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Home My WebLink About072-070-020(C 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: 6210 MINERS RANCH RD #A Owner: Permit No: B07-2416 APN: 072-070-020 GRIMES, SCOTT Issued Date: 11/28/2007 By KCG Permit type: MISCELLANEOUS 6210 MINERS RANCH RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/27/2008 Description: NEW ELECTRICAL METER FOR S (530) 589-1972 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ELECTRIC COMPANY ELECTRIC COMPANY Building Garage Remdl/Addn 514 DAISY LANE 514 DAISY LANE GRIDLEY, CA 95948 GRIDLEY, CA 95948 (530)218-6704 (530)218-6704 Other Porch/Patio Tota] FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5441 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 ELECTRIC COMPANY 818855 / C10 C-7 / 04/30/2009 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).&Drv3ion 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) of Division 3 of the Business Professions Code] he is in full force and_effect. X and or that 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 of not more than five hundred dollars 11/28/2007 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 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 the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL 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 E] ❑ I, 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 policy number are; 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.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundreddollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: AI 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 11/28/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date rovisions. .��- X� 11/28/2007 / I hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatuFe=— 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. County to enter �t,he-ab�or e'mentioned property for inspection purposes. I hereby certify that I am the E t o 'z d to act on thy property owner's behalf. CONSTRUCTION LENDING AGENCY _... _ _ � 11/28/2007 �Rlerffiittme IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 51lWSIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. El Agent for Owner Agent for Contractor .FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www;buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name 1 Firs Nam .Mailing Address C City V! State Zip Phonef Fax / 72 E-mail . , APPLICANT INFORMATION CONTRACTOR Name OUV' I Address 'q L'/ to City 6r,4424 1.Stat Zi Phone l Fax cd V S E-mail Lic. # j - ClassC/y 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 �r-ANT SIGNATURE Wo / PERMIT NO. soy-2yl� BIN # PROJECT LOCATION -M AP# ` V Property Address Q City / 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: "/ Scl FT- Living Garage Open Cov • Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: Zoning AFlood Zone SRAYes No Occ. Type Const. TKA 100 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: 6210 MINERS RANCH RD #B Owner: Permit No: B07-2417 APN: 072-070-020 GRIMES, SCOTT Issued Date: 11/28/2007 By KCG Permit type: MISCELLANEOUS 6210 MINERS RANCH RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/27/2008 Description: NEW ELECTRICAL METER FOR S (530) 589-1972 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ELECTRIC COMPANY ELECTRIC COMPANY Building Garage RemdVAddn 514 DAISY LANE 514 DAISY LANE GRIDLEY, CA 95948 GRIDLEY, CA 95948 Other Porch/Patio Total (530)218-6704 (530)218-6704 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5442 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 ELECTRIC COMPANY 818855 / C10 C-7 / 04/30/2009 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 P OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7.000 Division 3 of the Business and Professions Code, and my license is in full force and effect," 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 X 11/28/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor4 gnatur 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 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 the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL 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 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a competed if the permit is or one hundred otters ($100) or less. I F� I AM EXEMPT under Section B. & P.C. for this reason: ICERTIFY 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' P Compensation laws of California, and agree that if I should become subject to the workers'X 11/28/2007 compensation provisions of Sectc ❑ 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 11/28/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of an sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enterthe a e mentioned property for inspection purposes. I hereby certify that I am the o �y e_Otam a rize .to act on the prope ownets be alf. CONSTRUCTION LENDING AGENCY 11/28/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Perfrtittee [SIGN] riot Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. DAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameFirs �i 1 Nam .Mailing Address 9/, IfillmC6 City State Zip PhoneFax r Zip�j E-mail APPLICANT INFORMATION . CONTRACTOR Name— !� r Address City I - Slatr' Zip�j Phone l.� r E-mail E-mail Lic. # S-- ClassCIO, 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 APPCXANTSIGNATURE X PROJECT LOCATION AP# 0 ._ Property Address City PERMIT NO. 000711 BIN # 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: �/ AVIV Sci FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. YKA 1001 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: 6210 MINERS RANCH RD #C Owner: Permit No: B07-2418 APN: 072-070-020 GRIMES, SCOTT Issued Date: 11/28/2007 By KCG Permit type: MISCELLANEOUS 6210 MINERS RANCH RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/27/2008 Description: NEW ELECTRICAL METER FOR S (530) 589-1972 Occupancy: Zoning: AR Contractor Applicant: Square Footage: ELECTRIC COMPANY ELECTRIC COMPANY Building Garage Remdl/Addn 514 DAISY LANE 514 DAISY LANE GRIDLEY, CA 95948 GRIDLEY, CA 95948 (530)218-6704 (530)218-6704 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5443 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 ELECTRIC COMPANY 818855 / C10 C-7 / 04/30/2009 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.700? r-f:Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to 11/28/2007 applicant a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: COInt rkct 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 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: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL 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 ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is forts for on�ndred 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' the X 11/28/2007 compensation provisions of -Sectio '3700 of the Labor Code7, I shall forthwith with those Owner's Signature Date provisions. X - 11/28/2007 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 Signatur Date WARNING: FAILUR 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 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter lheaboVemenlioned property for inspection purposes. I hereby certify that I am the pfOpe y_owneaoi em authorized to act the prope owner's behalf. 11/28/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name ie tree [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. 0Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name k 1 vVlfL Firs Nam Mailing Address City i State Zip Phone Fax E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR Name— Address Zip Address l Di4 State City i Stat Zi W yy Phone / Fax E-mail Lic. # S– Class019, APPLICANT INFORMATION ARCHITECT/ENGINEER Name a Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail _ PROJECT LOCATION AP#0 Property Address (.Pat] V vt/ City I PERMIT NO. BIN # 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: Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRAres No Occ. Type Const. TKA M 100 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP062154 I PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: Issued Date: 09/07/2006 APN: 072-070-020-000 Site Address: 6210 MINERS RANCH RD ORO Map Index: OWNER -BUILDER DECLARATION Description: NEW ELECTRICAL SERVICE TO STORAGE I hereby affirm under penalty of perjury that I am exempt from the YARD 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 Owner: GRIMES, SCOTT & GABRIELA signed statement that he or she is licensed pursuant to the provisions of 6210 MINERS RANCH RD the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966 violation of Section 7031.5 by any applicant for a permit subjects the (530) 589-0199 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: GRIMES, SCOTT &GABRIELA PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6210 MINERS RANCH'RD provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one 95966 year of completion, the owner -builder will have the burden of a-# proving that he or she did not build or improve for the purpose of (530) 589-0199 sale.). This permit is ❑ I, as owner of the property, am exclusively contracting with a applicable provisions of the Butte County Code and/or licensed contractors.to construct the project (Sec. 7044, Business Res (utions and Professions Code. The Contractors' State License Law does performance of the work for which this permit is issued (Sec 3097 Civ.) not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed Name: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Address: Date: ` — 7`0`x' Owner: ed ff—vr7 ftv_,�o ON: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Lab6r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy Total Square Ft: 0 S. F. Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to 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: 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. a-# cv?. 3S CONSTRUCTION LENDING AGENCY This permit is ereby issued under a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res (utions do work ipdic ted a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: / Date: Name: Address: PERMIT EXPIRES ON: ❑ 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 couhty 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:// �/`% Signature: Date: 9`7 )Awner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 f�(eeds � ild� sign a�r�r I� h��" & 1�y �S� 1 °s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVELLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE %VILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNt=R INFORMATION Last Name irst Name Address City State C� 0110 V, Ile - Zip'?6W to Phone 5-�9 _ Fax E-mail S¢o to "1 APPLICANT SIGNATURE X i+ For office use only: CONTRACTOR Name Flood Zone Address SRA City No State Zip Phone Map Book Fax E-mail Planner Uc. # Class APPLICANT SIGNATURE X i+ For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City No State Trp Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X i+ For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA _City No -State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X i+ For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# _ &02 Property Address City 7- fniners, 06725 Vd Cross Street ol�re. 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: C10 oelecil ` 65'er Y/ � e S 0fr Sq FT- Living Garage Open 0,0V ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. n 4 Received by: KP a Amount: Bldg (% I SRA , Receipt#: �(p�2` i / Sheriff ev's h SMTP I I Date:I( J_ 6 00 q-. Total I I Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N /NIC ❑ 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. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ .6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 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 material for construction of this proposed property improvement: YES .L., Q, NO [ ]. 2. I HAVE ( U-] HAVE NOT [ ] signed ann application for a building permit for the proposed work. \ 3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 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: _ 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 SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code.' 'rb;o crcr; ;rratinn miict bP. P.nrnn1P.tP.d and rPtiymF- l to our office before we are T)ermitted to issue the .butte County Department of Development Set -vices ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-1541 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 insurance 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 speci5c 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, pmperty 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 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECiw 7 County Center Drive G.t COUNry Oroville, CA 95965 IOCT`2 3 20M (530) 538-7601 Telephone (530) 538-2140 Facsimile . DEL0FARN1 www. butteco u nW. net/dds PLAN CHANGE ❑ RECHECK Owner's Name: Z0 7 AP#: 01 BP#: �0901-7 Received By-77�) o: -A r, ,1o\ Date: lD —0 ,Time: Contact Person & Phone Number: dv�f _ X 70 6626 PURPOSE OF PLAN CHANGE OR RECHECK ❑ Response to Inspector's Correction Notice – Inspector's Name: Response to Plan Check Letter – Plans Examiner's Name: *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved, .the engineer or architect must put his requirements on these drawings and wet stamp and sign two sets. of engineered drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: O Call and hold for pick-up. 0 Deliver with Next Inspection ( for 8 1/2X 11 only) Minimum plan change fee to be collected at time of submission, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $127.00 paid. ❑ Additional Fee Amount: Receipt #: Revised 07/09 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7601 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.nettdds PLEASE PRINT CLEARLY PERMIT NO. BIN N "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 Last Name r I i`rl"eS First Name d� Mailing Address X021 M. k -e i & P 0. k cl Pd, City aV+ 1(£ State C A Zip q � (o!o Ph e��0 �io` �OfO-2 A%e 5W•S-3q'Ig7� E-mail �C or(6%t51�7Io coh, u APPLICANT INFORMATION CONTRACTOR Name 7� Address � z 10 � ��r� ,a►, Ind. Address State City Zp 9 SG State Zip Phone E-mail a coL:2 10 Z Fax E-mail lic. # Gass APPLICANT INFORMATION ARCHITECTIENGINEER Name Address � z 10 � ��r� ,a►, Ind. Address State City Zp 9 SG State Zip Phone E-mail a coL:2 10 Z Fax E-mail State License Number APPLICANT INFORMATION Name � — t^ i �•� S 4' ,/I"e Address � z 10 � ��r� ,a►, Ind. City ®rOV I State Zp 9 SG h�i � S30� ° 7i E-mail a coL:2 10 Z CQ LO Cf. h{ APPLICANT SIGNATURE X PROJECTLOCATION AN tJ Z _ p 70 —OZO Property Address I 210 Wh f-rS d. City QroVi l le H qs9 I WORKER'S COMPENSATION Policy Number a Carrier Hhiring anyone other Chart licensed contractors, a certificate of worker's compensation must be shown at the time ofperm Issuance. LENDING AGENCY Name f Address / DESCRIPTION OR SCOPE OF WORK. R -e I•,-, ode I . Sq FT- Living Garage Open Cov Structure Built without Permits g f; _ Lf . ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes t Occ. i Type Const .'P PSTMENT 5 A"kic WOa: Department of Public Works County of Butte J. Michael Crump, Director 7 County Center Drive Shawn H. O'Brien, Assistant Director Oroville, CA 95965 (530) 538-7681 FAX (530) 538-4356 Notification of Public Works Improvements RE:072-070-020 Building Permit No.:609-0997 To meet the requirements. of Butte County Code Section 26-12 (available on line at <http:Hmunicipalcodes.lexisnexis.com/codes/bufteco/>), one or more of the following may be required before a building permit can be issued for the above referenced project. 1.: The construction of curbs, gutters, sidewalks or walkways, public roads, proper access from public roads, and drainage facilities; 2. Dedication of any necessary rights-of-way; and 3. For commercial or industrial uses or for multiple living uses having three (3) or more living units per parcel, the construction of an enclosure for containers used to hold solid waste and/or recyclable materials for collection. Requirements prior to issuance of building permit: 1. Submit sufficient information to the Land Development Division of the Public Works Department,7 County Center Drive, Oroville, CA 95965, that demonstrates compliance with County Code Section 26-12. 