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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: 4925 PAPYA RD
Owner:
Permit No: B07-1424
APN: 063-240-025
NUNN PRENTICE A & MURLE
CWIFDDS Impact Processing Fee
Issued Date: 09/13/2007 By KCG
Permit type: RESIDENTIAL
975 ARGENTA DR
Subtype: SFD-Alt Materials.
PACHECO, CA 94553
Expiration Date: 09/12/2008
Description: LOG CABIN. HOME (2853) GAR (10:
(925) 825-4707
Occupancy: R-3 Zoning: TM10
Contractor
Applicant:
Square Footage:
NUNN PRENTICE A &'MU,
NUNN PRENTICE A & MURL:
Building Garage Remdl/Addn
975 ARGENTA DR
975 ARGENTA DR
2,853 1,027
PACHECO, CA 94553
PACHECO, CA 94553
Other Porch/Patio Total
(925) 825-4707
(925) 825-4707
1,229 5,109
FEE INFORMATION
CWIF SF
$2,411.06
CWIF SF
$2,132.89
CWIFAUD Impact Processing Audi
$50.00
CWIFDDS Impact Processing Fee
$50.00
DB R3 Dwelling -Alternate Mater
$2,740.65
DB R3 Dwelling -Alternate Mater
$1,827.10
DBEH Building Review Fee
$75.70
DBFIRE Fire Inspection (SRA)
$205.40
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
NUNN PRENTICE A & MU, OL:CRW_00403661 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 09/13/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number: Exp. Date:
(This section need not a completed if the permit is or one dollars ($100) or ess.
rz;KCERTIFY 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'
Com ensation laws of California, and agree that if I should become subject to the workers'
- mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
09/13/2007
bignature - Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
-I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the worWfor which this permit is issued. (3097 civ. code)
Lender's Address - ''
City State Zip
DBFIRE SRA Fire Plan Review (S $102.70
DBOMSCF Fire Safe Standards Re $115.98
DBSMIP Residential $22.98
Total Charged: $9,734.46 Fees Paid: $9,734.46
Balance Due: $0.00 Receipt No: B4616
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500);
Please check one of the following:
AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
t --I COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
EXEMPT under Section B. & P.C. for this reason:
',edner's Signature Date
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
o my to enter the above mentioned property for inspection purposes. I hereby certify that I am the
Vparty oyer or am uthon to act on the property owner's behalf.
�reafi c e 09/13/2007
Name of Permiftee [MN] - Print A Date
9 -wner ❑ Contractor OR. ElAgent for Owner ElAgent for Contractor
FILE COPY
�V T TFBUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION.
0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o o A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: w, rw.buttecounty.net/dds
DUNS **PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
Name
t Name '
Mailing Address
f�
State'
City
. State
Zip3
Phone
Phone
E-mail
Cel
PERMIT
NO.
A_)L)
BIN # rte,
PROJECT LOCATION
API 040 P p
Property A 77Q)
City
Ar
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
550 /a Tc S,r�G
AR HITECT/ENGIN ER
CONTRACTOR
Name
Address
Address,
State'
City
FP��
.3®Fax
--3 40 � 030
3 2
State
Zip
Phone
v
Fax
E-mail
Lic. #
Class
PERMIT
NO.
A_)L)
BIN # rte,
PROJECT LOCATION
API 040 P p
Property A 77Q)
City
Ar
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
550 /a Tc S,r�G
AR HITECT/ENGIN ER
Name
Name Wz
Address
City G./_
�i i o
State'
✓ � U
FP��
.3®Fax
--3 40 � 030
3 2
342 r 82
E-mailState
Cuiv
Lice se umber
p .
APPLICANT SIGNATURE
DESCRIPTION OR SCOPE OF WORK:
L�
Sq FT- Livin92 S Garage Open Co
❑ Structure Built without+e �ts OeCA
❑ Proposed Change of Occ
(Note previous us
— —.'v
For office use onl .
Zoning Floo Yes No
Occ. I Type Const.
APPLICANT INFORMATION
Name Wz
41 G e L!
Address
97
,4 r e�
City
State
Zip
Phone -
v
Fax
E-mail
APPLICANT SIGNATURE
DESCRIPTION OR SCOPE OF WORK:
L�
Sq FT- Livin92 S Garage Open Co
❑ Structure Built without+e �ts OeCA
❑ Proposed Change of Occ
(Note previous us
— —.'v
For office use onl .
Zoning Floo Yes No
Occ. I Type Const.
i
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.butteco,unty.net/dds
PERMIT APPLICATION DATA -SHEET
Reference Number: B07-1424 • . Date: 06/29/2007
Location: PAPYA RD By: KEJ
Parcel Number: 063-240-025 1 Sub Type: SFD-Alt Materials
Owner Name: NUNN PRENTICE A & MU, Phone: (925) 825-4707
Description: LOG CABIN HOME (2853) GAR (1027) COV (1229)
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 (530) 533-0740
LOAPUD, 1960 Elgin Street,•Oroville CA 95966 - (530) 533-2000
❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑ El Durham Park & Recreation'District, 9447 Midway, Durham CA 95938 - (530) 345-1921
❑ F 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 .
M: 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
F-1 M Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
.� Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 -'(530) 868-5447
El 0 Other: R
Other:
Other:
3 Signature of Property Owne c
FILE
Date: 06/29/2007
Y
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building) t ,
Y r t
School District O Y 1I m 1�1 n-1 I � (� Building Department No. �M- l u3�
V Tax Rate Area No. of Aq-n!
A.P. Number ��-j (� (�� Jurisdiction: City County `.
Property Owner��
Property Location/Address
1 1 1
Subdivision Lot No.
r ,
(�............................................................................. q
Residential Development Sq. Footage 2
No oP Living Mobile Home Addition/ 'Supplemental to (Grow R)
Units Installation Conversion Permit # Cr. Demo - ( )
' '(No foundation inspection) existing sq. ft. see attached
. ..................................................................................................
G
Net total sq. ft. 2 O 5�
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) ;
Commercial/Industrial 0
New Addition
District Identification No. Q� l
D School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Payor)
(q4 /)mac �a 94$5-3
(Street Address) v (City) (State) (Zip Code) (Phone Number)
1 G;
has cAlied with the requirements of Resolution No. �`, 7 Q(,p by payment of $ 33 /
representing rS6 �? square feet.
School District Representative
Paid by Check # p? ,06 Remarks:
IFB72926 $
FULL MITIGATION $
9113 �
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm
BUTTE E COTJNTY DEVELOPMENT FEE CERTIFICATION, FORTS
0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
C CO AREA RECREATION AND PARK DISTRICT (CARD)
PARADISE RECREATION AND PARK DISTRICT (PRPD)
0 DURHAM RECREATION AND PARK DIS'T'RICT (DRPD)
Assessor Parcel Number (s) '(�2, Q -69 b Building Permit Number Ej07-1 q9
Property Owner (s) KfU.nn
Project Location /Address, Paw icL Kang ,h c A
Subdivision Name Assessable Sq. Ftge 2S 5'�:)
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling.
Mobile home Mobile home replacement` verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
Q'
Buil mg Department Repre tative Date
❑ FRRPD 0 CARD Q.P6 D 0 DRPD certifies th t:
App cant Name�— Phone Number
n Ll
CiAll C/t'--- "r -A
Mailing Address city State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment o£
Dwelling Units @ $ per unit for a total. of $
3 Square Feet @ $ �rj D per sq foot for a total of $ . .� (� S •.'6
Remarks: '
s , 3 7 6,3
Paid b y Check No: •-RaA-by�: ✓ Receipt No:
7.Recreation and PEA District Representative Date
•- •--- _ --... _-. ..., .. �--'-- --.. i der,
Butte -County: Department of Public,, -Works
A�,�ENT
C*
T
J. MICHAEL CRUMP, DIRECTOR
t
Q 0.
} LAND DEVELOPMENT DIVISION t
O o
Storm Water Managment Program
o 0
7, County Center Drive
Oroville; 'CA 95965
O O
.. (530).538-7266, Telephone
Fax
g
(530)-538-7171
C
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
Dater 06/29/2007
Reference Number: 13074424
Location: PAPYA RD
By: KEJ
Parcel Number: 063-240-025.
