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Home My WebLink About040-250-014CODE ENFORCEMENT 30 -DAY VIOLATION LETTER ( k (a 10 -DAY VIOLATION LETTER CODE ENFORCEMENT OFFICER ' ABATED OR CLOSED _ Z _ i I r Geo. Leeds � A.P. 40-25-141 1524 Goodspeed St. , Durham /-4F-,7& ENVIRON MENTAL Permit 926-718 (demolish residence) HEALTH CLEARARANC 040-250-014 03-1523 E DATE WURM, SAM & ANITA 9196 GOODSPEED, DURHAM LE J Cont: OWNER 03 REROOF & SIDING/GARAGE B08-0844 040-250-014 RESIDENTIAL . SFD-Custom/Model NSF 1537', GAR 441, COV 49' 9196 GOODSPEED WURM, SAM & ANITA r , a 1 4�' r Geo. Leeds � A.P. 40-25-141 1524 Goodspeed St. , Durham /-4F-,7& ENVIRON MENTAL Permit 926-718 (demolish residence) HEALTH CLEARARANC 040-250-014 03-1523 E DATE WURM, SAM & ANITA 9196 GOODSPEED, DURHAM LE J Cont: OWNER 03 REROOF & SIDING/GARAGE B08-0844 040-250-014 RESIDENTIAL . SFD-Custom/Model NSF 1537', GAR 441, COV 49' 9196 GOODSPEED WURM, SAM & ANITA r , a 1 4�' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9196 GOODSPEED Owner: Permit No: B08-0844 APN: 040-250-014 WURM, SAM & ANITA Issued Date: 07/07/2008 By KCG Permit type: RESIDENTIAL PO BOX 1066 Subtype: SFD-Custom/Model DURHAM, CA 95938 Expiration Date: 07/07/2009 Description: NSF 15371, GAR 4411, COV 49' (530) 894-1413 Occupancy: R-3 Zoning: R3 Contractor Applicant: Square Footage: WURM, SAM & ANITA Building Garage RemdUAddn PO BOX 1066 1,537 441 DURHAM, CA 95938 Other Porch/Patio Total (530) 894-1413 49 2,027 FEE INFORMATION DB R3 Dwelling -Custom, Model 0 $1,695.94 DB R3 Dwelling -Custom, Model 0 $1,130.62 DBEH Building Review Fee $78.90 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBSMIP Residential $9.99 Total Charged: $3,129.45 Fees Paid: $3,129.45 Balance Due: $0.00 Receipt No: B7833 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 07/07/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date [�1 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 WORKERS' COMPENSATION DECLARATION 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 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 Professions 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; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred ollars ($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 07/07/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 07/07/2008 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 $700,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and properly damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY L() ; � � l t) (ti r rp—, 07/07/2008 1 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) .Owner ❑ Contractor OR. 0Agent for Owner Agent for Contractor LILJ FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION* * NO.�, OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT SIGNATURE X W PROJECT LOCATION AP# :;/b . �J /'q 1 Property Address 6 0 0 COS ae -e City Durk (20.1- - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: TP Sq F -Living a Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For offi only;, OWNER INFORMATION Last Name r L,/J LAMailing First Na Address PO G City r �.� State f, Zip Phone Fax E-mail APPLICANT SIGNATURE X W PROJECT LOCATION AP# :;/b . �J /'q 1 Property Address 6 0 0 COS ae -e City Durk (20.1- - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: TP Sq F -Living a Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For offi only;, CONTRACTOR Name 0 � \ Address Yes City Occ. State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X W PROJECT LOCATION AP# :;/b . �J /'q 1 Property Address 6 0 0 COS ae -e City Durk (20.1- - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: TP Sq F -Living a Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For offi only;, ARCHITECT/ENGINEER Name 611) Address Yes City Occ. State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X W PROJECT LOCATION AP# :;/b . �J /'q 1 Property Address 6 0 0 COS ae -e City Durk (20.1- - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: TP Sq F -Living a Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For offi only;, APPLICANT INFORMATION Name 611) Address Yes City Occ. State Zip Phone Fax E-mail APPLICANT SIGNATURE X W PROJECT LOCATION AP# :;/b . �J /'q 1 Property Address 6 0 0 COS ae -e City Durk (20.1- - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: TP Sq F -Living a Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For offi only;, Zoning Flood Zone SRA Yes No Occ. Type Const. 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) 538-7785 Facsimile www.buftecounty.net/dds PLAN CHANGE ❑ RECHECK CC3� Owner's Name: (�)Ukwx AP#: d40 .-�I-S O -- Of 4 BP#: % —OY4� Received By-QUL � Date: 62(� Time: • (� Contact Person & Phone Number: PURPOSE OF PLAN CHANGE OR RECHECK ❑ Response to Inspector's Correction Notice — Inspector's Name: Response to Plan Check Letter — Plans Examiner's Name: t-,Lp � *Submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. Is WHEN APPROVED: Mail to Call Deliver with Next Inspection ( for 8 1/2X 11 only) and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $118.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 2/08 \1t, � � J 4 ti TO BUILDING DEPT:. PROJECT: CVI LOCATION: ` _. ` kr�I%AA I HAVE REVIEWED THE TRUSS CALCULATIONS AND DETAILS IN REGARDS TO THE ROOF STRUCTURE OF THIS PROJECT CONCERNING SIZES, SPANS, PITCH, ETC. WITH RESPECT TO MY SATISFACTIO IT APPEARS THAT THE TRUSS CALCULATIONS AND DETAILS CONFORM THOROUGHLY WITH THE PLANS DRAWN FOR THIS PROJECT. 'ALt. i v4 --Qt A Ci aL 1 OL(ik 0-4E E� Mel - BOB METZGER e.)Atw CA. �Sq SIGNED: G:V-3 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0844 Job Address: 9196 GOODSPEED Contractor: Printed: 5/9/2008 12:34 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF SF /' CWIFPWRJA SF 1831-0-280-1011001 $0.00 CWIFFI VE SF 1851-0-280-1011853 $0.00 CWI REF SF 1851-0-280-1011852 $0.00 DB R3 Dwelling -Custom, Model 0 - DBF R3 DWLNG CSTM/MDL Plan Ch 0010-440001-4210500-10101 $1,130.62 5/9/2008 $1,130.62 DBF R3 DWLNG CSTM/MDL Insp Fe( 0010-440001-4210500-10101 $1,695.94 $0.00 CWIFLB V SF DBEH Building Review Fee $0.00 CWIF F SF 1808-0-280-101001 $0.00 0021-540013-4614901-10101 $78.90 5/9/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-10101 $107.00 5/9/2008 $107.00 DBFIRE SRA Fire Plan Review (S 0100450001-4617240-10101 $107.00 5/9/2008 $107.00 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 CWIF SF CWIFLBRYF SF 1825-0-280-1011826 $0.00 CWIFSHERF 090807 1800-0-280-1011811 $0.00 CWIFLBRY SF 1825-0-280-1011827 $0.00 CWIFLB V SF 1825-0-280-1011828 $0.00 CWIF F SF 1808-0-280-101001 $0.00 CW SHERFF SF 1840-0-280-1011841 $0.00 FGGVE SF 1810-0-280-101001 $0.00 CWIFSHERFVE SF 1840-0-280-1011842 $0.00 DBSMIP Residential 1001-0-280-1011298 $9.99 Printed By: Gwyn Benedict X 39229.45 $19423.52 Balance Due,. $1,805.93, At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: ZZ Date: 5/9/2008 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 Development Services TIM SNELUNGS, 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 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: 0 Make sure your application is complete. 0 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, if the permit has not issued, but not after 180 days 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 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://municit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0844 Location: 9196 GOODSPEED Parcel Number: 040-250-014 Owner Name: WURM, SAM & ANITA Description: NSF 1537', GAR 441', COV 49' Date: 5/9/2008 Phone: (530) 894-1413 Signature of Applicant: Dc-�Date: 5/9/2008 FILE 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 lndustrial 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. 0 I PERSONALLY PTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. KUWR NO) OI /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (I RK 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: NSF 1537', GAR 441', COV 49' Reference Number: B08-0844 Applicant Name: WURM, SAM & ANITA Owner's Name: WURM, SAM & ANITA AP # : 040-250-014 Signature of Property Owner: A. -AL ( Date: 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 "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0844 Date: 5/9/2008 Location: 9196 GOODSPEED By: GLB Parcel Number: 040-250-014 Sub Type: SFD-Custom/Model Owner Name: WURM, SAM & ANITA Phone: (530) 894-1413 Description: NSF 1537', GAR 441', COV 49' ®� Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 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 SEWER 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, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ®� Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ E] 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 �--� Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley 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 F] ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions E:] C] City of Biggs Planning Department, 3016 Sixth Street Bi gs CA 95917 - (530) 868-544 / Q Cg--� Other: SSSS 1r�� R— ��%• �-V l,�J ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: lk"4- t o Date: 5/9/2008 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0844 Date: 5/9/2008 Location: 9196 GOODSPEED By: GLB Parcel Number: 040-250-014 Sub Type: SFD-Custom/Model Owner Name: WURM, SAM & ANITA Phone: (530) 894-1413 Applicant: WURM, SAM & ANITA Phone: (530) 894-1413 Description: NSF 1537', GAR 441', COV 49' Butte County requires a pre -construction inspection to pro -actively provide the fire departments requirements to the property owner. Your property is located within the Local Responsibility Area (LRA) of Butte County. All development within the LRA is required to meet the below requirements: California Fire Code (Residential fire flows/fire sprinklers,.LPG tank protection) Requirements prior to scheduling the pre -inspection: Full plan submittal to Butte County Development Services -Building Division Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226. For the pre -inspection, the property owner or authorized agent (contractor) is required to meet the inspector at the construction site. I have read and understand the above pre -inspection requirements. 5/9/2008 Date Rev'd 3/3/08 )C4_ 60 U_,, Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.ori/Firearevention/t)rotplan/protDian.fitml FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 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: B08-0844 Location: 9196 GOODSPEED Parcel Number: 040-250-014 Owner Name: WURM, SAM & ANITA Description: NSF 1537', GAR 441', COV 49' Date: 5/9/2008 By: GLB Sub Type: SFD-Custom/Model Phone: (530) 894-1413 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: FILE Date: 5/9/2008 tal 00 BUT TM, COUNTY MAY 0 r, 2003 DE-VXL0P5ff NT szAVICES Conterminous 48 Stpites 2003 NEHRP Seisrpic Design Provisions Spectral Response Accelerations Ss and S1 Latitude = 39.'1580000 Longitude = -121.#80000 Ss and S1 = MapqIpd Spectral Acceleration Values SiteClass B - Fa 1.00, Fv = 1.00 Data are based og'a 0.01 deg grid spacing. Period Sa (sec) (g) 0.2 0.580 Ss, SiteClass B 1.0 0.21.? S1, SiteClass B Conterminous 48 SIptes 2003 NEHRP Seismic Design Provisions Spectral Response f ccelerations SMs and SM1 Latitude = 39.'080000 Longitude = -121:80000 SMs = FaSs and IM1 = FvS1 Site Class D - Fa= 1.33, Fv = 1.98 Data are based orl a 0.01 deg grid spacing. Period Sa„ (sec) (g) 0.2 0.7ap SMs, Site Class D 1.0 0.41, SM1, Site Class D Conterminous 48 Sjptes 2003 NEHRP Seismic Design Provisions Spectral Response Accelerations SDs and SD1 Latitude = 39iP80000 Longitude = -121.480000 SDs = 2/3 x SMs bpd SD1 = 2/3 x SM1 Site Class D - Fq = 1.33, Fv = 1.98 Data are based og, a 0.01 deg grid spacing. Period Sa (sec) (g) 0.2 0.529 SDs, Site Class D 1.0 0.27 SD1, Site Class D i '-1440 6wriv tea: 6112 PITCH 18' OVERHANG mss: -PIFASE USETHE FOLL,OWNG OON SCUM: - A02 TO SM WITH M1S28 PH530-342-SO44 WTJ'AM, 153% SALdS RBB. JX 17 011: 060223 Fax 530-342-584S OUR AAIB: 04/30/2006 SUIS: 1/6" 1' ANiTA wulRM oemat/OU6t: SIX / J11 Date: 6/2/2006 14:11 TC L1ve 16.00 per Dur?ac-ibr 1.25 Co not rUCtiorl 9196 GOODSPEED C F''1 S Framing K Dead 12.00 per DurPac-Plt 1.15 I DVRiii�M/ SL3T�rE COCILVRY Spec i a l i a t a ec L" 0.00 per D.C.Spacing: 2 6C Dead 10.00 p6r Design Spec: CDC -07 792 DURHAM DAYTON HIGHWAY � DURHAM, CA. 95938 Ibtal 40.00 par I I it I II INS a' I ILP�I CM1 MONOMER KNOW .,I� N 6112 PITCH 18' OVERHANG mss: -PIFASE USETHE FOLL,OWNG OON SCUM: - A02 TO SM WITH M1S28 PH530-342-SO44 WTJ'AM, 153% SALdS RBB. JX 17 011: 060223 Fax 530-342-584S OUR AAIB: 04/30/2006 SUIS: 1/6" 1' ANiTA wulRM oemat/OU6t: SIX / J11 Date: 6/2/2006 14:11 TC L1ve 16.00 per Dur?ac-ibr 1.25 Co not rUCtiorl 9196 GOODSPEED C F''1 S Framing K Dead 12.00 per DurPac-Plt 1.15 DVRiii�M/ SL3T�rE COCILVRY Spec i a l i a t a ec L" 0.00 per D.C.Spacing: 2 6C Dead 10.00 p6r Design Spec: CDC -07 792 DURHAM DAYTON HIGHWAY ow/ocfg: 46 / 16 DURHAM, CA. 95938 Ibtal 40.00 par FROM i i o ;�000000eoo� s �8 �a o.eeNe.•.e� r: :vvcw✓i-$ s?HHHHHH88�oo r0✓ s K 00 zi o: w E" ♦J� , , ,apm q ✓'sem• •e� . ' c°e°r o`? V4�'�"s3Rsi8$8888—"" Seq,.:wi8 cd ry :';'Ugh Joa0"•ObYYYYYOb•)�bb �Q 02'21W 5: F}VVVV»>�;`► ter. �Vo,-im jt�� •r (TUE)JUN 3 2008 10:22/ST,10:21/No•6818591433 P 3 w 0 Q Y J C o d e . 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OF PAGES INCLUDING COVER: 530.538.2140 3 RE: PHONE NUMBER; Wurm 1537- #8080844 URGENT ® FOR REVIEW PLEASE COMMENT 0 PLEASE REPLY PLEASE RECYCLE ❑ ORIGINAL MAILED ® ORIGINAL NOT MAILED Good Morning Jim, Here is an updated layout showing the location of the HVAC unit in the roof. Please let me know if you have any more questions. Thank you, Becky Marshall For Construction Framing Specialists CFS — CFST2 — CFSWalls 530.342.5844 S30.342.5845 _747- A r mD_250- c 1 -- - -' ----- -' - ---'---- - k@~ rm- E.H. USE ONLY t Flat Men Attachad J 1 Roar Plan Attachad hSens to B.D. a TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LK0* 0I2- as -e �/� Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for-- —.dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 - - - i I I ! , I , I ' 1; ' YC' G' O $ Ciro 1 j , t i j- � - _ __ j..— , -- --t—f —f—t-- ��-- i -- -----�—�� — — --• - - -2-4 .. , .. - -- - x�_ _ /�n�l � r�•Ty-a�-�^ � I i ""c i71 x3� — —I _ � I � v�-!"";X'� � �d � � I I- i ' n ' ' 1 � v ! ! • I ! , I I , r � � 1 � ! I- -I i 1 I I - I r -- - t - — — -- -- -- — - --r4- APPROVED— _ County- _ r - Envirgn Beal I 1 ? I 1 11 # �9fas me I 1 _-'-, - �____ '_ ; j ' ' I __--'•'_'-'-O'I., I`�t�_t I-� i , _- T. _. j I onmentai-Health' -� ---- - -�- -- -'--�---,--MAY, S 2 f 7 r f . • , -; -; , -Chico,. Cali�fomia �r _ _`_-� _� � r -� � i � � ' - � � I - - j e ! I i I Q C�O(�S.-r - r _ i I i V. i r; I _l. L _i -f j r + i 1 23 4. 0r 5 '-04-0-250 614 WURM AM & 9196 GOODSPEED,•DURHAM ContOWNEREI REROOF'& SIDING/GARAG 41 4 1lei 1//I�j f 12 Em COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B ILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 30) 538-754 _ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' LLD D �U4(�25i?-014 ZONING BUILDING PERMIT OWNER sam & anita wunn TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1 CA 95938-1066SIDING REMP 540. 11, OOQ. CONTRACTOR'S NAME OWM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ilan ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 37.M ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 91% GOODSPEED ST. WRHAM Energy Plan Checking Fee $ PERMIT FEE $ 57.W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GAM aft 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 ❑ Unities ❑ Installation ❑ Other W, Describe Work: REROOF 9 SQ 00HP & SINDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, 1 j will do the work, and the structure is not intended or offered for sale. J ❑ 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 IOooA 46.00 W:LI200A NEW CONST. DWETLMIG OCCUR OR ADDNS. DW: ACC. S. SO 3.5¢FT, NON REOS10. mu LTH' @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 @ I'50 BAL @ .50 NS Ex. Occup. OFucLI A oEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 V 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'i 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 Ail_ / l.(_ -'..^�,� _ Date �d� 1�G' � Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ . TYPE TOTAL FEE $ 57.00 E-71 D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have % By 1 f �' ! �Jl Y'� s PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date `- ate ReceiptNo. �i� SSC > WHITE-D.D.S.-B-.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` tt 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMIT NO. (Rev.1A'6) � APPLICATION AND PERMIT 538-754J- PERMIT m 1 ASSESSOR PARCEL NUMBER 040-250-014 ZONING BUILDING PERMIT OWNER sam&a ' TELEPHONE SO, FT, OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS PQ BOX 1066, DURHAM, CA 959-18-106C, SIDING 1,000. T��77R��A77CTO�TO��RS NAME CON��LVL'it OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $1,54 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 37.00 Plan Checking Fee $ BUILDING ADDRESS 9196 GOODSPEED ST. DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 57,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each nas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other XX Describe Work: REROOF 9 SQ COMP & SINDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 000V OR LESS 200' 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00NEW CONST. DWELLINGOCCUP. N ADDNS.. SO 3.5¢FT. MLIACCo� NON-RESID. @7.50 POWER APPARATus 8 SINGIE OUTLET CIR. Ex. OCCu OUTLET OR FDMFIES B20 g 1.000 Ex. Occup. oimFTs AEsID.oEa 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 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 those provisions. Iof X (i(� [�C/y✓� Date ��yo Ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated pbove for which fees hav PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Lam% r� o2 Det Receipt No. S WHITE-D.D.S.-BF.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES NO 132. I HAVE HAVE NOT 11 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: 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: 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: PROPERTYOWNER: A14, SOCIAL SECU7 NUMBER: DATE: 03 NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I . L I OWNER BUILDER INFORMATION I 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: ♦ 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. ♦ 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. ♦ 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. ♦ 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 "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 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. Trely�� , el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code i I, PERMIT NUMBER _ B 926-71 P n E s PERMIT EXPIRES OWNER Geo. Leeds • • . 1 owner �',CONTR: LOCATION (A.P. 40-25-14 15.24.Goodspeed St., Durham 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 Plmg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final Forms Fireplace _ Lath & Plaster _ Found. Vents Rough Elec. _ Kitchen Vent _Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE DEPARTMENT,- OF 'PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 Phonet 533-1230, Ext. 259 APPLICATION AND BUILDING PE R M I T PA Permittee Owner 'K. �- `-`"s" Mailing Address ,--� /�---- � ' �-�<•' /•- n A. P. No. Fire Zone J Zoning - Contractor ! - Mailing Address . Sanitation Plannin Plans FeesL-- W.C. BLDG. Address - f - /+f/ r e. R W Encroachment NEW 0 ADDITION D REPAIRS ED OTHER 0 Others { L i .• Single Multi USE OF STRUCTURE Family [] Duplex ED Dwelling Others F O U N D A T I O N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders Joists - Is Floor Joists- 2nd Floor Fireplace Joists- Ceiling Total Valuation Exterior Surds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee �- �. Bearing Walls UUNTRAGTURS LICENSE LAW a A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I, am licensed under the provisions of Chapter. 9, Div.- 3, of the State of California Business & Professionskode under the name style of...............................:...............................................................................................I.`................................... ` ......................................... . ..... License No . ..........................I 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): 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). Qn 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 am aware of the provisions of Section'3700 oPthe 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. X.............................................................................. D ate ...................:............ SIGNATURE OF PERMITTEE OR AGENT This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ ReceiptNo......................................................................................................... II Permit Expires Date,,, n 0.'_/ �� G' �'�,