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058-210-172
I � r -1399 V 1: AUSTIN, DAN.. ,F PAIUTE DR, CONCO�W_ _► ' s CONT: OWNER ELECT SVC FOR WELL - 058-210-172 06-2105 AUSTIN, DON i PAIUTE DR, YANKEE HILL _ Cont: OWNER ELEC(LOT DEV)V7, B07-0602 B07-0602 1058-210-172 MISCELLANEOUS Electrical TRENCHING TO SERV ELEC/WATER 0 PAIUTE DR �Lj� 6 .'.,61 AUSTIN, DONALD L & SHEILA' E t t O i Butte County Building Division MANUFACTURED HOME SUPPORT INFORMATION Owner's name: A.P.# O5 - ((7 - /72 Home Manufacturer: Manufacture Year: 9-00 Model Number/ Name: —CT - Width: 027 0" (ft.) Length: 00 =S'&8 ft.) FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:auju CQ e 6-f I G2 , SUPPORTS: Concrete block [ ] Other:, ST'S Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations INGLE WIDE MULTI -WIDE Line1 -- -------- ------------------------------------------------ Line 1 Line 2 Section Line 2 Line1:!E�------------------------------------------------------------- Line 3 Section 2 Section 3 C#MN?N kowA. J V'A l i'' f Line 1 Piers: colteem 1%rf'101 Ai, Minimum size piers: Spacing maximum: From ends maximum Line 2 Line 4 (triple wide only) Line 2 Snow Load: A to psf lb Snow Load requirements may be obtained at hftp://www.upstate-ca.com/bufte/butte county/ Insert AP #, view snow load in lower right corner. 1, r fowviDttWA) INA �1jVft0 w pal t*+�u� cao+�,fs. Line 2 Piers: A s, �a0� Line 1 Openings: OR foo" / rme ftr%"*iAp1m Minimum size piers: [ 1P 'aIfX [ 9 ] Minimum size pier: [ (2" ] X [ 18 = t3q0 Spacing maximum: �' O =�50� Required at each side of op so From ends maximum: wide. ! Line 3 Roof Loads: Minimum size piers: Location (from W. Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): III uc'01' I -4'---�4:•g'�-4��12� oar so' g� nd CPT ns BE �.---,s-�• ,r-, �-r �r � ,r_-__� w33� sm •4 ,56 w S, PG6-,oJK CENTERLINE SUPPORT REQUIREMENTS � DRAW UY: VM THIS SHEET IS TO BE INSERTED WITH SUPPLEMENT TO FIELD WSTALLATION MANUAL FOR _ WE M i s 34 W ZONE SHOW LOAD. SEE ABOVE PRINT FOR LOAD REOUIREMENTS AND LOCATIONS. 3% ll Or mom mma UVf l7fAD 6W -M -M -CATH 1416-0 m fo ty ri 0 0 CD 0 3 C'1 O C O M Z m I m m O 3 m m 12 Dec 2008 11:44AM COUSIN GARY HOMES 5303438486 p.4 iriii�q■A■■a � - Mumma main , � �Ir>w■■■■■■■1■rr 1� r■Lr■■1 1�5�■ti■■11�1� ,err. ■ ■�11r�1 or '&1 ■I■1 1011i1■MUNI 10■��■�q� 1 1■I■■wd■1 I�cl-1■■■��■!Cr 1 mr>t�■■a■�,1 ! �I�Il�:la■�■�1 rril`��1■��±Irl 1 ■ ■oun / ■ Elan I :a■am� r BROMINE TO/0 1a/1yf I /2008 11:46AM COUSIN GARY HOMES f r N, IF W i r 0 w •Y �!M do, wo a 1. �'�' +� war M. w ,r► ,� '�• J a 5303438496 p.16 8 +r •*wp40 wd" •w► VAVq A� 0 or of we *d i 1 ! ,000 j ow or tal w«. � «�rrr�rrurrr I BUTTE COUNTY AREA DEPARTMENT OF DEV_�i LOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2,140 Website: www.buttecounty.net/dds Permit No: B07-0602 Issued: 03/26/2007 Address: 0 PAIUTE DR Area: CONCOW Owner: AUSTIN, DONALD L & S:APN: 058-210-172 Applicant: THOMAS GROARKE Map Page: Permit Type: Electrical Description: TRENCHING TO SERV ELEC/WATER FOR Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: 1N Minimum Setback From Centerline of Street: 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/Stee l/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 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 Holdowns/Straps 122 Shearwall/B. W.P. -Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Set acs 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Finiis ' a Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 1 801 UZ Io c i f-rrolect anal is a t,ernucate of occupancy for (xesiaennai Unly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF IS£UANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector_Copy Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR )BUTTE 7 County Center Drive COUNTY Oroville, CA 75965 APR 0 3 2001 (530) 538-7601 Telephone (530) 538-7785 Fax DEVX1,0FM.11T www.buttecounty.net/dds 8MVICES 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 zs z:. emplcy cr and you arc subj ct to scvzral obligations including sate avid iCderai n 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 understate 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 I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) 2. ,IOHA 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 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: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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: TRENCHING TO SERV ELECAVATER FOR FUTURE DEVELOPMENT Reference Number: B07-0602 Applicant Name: THOMAS GROARKE Owner's Name: AUSTIN, DONAL L & SHEILA E AP # : 058-210-172 Signature of Property Owner: - Date: ��r off. 7- ' , Zv<,-7 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: 0 PAIUTE DR Owner: Permit No: B07-0602 APN: 058-210-172 AUSTIN, DONALD L & SHEILA Issued Date: 03/26/2007 By GLB Permit type: MISCELLANEOUS 1110 PEMBROKE WAY Subtype: Electrical DIXON, CA 95620 Expiration Date: 03/25/2008 Description: TRENCHING TO SERV ELEC/WAT Occupancy: Zoning: Contractor Applicant: Square Footage: THOMAS GROARKE Building Garage RemdVAddn 4096 BIG BEND ROAD YANKEE HILL, CA 95965 Other Porch/Patio Total (530)533-8758 FEE INFORMATION DBE Other Electrical Inspectio $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B2336 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 03/26/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 (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 AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 ❑❑ 1, 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; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier. Policy Number: Exp. Date: (This section need not be competed if the permit is or once hundred�llars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 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 03/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X2�� M. &.�03/26/2007 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 anyway 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 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 pr o er or am authorized to act o e property o efs behalf. - 03/26/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 3a6/p 7 1:1 1:1 co❑Contratr OR, gent for Owner �A gent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION b(P AND SUBMITTAL REQUIREMENTSOFFICE#: (530) 538-7541 FAX#:(530)538-2140 ' A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buffecounty.net/dds BIN # "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam i Nam Mailing AddressC ehbrDl-c �� IZ City © State Zi p Fax E-mail APPLICANT INFORMATION CONTRACTOR (Name Address O Address State City Ph e 3 3 _ _ State Zip Phone Date Approved: Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address O Address State City Ph e 3 3 _ _ State Zip Phone Date Approved: Fax E-mail State License Number APPLICANT INFORMATION Name 4 Address O Cityr/ State Zp9ee,�, Ph e 3 3 _ _ Fax E-mail APPLICANT SIGNATURE X /% , X el -11 W'eaqf __ j For office use only: Zoning Flood Zone SRA Yes No Occ, Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PROJECT LOCATION / AP# O R 6 ! D Properly Address ; \ Y Cross Street (� �•� YZ 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: dr• e weft 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. Receiv : Receipt # ,�3 � Date: n � O n ,l Amount: b Bldg SRA Sheriff SMIP Other Total N Date: July 27, 2006 To: Butte County Department of Development Services From: Don Austin 1110 Pembroke Way Dixon Ca. 95620 (707) 678-2743 RE: Utility trenching at A.P. 058-210-172-000 Paiute Drive 1 AUTHORIZE TOMAS GROARKE, TO ACT AS MY AGENT IN SECURING REQUIRED PERMITS AND ARRAIGNING INSPECTIONS FOR SAID UTILITIES TRENCHING PROJECT TO BRING WATER AND POWER FROM THE EXISTING PUMP HOUSE ACROSS PAIUTE DRIVE. Don Austin Property Owner 058-210-172 06-2105 )� AUSTIN, DON NOTES t ; PAIUTE DR, YANKEE HILL ; Cont: OWNER 2 ; ; ELEC(LOT DEV) ' RESIDENTIAL l co a e -4—Q APN: Permit No. `J ^ 6 � f , Owner. Site Address: A.Lnu r /VI 1 v\ a Q f Contractor. � Ol I Type of Permit N OFFICE COPY A Address GAS Meter By Date ELECTRIC Meter By Date r SPECIAL CONDITIONS CHECKED BY + Q SRA Q FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDrMNS Q SUBSTANDARD HOUSING LETTER 0 ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTN CLEARANCE t„ 0 t 1 ' f DATE JOB F94ALED• 01O 4 r SIGNATURE . =OK o = Noy OK MANUFACTURED. HOMES DATE LiPERMANENT FOUNDATION SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Lorin Test; FaIUCIO-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-CImcs-Gmd ' Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits. 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers Drawing MISCELLANEOUS- DECKS-COVERS'CARPORTS'GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSz-DpthSpacing-Cnncbs-Steel 3 Decks, Girders/Jotsts-Dcking-Brcing Stairs-DuardlHandrails 4 Wood Awn; Posts-Beams-Rftrs�nnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VengerStucco-tath 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-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GH 5 Elec Pool l ting;15 volts-GFi 6 Elec.Enclsrs; Conduit Entries-Terminalsa.isted 7 Elec Bonding; Metal w/W-Crcltng EW4& 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bares-Encl4s-pnlboards-lnsultn•to Main Conduit 9 Health Dept App' m 10 Plmb; Cir Tett-Wtr Supply Test 11 Lt Niche 12 Endsr. Fencing -Alarms 13 Bonding, Diving board or Slide Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test & Anchr Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings $ Anchr•Nail Prfctn 4 Ftg Parches/Decks; Soils -Steel Fig Dpth S6 Shwr Pan; Test, Fust fir Tub Arc 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tubi & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fre Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel — 9 DWV; Fail -Fd ing Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz. Test 11 Wtr Pipe; Test-Anchrs-11gitrService Test 12 Elec Undrgmd DATE M E C H A N'1 C A L 13 Plenums & Ducts; Cimc-MaterialSupport4asultn 61 AC Ducts Insulin & Support 14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade - 16 Insulation 64 Furnace -Vent Acc•Comb Air Rtrn/Vent 115 Outlet 65 Attic Arc & Pitfrin if Furnace in attic d DATE 15RAMING 17 Silts Proper Materials & Andws DATE IFINAL 18 wills Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over G-u•ders 4 fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat Proof)• 68 Furnace Vnts-Clmc•Comb, Air•Cnnctr 21 Fire Stops; Furred CeitingsStalrs•ChasersTubs In Garage; abv-fir-Ducts-Meth Prtctn 22 Headers & BearimsSz &'Bearing. 69 Bedroom Exiting 23 Hangiers PosfCaps-Anchrs-Cnncins 70 GFl 8 Bath Fxtrs &Tub Ace -Spa 24 Cellling Joisf-Rffr Tjes-PurliR-Roof Brac TrussShfhg 71 GFl Arc Fault 25 Frplc Ties or type A Flue=Fr lc Throat Clrnc 72 Elec Trim & Subpni, Breaker Szs & Labels 26 Attic Acr Sz & RmX Pitctn-Draft Stop4ns Baffles 73 Stairs, GuardlHandrails 27 Bdrm Wndws or Exiting Doors -Sill tit & Dimensions 74 Frplc or Stove, Ctmc-Hearth 28 Garage Fire Prtdri Framing -RC Chirinel 75 Elec Outlets at Wood PnL Int &Ext 29 Prprty Line Firewa11& Opngs' . 76 Ktchn, Fxtr & Appinc; Grnd-Air-GapCooking Cimc 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcis at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Pdctn 78 Garage Fire Dobr, Swing-Landing—Closure 32 Plywd on Roof Ovrhng Attic Vnts-Rt{r ddbgm 79 AC Duct In Garage -Damper. 33 Sidmg-Nailing Veneer • 80 Wtr Htr Vnts•Cimc-Com Air Cnnctr-PRY; abV fir 34 Stucco lath Weep Screed-Fndtn Vnts-Undrfir Ace Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic • 81 Plmb; Elec & Mech FAp fisted for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcis in Garage (GFl) Romex Prtctn _ 37 Brace Int/Ext Wall pnis 83 lnsultn-Foam-Looked in Attic _ 38 Insuftn 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 [:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, PlmbAppinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptd-Undrgmd DATE ELECTRICAL 40 Fx0• & Tmsfmrr Cimc-Ins Prtctn 41 Elec Rcptcis Spadng•4Lts & Switches at Doors 92 Vnfltn 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 Inspctns 44 Eqp Gmd made up w/Mech Fstnm 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-D1O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz DCU or DAL 98 Address Posted AC Wire Sz Qa ❑CU or DAL 99 Fire Sprinkler 48 Range Circ w DCil orDAL Oven Circ Qa D CU or D AL Insulated Neutral [:j Yes DNo 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnts-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector .i...y-.•-t ,�. �._ ,-.......a�-.,-.-�-•�wir•...... '--w-. � w�.•..--...-.w,,...•„y�C.�,st�'PF"`i� '.�iy"Y.+"+,��,whttf, 5 ,_•-_ d. COUNTY OF BUTTEI BUILDING DIVISIONI DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER z I o5 .4ti'I PERMIT NO. v'14 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 completed. If you have any questions pertaining to this matter, or need additional;' explanation, please contact the Building Inspector as indicated below. - Nki F ,qJ } A {I � '" V `� Date Inspector a Jj k- REV 4/05 Phone # h� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834, i.,........ . ..._..._�. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ILA ✓� Z OW ER PERMIT NO. 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 completed. If you have any .questions pertaining to this matter, or need additional explanation, please contact the Building.lnspector as indicated below. ^F } Date (� r Inspector REV 4/05 Phone # 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.neAdds LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 State 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).): �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' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). PERMIT NO. BP062105 Issued Date: 09/06/2006 APN: 058-210-172-000 Site Address: PAIUTE bR. QONCOw Map Index: Description: TRENCHING TO SERVICE ELECT & WATER FOR FUTURE LOT DEVELOPMENT Owner: AUSTIN DONALD L & SHEILA E 1110 PEMBROKE WAY DIXON, CA 95620-2336 Applicant: AUSTIN DONALD L & SHEILA E 1110 PEMBROKE WAY DIXON, CA 95620-2336 (707) 678-2743 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: uant to the Contractors' State License Law.). I am Exempt under Article 3 of the Business and Profess qns Code. r . • :7A11L& I-X67R,T- 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 the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: License #: Architect: Engineer: Carrier: Policy #: Total Square Ft: Valuation: 0 S. F. $0.00 I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' ` 1 �.0� compensation provisions of Section 3700 of the Labor Code, 1 shall 1 ` forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. J CONSTRUCTION LENDING AGENCY This permit is hereby issued der the applicable provisions of the Butte County Cods anrVor I hereby affirm that there is a construction lending agency for the Resol do s to do work ind' a d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: j—�dr-- PERMIT EXPIRES ON: 4- (Z o2 Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1 AO In G S G liQq r Signature:_ Date: U. Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIOM: OROVILLE: (530) 538-7636 • CHICO: (S30) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name U5t- rst Name fiDU Address 10 0 ro IA) o- City D o State C A- Zip f 6 z o Phone 7o7 479-- 2-7y 3 Fax 1 E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic.# r Class, APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number. APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Ire - 5-1 Flood Zone I X I SRA I Yes 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. BPC x-10 BIN # PROJECT LOCATION AP# OSg"—Z/0- 1?Z-04 c7 Property Address po, 11{e Cross S eet lG- is Xft 4 p_as- 0 Q tv lK C A -I4 a Other 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: U S e Sq FT- Living Garage Open Cov O Structure Built without Permits 0 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. W V �d Received by: �G. Amount: l / Bldg ] I Receipt #: q co 39 Sheriff Li>LC k#9 �3� SMIP Date: 5-3 I- C)G /, Other 110 • 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 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 Plan's, (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 KAFORNIMBUILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV a-12-05 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 A�S111� J, �A OWNER Don Q' "� {� _ 1� ASSESSOR PARCEL NUMBER r�� " ��� J 2 Proposed Building Use: �It'Cl o t� W i� 6 ��fl 6 4V. Permit Technician: ` Dates M(h Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 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 calcs 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 ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ .moi 19. 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 .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. 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............................................................................................. L 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number . ........................................ 30. Owner -Builder Verification (_ Given to owner,�ailed owner) ..................... 31. Letter of Signature authorization ..................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ X. Deed Restriction.......................................................................................... ❑ 35.:0, Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone �5 �� 5 3-�`15nhold for pickup. I have been informed of the above items and requirements(for obtaining a building permit. f�. Applicant <%(/rn..✓� - �,c,�,�� ,� Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division SEP.'6.2006 7:14AM BASALITE TRACY N0.797 P.1/1 . • poc �.IUS �p �05�-�1Q 172 fhx t p OWNER-lBUILDlER VERIFICATION Attention Property Owner: lAn "owner -builder" building permit has been applied for in your name and bearing your signatu e. lease 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.[ ] NO [ I 2. I HAVE 5<.] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have -contracted with the following persbn (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOWS LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the majgr woilt: . NAME: -1�� Groar � ADDRESS: Yolk a1q 13s,,J Rd PHONE: L30- $33 _ S'Zs-r 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 DATE:Sip % : 7 6 g 6 NOTE: This Owner-Builder.verification is required by Section 19831 and 19832 of the California Health and Safety Code. ''his verification must be completed and returned to our office before we are permitted to issue the BUTTE-0—GUIJTY DEPARTMENT OF DEVELOPMENT SERVICES . BUIWINC PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE At: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS 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: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such.permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State 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).): ❑ 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: • �(jwner. �,q 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 the performance of the work for which this permit is issued. 4 I have and will maintain workers' compensation insurance, as J required by Section 3700 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 PERMIT NO/ BP041399 V Issued Date: 05/24/2004 APN: 058-210-172-000 1C' �cw Site Address: ���r7 )Map Index: I Description: ELEC SVC FOR WELL F Owner: AUSTIN DONALD L & SHEILA E 1110 PEMBROKE WAY DIXON, CA 95620-2336 j Applicant: AUSTIN DONALD L & SHEILA E t 1110 PEMBROKE WAY DIXON, CA ). 95620-2336 Contractor:. I License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to t 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. Date:r��4l/ -Z -1 0 Applicant: /;,r,n�. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees._ _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: permit is hereby issued under the iluti&nr.4o do work indicated aboA PERMIT EXPIRES 4040D3 ;t - ble provisions of the Butte County Co anNor fees have been paid. r� /� O 11 i ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Iiignature: J caner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE OUNTY DEPARTMENT OF gEVEL,OPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041399 LICENSED CONTRACTORS 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 Issued Date: 05/24/2004 APN: 058-210-172-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: (nom 1 � �—{-, -tel 06 Site Address: 7 `�-►lN�h-' 11Y� L..0 Vv Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELEC SVC FOR WELL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: AUSTIN DONALD L & SHEILA E to its issuance, also requires the applicant for such permit to file a 1110 PEMBROKE WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with'Section DIXON, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95620-2336 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).): ❑ 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' State License Law does not apply to an Applicant: AUSTIN DONALD L &SHEILA E pP owner of property who builds or improves thereon, and who does 1110 PEMBROKE WAY such work himself or herself or through his or her own employees, DIXON CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95620-2336 year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code (Jwner. Date: License #: 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 the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 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:' Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 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. Date: . v ;0 1/ Applicant: !!\\ //D. V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Co and/or I hereby affirm that there is a construction lending agency for the ResolutiAnyto do work in icated a for whi fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)& / 0 Name: B Date: [ PERMIT EXPIRES Address: ON: C/ at ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: r./ 0 N AU—s� ��(/ �ignature: Date: ,O q caner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY JUN 0 1 2n04 O.B.-1 DEVELOPMENT SERVICES 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 improvement: YES ❑ NO ❑ 2. I HAVE 19� 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: 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: SOCIAL SECURITY NU MEBER: DATE:_ 114c- Ic-1 7 Z, 2 e3 c� NOTE. This Owner -Builder Verification is required by ,,lection 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our offu a before we are permitted to issue the permit. OVER ��ds�-aio-na ��r O51/399 I OWNER BUILDER INFORMATION 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. 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 "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. rely, Mic 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 OVER ��04►�9 -0. PRE -INSPECTION REPORT OWNER:DATE: • ► 7• od- LOCATION: �A'u-r� �oNcc�n/ A.P. # 058.2► o • ►�'� CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION ELS Svc- Fo m vvELL_ DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE ( -)-SEE ATTACHED Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied Abandoned/Vacant: Electric: Electric Currently Condition of Electric Gas: BUILDING INSPECTOR'S REPORT ( ) Yes ( ) No ( ) On ( ) Off Currently ( ) On Condition Sanitation: Plumbing Worldng () Yes Obvious Sewage Problems ( ) Yes ACTION RECOMAMNDED: ISSUE Hold for permits or verify: s ( ) Off , No No } ) Yes t Mobile home # of Units: ( ) No ,t / f�Q LA( Inspector: //� Date: .. ,1 CKT,TCH RUHMINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. .V LAND DEVELOPMENT BUILDING .-fl R0_NMENTAL� �.tl;-� PERMIT CLEARANCE Building PermitNo. J;•-�..C•yr,'. c ..v JA`s i••."+�:.r: OWNE NAMERS A.P./rOil "r- C_ NUMBER: 6� Z (D I PRINT LAST NAME FIRST 11 ADDRESS/ LOCATION: COUNTY ZONING , • ,� DESIGNATION: �Iz FLOOD ZONE: X FLOOD MAP: 2 D I3 APPROVED: CONDITIONALLY APPROVED: ✓ RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING 2 L-5119 2 LOT 2 BOOK 2S PAGE 347 COMPLIANCE WITH OLD SUBI I ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO .- IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL, CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. t X 5. Maintain a JPO ft. leachfield setback from X6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. —9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 1 1. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planting Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. X/a V6-V610PML-WT OX I-21S7V 261tNCLs OL A/A77-d/Z -L V C G E r tt r1ol1 4 G( -o I,,vE)9 w 1 ri`t-/h1 200 ' Of= A L& 0 6 AI . 22. J w A -LC S o /L sU �fF'17ccs w�TE2. k z 23. c 12,51-7 3 7 /5:76/2 V56-lt 3 Liff ,S' �:� 121 S J,+(- CCEd 24 25 'AIC) 119 0 OUN000 866 6 0 NV a3ni3adja LD 5/97 C:,WP5„F0AW.K%8L00PEW.CLA Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile BUTTE COUNTY JUN 0 12004 DEVELOPMENT SERVICES May .24; 2004 - Please check a box, date and initial in each section indicated (Owner -Builder Declaration and Worker's Compensation Declaration), then print your name, sign and date the permit at the bottom and return to our office along with the attached Owner Builder Verification form. After receipt of the permit and declaration, a permit will be issued and mailed to you. If you should have any questions concerning this matter, please contact this office at the number listed above. Thank you. to 1 FIRE SUPPRESSION SYSTEM PERMIT AND FINAL INSPECTION FROM H.C.D. STATE OF CALIFORNIA REQUIRED BEFORE BUTTE COUNTY BUILDING DIVISION WILL FINAL MHk PERMIT. PROVIDE VERIFICATION OF H.C.D.r FINAL OF FIRE SPRINKLER SYSTEM. .�- SEE q11A`~Lj CALIFORNIAOF NOTICE EMERGENCY ACTION REFER TO CALIFORNIA TITLE 25 — $ECT/ON1337- SKIRTING SHALL NOT BE INSTALLED UNTIL ALL UNDERFLOOR INSPECTIONS HAVE BEEN APPROVED FOR MANUFACTURED HOME ALL COVERED DECKS AND OPEN DECKS EXCEEDING 36 - SQUARE FEET IN AREA WILL REQUIRE A BUILDING PERMIT N FPA 58 . LPG TANK LOCATION MINIMUM DISTANCE FROM PROPERTY LINES OR STRUCTURES FOR_ GALLONS OR LESS, LPG TANK SHALL BE -1-0 FEET CONTACT BUTTE COUNTY FIRE / CAL FIRE FOR FIRE INSPECTION PRIOR TO BUILDING DIVISION FINAL FIRE SAFE REQUIREMENTS MUST BE �l 7MPLETEO AS SPECIFIED AND 1 Q RS 'PROVED BY CAL FIRE CO LArjp�1.1GS�PL.� SHp.LL SECTIONS Zpp� cB5, [309.4 & - 1 IpIp,6 COMPLY WITH 2007 CBC 7A, CDF/ CAL FIRE APPROVED MATERIAL REQUIREMENTS SEE HANDOUT FOR CURRENT INFORMATION ON APPROVED MATERIALS FROM CAL FIRE / CALIFORNIA DIVISION OF FORESTRY DECK OR PATIO COVER SHALL NOT BE ATTACHED TO MANUFACTURED HOME ALL .4 . —. _ keeeh j54''7 .F:fc!'cbf-AY £cf4r;;2w Amp 4 -proPolo a 4-30'4- D4- voo- 4 to n� �Y gx:SnN`I . K fi�lnl�c— oP 3 L, a•� Plrc SPnriL� fir -- 1 I �\� 5 F^ SMO dU Ql T � G � 71% .�f THE 2007 CBC, CMC, CPC, CALIFORNIA CODE OF CEC, AND 2005 CALIFORNIA REGULATIONS TITLE 25 ENERGY STANDARDS AS REQUIREMENTS AS AMENDED QAC AMENDED BY THE JURISDICTION BY THE JURISDICTION APPLY APPLY TO THIS PROJECT. j TO THIS PROJECT LCL N OTE: PROPERTY OWNER IS RESPONSIBLE FOR +I DETERMINING LOCATIONS OF PROPERTY LINE j+ AND EASEMENTS AND MAINTAINING REQUIRE 1 SETBACKS FROM PROPERTY LINES AND EASEMENTS. A SURVEY MAY BE REQUIRED Ili DETERMINED NECESSARY BY THE BUILDING OFFICIAL. N OTE SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: 1• EXCESSIVE SLOPES !3 • EXPANSIVE SOILS j • EXCESSIVE CUTS OR FILLS `• ALTERATIONS TO NATURAL DRAINAGE (• OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS "",Z/ q�'a / —' —> PROVIDE MINIMUM DISTANCE FROM FOOTING OF STRUCTURE OF 5 P=T FROM ALL PORTIONS OF PRIVATE SEWAGE DEPOSAL SYSTEM INCUDING SEPTIC IG (� TANK, LEACH AREA AND PITS GNI NO 1NapeCT` H SRM VCT �H rgNT � FF1Xe0 oT`'oN CEsYsren, lV Al, a o Lt NO CONSTRUCTION IN- � 'r Is EASEMENTS e ALL PORTIONS OF STRUCTURE TO BE OUT OF EASEMENT -INCLUDING FOOTINGS, FOUNDATIONS, WALLS, l EAVES AND ROOF - - --- — - - -_ _ COMPLY WITH CDF/ CAL FIRE ^ REQUIREMENTS PRIOR TO BUILDING (DIVISION FINAL. CONTACT CAL FIRE / CALIFORNIA DIVISION OF FORESTRY FOR INFORMATION AND REQUIREMENT � - SEE STRUCTURE SETBACK ATTACHMENT FOR SLOPED BUILDING SITES I APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS BUILDING PERMIT# U 9 - O! q� ASSESSOR'S PARCEL# OS'$ -'t1 0 - -1'7?— Bli COUNTY BUiL//.�j�peDN{ BUILDING DIVISION ' .INP PRIDN" I CY/ 3NMO mop- 0