Sub Type:,. SFD-Alt Materials
Owner. Name: NUNN PRENTICE A & MU,
Phone: (925) 825-4707
Description: LOG .CABIN HOME (2853) GAR (1027) COV (1229)
'
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 bylaw.
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: B07-1424 Date: 06/29/2007
Location: PAPYA RD By: KEJ
Parcel Number: 063-240-025 Sub Type: SFD-Alt Materials
Owner Name: NUNN PRENTICE A & MU, Phone: (925) 825-4707
Description: LOG CABIN HOME (2853) GAR (1027) COV (1229)
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro=actively provide the below building and site requirements to the
property owner. {
Your roe is located within the State Responsibility Area SRA of Butte County
P p ttY � p tY (, )
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
.Public Resources Code 4291
✓ , California Building Code, Chapter 7A
✓ Butte County. Improvement Standards
All development within the
Requirements prior to scheduling the pre -inspection
Full plan submittal to•Butte County Development Services -Building Division
Driveway and building pad must be identified on site
.Structure location must be staked out on the building site
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) 538-6837, ext. 169, (When the recording comes on, enter the
extension number). '
For the. pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the. site plan. "
A
I have read and understand the above pre -inspection requirements.
06/29/2007 ,
Date Signature .
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/Firieprevention/protplan/protDIan.html
Rev'd 5/7/07
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
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
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided rio 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/codesibutteco/
Reference Number: B07-1424
Location: PAPYA RD
Parcel Number: 063-240-025
Owner Name: NUNN PRENTICE A & MU,
Description: LOG CABIN HOME (2853) GAR (1027) COV (1229)
Date: 06/29/2007
Phone: (925) 825-4707
Signature of Property Own Date: 06/29/2007
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-754.1 Fax (530) 538-2140
Printed: 06129/2007
2:16. pm
Permit Number: B07-1424
-
Job Address: PAPYA RD
Contractor: NUNN PRENTICE
A & MU,
975 ARGENTA
DR PACHECO, CA 94553
Fee Description
Account Number
Fee Amount
Paid Date Pmt Amt
DB R3 Dwelling -Alternate Mater
DBF DWLNG ALT MTRLS N. Plan Rv,
0010-440001-4210500-1010
$1,827.10
06/29/2007 $1,827.10.
DBF DWLNG ALT MTRLS N Permit f
0010-440001-4210500-1010
$2,740.65
CWIF SF
CWIFFIREVE SF
1851-0-280-1011853
$707.16
CWIFFIREF SF
1851-0-280-1011852
$366.35
CWIFPWRDS SF
1831-0-280-1011001
$1,337.55
DBEH Building Review Fee'
0021-540013-4614901-1010
$75.70
06/29/2007 $75.70
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010
$205.40
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010
$115.98_
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010
$102.70
06/29/2007 $102.70
•CWIFAUD Impact Processing Audi
'
0010-050-4617998-101001
$50.00
CWIFDDS,Impact Processing Fee
0010-440001-4617999-1010
$50.00
CWIF SF
CWIFSHERFJL.SF -
1800-0-280-1011811
$288.00
CWIFSHERFF SF
1840-0-280-1011841
$312.99
CWIFLBRYV SF
1825-0-280-1011828
$4.83
CWIFLBRYM SF
1825-0-280-1011827
$162.04
CWIFLBRYF SF
1825-0-280-1011826
$240.89
CWIFGGF SF
1808-0-280-101001
$664.81
CWIFSHERFVE SF
1840-0-280-1011842
$152.72
CWIFGGVE SF
1810-0-280-101001
$306.61
DBSMIP Residential
.
