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HomeMy WebLinkAbout068-140-099ROBERT BATES 4470 Olive Hwy, Oroville Conte Mitts Rfg Permit #1728-85B(reroof/SF) 068-140-099 06-1389 BATE, RAYMOND 4470 OLIVE HWY, OROVILLE Cont: RE ROOF '70-68-140-099 06-1388 BATES, RAYMOND ILLE 4470 OLIVE HWY, OROV OWNERCont RE ROOF -6 B08 0720;>z4- - � , N {may) t •-'+r1` 1 �' *� ^� 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: 4470 OLIVE HWY Owner: Permit No: B08-0720 APN: 068-140-099 BATES, RAYMOND Issued Date: 04/18/2008 By TMP Permit type: MISCELLANEOUS 4470 OLIVE HWY Subtype: » Remodel OROVILLE, CA 95966 Expiration Date: 04/18/2009 Description: REMODEL 192 SQ.FT./WINDOWS I Occupancy: Zoning: Contractor Applicant: Square Footage: SPAULDING & SPAULDING INC SPAULDING & SPAULDING I Building Garage RemdUAddn 196 STRINGTOWN RAOD 196 STRINGTOWN,RAOD 192 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-2398 (530) 589-2398 192 FEE INFORMATION DBMSC Remodel -Residential $392.43 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) ' State Contractors License No. / Class / Expires SPAULDING & SPAULDING IN( C657167 / B / .10/31/2008 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 for nd a ect. , X 04/18/2008 C ractor's natur Date WORKERS' COMPENSATION DECLARATION 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' YI 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: State Fund Policy Number: 146086 Exp. Date:10/0112008 (This section need not be completed if the permit is torone hundrecl dollars ($100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those X t=.�2f� 04/18/2008 Sign re ' 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 work for which this permit is issued. (3097 civ. code) Lenders City State Zip I ULM %,nargca: Z10yL,43 rees rata: 1.5WAS Balance Due: $0.00 Receipt No: B7067 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:. ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The 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 Professions 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.). ❑ 1 AM EXEMPT under Section B. & P.C. for this ix 04/18/2008 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the BLoperty owner or am authorized to act on the property owner's behalf. (Dh,L) (;,1)AJ1,-v'-1A 04/18/2008 ElOwneriff Contractor OR. Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. j30- �,- G 72- BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Las m Fi me V City eYitov I //e St&,4 . Z'g �7�6 Phone Fax E-mail CONTRACTOR Name A0 l//W G Addr�s City Address Zip Po�5�9- 23 5,LF3v-S�9- Fax aimed/� Lic4S--7167 #S-71 Class /3 APPLICANT INFORM ION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORM ION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION Property Address L, � L� � � � City neo v //e- WORKER'S COMPENSATION Policy Number Carrie If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. I LENDING AGENCY I Name O Address 19 DQE. C�R/PTION OR, SCOPE OF WORK: ekcl/ CSC Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodnITy SRA Yes No Occ. pe Const. �3qz:y3 BUTTE COUNTY' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061389 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/09/2006 APN: 068-140-099-000 the Business and Professions Code, and my license is in full force and effect.Site Add License e ress: se Class : license Number: 4470 OLIVE HWY ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: re roof garage (12 sq) I hereby affirm under penalty of perjury that I am exempt From the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BATES, RAYMOND AND DEBRA 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 4470 OLIVE HWY. the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA. she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the 530-589-4564 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BATES, RAYMOND AND DEBRA owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 44700 1 LIVE HWY. sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA. proving that he or she did not build or improve for the purpose of 95966 sale.). 530-589-4564 ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 wthBusi ss Prof ssions Code Dale 6` q-Q�wner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: OD Carrier: Policy #: Total Square Ft: 0 S.F. I certify that in the performance of the work for which this permit is Valuation: $0.00 �2 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' i I compensation provisions of Section 3700 of the Labor Code, I shall v % forthwith comply with those provisions. Date: 6 ! D Applicant: - WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issid, od undilr6e aippllcaftprovisions of the Butte County ode and/or I hereby affirm that there is a construction lending agency for the Resolution o do work ' dicated bove foZwh fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)/ /Vl Name: By: Date: PERMIT EXPIRES ON: Address: (D610 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials.. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o ial form or d ument of Butte County. I hereby authorize representatives of Butte /County to enter upon the above mentioned property for inspection purposes. Print Name: l )A 1-J J Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name J irst N Address -70 OG'v r ! U)N Address State lip 61 / l� Phone r, 5/ t� Fax E-mail f 1+3 4 a Uv eT Zu-, WSJ , Ca APPLICANT INFORMATION CONTRACTOR Name City �\ t LC, � Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City �\ t LC, � Address Zip City Fax State Z Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name AddressL-iti'-76 O L I V E k�l.Cl City �\ t LC, � Stat Zip Phoney Fax E-mail (% '1 Z ` . APPLI NT SIGNATURE X For office use only.: Zoning Property Address DG, � C , j, . (. L.CJW Flood Zone Cross Street WAO' J SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP OG I BIN N PROJECTLOCATION Property Address DG, � C , j, . (. L.CJW Cit�yt A6011 V Cross Street WAO' J WORKER'S COMPENSATION Policy Number aA 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 Page 1 of 3 Description or Scope of Wor 5t4Lt �C, Q� Sq FT- Living Garage Open Cov i ❑ Structure Built wi out Permits ❑, Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pemdt has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. CPO Received by: Amount: 0 Bldg wX SRA Receipt # �V Sheriff SMIP /� Date``: Other v ( %� /D'' I V Total REV 8-12-05 �U T r� BUTTE COUNTY PERMIT 0 " 0 DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION D 0 AND SUBMITTAL REQUIREMENTS 0 - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OF APPLICATION f�o`f�•�� Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name City O CLL t Address irst N Address ciq�o O('J v u M pun/' Zip Phone State Zip p1916 / � Phone I�56q Fax E-mail 5- f�) + UV '� Irs �0 - co APPLICANT INFORMATION CONTRACTOR Name City O CLL t Address Zip q p � (� City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City O CLL t Address Zip q p � (� City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name Address LtLt f-76 ,q O L W E 4W City O CLL t State, A Zip q p � (� Phone '536-58q±5 Fax E-mail a zr- go APPLIPANT SIGNATURE X E —bot�— - For office use only: Amount: D Bldg Zoning At - J� Flood Zone WORKER'S COMPENSATION SRA I Yes No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BIdgApplSubRgmts.doc PROJECT LOCATION Amount: D Bldg Property AddressW Off, U G �..1 Tc L. W At - J� Cross Street , WORKER'S COMPENSATION Policy Number aA Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other LENDING AGENCY Name Address Description or Scope of Wor 1,f6D 1-ko. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: D Bldg w SRA Receipt #: Sheriff SMIP / Dat�r(� Other "o6 � �� Page 1 of 3 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS, The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: -(A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. • NPDES Form..I ' ❑ 5. Encroachment ermit for driveway from -the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this pro'ces`s, please contact a Permit Assistant at (530) 538-7541. r EXPIRATION OF APPLICATION . - Applications for which a permit has not been issued will expire one year'after date of application.. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan " check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 OWNER -BUILDER VERIFICATION ICATIO Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing'and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major, labor and material for construction of this proposed property improvement: YES.[/K) NO [ ]. 2. I HAVE [ ] HAVE NOT [ ) signed an application for a building permit for the proposed work. 3. I have -contracted with the following person (firm) to provide the proposed construction: r NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and- provide the major work: NAME: ' ADDRES S: , PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have,contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER. DATE: _Q6 ' 06/ _06 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Healthand Safety Code. onrl vG-hir atl i'!% mi iT nff;f`P �PTIIT� ct)0 �To TnTm+'-ofi 4l� nnn '�,n ' Butte County Department of Development Services 0 T T ADMINISTRATION` BUILDING `GIS `PLANNING o� `; �o o o o / o 7 County Center Drive o -c Oroville, CA 95965 0 - (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -(BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified_ For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal -social security taxes, workers' compensation insurance, disability hisnrance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the 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 contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by. contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE- This Owner -Builder Information is reauired by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ��as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article�3 of the Business nd Professions Code Date:wner WORKERS' COMPENSATION DECLARATION I hereby. affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by.Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Ef I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the .workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: J ^ `43 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP061388 Issued Date: 06/09/2006 APN: 068-140-099-000 Site Address: 4470 OLIVE HWY ORO Map Index: Description: re roof house (17 sq) Owner: BATES, RAYMOND AND IDEBRA 4470 OLIVE HWY OROVILLE, CA. 95966 530-589-4564 Applicant: BATES, RAYMOND AND (DEBRA 4470OLIVE HWY OROVILLE, CA. 95966 530-589-4564 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permi hereby i Ged unde he app able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' ns to do w indicated, bove f which fees have been paid. �� performance of the work for which this permit is issued (Sec 3097 Civ.) 6 Name: By - Date: Address: PERMIT EXPIRES ON: _ _ mamr ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: `J��r�'A AA Signature: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 Permit#1728-85B Robert Bates °'` 4470 Olive Hwy, Orovil COUNTY OF BUTTE - D.EF'AOMEN-r OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAVON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 1 �f � I ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, / � • t �Jr! V P � CONTRACTOR'S NAME r TELEPHONE _ k CONTRACTOR'S MAILING ADDRESS r l ' 'J 1 � . �. c, ,. Irk �•�•• �,_. , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ t} r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - , Permit fee $ BUILDING ADDRESS ! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r L t r, ( ', +4 • f •MAP Water piping 5.00 LOT NO. SUBDIVISION NAME i PARCEL Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home TS FGTW 110.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: hr' y r-'�' 14 /�A^i A ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLOGS. / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ,J _ License No. Y 1 ell,1 Classification r y 1 r'' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu zo@tsoc P�o Ts OR FIXTURES SAL®300 FIXED FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner 0 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' Receipt No. I f I WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEFWfIMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN' PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER /W_/4—clill ZONING' BUILDING PERMIT OWNS TELEPHONE v S0. FT. OCC. BUILDING VALUATI OWNER'S MAILING AD ESS ,}� /A C Rv) �- CONT R'S NAME <11 TE� E HONE, �(QU,j'' CONTRACTOR'S.M LIN A SS y 61,4 t N Fireplace CONSTRUCTION LEN ER UNKNOWN, Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS j . i Permit fee $ BUILDING ADDRESS�\ /', - •- w PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ar©v 1, ',j; Water piping 5.00 LOT NO. SUBDIVISION NAME . PARCEL MAP Each'Qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE j SF % Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition❑ ReZel❑ tilities❑ Inst Ilation❑ Other ❑ Describe work: 1r,9r) (t) .E)f.y► JO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2�ZQSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. y'4y � —,39 1�-Classification ❑ I,' as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON.R ESI D. %SINGLE OUTLET CIR. Ex. Occu 20050¢ P�ou XFIXED TS OR FIXTURES BAL930C Ex. Occup. OUTLET S PRESID,IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. NXI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against aid County in consequence of the granting of this permit. XDate �` Signature of Applicant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. -I PARCEL Po No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IREC PU LIC BY PERMIT 'XPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS 1 Da C7 Receipt No. WHITED.YELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT /