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HomeMy WebLinkAbout071-400-05454 .Y . i T� r. B07-0206 071-400-054 MISCELLANEOUS Ag Exempt J S k 't POLE BARN: AG TOOLS & EQUIPMEI MIDDLEFORK LN DANIELSON, FAMILY TRUST B07-0207 071-400-054 MISCELLANEOUS Electric Panel 1 w ELEC POWER FOR WELL & FUTURE T� t1'at. MIDDLEFORK LN DANIELSON, FAMILY TRUST .Y . i T� r. J S k 't s . t a F 1 T� t1'at. Y l.'. r s "iS;D t t I�4h .Y . i T� r. J i1. t d t 1 Y 1 V tH. r , NO j y { S 1 may, k „Ky ttrr l y 2 �r i1. t d t Y O r , y { S 1 may, k „Ky ttrr l y 2 �r 'f sa r s + t r t' Jj Yx eta ,) BUTTEE� _ 'COUNTY t AUG 21 2008 a - DEVELOPMENT o2L� SERVI' !II _ III _ - _4,14 11 T -41 - \ --- 111 III III IIl III III II III IIl III m f _ I Butte County Department ofDevelopment Services 'ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile CHANGE OF ADDRESS NOTICE July 27, 2007 Dear Richard & Lucinda Danielson Trust: A.P. #071-400-054 A county -wide .comprehensive address numbering system was adopted October 18, 1977 by the Butte County Board of Supervisors to enable emergency vehicles from fire, sheriff and ambulance services to respond quickly to calls and to facilitate postal and other delivery services. The Development Services Department, with the assistance of your emergency services, currently is assigning PERMANENT HOUSE NUMBERS to all residences and businesses in the unincorporated territory of the county. The address numbering system will replace the various rural route numbers previously used. Each residence and place of business will have its own address, even if you receive mail at the post office. Your old address was Unassigned and your PERMANENT ADDRESS is 448.Middlfork bane, Oroville and is effective July 27, 2007. } In order to facilitate the delivery of mail, it is the responsibility of each individual property owner or resident to file a change of address card with the post office; also please notify all utility companies, magazine subscription publishers, County Assessor's Office, etc., and friends and family you wish to advise of your address change. This will not affect the residents who pick up their mail at the post office. Street signs and house numbers must be installed at the proper locations. County standards for mailboxes and residence identification and numbering are shown on the attached guideline. Please install your new address number promptly. There is no substitute for clear visible numbers properly installed for the convenience of residents in the community. If you have any questions concerning this matter, please contact Alice Mefford of this office at (530) 538-7541. Si Karen E. Jd4es Permit Tec "ci for Alice Mefford Supervisor, Permit Center Attachment . cc:. Assessor/Elections/Post Office/County 911 Coordinator/AT & T .. ............. e-...<... .•-s ..... a....:js..:.S............ C.. ......... {..._<.__...1__.._;,..._t......j......>-....<................... 5...... ..... p ....... ......__...1_....e.....i.....p.....j..._.>-...<.....i.-...n......._.._..__."....-....... ....] < _ S _...t......:._..........:..... w.. - ...i AS.....w..... n AG WCLL 5f, BOG ..:.. _. ....--i ............ ... �.-. _.:...._.ti.... <...... w. _.. ...... _.___ ............. ,.....y....•<.....•1..... _>.. _ ._ _•_ _• - - _.......-. - _ ..� F_14 � D m L © U Scale: 1"= '40-0 a e A R USE. L 1 v FR. m o A= CIA` L 5'YD e�y FOR OFFICE USE ONLY Zoning: , General Plan Doesig: PROVIDE FOR ALL - ADJACENT PARCELS SIZE (RC): _ / C'41 M.1 A61. 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: MIDDLEFORK LN Owner: Permit No: B07-0207 APN: 071-400-054 DANIELSON, FAMILY TRUST Issued Date: 02/20/2007 By KEJ Permit type: MISCELLANEOUS 5276 FELICIA AVE Subtype: Electric Panel LIVERMORE, CA 94550 Expiration Date: 02/20/2008 Description: ELEC POWER FOR WELL & FUTL (925) 449-4571 Occupancy: Zoning: Contractor Applicant: Square Footage: PIONEER CONSTRUCTION RICHARD DANIELSON Building Garage Remdl/Addn PO BOX 455 5276 FELICIA AVE BANGOR, CA 95914 LIVERMORE, CA 94550 (530)679-0235 (925)449-4571 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1719 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PIONEER CONSTRUCTION 857563 / B / 04/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business anc Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 02/20/2007 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E] are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] Section Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED IBJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; The Contractors License Law down 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 Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section nee not be competed if the permit is oror one dollars ($100) or es_s ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/20/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X (� 02/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 ATTORNEY'S FEES. Count enter the above mentioned property for inspection purposes. I hereby certify that I am e arty a or am thorize=actonopertyowners behalf.'v� CONSTRUCTION LENDING AGENCY � 1� �`ii2a2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name o ermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip 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.neftdds PROJECT INFORMATION Site Address: MIDDLEFORK LN Owner: Permit No: B07-0207 APN: 071-400-054 DANIELSON, FAMILY TRUST Issued Date: 02/20/2007 By KEJ Permit type: MISCELLANEOUS 5276 FELICIA AVE Subtype: Electric Panel LIVERMORE, CA 94550 Expiration Date: 02/20/2008 Description: ELEC POWER FOR WELL & FUTL (925) 449-4571 Occupancy: Zoning: Contractor Applicant: Square Footage: PIONEER CONSTRUCTION RICHARD DANIELSON Building Garage RemdUAddn PO BOX 455 5276 FELICIA AVE BANGOR, CA 95914 LIVERMORE, CA 94550 (530) 679-0235 (925) 449-4571 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1719 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PIONEER CONSTRUCTION 857563 / B / 04/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X 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 02/20/2007 [$500]; Please check one of the following: Contractors Signature Date 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. \ improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and number The Contractor's License Law dows not apply to an owner of the property who builds or improves policy are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit rs or once hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 02/20/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 02/20/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, each,cfficers, injury, including death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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 property owner or am authorized to act on the property owner's behalf. 02/20/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. Agent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TOPROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OF0 2. I ( I VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME —16 'F E 0 ETL_A (11 I N -t h ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ELEC POWER FOR WELL & FUTURE LOT DEV Reference Number: B07-0207 Applicant Name: RICHARD ANIELSON Signature of Property Owner: e ` Date: d /Z07 I �uTrl� BUTTE.COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (5'30) 538-2140 o -L-`_ ' a�' 0 A FEE WILL BE REQUIRED AT TIME OF APPLICATION . Website:www.buttecounty.net/dds �U N'"PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name A) First amc 1 ` A4) -ry 7 Mailing Address 5a�+?6 MI- t Ouo City v e tC State C Zip 1W 5� Phone 9�- � _ ittlg_ qs7 % Fax cow,5, 4-4 9 --3� / E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address. Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION AN Property Address Mid If> l� city StrN Cr.e PERMIT NO. b07 -O2 BIN # WORKER'S COMPENSATION Policy Number Carrier FWhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: �T�lc(�-L ADW CP TO r64 FAv T GT► 0 AJ AT4 D �t7 U -o /0 -1- P4AF_ DLE i5 0 N D LI t< r- 12AvuS F i N pmg, - D pyr w) P -WN G U R Dr:.,X (2 a u.tUD FA vn PO F_ % WEAL Sq FT- Living Garage Open Cov ❑ , Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: _ Zoning Flood Zone LSRA Yes iv, Occ. Type Const.µ 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: MIDDLEFORK LN Owner: Permit NO: B07-0206 APN: 071-400-054 DANIELSON, FAMILY TRUST Issued Date: 02/20/2007 By KEJ Permit type: MISCELLANEOUS 5276 FELICIA AVE Subtype: Ag Exempt LIVERMORE, CA 94550 Expiration Date: 02/20/2008 Description: 'POLE BARN: AG TOOLS & EQUIP] (925) 449-4571 Occupancy: U-3 Zoning: U 00 Contractor Applicant: Square Footage: PIONEER CONSTRUCTION DANIELSON, RICHARD Building Garage Remdl/Addn PO BOX 455 5276 FELICIA AVE 1,728 BANGOR, CA 95914 LIVERMORE, CA 94550 (530)679-0235 (925)449-4571 Other Porch/Patio Total 1,728 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 Total Charged: $185.68 Fees Paid: $185.68 Balance Due: $0.00 Receipt No: B1718 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PIONEER CONSTRUCTION 857563 / B / 04/30/2007 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, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 02/20/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the followinc: Contractors Signature Date ❑ I, AS OWNER OF THE PRO?ERTY, 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 License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the 111 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors 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 Carrier: Policy Number. Exp. Date: Contractors License Law.). (This section nee not be completed if the permit is or one dollars ($100) or ess. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: �j I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �11 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/20/2007 �9�n - a.,.&, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provis' X a - 02/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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 certi at I am the pr p rty owner or am authon ed to act on the property owners behalf. �� S ` AI& 2 /2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) W Owner 1:1 Contractor OR. Agent for Owner ❑Agent for Contractor 'ice FILE COPY Lenders Address City State zip +' lF BUTTE -COUNTY °�v�" o. DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION a o OFFICE #: (530) 538-7541 F.AX #: (530) 538-2140 c - = ab c A FEE WILL BE REQUIRED AT .TIME OFAPPLICATION Website: www.buttecounty.net/dds , OU N1 "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name . I First Namenl C �� Mailing Address V:�FLIG t A 40 fR✓R City 1. l V D2ta State C Zip ��� Phone 5 ,4-5_7i Fax:bAr-4,R-!5� Email APPLICANT INFORMATION NTRAC ti Name ?,q U t- S Oi'a'1 (Y1 Address O � 5�_ City6 QP_State State Zip Phone 1!5-3 D 6 -7 DA -15 Fax E-mail E-mail State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE J4 PERMIT NO. ,0 T020 BIN # PROJECT LOCATION All ), W ,6f_ �1-V( Property Address W $� x¢75 f City teDV I t-, L. -E c r,4 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 6` V�3f ' `50 lL� Di qG TV_=R.t IDP - Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. - OJE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds Q N g National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0206 Date: 02/02/2007 Location: MIDDLEFORK LN By: KCG Parcel Number: 071-400-054 Sub Type: Al! Exempt Owner Name: DANIELSON, FAMILY TRUST Phone: (925) 449-4571 Description: POLE BARN: AG TOOLS & EQUIPMENT By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: 04AL�� FILE Date: 02/02/2007 BASIS OF BEAR/NG lNE NO?TN L/NE OF Pa?CFL 9 / f 9�-TeMdHF 4/• TOKEN ed NCB'!4'S6'E ,SETAYflN MONUMENTS 9NOWN, ON70NCES 4AMWN a?f CduF. CeWfO, 5YS7EM TONES. MUC T/PLY 4r /.000000/ jV,"f4/N SU.OFOCE Mf4SU?EMFN T. A 2 .BY 17.W.Q. ORO(R) PER /RI CEN7fQL/NE//6./f. dNOP r. f T. EOSEMEN7 a OFUNOEP/Nf0 w/O7// PE? 1657 O.Q. e79 n .O? PDL", W/QEO, .1 re, w/741?/6 NT OF p ACCE65 ON17 Cf.Ord/N drNfQ ?/64175 - .. GO'W/DE 8044 P. U. - R (Qr)!RN 4,V4 /0,0/ O. ?. DQ/ 44117 /9770.R.,R. 046 Ly 'v A Ne7-46'DS'W /D/, 64' - c t' R 4174 44145"E 600. 49.61 \� L A/5t•O/•D5'E 904.66'(RA1 (Rr)(MJ �.I N5t•O/'05'E IQO. 1!'(171)(?-) C .070'1/'45' E t54. SQ' (QA)(RO)(M) F N!/•!O' 15•W t57. 79' (eWee(M) MOM` J7JERE /S NO EV//JENCE TO 41!/•60 15"W /t5.7/' INO/C4M rAle dVd/C4R/L/7Y OF N7!•P4'OB"w T60.Rt' L�OMEST/C JW47E?ON 741E?E POA'CELS. �� dPP?OX/M4TE ORf4S WIVE?C 741E CROOS SCOPE /5 -*a% O? MORC. A L' SEPT/CLEOCN/416 If o[LOWEn /N4NY 4RC4 OF 949'7; ORMOQ! CQOO55t4Pe. SURVEYORS CERTIFICATE(cav'r) dLL AA?VIAMfNAWONNNEPEONA4l Qc rr/f FN4PIllIN 4NParLMY rA/f RMIT/RVf /NOR07B0. r//l.WAX/MfN79 OR!!f/Ff/C/FNl1D INe.�t! AVf fIAPYIYIV A! QIAPACM. 7N47/7&,P7/0NLdF M/DOL EFORK LDNE CY/N6 W/rN/N THE 90041174 OF 741/5 P4QCEL MaP /S 70'8E?CSE.PVCn /N 17EE17S QV P 15 41ERE9Y 4'A,'S?E4 Fd? 17.1/2/CdT/ON rOTNE COUN7YOF surre. Ne7•tP ,fa FO. 0/e•/.P. N/90AJO/C66 RYOWR dae-M- /O V b F Z �3 0 0 O Z 4EC. COQ. 5rn. I %rr"nW? D scat! /--COO, r(ou 7/9N [OC,4T/OA/ M4/7 N r 0 LEGEND A( -Ser ),f" RERAR L.S. 3625 • -FA '%"I.P. L.S. J825 OR AS NOTED O-PO/N7.OEfERN/NFO ONLY All - NfASNRf0 (R) - SI NAPS e9' (REJ-7S NAPS 1/ (RJ) - fJ NAPS 7 PARCEL MAP A PORT/ON OF THE S //I OF THE SE 414 OF SECT/OAI Z/ T10A/, R5E, M.O.M. /A/ 7RI- U.V/NIORP`ORATEO AREA OF BUTTE COUNTY, G41hFOR.N/4 FDR TOAf and ✓EAA/ SAWr110411- .V07E: TNF CLY/Nrr 46"T ft Cfr7/f/CATf AVP AYi CLEAR 4P IAP 9DQED A< faRFRY/SOA'9 rexrrlAr0,7d wir 6fAW C4W6W.CEMLY ,f,FlC4rAC0 AV 1W UN,W,f MR/At N(/peER L •/sY' O nr N7Y ALFCO.POER NOTE: AN AFFIDAVIT OF OWNERSHIP IS BEING CONCURRENTLY RECORDED IN TRf•GFFOF TNS BUTTE COUNTY RECORDER UNDER SERIAL NUMBER SURVEYORS CERTIFICAT COUNTY SURVEYORS CERTIFICATE R RDE CERTIFIC9TE THIS NAP WAS PREPARED BYFO OR UNDER MY IS THIS MAP CONFORMS WITH THE REOUIREMEMS��OfE SUBDIVISION FRED THIS OAV OF�SSY. AT IiM. ENGINEERING BASED UPONA FIELD SURVEY IN CONFORMANCE WITH GT MAPACTANO LOCAL ORDINMICE. GATED: !. fd4 WBOOK�OFWP$A GE ATTHEREOUESTOF SURVEYING THE SUBDIVISION MAP ACT AND LOCAL ORDINAN - YME RE @^Ai rNAr PORTION Of N/DOLEXORA"LANE OFfEREO FOR OEO/CAr/ON _G b A • SURVE IN OF TON'.SVARINO!/r': ON MI RCN /9 111EBY T§I IS NOT ACCEPrEO Ar rN/5 r/NE. �( �� �� � THAT THIS PARCEL MAP SUBSTANTIALLY CONFORM$ TQ AP�IIPJVE(9 RI SERIAL NO SSSciLlO� FIfdAMQ M. AMITKIR DA EtO O1dNO dYENUf CONDfTIONALLYAPPROVED TENTATIVE MM, IF ANY. `.' Y` CLY/N1Yn4yEL)iT00I4 rWORO42fA0VVLLL dV u 1,c / r DEPUTY IY�f17n/ •�8T ACTINO CO MTY S RYEYOR ev `n- 4.- �_ IOW ST12DN1 m 9NEEr / of I o6a-el o�F �1 BUTTE ;COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD OUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7, (i36 (Oroville) (530) 891-2834 (Chico) Office: (530:1538-7541 FW. (530) 538-2140 Website: www.buttecounty.net/dds ALL PLAN REVISIONS MUST BE APPRO Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed ` < OFFICE COPY Address - •,GAS • Meter By Date ELECTRIC 1111` i. Met4''By Datel J7 Gas Peiping Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or.Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 ; Electrical Final 803 Mechanical Final 1 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Nlood "Gone: SRA Area: SETBACKS for Zoninh. AG. SRA. PW Front: Ultimate R/NV from CL.,: Rear: SRA: Side: A(.:: Other: Total Setback from Centerline of Road:+ BY THE COUNTY BEFORE PROCEEDING Inspection Type 1 IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test : 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 TiedowrdFoundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 11 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL Sol - *Project Final is a Cerfificate o ccupancy for ( i entia y) PLINIII'S BEC:O!N•ll,, NULL. AND VOID I YEAR FROM THE DATE: OF 1S`iU:►NCE. IF WORK HAS COMMENCED, YOU NIAY PAY FOR A 1 YEAR RENEWAC34 DAYS i';21OR TO EXPIRATION Inspec or Copy iN w . . ... . . ` .COUNTY OF BUTTE. ' .... . BUILDING DIVISION -.; DEPARTMENT OF DEVELOPMENT SERVICES A:. 7 Countv Center Drive • Oroville. CA • (530) 538-7541 `- CORRECTION NOTICE /-I!Y/LG oi✓ OWNER PERMIT NO. i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 4 1" /7 / rz- `r /<, Igl�� CSL V166- /; liv? /- ,c. r t�: t .i tc+ st •' Date 2I _ (/ Inspectorfa1't?'4�'% REV 4/05 Phone # ? LT� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE IE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 call for re -inspection when correction of `r work is completed. If you have any questions pertaining to this matter, or need additional ' explanation, please contact the Building Inspector as indicated below. LV j (C �d i � � T i \ \ f Q '► � a (' F' �� e Date r - y ' o Inspector Z"y&4 / REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 SITE PAN ..... . ..... ...... ..... . ............ ..... . ..... . ..... ..... . ...i ....................... , . . ...... ............ _... $-7 �. q4,' s�j> `a `f ic , 015,36' ND�+� PLANNING DIr f1 ON- BUILDING PLAN APPROVAL Use: II—� Date: � �. �7 Parking: ` Landscaping:® Other, Z% lAN�' ^�✓ Pti► ✓ - tSN+ �I�: :i n O ............•.....:....-:..................... :............. ............; __... r......:. .. .. .. .. .. _. .-- ... -. .. .. .. .. ................... .. ... _._ ._ _ ... ........................ .E......._...... ...........-"- Assessor's Patel Number: a 0 [0 o [-4 A A ® 10 © M Scale: 9 °' ®jap � mer Name 1� 1c"R) 61�'d'G,ucr KDa r- Address / Phone No. 4;-a-7 b t e- I P4 14Yr- In v Ek M a Ar- G A %4-4 5 SiteLocation EErvjr,90 1fD3442" A1'DV"'—voQN 1,140E) 64 1I-I+a:.. 6A Contact: Name 'FI C -O Ac _14� D P0Y r_" p �v Phone J"Z -5- 44 If, 4-5 -if FOR OFFICE USE ONLY Zoning: General Plan ®asig: Size, Ams ) 7 Pc sr.S - 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ?CNINC: 14 - GEN PLAN: USES: ' r... PLANNING DIVISION- BUILDING PLAN APPROV>I. .... Use: d Date: ��� 0 Of. _. Parking: ---Candscaping: Other.' r Zowf '( m G.,n/ 41,4 A" — "AS 'Itt. P 44 , f f Q a Signature: , JO g? 700M ..............::....:.........•---:_......•.......----:_.. ..... --- --- ... ... -- --- -. ... ... ... ... _ -• -. .. .. .- - - - - �y ....................................................... -- --....._.--.....------------........----=---------------------------.....-------------------...._.......-------------------•-•------......._...... - - - _..-...... .................- - - ..._._.. - FOR OFFICE USE ONLY Zoning: Generd Plan DeSig: ._ . - 9 n _ PROVIDE FOR ALL ADJACENT PARCELS SIZE "'C): ZONQNG: 10, ,e%r7N9 M.0 ABA.