100170-280-1011298
$22.98
r
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.
n 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
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 under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about Iicensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO) reS
2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. fi?VG
3. I HAVE CTRACT�D WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME re Ti Gea
ADD SS r. CITY v
PHONE9?J_&r-_1 4YO7 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
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: LOG CABIN HOME (2853) GAR (1027) COV (1229)
Reference Number: B07-1424
Applicant Name: NUNN PRENTICE A & MU,
Owner's Name: NUNN PR ICE A & MU, AP # : 063-240-025
Signature of Property Owner:(=,V� ann�Date: 05�- Z,9 - Z1062
Y �G , r «i w-�`&-.:,�;,.�r,� � �s,N.+giyR3w'li��,�,�r;yrfYK�v�"-�`�'`�?�re.:..�L,x:.a�.:�r�.; .' �'t_�"'t-:;'rn�.rssf*<��:t,�^x.a'�. 'i2.�.^;,� :f.�t: ... �. �...,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Jr
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -7541 63 -
PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING -PERMIT
OWNER
Pi7FrJi'T(`R
TELEPHONE
SO. Fr- OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
.,,n- I'lY A17 FOPPQT DATIru rA 09041
CONTRACTOR'S NAME s
C.IlTrri FT F(7RTr
TELEPHONE
ant_1aa�
CONTRACTORS MAILING ADDRESS
^11 1 re'rra Qn rct7rn rA acne
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
"IA T,II TT, rn»r+rr nA►*/+rr
Energy Plan Checking Fee $
PERMIT FEE $
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: - rm l cmc rrnr- o Or,T r-
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service eoov oR LEss
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. ys /� ��
License Class 1� Lic. No. C /�j
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 Z ,f�"'Mn-� �, rr.n.\ -I n1,k1.4 V,Ct•
Main Service 200A TO IOOOA 46,00
NEW CONST. DwEwNG occUP. so
OR AOONS. ( a Acc. erns. 3.5¢x:
prOµgO,p MULTI-OcU.TSUTLET 97.50
POWER APPARATUS
a sINGLE ourtET aR.
20 @ 1.00
EX. Occup. OUT -Er OR FDRURES BAL O .50
Ex. Occup. OUTTUErs�R9o.D� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filind Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number 1071 O (zJn ';-19/-
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that 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 t� �!G�1 R� Date — 7 Q _
L
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.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ r�
HAZ.
D. FEES IMP
FLOOD
CDF PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte/County Code and/or Resolutions to do work
indicated a ove for which fees have been paid.
0
P af/ I
By Date 7�
PERMIT EXPIRES ON ,) // -i / �
\J Dete r
Receipt No. "15- S-7) ���f �� T)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 03 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER - -
MTCF
Np WN
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
4177 FOREST 'RANCH, CA 95942
CONTRACTOR'S NAME
TELEPHONE
.291-1933
CONTRACTORS MAILING ADDRESS
T,
CONSTRUCTION LENDER "
[Total
Fireplace
LENDER'S MAILING ADDRESS
Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
TJ
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
E'I1iV�ai�v t'o�Ct—Ft7L
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
20.00
Main Service za.A OR LESS
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 isL in full force and effect.
License Class 13 Lic. No. S'43L/S
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:
CarrierT,yapt, eUA6 Tdl5u2AnCC
Main Service TO
il
CCU000A
NEW CONST. DWELLING OCCUR
WE
OR ADDNS. ( a Acc. BLps.
NpIJ REOSIDT MULTI.OUTLET
POWER APPARATUS
8 SINGLE OUTLET CI R.
Ex. Occup. OUTLET OR FIXTURES
BA2L@''50
L Q .50
Ex. Occup. GFlx s A� OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
_
Z no
- - -
PERMIT FEE
$
MECHANICAL PERMIT
Fifindree 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number Mzc�Bso�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
wo kers' compensation provisions of section 3700 of the Labor Code, I shall
fo w'th comply with those provisions.is
X Date_
Signatu a of Applicant - ❑ Owner Xcontractor ❑ 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 $ rr
�HAZ.
I D. FEES IMP FLOOD CDF PARCEL PD HD
ISS
permit is hereby issued under the applicable provisions
of a Butte unty Code and/or Resolutions to do work
indic ed o f r whi fees have been paid.
