dec 17 02 11:3aa p.2 I OWNER -BUILDER VERIFICATION 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 will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ Q2. I HAV991_ HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: ff� CITY: PHONE: I CONTRACTOR'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: NA&IE: ADDRESS: CITY: PRONE: i 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 f . I I SIGNED:- PROPERTYOWNER! 8� I DATE: ! I NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verifccation must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a p.1 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 ane 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 $300 or more for the entire pmject, 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 risks for 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 "ownerbuildel" 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. PIease 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. Sincarel , lviictiail C. Vieiia, C.B.O. Manager. Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Jr COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 IT (Rev. 12/96) APPLICATION AND PERMIT � b�- I Ir ASSESSOR PARCEL NUMBERQ) / I /1 / 1(\ (!v� `/J ZONINGFQ. BUILDING PERMIT ^ OWNER /-(�1�� (/4(J �S r o OCC. BUILDING VA ATION . OWNERS M1% (i� / !S LF'Y Q d 0v4 G(��ZG�✓�, 3 1pfNAME CONT TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filinq Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee Pian Checking Fee $ BUILDING ADDRESS^n �]5 (!jS Q J t4K-J�'/ / Energy Plan Checking Fee $ 903 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑Ree/m�odel ❑Utilities ❑ Installation7n❑ Other ❑ Describe Work: 1 l �l `/1yC , O"" SJ4C_C,0, x i Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 1 / `Q l/ ( YV 6 ELECTRICAL PERMIT Fling Fee 20.00 Main Service aoov LEss 2OOA oORR LESS 23.00 23.E 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: ❑ 1, 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 Main Service 200A TO 100 -OA J 46.00 NEW CONST. DWELLINGOCCUP. so OR ADDNS. a ACC. BLDS. 3.5¢FT, CONST. NEW MULTI.OUTLET @7.50 POWEPPARATUS a SINGLER AOUTLET MR. Ex. OCCu OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. DFlxuTLEET°sA(RRE�s DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 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.) 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with se provisions. i ! �� X Date l(�- Signature of Applicant - ❑ Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ -oo RAZ. D FEES IMP I FLOOD COF 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 indicated a v for which es ave been paid. J���(� By Date / ,,ll PERMIT EXPIRES Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A Dec 17 02 11:39a P.; OWNER -BUILDER VERIFICATION TION 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 will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES,`( NO 0 2. I HAVER SAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'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: CONTR.ACTOWS 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 I TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: NOTE: This Owner -Builder Ver cation 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. OVER 41 Dec 17 02 11:37a p.1 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 $300 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 risks for 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 contractor; 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. Sinarel , ! 'r lvfichadl C. Vierra, C.B.O. Manager. Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER a k PERMIT NUMBER B 523-70 P 455-70 E PERMIT EXPIRES 7o -t,OWNER Betty Scheuermann CONTR: Moseley & Hill, Oroville LOCATION (A.p. 40-11-5 w/s Esquon Rd. 4001 so. of Garden Rd.,Durham m COUNTY OF BUTTE Department - of Public, Works BUILDING INSPECTION RECORD' Zoning Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing L, —1 Plmg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary. % O -46�a Temporary Final Final Forms Fireplace Lath & Plaster Found. Vents Rough Elec. t!y — % U Kitchen Vent Sanitation & Water BUILDING ' Cert. of Occup. ' Final DATE REMARKS OR CORRECTIONS 7 07 i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phonet 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT NEW ADDITION REPAIRS OTHER Others-+' _X_ .er"l�lr'rra �y a / Single ' - Multi USE OF STRUCTURE Family>/ Duplex 'Dwelling Others SO. FT. I OCC. BUILDING VALUATION Total Valuation Permit Fee Plan Checking Fee &/or Penalty Total Permit Fee I •;p .,W� I gearing Walls �O , �v O' CONTRACTORS LICENSE LAWJ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: 0 I am licensed under the, provisions oflChapter. ess & 9, Div. 3, of the State of California BusinProfessions Code under the name styleof........... �........: f!. '� A/.%................................................................................ . License No, Classification........................,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists- 1st Floor Joists- 2nd Floor Joists - Ceiling Exterior Studs Interior Studs Roof Rafters FOUNDATION EXTERIOR PI As Cr SIZE . ti0 O ah O� O� ' 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed'contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption................................:................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X............................................................................. Date .;'r ................ ............. SIGNATURE OF PERMITTEE OR AGENT Receipt No. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ Permit Expires Date,,, - Permittee Owner ' f w' A. R. No. Mailing Address t Zoning Sanitation Contractor ` r r Plans Fees .. il, - W.C. Mailing Address - •� �'� �' _ r Planning. I D.P.W. BLDG. Address �� . r " / .c ..^... _ . f. .1./G'y t ✓ /. , .�--� _�_ NEW ADDITION REPAIRS OTHER Others-+' _X_ .er"l�lr'rra �y a / Single ' - Multi USE OF STRUCTURE Family>/ Duplex 'Dwelling Others SO. FT. I OCC. BUILDING VALUATION Total Valuation Permit Fee Plan Checking Fee &/or Penalty Total Permit Fee I •;p .,W� I gearing Walls �O , �v O' CONTRACTORS LICENSE LAWJ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: 0 I am licensed under the, provisions oflChapter. ess & 9, Div. 3, of the State of California BusinProfessions Code under the name styleof........... �........: f!. '� A/.%................................................................................ . License No, Classification........................,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists- 1st Floor Joists- 2nd Floor Joists - Ceiling Exterior Studs Interior Studs Roof Rafters FOUNDATION EXTERIOR PI As Cr SIZE . ti0 O ah O� O� ' 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed'contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption................................:................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X............................................................................. Date .;'r ................ ............. SIGNATURE OF PERMITTEE OR AGENT Receipt No. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ Permit Expires Date,,, COUNTY OF BUTTE { DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICAT.,ION AND PLUMBING PERMIT Permittee Owner,.// -7 Mailing Address d; ��,,00­ Contractor Mailing Address�J BLDG. Address � v DESCRIPTION OF WORK NEW 0 ADDITION F_� REPAIRS f OTHERS:�— Remarks: USE OF STRUCTURE Single Multi RESIDENTIAL Family Duplex 0 Dwelling F__j OTHERS: Remarks: PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap Repair or alteration drainage or vent piping Installation or repair water piping Each gas water h ter or gas heater:vent Gas piping system 1 - 5 outlets Gas Dioin¢ 6 or more - Each A.P. No. A 1.50 1.50 1.50 1.50 .30 House Sewer 1 1 5.00 Lawn Sprinkler system 1 1 2.00 Fee TOTAL FEE I $ 7, r CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of, Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of ........ / C svl�hV d N�� ....................................—.............................................................................................................................................................. , License No. !�7 �G� Classification......,,,, / and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I sin aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. �. r' �- X...............`f..._ y�............................Date ...................................... SIGNATURE,OF PERMITTEE OR AGENT ReceiptNo. ..... e&0-0 y ..................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS Date 2,00—%d By ... ......................................... .. .............................. S.�l:,i+;:(?2y'{li:i.r'. "G'ri'ts+ i kr`liy e: �'.�1'� %�,'i ":Atj K+.#• . + L'{ir,� �+�W�G"+ 't ��W `l'� a;.i';,,�sa.. �`•, r+}`'' ,H Rpt' �"47f f<t , ";r:;+ � i". t`lf' Fx,:. .. Siy. Ty. � �"F �• ;� �� � .yr �°' 1' 1 ' ..� s 4,-r•�,r0`fl� +r .,l t r COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS [—� I+' 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 1 APPLICATION AND ELECTRICAL PERMIT �-_3 -Permittee Owner A. P. No. _Mailing Address r Contractor �L �,� - --„ /� r' `�-�'c�.�? Gam►__ Mailing Addre -BLDG. Address /�,J.,/�.47V ��rrw.+.� // �eYas� ..,•6=e► / Vii'.^� e� DESCRIPTION OF WORK NEW F__j ADDITION METER SERVICE F - OTHERS: Remarks: ' 1 PERMIT FILING FEE No. Fee ^— $2.00 2 , Supplementary Filing Fee 1.00 Main Service (12 or (more than Sub -panel less) 12). - Each Range, Dryer or Water Heater % Each L00 / • bU Oven, Cook -Top or Space Heater Each :..50 Light Fixtures g 3 First 2D .20 Each Additional .10 • (.�i 4' _ USE OF STRUCTURE ' Single Mind Family Duplex Dwelling OTHERS: � i `� Rece "tacle_s„ Switches*& Fi�ure`Outlets First A .2 Each Additional :100 / /1 / it Hood,FExhaus�c Fa oc F.A.Furo Motor / 1 Each 50 ♦^C) Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum f Misc. Wiring t Remarks: TOTAL FEE / •rfG CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of,,,,�.�� �— rrPi6�..t,%•�1�, License No. or `10,,, , Classification ���/3 / , and certify that the aforesaid license is in full force and effect. ......................................................... B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of .the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, foLother statutory exemption....................................................................................................._.._...._............._.............._.........». .. -. - WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. " I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby. authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. (......r�/CnciA+` ,.� DIRECT_OR OF PUBLIC WORKS ............................................................................. Date ........................................ SIGNATURE OF PERMITTEE OR AGENT� !i 4 Q� rBya .......................................................... Date �.................. ...... ...... d Receipt No. � .. V Y/ G Sid ti� PERMIT NO: 54.98-77B r' PERMIT EXPIRES OWNER Glenn Arbuckle CONTR. Custom Exteriors, Sacramento LOCATION (A.P. 40-11-5 W/S KNA195H Esquon Rd.,app.300'S.of Garden Rd., Durham I Temp. Power Pole Called PG&E Temp. Elea Serv. C Pled PG&E jTeGas Serv. Called PG&E JOB FINALED (Date) (Sign re•) t-ootln s COUNTY OF BUTTE — DEPARTMEWT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTRICAL BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping, Forms \ Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows I V 3rd Floor Stemwall Sidin Topout N_ Slab Roof Sheat n Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r physically / handicap e Conformance of ex. structure i / Appliances Gas Piping & T st Temp. Gas Slab Final 71 Sanitation Patio I FIR 90 LACE Final t-ootln s Footin ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIR SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final A Final ✓ MOBILEHOMEU-01LITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTA LATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF -BUTTE - DEP44RTKENT OF PUBLIC WORKS E` d 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �y�o 77 authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. r Date 10/1477 ignature of Permitee r gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date l 6 —1 �: — % ,7_ B 4ing permit expires Date l' 'I i - 7f BUILDING Owner Glenn Arbuckle SQ. FT. OCC.1 BUILDING VALUATION Mailing Address Rt. #1 Box #213 Esquon Road Durham, Calif.. T le hone No. 3��-3352 Fireplace Contractor Custom Exteriors, Tnc.Total Valuation 3.6ob.00 Mailing Address 2523 s a Way Permit Fee Plan Checking Fee &/or Penalty Sacramento, Telephone No. 481-2622 0 Permit Fee $ 28.00 $ p� Building Address same as above W PLUMBING No. @ FEE FILING FEE $3.00 RPERMIT IRJ- !aap Mae 73W S t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. s ­*,_Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR11 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V too AMP OR LESS 25.00 Single Family ❑X Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ACCLBL GS.LING CCUP. &) 22sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON.RESIR. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y Ex. Occup(OUTLETS OR FIXTURES) x BAL,111 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2+7060 Classification B-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ©1Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation -Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. r Date 10/1477 ignature of Permitee r gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date l 6 —1 �: — % ,7_ B 4ing permit expires Date l' 'I i - 7f 'Q,j vat )ISIZ ZZ61 a Tljo ndqo 0 A4Nnoo. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CalifoVia 95965 - Telephone 916/534-4541 APPLICA i ION AND PERMIT ASSESSOR PARCEL NUMBER ZONING i BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CONTRACTOR'S NAME i1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER yPenalty LICENSE No. Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other'Q- Describe work: t T t t r (Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &ooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2h0sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code, and my license is in full force and effect. License No. rClassification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NO N•RESID BRANCH CIRCUITS) NEW CONSTIRPOWER APPARATUS &1 NON.RESID. SINGLE OUTLET CIR. / Ex. Occu / zo@SOC P\o OR FI. eAL®ao OR ' FIXED APP LNS. OR FIXED Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ �1 • 1 ) Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date ' Signature -of Applicant Owner❑ Contractor ❑ Agent'm An OSHA•permit ,is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC " t + By _ ' �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANY PERMIT PERMIT NO / ASSESSOR PARCEL NUMBER LF( l -. ZONING BUILDING PERMIT OWN Insign G. & Elsie G. Arbuckle �4JPY33�2 SQ. FT. OCC. BUILDING VALUAtVON OWNER'S MAILING ADDRESS 9873 CONTRACTOR'S NA E Sacramento Sungrex TELEPHONE CONTRACTOR'S MAILING ADDRESS 475 EAve,co,Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER — none LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 9873 Es u PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE �/ SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Otherffr Describe work: Solar space heating Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions g�7 and my license is in full force and effect. 4 722 B License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. LET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS .&) NON RES D. SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES` BAL®30 BALG30 FIXED A Ex. Occup. OUTLETS PRESID LINIS IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ t� Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all..Ji illties, 'udgments, costs, and expenses which may in any way accrue aga t nse uence of the ting of this permit. ate_1011584This Date-10115184—This owner ❑ Contractor ❑ Agent I nature OA plj��)IiQd perl sfor excavations over 5'0" deep and demolition or construct- ion of structures ovs in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OF PUBLIC By PERMIT EXPIRES ate "_ the applicable provi- resolutions to do fees have been paid. WORKS �/ Date /` �/� l� Receipt No. O�� �� WHITE-D.P.W., YELLOW-ASSP.SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT utte Count -� _AZjjk�_ 7 LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 June 25, 2002 Mr. & Mrs. Brian Airehart 2586 Cactus Ave. Chico, CA 95973 Re: Burn -down letter for 9873 Esquon Rd., Durham, CA, (APN 040-110-005). Dear Mr. & Mrs. Airehart; The above referenced parcel is currently zoned A-10 (Agricultural, 10 acre minimum). This zone allows for a single-family dwelling. Should the dwelling be catastrophically destroyed it may be, provided it will not be placed within the required building setback areas -and meets sanitation codes in effect at the time of reconstruction. The setback requirements for the A-10 zoning are 50 feet from the center of the road and 10 feet side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, at 530-538-7977. Sincerely, arry Painter Planning Technician H CC: Building Division Butte County Department of Development Services Planning Division U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION. A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name2 �� N T -Policy:Number A2. Building Street Address (Including Apt., Unit, Suite, and/or Bid . No.) or P.O. Route and Box No. Company. NAIC Number. -7 3 City Do )e- qAM State / ^' ZIP Code A3. Property Descnp on (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 7/ a 1040 - //D - OC-)-s- A4. v-5 A4. Building Use (e.g., Residential, Non-teside%ial�ltr� Addition, Accessory, etc.) �J 4)E�-h�'L A5. Latitude/Longitude: Lat. /"Z / -46 UO Long..• -3 9'4' -5 9 � 4 5""" Horizontal Datum: A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. AT Building Diagram Number NAD 1927 U NAD 1983 A8. For a building with a crawl space or endiosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space orenclosure(s) sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No, of permanent flood openings In the attached garage enc;oaur6,$)'6alls Vluhli, 1.0 iOGt abo.c Ldiacznt g.avo , l!'al!C �`:ahtr! 1.0 foot above adjacent rr. de c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community NumberB2. ON/u cm P, 4,eC'RS County Nam )3i,'r7-,�97 1 B3. State B4. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevatlon(s) (Zone 00 o� 5zo G Date " Effective/Revised Date Ju� Ng 9�8 Z nef� x� AO, use base flood depth) -7z,7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item 139. ,VFIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) Bl 1. Indicate elevation datum used for BFE In Item B9:XNGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes JK No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Constructlon Drawings' ❑ Building Under Construction- ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a•g below according to the bulldln diagram specified in Item A7. Benchmark Utilized ' 9 •M S.-9 Vertical Datum J Conversion/Comments . © Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor) 6 y . � u feet ❑ meters (Puerto Rico only) b) Top of the next higher floor /'7 ?.a-fzfeet ❑maters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) Al h4 ❑ feet ❑ meters (Puerto Rico only) "]BUTTE d) Attached garage (top of slab)' ' /68 . 8 feet meters (Puerto Rico only) COUNTY e) Lowest elevation of machinery or equipment servicing the building _ El ❑ meters (Puerto Rico only%} PR IS ZOO!7 (Describe type of equipment In Comments) QQ R f) Lowest adjacent (finished) grade (LAG)feet ❑ meters (Puerto Rico onIV,EVELOPMENT g) Highest adjacent (finished) grade (HAG). feet ❑ meters (Puerto Rico only) SERVICES SECTION D : SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by alAnd surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Q�� • • ' ' • • . O G• AG ❑ Check here If comments are provided on back of form. �lQ ` CC:¢ Certifier's Name Ql RO 34F2T G J Z License N C C / W- Title Company Name (o No. 276473 / �'�✓�� G�. /�, ty C Si�zle� (,USS r $•v1ev�YiNG *•.,.�3/ �. Address J~ BL 14CK CViia (' /q sate ZIP orifi, Q- E C� 1L •� sr T CN Signature / , A /f Dates ¢/O� Tel phone 7 �_b Z S q'c•OF GAS-�QO� P, c-- w /`+ I r V 1 • 1%GC9& iiijW1 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Address (includin Apt. Unit, Suite, and/ord No.) or P.O. Route and Box No. Policy Number CityI�;IUC ` r R State ZIP Code Company NAIC Number P'l SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments O 14 MA 2 K 14- / AJ i ¢ "Tie GL - o AJ 1'�ZDPeiZTG p241NTA--4$c Si nature 9 Date �,— O El Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SU0EY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate -is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawl space, or enclosure) is _ ❑ feet Elmeters ❑above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Secti Items 8 an /or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ ❑ feet meters above or below the HAG. E3. Attached garage (top of slab) Is feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, Is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E). and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. G 1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed survevor, engineer, or architect v:hc is authorized by law io certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. G3. ❑ The following Information (Items G4. -G9.) Is provided for community floodplain management purposes. Ga. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions