Loading...
HomeMy WebLinkAbout065-360-050September 6, 2002 Mike and Louise Portlock P.O. Box 401 Magalia, CA 95954 ,gutt¢ Co L A N D O F NATU RAL WEALTH A N D B E A U T Y RE: Building Code Violation Address: 6407 Baywood Drive Magalia, CA 95954 AP # 065-360-050 Dear Mike and Louise Portlock: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for additions to a mobile home. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are. authorized by our field inspector. to proceed. The field authorization cannot be made until the existing work is inspected and approved. (See attached special inspection letter) It is the .County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that .Butte County has an active Code Enforcement Program which provides an effective means of enforcement. if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherfor i�' Chief, Building Inspector SR:th cc: Assessor BUTTE COUN'T'Y DEVELOPMEENT SERVICES \ T Complainant: Address` Phone Number: Other Comments: ;•�.,,ti:3ri<3>:: .�s:: i>iE <;,:: ::sem>:>.� , � � i 3 � �332`'� �33; ' s3 t3• ,,,., £>;•. ....,.... . Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 44-e t -00 tic POt rL 9/20 -as 4 /'o /,a-,fj C 4 e L>,,, t 0 J t.-- r"o 191 f l e O art/y2 J9 dewtc �e-, w t r 4 v-4 3A 05" pcp �riin3dR "V�.!�.R,�`-^`+ti:'f�_,.;��,.tra'�'��c ���'y]�'+�i.sa•`�5`u"'Y..�Y`��ti�Yu1-.x�(''#kT.�"�v.'- t• COUNTY OF BUTTE Sim BUILDING DIVISION DEPARTMENT OF DEVEL13PMENT SERVICES 411 Main Street • Chico; CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-1541 CORRECTION N®TILE... OWNER PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and-should.be corrected. Please notice this office when correction :of Work, -is--' completed. If you have any questions pertaining to this matter, or need additional explanation; '- please contact this office immediately. l w� �h iY�(a�T =7M PZ l Date ' Inspector REV 10/92 Y, j1 COUNTY OF BUTTE - DEPARTMENT OF E 7 County Center Drive • Oroville,,CC li (Rev. 12/96) APP LI CATI ASSESSOR PARCEL NUMBER ZONING 065-360-050 DWNER PORTLOCK MIKE & LOUISE 872-7740 TELEPHI OWNERS MAILING ADDRESS CONTRACTORS NAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER WF,NT SERVICES - BUILDING DIVISION 95665 •Telephone (530) 538-7541 JD PERMIT BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION 560 R 30,240.00 LENDER'S MAIUNG ADDRESS Vol uplece Total Valuation $ 30 240.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 291.00 Plan Checking Fee $169.15 BUILDING ADDRESS 6407 BAYWOOD DR MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: CABANA Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 eoov 'o Main Service R' zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A 46.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3.5a�: rg. 60 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, T. NEW pESID. MULTI -OUTLET 97,50 and my license is in full force and effect. POWER APPARATUS License Class Lic. No. 8 SINGLE OUTLET CIR. OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FIXTURES BA� @' .50o I hieby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. ourEiersCRREs1o)FEA. 5.00 for the following reason: Tem orar Service 23.00 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this S 39.60 reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating 15.00 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 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 PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall Occ CONST. TYPE R TOTAL FEE 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 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE workers' o ensation provisions of section 3700 of the Labor Code, I shall forthwit com ly with those ovisions. This perm ions 2 of the Butte County Code and/or Resolutions to do work Date 3 _ X _-0 indicated above for which fees have been paid. nature of Ap licant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By Date ReceiptNo. PERMIT EXPIRES ON I WHITE-D.D.S.-B.D. CA ARY-ASSESS PINK-INSPECTO GOLDENROD -APPLICANT /ne,,,, r l COUNTY OF BUTTE - DEPARTMENT OF DEvELO�'MENT SERVICES -'BUILDING DIVISION - �► /,.y,Center-'Drve Orville,Cornla\95965 Telepone'(530) 538-7541 PERMIT NO 7.Count (RX129. APPLICATI`O,N1ANUPERMIT-i' -) ASSESSOR PARCEL NUMBER' ' 065-360=050 ZONING .- ,. BUILDING PERMIT OWNER ' FORTTACK MIKE & ,GUISE �72�7740 TELEPHONE SO.''FT, r.00C. BUILDING VALUATION OWNER'S MAKING ADDRESS'I':�: 4607 97YWOOD DRIVE MAGAt`.IA 560 R: 309240.00 CONTRACTOR'S NAME - TELEPHONE 0WM . CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS'' Fireplace Total Valuation $ 309240. W ARCHRECT OR ENGINEER ' LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit. Fee $291o00 Plan Checking Fee $%° 1J BUILDING ADDRESS 6407 EAYWOOD DR MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ -15 LOT NO. L� SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑' Mcbilehome ❑ Other Water piping 15.00 SPECIFY Each 11as water heater or vent 15.00 TYPE OF WORK' Gas piping system 1- 5 outlets 15.00 New -0 Addition;O Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 '~Describe ' Work: ICDA mMobile Hoe S G ' � W 920.00 PERMIT FEE $ '.. ELECTRICAL PERMIT - Filing Fee 20.00 Main Service "OOV OR LESS zo.A OR LEss - 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with.Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 11hereby' affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f ® [ I, as owner of the property, or my employees with wages as their sole compensation, a . will do the�work,'and the structure is not intended or offered for sale. Main Service 200A TO ,000A 46.00NEW CONST. DWELLING OCCUP. _ SO l} �� OR ADONS. ( a ACC. BLos. 3.5¢,: ° NEW RES ST MULTI -OUTLET BR =OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex., Occup. OUTLET OR FIXTURES s20Q 1.00 FIXED APPLNS. OR Ex. Occup. ouTLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -'❑ 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, PERMIT FEE $ 39060 WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT „ Filing Fee 20.00 1 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 Heating 15.00 Coolie Hood 6.50 performance of the work,for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 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-" t PERMIT FEE $ •�O°� Policy Number - Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q I certifythat in the performance of.the work for which this permit is issued, I shall ao P p 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'/c'o"lr pensation provisions of section 3700 of the Labor Code, I shall' comply with those provisions. �� , Energy Inspection „Fee $ occ R-, CONST. TYPE TO �j TAL FEE,$ / HAZ. D. FEES' HD SSUE ' / `IMP FLOOD CDF PARCEL PD r_ Thls p miffs Herebyissued•underthe-applicable-provi'sions of the Butte County Code and/or Resolutions to do work X�iforthwith \ i A Date � _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 0 indicated above for which fees have been paid. An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By Date i PERMIT EXPIRES ON Date Receipt No. -2,5� -4 A -S --) Q a %'-� WHITE-D.D.S.-B.D.— –CANARY -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT I vk COUNTY OF BUTTE -DEPARTMENT OF DE VELOPMENT SERVICES - BUILDING DIVISION ,. 7 County Center Drive Oroville, Californ j 95965 Telephone -(530) 538-7541 M T N, (Rev. 12/96) APPLICATION AD PERMIT 6lA ) Asslkci=�c�U� ZON1N° BUILDING PERMIT OwMRTLM i UE & UMSE 872-7740 TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 4607 X0D DRQ MAGI 560 R 309240oCa CONN/TT�gR�Aj;C�7T••OOR�R'S NAME TELEPHONE tJGVLVSaCI CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ m 240. ou ARCHRECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $291.00 Plan CheckingFee $1LUV0 .) jgy$y( ,qp p 'yp tLD 4GAD BLIILDI��Gvr Rd.�ri ICWVi/D DR t'F!`�GSII.JLCI Energy Plan Checking Fee $ $ PERMIT FEE $�U'J-XJ LOT NO. SUBDIVISIONS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1- 5 outlets 15.00 New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Mobile Home I S I GI W @20.00 -Describe Work: CAE2M PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 20OA OR LESS 23.00 Main Service ( zooA To ,000A 46.00 LICENSED CONTRACTOR'S DECLARATION L NEW CONST. DWELLING OOOUP. SO JI U(� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ORAD DNS. ( 8 ACC. BLDS. 3.5Q FT. 1Jo��% 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NEW NON -RES DT MAULLLTHOUTCLETs @7,50 and my license is in full force and effect. APPARATUS POWERE011 License Class Lic. No. & SIN GLiLET CIR. z0@''50 OWNER-BUILDER DECLARATION Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ijhereby affirm under penalty of perjury that I am exempt from the Contractors license Ex. Occup. ourELErs RESIp°E 5.00 Law for the following reason: Temporary Service 23.00 1 �p 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wirina 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ 39.60 reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT, Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating L5. 00 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ I have and will maintain workers' compensation insurance, as required by Section Ventilation 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: -")-U) Carrier Carrier PERMIT FEE $. Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ A of one hundred dollars ($100) or less.) occ CONST. TYPE a© I certify that in the performance of the work for which this permit is issued, I shall � - Nth!-..__. TOTA FEE $5 —4. not employ any person in any manner so as to become subject to workers' 4 HqZ, D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE compensation laws of California, and agree that if 1 should become subject to the workersi compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This pei—mifishereby-issued°under-the-applicable-provisions r 1 %�„_-� Date l of the Butte County Code and/or Resolutions to do work indicated for fees have been XU_- i C above which paid. . .S g_tu_nare of Applicant - ❑Owner ❑Contractor ❑Agent 6 A An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.i`rj By Date _ ReceiptNo. ^-,ala r'i -7.1-,j, PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR: GOLDENROD -APPLICANT Date 6 i COUNTY OF BUTTE°DEPARTMENT OF DEVEL•°OPMENT SERVICES - BUILDING DIVISION 7 Count Center Driwe OrovilleCalifornias 95965 Telephone 530 538-7541 PE Y . , P ) f (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PJLVa MBER. ZONING BUILDING PERMIT 9wMRTLMMIKE & LOUISE 872-7740 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 4607 BUNCO]) DRIVE MAGALIA 560 R 30024.0oW CONTRACTOR'S NAME ,/� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LEND ER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 3092 0.00 ARCHITECT OR ENGINEERU CENSE NO. Filing Fee $ 20.00 q /: Permit Fee $291.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ JR3o I.') BUI�r'' Rt hYKIOD DR 14AAGALIA V ii�C1 (� Energy Plan Checking Fee $ $ PERMIT FEE : LOT NO. "� SUBDIVISION'S NAME - .. PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE -�; SF ❑ Dup)ex 0 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 `M TYPE OF WORK New ❑ Addition/0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 09,21NA Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa .ss 23.00 p LICENSED CONTRACTOR'S DECLARATION I hereby affiern 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, ( 9 ) and my license is in full force and effect.8 License Class LIC. NO. OWNER -BUILDER DECLARATION If hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To iOODA 46.00 NEW CONST. / DWELLING OCCUR SO OR ADDNS. ` a ACC. BLDS. 3.5Q�: o �S NON-RESID. MULTI -OUTLET H c I @7.50 WER APPARATUS SIPONGLOUTLET CIR. E OUTLET OR FIXTURES F 2U @ I'00 Ex. Occup. BAL @ .50 Ex. Occup. ouxntrsRES o.oea 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $39.60 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. j My workers' compensation insurance carrier and policy number are: Carrier °�I MECHANICAL PERMIT, Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ �Joul Policy Number l (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I �© I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers: compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;.. 1 .. X !, 31 't�.,,.1 � ( ; �.. b �tl'' Date � ( _ ...Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent t t 4 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 to CONST, TYPE YIV.. TOTAL FEE ,$7374.75 _ ^ISSUE HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD This permit is hereby issued under fhe 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 C1, Date Receipt No. k ( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK;INSPECTORI GOLDENROD -APPLICANT OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B LDING DIVISION County Canter Oroville, California 95965 •Telephone 30) 538-75b E51�NO APPLICATION AND PERMIT �_—��� ZOWNQ �,. 1 BUILDING PERMIT - Air ER TELEPW-ONE r O � s N3 ADD eat ® .so ! SQ. FT. OCC. BUILDING VALUATION J 30, _ r/pAC=RS NUAE TELEPHONE Moble Home Facilities 20.00 I&r. Wiring 23.00 Tp _TORS PANN3 ADORE= STpL1C71ON � EA Fireplace )ER's `vuumm ADDR 63 Total Valuation S HriECr DR EN7rNEF7i ucE�sE No. Firing Fee S 2D.00 - Permit as Plan Cher -kin Fee S S ,.rrEa bR E++owE�s rAA4lNM ADDRESS MWG ADDRESS PAACEL NAP suaorvsONSNaaE_2�_ 9 r i `-`_ USEOFSTRUCTURE ❑ Duplex ❑ Moblahome Other rP==F+ Energy Plan Checking Fea 5 S PERMIT FEE PLUMBING PERMIT Firing Fee 20.00 Each Trap -=7.00- - Solar or heat pump water heater 23.0D Water piping 15.00 Each gas water heatar or vent 15.00 TYPE OF WORK ew [3Addr6Dn ❑ Ramodel 10U_u•TrCes 13Installation 13 Other escribe Work: " Gas piping yysiarr� 7 - 5 outlets 15.00 Building15.00 sewer Nbbae Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Firing Fee 20.00 Main Service an I Cee 23.00 z'aw ► To 46.00 S n, 0, Lop Q 2-s �[ - 'fV T J d� � NEW =NST: DR t: ( vrvaiwa D D=u uP. OR l i Imo. 3.5CFi =�DNSN� . m5u,-Dur1,� vnz /t7N-RE51D. @7,510J r�weR APPAW4711S t srNaLE ovnFr CIR - - -- L Ex. O=j . OvT FT OR FDCTIJRE6 eat ® .so ! Ex. Oar -up. . o pie )� S.OD Temporary Service 23.DD Moble Home Facilities 20.00 I&r. Wiring 23.00 PERMIT FEE I S U MECHANICAL PERMIT Firing Fee 20.00 Cooling Hood 6.5 D PERMIT FEt S .5 Mable Home Installation Fee $ Energy Inspection Fee $ V `Drs; i � TOTAL FEES i '% This permit is here�ed under the applicable provisions of the Butte County Code andlor Resolutions to do work indicated above for which faes have been paid. By PERMIT EKPIRES DN Date -- ,` ye'y{.vara}Jqr .M:� �r...m..�cwe5�'^,..i..,».,..--. ,,,�,.,f {:uw.x.M+p^'r M•^,...w.,�e,- ,y"W-->--.,�v. �n,.:-.'^.•'.�„r-.wv-.v.:e..uo�Ei1�T''tiles'�+r�YwiteYaww•-1�'N°.�.:;1""'Pa t'v+a+�.Wi'`x CLQ, r 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: (� IoL ASSESSOR PARCEL NUMBER, (D(OS 13 Proposed Building Use: l - Counter Technician: Date: W/ /b „f) Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order too apply. 2"", 1. -Plot plans 3;or 4`ets, signed y the preparer of the plans. Complete plan 43 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 followinj items.) fl14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑�5. Statement of Intent for Non -heated and A/C Buildings ..................................:.'........ 1H 16. Sanitation and plot plan approval from the Environmental Health Depa ment ❑ 17. City of Chico Plumbing permit ........................../.............. ............. 4 California Department of Forestry plan approval M paid. Sent_ by: ..................... 19. Planning approval for (A) Use: CK (B)Parking: (C cel Check: j Z-1 q- 0-:� ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage. ......... ............... .... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approvalprior to occupancy). ❑ 22. Pre -Inspection for 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 a and hold for pickup. I have been informed of the�above items and requirements for obtaining a building permit. Applicant: \ ti 1 Date: 1. Index permit application for the above items numbered: I L4 I Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by Vphone, ❑ mail, ❑ . counter, by Date: o 3 Contractor, designer, owner, was advisled of the above data by El phone, 11 mail , El coulter, by Date: _ Plans reviewed by: m0-/ Date: /0- 11 .0 3 Plans approved by: %, C, Date: _�, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ( I O Ck - A.P. # Q QS _ OM PROPROSED BUILDING USE S DATE & 0__�> RECEIPT # DATE PEC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ / --- Revised Plan Checking Fee.... $ ✓ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) fl- 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit applicatiop,lwas advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the lan hecking process. APPLICANT DATE C)5 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been impose on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the Job site. A.P. No. _ 065-360-050 03-1952 — Owner _ PORTLOCK, MIKE _ 6407 BAYWOOD, MAGALIA Contractor CABANA — Permit No. PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan insulation D� Fireplace Footings Fireplace Throat >M Not f Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses Information 24 Hr Ih Oroville - 7.County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES RESIDENTIAL 065-360-050 03-1952 PERMIT NO. PORTLOCK, MIKE 6407 BAYWOOD, MAGALIA CABANA 065-360-050 03-1952 PORTLOCK, MIKE 6407 BAYWOOD, MAGALIA CABANA l 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK No > Not Readya61e Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Electricity; MH Test 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L `ft. / P Nat. or / /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. -Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval - 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY)' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK �. = Not OK - =NotAApplicable RESIDENTIAL (Single & Duplex) p . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection Insulation -Walls -Ceilings 25. Elec. Receptacles Spacing -Lights & Switches at Doors Infiltration -Walls -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27, Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water FINAL (Plans) OK except #'s 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Ext. Steps -Door & Sidelight Protection -Landings 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At Smoke Detector 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral ❑ Yes ❑ No Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 32. Service -Riser Conductors & Ground Main Disconnect Bedroom Exiting 33. Equip. Clearances Panels-Motors-Mech. Equip. G.F.I. & Bath Fixtures & Tub Access -Spa 34. Clothes Closet Light -Shower Light -Spa Light Elec. Trim & Subpanel, Breaker Sizes & Labels 35. Smoke Detector Stairs & Rails 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 74. 36. A.C. Ducts Insulation & Support 75. 37. Vent Fan, Exhaust above insulation 76. 38. Condensate Drain & Overflow, Size & Grade 77. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 78. 40. Attic Access & Platform if Furnace in Attic Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors _ 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Firepface or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks 0 Yes ❑ No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2a9 � � co � D 0 CA) § n 2 �I Uhf o7 o «. U 00 N) w Ll � N) 0 0 U ?� +6 .± :e \\7 :■.� \ . : a �,. ?� +6 .± :e \\7 :■.� \ � � § � < ..§ � . : a � � § � < ..§ � TO: Michael FROM: Deborah SUBJECT: 03-1952 Portlock O(c6-3fon DATE: 06/16/04 Portlocks have again applied for a refund of this permit. Please see file notes. The notes indicate that they have built without permits and the permit they are requesting a refund for is required for them to correct the violation. They may be intending to pull another permit, but haven't done so. A note is in Permits Plus to document this. Please advise how this is to be handled and how Portlocks are to be notified. G(r ri uV &,5-- 3 & - 50 12/19/03 M / /Gtt,-- g7Z- 7-7-cbulsc GL: r'2d('�4-N- Dolores showed Deborah message where Mr. Portlock requested return of his plans and a check for his fees to pick up Monday. Deborah called Mrs. Portlock and explained we don't have checkbooks here at the office and were they requesting a refund? If so, there is a refund process and checks for refunds would be processed and issued by the Auditor's office. Deborah followed up for more information. File as inspector's letter of 10/02. 1. D�to a violation of building without a permit, the Portlocks were required to take out a permit to build a cabana 7/1/03 2. Portlocks applied for permit with inadequate set of plans. 3. Portlocks contacted for more information — did not comply as of 9/3/03. 4. Yamaguichi involved. 5. Martha plan checked, best she could with existing set of plans. Has discovered mobile is over leachfield and they will require EH clearance. 6. Per Scott, because of violation, that needs to be corrected, there would be no refund. Status now is we are ready to cite for violation. I ng�a�o acs nuw L� U*z , 3�&kO lZZ7,/,0 3 v. w/ � poje-6a `►"oa�'Y, dvisin�G T�f�T pe*CrN C1Efi�4�JC� scF{ooL c.t 4r��i✓c� Q'P TI) /ssuE �w%'N M,4/GED sc/looL F� l-m�-/ GJ KC`�t uEsj or' Goy!/SE . l(5o C` 7-#It;r PLA"/S #A-6 13 N APP2av�=r�• Gdr�/SE �ELIEUC� T��7 P`Art/S u1C�E �'PROaco � 5o4rAJPL-O 100s/T/d1570 ccs N,r4e-7 Gwy�l SE�ti1En �ti-IPLFTE' butte CountDepartanent ofDe velopment Senices 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 12/19/03 M.D. Portlock 6407 Baywood Magalia, CA 95954 Re: Permit Number: 03-1952 APN: 065-360-050 Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. ❑ The request is over two years from the date of permit issuance and construction work has been done. ❑ Filing fees and plan check fees for work plans checked are not refundable. The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at httv:Hmunicipalcodes.lexisnexis.com/codes/butteco/. ® Other reason: This permit was taken out to correct a violation of Butte County Code, building without a permit. No refund will be issued on this permit as it is required to correct a code violation. Should you have further questions about this matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, I Deborah DeBrunner, Principal Analyst Administrative Division enclosure 03-1952.Itr rt O n �7 r ��r.F TButte County Department of Developinent Services 11� Building Division ° � - - ° 7 County Center Drive coUN� Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processin . CLAIMANT'S NAME: Check those fees which you wish to have considered for refund: [Building Permit Fees =Sheriff Fees [ SRA Fees (CDF Fire Planning =Other (specify): T/i�f�'h��'J �C �P�c��? �0�/L.. I Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. Pm Signature } Signature Date K:/Forms/Refun Application 082203 N O D < N Q Zco 0 �vcn -6. ?' 2. CD m o (D 3 -^ O (n ❑ ❑ 'D it 2 > Co 0CD ��� tmi�0 — N N ❑ '� CD Iron Cron ❑ f�D m ❑ N ❑ -0 R El u0ij_ro -< ro to ❑ 0 m -a -o -n cnr- mm -v -n cnr- mm .+ N < w N C O 0 p„ f<D UroiCI) N C- O O Q 7 fND — N- fD_ 3- C- —.o — -- -- �' w n� D m m T 3— m T 3 °o 5n 'ma ro m CDLl '!On NMM cn V S� M. 0 Z � v n D m N m 0 0 Z --i a n� y ocncncnG)m_ c_ c.�G) N cnZZ ro CL <Dcnr ro ro cDp ro n G7 -.a. 00 fD ` \ 0 o v' v -i 0 ❑ m S C/) * o• CD 7 ❑ r L O Ocr ® 11 000 O N El 0 O N O D < N Q Zco 0 �vcn -6. ?' 2. CD m o (D 3 -^ O (n ❑ ❑ 'D it 2 > Co 0CD ��� tmi�0 — N N ❑ '� CD Iron Cron ❑ f�D m ❑ N ❑ -0 R El u0ij_ro -< ro to ❑ 0 m -a -o -n cnr- mm -v -n cnr- mm .+ N < w N C O 0 p„ f<D UroiCI) N C- O O Q 7 fND — N- fD_ 3- C- —.o — -- -- �' w n� D m m T 3— m T 3 °o 5n 'ma ro m CDLl '!On NMM cn V S� M. 0 Z � v n D m N m 0 0 Z --i a n� y ocncncnG)m_ c_ N cnZZ ro CL Q° ro ro v � v cn, ro n G7 00 mm ` \ m. ' r D -i 0 cn 0 C/) * o• El 7 -� \ �O cn N fD c_ N cnZZ ro CL CL 2 000 \ 00 mm ` \ m. M com D -i � R131 I� El \ �O cn N fD MI c m -. z M m n n77 m ro CL CL '0' 000 \ 00 ` \ .� M D R131 El 11 000 n ::r N El <O M ��❑ . ❑ ❑ 0 ❑ 0 0 C) '0 -0 � n D m co co co 0 > 0 > 0 0 0 7" O O N N � M 0 C� to -o N ro N CO B O O N ❑ cn O - n O O O Z n - 07 cr to ❑ 0 0 CD ro Co 0 C n CD ro 3- CD W .� N w CD po A�l Com' _. 7 to ro ❑ w co N ro C c°°;� 0 7 0 -� CD CD ro N ' (D CDS N ❑ N ❑ 1 C C. y C N S N a. CO CO C nCD C\ m ID N\ 0,. 0 n S (p N Al MI c m -. z M m n n77 m 1 CL '0' 0 \ \ ` \ M D R131 El 11 n ::r N N <O M ��❑ . ❑ ❑ 0 ❑ m Co o v z N z m m 0 D fyA w❑01 10 Q N N ❑ O Z CD N U! S (D CD m to ❑ 0 0 eo MI c m -. z M m n n77 m 0 ❑ 11 0 0 ❑ ❑ ❑ Co o N m m m 0 D fyA Q N N ❑ CD N U! ❑ 0 0 w CD po A�l Com' ❑ ❑ c°°;� 0 -� CD CD F C z CDS N ❑ N ❑ S N a. o o m ID L ou'1 o O O m D � ? . I CoO p O 0 D r Z - n -1 r D 1 o F a ^ ^ �_^ O ^ r 0 n 0 o CL 0 m = u 0 T c 0 3 3 m r N 1 1 �• D T ^ ° 17 n S ^° _. 3 C Z '-� "'� v. z N o N• 3 T �°, '• T A o p 4'T S Z 1 m Z C n ° m X n A D Z°° o u a n N m '° _ CL C 0 3 o' .J. tn D jm O n T m D -n ❑ ❑ Ca -i0 O v >m -1 v v Gl n D m G'f O 'U G7 -� D �� � 0� O C Z r -M cn m r CL CL O r," DD oT ° m T D '°m 3.❑❑❑ m n o zT " O < 2 < oN �m z P m o x a 0 D D� Z n < T n m 0 0 O W .T o D D p 3-3 a T rD °o i D C O Z .Zl Z n 1 DZ Cm 1 d Uf0� cC3N www. om ocimor m v W DO -1c^ 3 N 0.11 0 D ,� u S S S N N. 0 o >> n rn O T D Z 07 C r. - n c D o C7 oz <0 ao � ;y0 X ro Om n p o o o rn n � I � A � D n r 0 O N D n T D 0 z n c oz D � � � D D c a n c N m < ^ o D -n m ° 0 G7 3 c o- ° mn o m ° > > 0 E m n r m " m n N r D o. m n n ° \) P -I O ° m 0 .D m s X a ? Z a O 2 m ^ v A -1 m 3 T z D A O GZl o r ° m T n s o F 1 T A ^ T <° O m 3 z N A 0 n ^ _A O n N m O 7 D n C m i n _"° o C1 ;u = o A ^ i C J oz v m T rn -N-I -1 O �i o T o O D v 0m x o -1 b 3 0 0 3 a x' V O O m o m o N o 0' O m c m o ;oT O f ii O O T XO -n T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4C) > . . . . . . . . . . . . . . .. : . . . . . . . o. . . . . . . . . . . . . . . . . ca . . . . . . ♦ . . . . . . . ... . . . . .. . . ♦ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > . . . . . . . . . . . . . . . . . . , , , * * , * * * , : * , , , . . . . . . . . . . . . . . . . . . . . o . . . . . . . . . . . . .. ........... . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ..... • ..... . . . . . . . . . . . . . . . . . . . . . .................. ...... . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ................ . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ... . . . . .. ... . . . . . . . ...... . . . . . . . . + Z 0 > :k 1 K z m m o P 3r m M 0 Z cam > c a tn r a fn > M > > ;o .1 3 M 0 ;a 0 0 < 3 MOBILE HOME OWNERSHIP RECORD Make: Model • L.wdct Year: Expired: 7J� 0! VIN#: 5 1 010 HCD : / q Lic/Decal: 1\j (o (-7 / ��r) �JD TAC: 0q3 -01y Size: 112 K (U4 I BOOK I PAGE I PHRL EL I i '- 1 5 13 &6 Comments: ----------------------------------------------------- --------- --------------- Registered Owner: J"if�-- n� � _L? qi (( tt_LJ____-___ --------------------- Etals:--=------------------------ -------------------------------------- c/o or Contract Buyer: ------------------------------------ -------------- Mai 1 ing Address: _ � _ � / ����✓ (C1-12 __ Property Loc, Eff. DatEr.(cSa ell Delinq, of Conv LPT). Z� �r1 _ - - J j'�=-----------=------- Informatioh-Source:.----------------------------------------------------- COS: _-___-______________________________COS: 4 O Ci_ C)z Uc)c/_______-_ Tax Clearance: Roll Correction: ------------------------------------------------------- REMARKS :---------------------------- °����l�l_ - � .Registered Owner: �y_ �(Lt_ 1 -Q._ --� bCt __%_�_ r ----------------- Etals: --=---------------------------------- c/o or Contract Buyer:__ _ _ ____ Mailing Address: fv�_�_�/_�_ _1-_ Property Location: �1 _ Lr -__-__ vl Eff. Date (ale Delinq, Vol Conv LPT): -q3----------------------- _ Information Source:__ ----- ---- Tax Clearance: J _ cos: Pint_�p2�3 �--------- Roll Correction: r�rG-L__�-_ 7� /�j-------------------------- -=--- --- REMARKS: qqD-l0�-�7� --------------------------------------------------------------- ----------------------------------------------------------------------------- Registered Owner: ------------------------------------------------------ Etals: ----------------------------------------------------------------- c/o or Contract Buyer: -------------------------------------•------------ Mailing Address:__-__--_---_- ------------------------------------------ Property Location: ----------------- __--------------------------------- Eff. Date (Sale, Delinq, Vol.Conv LPT):_-___-__- ----------------------- Information Source: ____________________________________________- COS: Tax Clearance:__--___- ----------------- Roll Correction: -------------------------------------- ----------- REMARKS: --------------------------------------------------------------- A,-- '. . OF BUTTE - DEPARTWItNT GF DEVELOPMENT SERVICES - B LDING DIVISION UG t e 2ooa County Center Drive • Oroville, California 95965 • Telephone 30) 538-754�ES IT No D APPLWATtbNANDPERMIT- K��ERD�S_ 2�-0 _ OSS z� BUILDING PERMIT r7 r? TE' ' SQ. F r OCC. BUILDING VALUATION 301 ADD I �-CA-) TELEPHDHE ULP4 ADDRESS . SSRUGTIDN L ENDsk Fireplace )EAS roc ADDRESS KrsECi oR ��► rrtreCr'oR ENLLNE-A"+ NANNCi IDORE55 "p. SUBDTJ5CN5 N4YE _.____..— USEOFSTRUCTURE ❑ Duplex'❑ Mobilehome K other TYPE of WORK ew ❑ Addition ❑ Remoodd�el�❑U/6 as ❑ Iiviallation ❑ Other K escribe Work: Total Valuadon S PERMIT FEE S Firm Fee S 2D.00 Permit Fee 23.DD Main Service Plan Checking Fee S' NEN CoNsr: OR ADONM Energy Plan Checking Fee S ._.. EEEL t - S PERMIT FEE PLUMBING PERMIT Firing Fee 20.00 -•7.00 . Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas PiOng rysiam, I - 5 outlets 15.00 Buncring sewer 15. D o Mobrie Home I S I G I W @20.00 Ex 00=p. oLmEr oR FPCTLRiE r FDMD APP%Ns- oR Ex. Occu . ou77E-m FSm. E, PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service eaw oR tEss xow oR ! FK 23.DD Main Service zoos ro + 46.DD NEN CoNsr: OR ADONM owasn�Ls DccuP. 3.5CF° ._.. EEEL t _ wsuisi Dungy 1 I @7.5D Ex 00=p. oLmEr oR FPCTLRiE r FDMD APP%Ns- oR Ex. Occu . ou77E-m FSm. E, eAL ® .sc 5.00 Temporary Service 23.00 Mobile Home Facilities 20 -DO Wsc. Wirinq 23.D0 PERMIT FEE�%Firm; �Fwe!2 MECHANICAL PERMIT 6.50 Ventilation PERMIT FEtS " hbbile Home Installation Fee S Energy Inspection Fee S rD:�C Corsr, rrPS TOTAL FEE $ KAZ. I D. FEES UMP I ".. CDF PAACEL PO 6SJE 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 - B y Date -------— PERMIT EXPIRES ON --- W G � AQ -tv 9� 9 �� � xi12,- /.a l j�i �/ - __ _ ,, �J.-._ __. _ _. -- v�22 G.,c a� -�-p _------ - mit, _ ��✓ �� ' --- --- J �-�-- _S:_--- �� � State of California Business, Transportation and -Housing Agency �,ye rOFy ��- +r"' - ` '�`• �`' Department of Housing and Community Development Division of Codes and Standards APPLICATION FOR: El Alteration/Conversion Approval to Remanufacture ❑ Alternate Approval 11 -4. 11 Replacement Insignia ❑Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATIONI CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or . Recreational Vehicles 1. 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 Lic. No. Exp. Date Contractor naro 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 Contractors 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 dollarsi$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 of offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 .improvement is sold within oneftdbr 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 1 I, as owner ofthe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does hot 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 License Law.). I I I am exempt under Sec. B. & P.C. for this reason: 3. WORKERS' COMPENSATION DECLARATION I herebyaffirm under penalty'ofperjury one of the following declarations: s1 „( , • [}l)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 wo7kers' 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 /_ (This section need not be completed itt e permit is or one undre'd µ dollars ($100)-o0ess). a [ ) I certify`that'in the performance'of the work for which this permitis Vt 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 workers' compensation provisions of Section .3700 of the Labor Code, I shall forthwith comply with those provisions. .• Applicant Date 4' v'- WARNING: A L R E RE W RKER OMPE AA IN�iUN •; 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 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDINGAGENCY 1 hereby;affirm'under penalty'of perjurythat there is,a construction' lending agency for: the performance of the work for which this permit is issued (Se6:3097 Civ. C.).' Lender's Name SECTION 1 - UNIT INFORMATION I/We are requesting services for the following unit(s): (Check Appropriate Box) . ❑`Manufactured Home/Multi-Unit Manufactured Housing ❑ Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure ❑ Recreational Vehicle ❑ Commercial Coach (Occupancy Group _) ❑ Special Purpose Commercial Coach Decal or License Serial Numb( \;;--, r, -k Manufacturer Name/ „Model Namei- Year of Manufacturer Insignia/HUD Label Number(s) 41C utrgft I MENT USE ONLY COL NO.. -;-A 1 'i FE&REC:D k DATE`, ---� r - ' ,x AA NO. T' ` 1 is jj RT TO RT BY SECTION SECTION 2 - OWNER/APPLICANT INFORMATION t � Owner i ` .? * ' r" i r r ., .F`C �i Telephone No.is-,, tom' r _�''� ' `-+ ' •f f - Address ;-i' �'a "'t% City .i ; _i ,',i County �C' YL..,I' Zip( Location of Unit if'Different! -t Thari Above ( iS' A g i , i'1'V --i t -" Applicant fLx Address City41 t i € i' + t / _�. Zip Telephone No .'i SECTION 3 - CONTRACTOR, ARCHITECT: OR ENGINEER INFORMATION Contractor's Name i ' i i tr " '- i.f �/�; ,\ *.�. Address r `[ , l . `t t. (t`, t s,' t;�- Architect/Engineer Name License No. Address SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are proposed; complete plans, specifications, details; and calculations must accompany this form. Check box ❑ if plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. Indicate the Total Cost of the Work to be Performed SECTION 5 - SIGNATURE AND CERTIFICATION I/We hereby make application for the services designated above. If applying for replacement of a lost - msignia.for.the Unit described in SECTION 1 above, I/we certify that there have been no alterations, additions or:modifications to the unit that wouldaffect'the' umt s compliance with California or federal law or the rules and regulatiohs,of the Department (if alterations additions or modifications have been"made, a. coding inspection must be obtained.) Shgnature �,_y. f .. (Owner of, unit must sign 'whenra replacement insignia jsb@ing requested) "' xs i_ I certify that I have read this application and state,?that.t le above DEPARTMENT'USE ONLY information is correct. I agree to comply with all,ctty-and county ordinances and state laws relating to building construction, and APPROVED CONDITIONS (see reverse side) Disapproved (see reverse side) hereby authorize representatives of this county to enter upon the ❑ pp above-mentioned property for inspection purposes. Signature of Department,Representative Date S ignature of Applicant or Agent Date HCD 415, Side 1 (02/96) DISTRIBUTION: YELLOW - DEPARTMENT WHITE, AREA OFFICE PINK - Butte County Department of Development Services euTr 7 County Center Drive, Oroville, CA 95965-3397 .00 ° Telephone: (530) 538-6821 ■ Fax: (530) 538-7785 ° °COUN�y0 From the Desk of Yvonne Christopher, Director A15�� hk-C(5' LA N D O F N A T U RA L Vel EA L T H A N D B EA U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 October 8, 2002 Mike and Louise Portlock PO Box 401 Magalia, CA 95954-0401 RE: Formal Warning.Notice Building Code Violation Location: 6407 Baywood Drive, Magalia, CA AP # 065-360-050 Dear Mike and Louise Portlock: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 25, 2002, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of additions to a mobile home. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Mike and Louise Portlock AP#065-360-050 October 8, 2002 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR:th 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. # 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On October 8, 2002, a foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Mike and Louise Portlock PO Box 401 Magalia, CA 95954-0401 I declare under penalty of perjury under the laws of the State of California on October 8, 2002 at Oroville, California. Alice Mrd Supervisor, Staff &pplort Services O.B.- I I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES )d NO ❑ 2 I HAVE � HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 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: 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 TSI D: PROPERTYOWNER: S'Or��C ''� DATE: --I\ \ \ OTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which .they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou 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. Irely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. &74 �-� D Yl 46 L-P a,&k e[cl �i cukq C[ v . PROJECT PROCESSING RECORD Applicant: �6����-�C Owner: A.P. #: C9 (PS- -3 (p 0 S�L Permit Work Description: a— Date Description of Step or Status Y r I�LT i �/1 — ��C.-� � ✓7 c��� - r U 0,0 0r °I Qin % Z e Aclki Y) e- e d 6 �-� D Yl 46 L-P a,&k e[cl �i cukq C[ v .