By Date
PERMIT EXPIRES ON
O
Matto)
Receipt No. r
WHITE-D.D.S.-B.D. CANARY -AS ESS PINK -INSPECTOR GOLDENROD -APPLICANT
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
OWNER: /l/ L C n k-1ASSESSOR PARCEL NUMBER`` /
' T�
Proposed Building Use: 61,0- 0 --Counter Technician: (`--u Date: Z/�
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1.. Plot 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 faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
OkI2. Pre -Inspection for 6%-iq_ required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance............................................................:..
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone d hold for pickup.
I have been inform"ed of the above items and requirements for obtaining a buildi g permit.
CAppl)iant: Dat : / _( 3
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
Plan Check Letter
Date:
Date:
Date:
Date:
P13 E-INSPECTI01
OWNER:
LOCATION: h
CON'TR.ACTOR:_ C -o' �n
PRE-INSPETION FOR:
DATE TO INSPECTOR: 0 PE� H ORY:(�JONE
- BUQAIIVG INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandon scant -
Electric:
PORT
DATE: I
A -P. #__n 1,-m a AEU
ZONING:
FOLLOWS:
Yes No Electric currently On Off
Condition of Electric
Gas:
Natural Propane None k Currently On Off_
Obvious Problems:
Sanitation: `
Plumbing Working .
Well Working Potable Water
Obvious SewageProblems
ACTION RECOMMENDED: ISSUE:
r
lnapectorL)
3 .
HOLD'FOR.
F �d3Date t6
Sketch buildings on reverse and indicate location onro erty.
P P
a
z
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO
APPLICATION AND PERMIT
�►��
6 - /1 c 5
SEMOR PARCEL l7JU99% M ;)q6
U r� V
Nk�e
,�„�`p-�,�r
BUILDING PERMIT
J
SQ. FT. OCC. BUILDING VALUATION
RT AE ied.:vNE
e / -/933
o,,�R�c�as wy� �oaR�s
DNS7RVCS7OH u]1DEA �
Fireplace
ENDERS MAL= ADDRE's5 '
Total Valuation S
RCNIrECT OR E►G7NEEA
uCENSE ND.
Filing Fee
S
20.00
Permit Fee S
AcMrE= OR ENOWEERs MAILING ADDRESS
Plan Chackin Fee
S
IJwwGADDRSS .� 7G r—. �-Gf t j
Energy Plan Checking Fee
S
PERMIT FEE
t
DT No.
SUBDt✓6ION5 NAME
P� MAP
PLUMBING PERMIT
Firing Fee 20.DD
Each Trap
USEOFSTRUCTURE
>F ❑ Dupiex ❑ Mablehome ❑ Other
cPEcIFY
Solar or hast pump water heater
23.00
Water piping IS -00
Each gas water heater or vent 1 S.DO
TYPE OF WORK
t`teN' ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins%§&fon ❑ Other
' /`U
Describe Work- I�' �f�l
=-U-
LY
Gas piping sydam 1 - 5 outlets
15.00
Buiding sewer t S.DD
Mobile Home S G W @20.00
PERMIT FEEIaQz _
/1
ELECTRICAL PERMIT
Firing Fee 20.00
Main Service 2200M OR LEOR SS
23.DD`,Z3
•0 G
_
!�� • - 66
SR X !
10
Oar 9 f T
O 44-wc..tr
don
Maur Service sow TO lba"
46.00
New CONST: DwEUA+G °calf. 3 SCFSo°
OR ADDNS. ( i ACC.:00
►r�NRESRa'few =NST
imm=m L @7.5D
PDWDR APPAA4TVS
s sRNOLE ounEr art
ovnzr OR FicruRES zo I.m
Ex. Oceu SAL
Ex. Occu . otmEmAPPu6 E& 5.00
Temporary Service 23.00
Mobile Home Facilities 2D.D0
)A=. Wiring 23.00
3 .>7o a3 • v
PERMIT FEE $ �U
MECHANICAL PERMIT Firing Fee 2 D.00
Heating
cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection Fee S
oc`
`D�' TYPE TOTAL FEE $ •(, U
-
R FEES IMP
FLOOD
CDF PARCEL
PD
H i MS'h
ibb�?u+ •I�nAo
b�"+Cx-
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON