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Home My WebLink About040-240-050Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-760 elephone (530) 538-5366 o simile September 19, Rodney Martin 2405 Serviss Street Durham, CA 95938 ADMINISTRATION * BUILDING * PLANNING :::�* Subject: Building Permit Dear Mr. Martin, 148 (APN The Butte County Department of Develol submitted permit application, and requires continue the review: 1<40400,0 c Proposed Garage Services, P1ar. allowing revisions has reviewed the re plan in order to w I ❑ Creation Deed Site Plan Resubmit — 1 w iVirements ❑ Erosion Control Plan ® etback Conformance ❑ Watershed Protection'Zone Front Yard ❑ Cohasset Specific Plan Side Yard ❑ Subdivision Map Note ® '.ear Yard ❑ Off -Street Parking; Development Standards ❑ Special ftback or Parcel Limitation ❑ Parking for Specified Use ❑ FedeN.1 Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easem t ❑ Oak Tree Plan ❑ Subdivis n Map Condition/Note ❑ SRA Setback* I ❑North Chico S ec c Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only o Action Required ❑ Other: The requested information, or notification, is described on the included han ut be given some brief direction, on the following page, of how the in. or submitted or returned to the County. Should you have further questions ple Planning Division between the hours of 7:30 a.m. and 4:30 p.m. Monday through 538-7601, or the appropriate Department/Division identified in the handout. Sincerely, Lana Adler Contract Planner '.You will also tion should be i��at tact the (530) �`= 24-120.10 R-1 through R-4 site requirements. Chapter 24 ZONING' Article III. Zone Districts' 24-120.10 R-1 through R-4 site requirements. The following minimum requirements shall be observed, except where specifically modified for conditional uses. The minimum requirements shall be those for the zone as designated on the zoning map: o e - 1Vone-: R- Zone: R- Zone: R- � 1 2 3 1(1) Height (feet)IL II II II Principal l�JI��L��L�J Accessory (2) Parcel size (square feet) IL 1 11 1 6500" 6500" 6500" 6500"" Corner lot 7000" 7000"` 70 0 0 --1 7000" Split single-family on zero lot line N/A 4000 4000 4000 (halfplex) 11Cornerlot II N/A II 5000 II 5000 1 5000 (3) Building site area per unit 6500 3250 3250 2150 (square feet) (including two (2) off- street parking spaces) (4) Parcel width (feet) at setback line: Ilnterior I 65 50 50 50 Corner lot IL 70 65 55 55 (5) Public street frontage (feet) L I�� Curve or cul-de-sac 40 40 40 40 (6) Front yard setback (feet): L I�� From edge of ultimate right-of-way 20 20 20 20 Side street property line IL 10 10 10 10 (7) Side yard setback (feet) =� '�Re yaFd'setba (feet) A —01 (9) Distance between buildings on 10 10 F"I 10 the same parcel (feet) :.' IF Page 1 of 2 Comment: conform to the provisions of Butte County building code section 26-3.5 " On public sewage disposal service. All other lots to meet requirements of the environmental http://municipalcodes.Iexisnexis.com/codesibutteco/ DATA/CHAPTER.24/Article III Z... 9/19/2006 Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 suT S MUM'' APR U S' 2007 (530) 538-700AWT REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return CLAIMANT'S NAME MAILING ADDRESS: V. PHONE: ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO.: ' . •` . Recei t No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: RECEIPT DATE: RECEIPT AMOUNT:—'. -(L ; tts REASON FOR PIF,,FUND REQUEST: cane IN 4- [n +�_ was . ' way 1 e ..: , LQ41e: Check those fees which you wish to have consider d for r f d V� []Building Permit Fees OSheriff Fees SRA Fees (CDF Fire P ning) DOther (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. LI p Signature Date K:/Forms/Refund Application 082203 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" OWNER INFORMATION Last Name1 r ' 1a,r \ irst Nanr� O�`\ Address y o 5 Se r V '1 S! City DIAC 1 A.VVA State A Zip 9 593 $ Phon Tao, 41q I- L, -71 S Fax _ E-mail YNrN 4014 , r\ 39't9 CO3 _506c S 106 a, , ne4r APPLICANT INFORMATION CONTRACTOR Name City Address Zi�s'q•36 City Fax State Zip Phone _, , Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zi�s'q•36 City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name R 0 \ W\ 0-C 'N- � er' . Address 5 SeP V% s s 5+. City Statg .p G V'� Zi�s'q•36 Pho 5?p\S9 k_�{..1 s. 57D) Fax E-mail APPLICANT SIGNATURE X,, For office use only: Zoning _, Flood Zone SRA I Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION AP# D �0 D Property, Ajd7 Cit Cross Stree i7 (' A J(2L 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: Detachc 1 Ga co'72. 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 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 by: 11 . Amount: � 2_ 19 3 G Bldg SRA Receipt #.q I 1'jl Sheriff Qa SMIP Date .9-r( 00Other eF n N ii`� K:TORMS\BUIL lNG FORMS\BldgApplSubRgmts.doc 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 AIC 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, E3 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 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET IN91 i16 OWNER: Ka r+1 n - ASSESSOR PARCEL NUMBER Proposed Building Use: n rnt Permit Technician: K.6. Date: IteKs required in order o apply for a permit All boxes UST be checked OR marked NA in order to apply. �i 1. Site plans, 3 or 4 ets, signed by the preparer of the plans. 1ga1`► 2. Complete plans, 3 o 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on pla s ND 2 sets of stamped and signed calculations. `ISP.I 4. Engineered truss details and layouts in duplicate:-�N faxest ❑ 5. Letter from Engineer or Architect for truss design revie . ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑� 11. Hazardous Material Form N4 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R ainin • s needed to issue the permit (May require additional plan review upon' pon eceipt of the following items.) 14 Sanitation and site plan approval from the Environmental Health Department i�hico ❑ Oroville, as applicable y1 l Iain St, Chico ❑ 5. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Sols Report and/or Engineered Foundation required ........................................... ❑� 1$ Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. California Department of Forestry plan approval ❑ paid. Sent by: ............. N❑/ & Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 1J Encroachment Permit for driveway from the Public Works Dept :.......................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑�- 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37.Otlier. When issued Telephone d RQ 1- y7 15 N11W and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant c� L % Date: 1. Index permit application for th bove items numbered: Plan Check Letter 2. Additional items required Z3 9 19 . i I Contractor, designer, owner, was advised of the above data by Cf phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was. advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: ON C_ Date: 9-22-0(r Plans approved by: 9�L Date: CI-ZZ-c:Cr� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 Owner App Date: RECEIPT OF FEES SCHEDULE - RESIDENTIAL MARTIN APN No: 040-240-050 Permit Type: '-]Subtype: 9/7/2006 Permit No: BP 062148 Permit Desc: II New 41, 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 _ $204.98 $219.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.96 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $331.55 $329.94 $1.61 RECEIPT DATE Tech/Asst 'T ( 1231 9/7/06 Kourtni �',' 4 5 6 7 7a 8 Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: FEES - RESIDENTIAL' Per Dwelling Per Dwelling Per ins After 04/15106 ,c SFD x MFD # DRAINAGE FEES' 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value MH 3238.72 5648.44 2422.68 8075.4( 7289.4( $100.00 $200.00 Butte Creek uounty 4249.11 3183.54 Little Chico Creek Chico Urban Area 6146.23 4538.82 Lindo Channel EI Medio Fire District 3249.97 2385.76 Mud-Svcamore Creek North Chico Specific Plan SR -1, SR -3, SR-1/PD 8801.091 7395.04 S R-1 8897.091 do R-2 8390.09 R-3 7604.091 7491.04 6984.04 6198.04 Processing Fee is automatically added to impact fee total 0 g WATER TENDER FEE (root corrected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES' 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value MH 3238.72 5648.44 2422.68 8075.4( 7289.4( $100.00 $200.00 Butte Creek $7,997 Comanche Creek $8,341 Little Chico Creek $9,088 Big Chico Creek $6,776 Lindo Channel $8,267 SUDAD Ditch $7,211 Mud-Svcamore Creek $6.275 RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: q- ` -O(ro Pursuant to Government code Section 66020, you are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Butte CountyDepartment of Developinciit 5c.z es 7 County Center Drive 0 1.!1, 0 Oroville CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile (BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ° I need to submit applications for septic and/or well to Butte County Environmental Health immediately. a I ant required to bring the approved Environmental Health site plait and approved sanitation: clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or rgguire submission of amended building plans to the Building Division. Once the :plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcelwas legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: �0�,1 Iii Qr -� %-Y-\ Applicant Name: Building site address: a�EO S 52('�J S S S APN: O40 _a(YD^0S^-c> Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE APPLICANT DATE pie pR1UElT 0,�. ' T _7 . Ar'ecrc wo�,�s Department C o u n t 1, J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: k' "Q &-,z By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: r « ` - ; or Title: n l -.A,) n� --. Date- - -- 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. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: -YES.[ A NO [ ]. 2. I HAVE [ \�] HANE 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: PHONE: CONTRACTOR'S 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:. NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER DATE: '� , —7— O (=7 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the Butte County Department of Development Services AJsr ADMINISTRATION `BUILDING GIS ° PLANNING o �o o o o 7 County Center Drive o =� �- o Oroville, CA 95965 0 -=='- ��- o (530) 538-7541 Telephone C (530) 538-2140 Facsimile OU N� OWNER -(BUILDER INFORMATION Dear Property Owner: 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 permitg for which they apply. If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be aNvare of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work Cincluding materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' .compensation insurance. o 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 stricture 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 ubder 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters: The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 040-240-050 06-2148 ;;MARTIN; RODNEY:�nr..�-�..t„t.,,�•.:. o*� � NOTES vM5,SERVISS ST, DURHAM*3 G,+�'".� ARAGE(DET) ~ _ 'wort`• (`..:� ra:-rte !re" �t4t`_'�►ts'."?.f+.. RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit I SPECIAL CONDITIONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED . Q SPECIAL INSPECTION ITEMS �] VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER 0 ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE a DATE JOB F04ALED• SIGNATURE . =OK o =Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctri Tesf FaIUC/O-Concrete 4 Wtr; Loctn Test -Easement Needed -Regulator 5 Elec Loctn-DImr-s-Dmd 'Amp -Concrete 6 Yard Gas; Loctn Test -Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrrics 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C10 to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits. 15 Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers mss` -4,e Drawing MISCELLANEOUS- DECKS•C10VERS"CARP0RTS•GARAGES 1 Zoning -:Setbacks -Easements 2 Ftgs; SoilsSz-Dpthspacing-CnnctrsSieel 3 Decks, Girders/Joists-Dddng-Brcing Stairs-DuardlHandrails 4 Wood Awn; Pasts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-Cnncins-Splice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsS6uds4btrs Trusses 9 Siding; Nailing VengerStucco-_lath 10 Roof, Shthg-Roofing 11 Ezt; Steps -Doors -Landings 12 Braced Wali pnls 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnncins Thickness Dead Men -Lining 4 Elec Rcptds&Ung; Distance -GH 5 Eiec Pool !,ting; 15 volts-GFI 6 Elec.Ericfi rs-, Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w!S-Crcltng EgP-Htr 8 Elec Grndng; Eqp vr15' Crdtng Eqp-Pool Ightg Boxes-Fpasrs-pniboaidsansultn-to Main Conduit 9 Health Dept Applin 10'Ptmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bor)dmg, Diving board or Slide = Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Eiee Gmd Ftg Dpth 54 Wtr Pipe; Test & Anchr Nail Prtdn 3 Ftg Garage; Soils-Steel-Elec Gmd " Ftg Dpth 55 DWV; Test Fittings $ Anchr•ltail Prfctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth - ' 56 Shwr Pan; Test, First fir -Tub Act 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel•Blockouts-Wrapped 58 Gas Pipe; Sz & Anchm 6a Hold Downs and Special Anchm 59 Fire Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frple Ftg-Steel 9 DW V; Fall -Fitting -Test -2 -way CIO -Sewer Test �r 10 UF, Gas Pipe; Sz AnchrsSz Test 4 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE IMECHAKICAL 13 Plenums & Ducts; Cimc-MaterialSupportansultn 61 AC Ducts Insuttn & Support " 14 GirdersSilts-Anchr Botts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pitfrm tf Furnace In attic o*. DATE jFrRAMING 17 Silts Proper Materials & Anchm DATE F 1 N A L s•. 18 Wills Studs -Nailing Spacing & Braees-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders,8� fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof) 68 Furnace Vnts-Clme•Comb, Air•Cnnctr 21 Fire Stops; Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Duds-Meth Prtctn 22 Headers & B6a sSi &•Bearreg' 69 Bedroom Exiting 23 Hangers-P•osf'Caps-Anchrs-C*nctns 70 GFl 8 Bath FxtrS &Tub Ace -Spa 24 Ceiling Joist4* T'jes-Purl'rtk-Roof Brac Tnus-shthg 71 GFl Arc Faun 25 Frple Tie's' or type A F7ue=FVe Throat Clrric 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acr Sz8: Rmz Pi'ti�-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm W�dws or E)Mng DOOrsSIH (it & Dimensions 74 Frptc or Stove, Cimc-Hearth 28 Garage Fire Prfidri Framing -RCC Channel 75 Elec Outlets at Wood PnL Int & Ext 29 Prprty Un. Firewall 8 Opngs' . 76 Ktchn, Fxtr & Apptnc; Grnd-Air-Gap•Cooking Clmc 30 Ext Doom -One 3'-Ceck G hauge 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls ai Kfchn Counter 31 Stairs; %%4dth-Hdrm-Rise4bm4 and`utg-Fire Prtdn 78 Garage Fire Dobr, Swing-Landing4.losure 32 PWA on koof Ovrhng-Attic Vnts-Rftr Oritrgrs 79 AC Duct In Garage -Damper. 33 Siding-Nairrng Veneer 80 Wtr Htr; Vnts-DImcCom Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Apptnce Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Egp Listed for Locbt 36 Shear Walls; Nailing -Bolts 82 Elec Rcptc(s in Garage (GF) Romex Prtctn 37 Brace InVExt Wall pnls 83 Insults -Foam -Looked in Attic 38 Insults Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters D Yes ONO 87 Stucco Brown-Fintsh 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnc, Elea Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE JELECTRICAL 40 Fxtr & Tmsfnnr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing -Lis & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cnddrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspdns 44 Eqp Gmd made up w/Mech Fstrus 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndetr Sz GFl 97 Energy Cmpinc Cert -Mer Certs 47 Subfeed Wire Sz pa OCU orOAL HAL 98 Address Posted AC Wire Sz ya D CU orAL 99 Fire Sprinkler 48 Range Clic w CU or D AL Oven Circ 9aCU or DAL Insulated Neutral Yes D No 49 Service -Riser Cndctm & Gmd Main Dscnnct 50 Eqp Clmcs pnts-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector •d' r or d o