2. If construction plans and/or engineering analysis are required, submit information in duplicate in accordance with County Improvement Standards (available on line at <http://www.buftecounty.net/publicworks/divisions/landdevelopment/impstd html>) with a minimum plan checking deposit of $690.40. Important Note: If improvements in compliance with County Code Section 26-12 are required, any construction plans and/or engineering analysis must be reviewed and approved by the Land Development Division of the Public Works Department prior to construction of the improvements and the required improvements must be constructed, bonded, or guaranteed with a deposit of an in -lieu fee prior to issuance of this building permit. The process can require significant time and must be completed prior to issuance of the building permit. If you have any questions, please contact the Land Development Division at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. have read and understand the above requiren 7/7/2009 Date REVd 9/19/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (53 0) 538-2140 Fax www.buttecounty.netldds IMPORTANT! NOTICE TO PROPERTY OWNER 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 at 6210 MINERS RANCH RD. OROVILLE. We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner=Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. k_-7--C:y-2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. Q_L& I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. (�&4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on . permits and contracts. G' .�-5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent.to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. U— 8.1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. G- 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 6_&_10. I am aware. of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for propos construction activity at the following address: ��IG21o M1kres hakr_L IR t ��1. "11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. G12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as .a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Description: ADDITION - 849 SQ FT SINGLE STORY Reference Number: B09-0997 Applicant Name: Owner's Name: . GRIMES, S OTT AP # : 072-070-020 Signature of Property Owner: Date: '1/-7 Q q Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://muniCipalcodes.lexisnexis.com/codes/butteco/ "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. Reference Number: B09-0997 Date: 7/7/2009 Location: 6210 MINERS RANCH RD Parcel Number: 072-070-020 Owner Name: GRIMES, SCOTT Phone: (530) 589-1972 Description: ADDITION - 849 SQ FT 5JLNGLE,%TMY Signature of Applicant: �� y�/ Date: 7/7/2009 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B09-0997 Date: 7/7/2009 Location: (.210 MINERS RANCH RD Parcel Number: 672-070-020 Owner Name: GRIME S, SCOTT By: NJS Sub Type: ROOM ADDN-FIRST Phone: (530) 589-1972 Description:: ADDITION - 849 SQ FT SINGLE STORY To meet the required -rents of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 Public Resources Code 4291 ✓ California Building Code, Chapter 7A Butte County Improvement Standards Requirements prior tc. scheduling the pre -inspection: Full plan submittal to Butte County Development Services -Building Division Driveway and building pad must be identified on site Structure locaion must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). ' For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and under3tand the above pre -inspection require a s. 7/7/2009 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.oMlireprevention/protplan/protplan.htmi Rev'd 5/7/07 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7601 Fax (530) 538-2140 Permit Number: B09-0997 Job.Address: 6210 MINERS RANCH RD Contractor: OWNER BUILDER Printed: 7/7/2009 11:30 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DB CA BLDG STANDARDS SB 1473 DB CA SB 1473 10% for DDS 0010-440001-4210504-1011, $0.40 DB CA SB 1473 90% for CBSC 1001-0-280-1011473 $3.60 DBINVES Investigation Fes @ 60 0010-0-4610311-10113311 $34.26 DP Planning Clearance for Perm 0010-4400014210502-1010( $761.40 DB SMIP RESIDENTIAL 0010-440001-4210900-10100 $81.50 7/7/2009 $81.50 DBSMIP RESIDENTIAL 95* Dept Co 1001-0-280-1011298 $7.81 DBEH Building Review Fee 0010440001-4210500-1010( $761.40 DBMSC Room Addition - 1st Stor 0021-540011-4614901-1010( $105.00 7/7/2009 $105.00 DBFIRE Fire Inspection (SRA) 0010-440001-4210501-1010( $507.60 7/7/2009 $507.60 DBMSC Tech Invst Fee MISC Perm 0100-450001-4617240-1010( $114.00 7/7/2009 $114.00 0100-450001-46172.40-1010( $114.00 DBMSC Fire Safe Standards Revi Printed By: Nancy Springer 29739.58 $808.10 Balance Due: $1,931.48 At the time of permit a 'on, I a advised the above fees are required prior to issuance of the permit. These chap durin the plan checking process. Signature• Date: 7/7/2009 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). 0010-440001-4210500-1010( $127.00 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $114.00 DBMSC Gen'l Plan Maint Fee Mis 0010-0-4610311-10113311 $34.26 DP Planning Clearance for Perm 0010-440001-4210900-10100 $81.50 7/7/2009 $81.50 DBMSC Room Add -1st Story 250sf 0010440001-4210500-1010( $761.40 DBMSC Room Addition - 1st Stor 0010-440001-4210501-1010( $507.60 7/7/2009 $507.60 DBMSC Tech Invst Fee MISC Perm 0010-440001-4610312-1010( $7.61 Printed By: Nancy Springer 29739.58 $808.10 Balance Due: $1,931.48 At the time of permit a 'on, I a advised the above fees are required prior to issuance of the permit. These chap durin the plan checking process. Signature• Date: 7/7/2009 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965. (530) 538=7266 Telephone (530) 538-7171 Fax 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: B09-0997 Date: 7/7/2009 Location: 6210 MINERS RANCH RD By: NJS Parcel Number: 072-070-020 Sub Type: ROOM ADDN-FIRST Owner. Name: GRUYIES; SCOTT Phone: (530) 589-1972 Description: ADDITION - 849 SQ FT SINGLE STORY 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: FILE Date: 7/7/2009 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B09-0997 Location: 6210 MINERS RANCH RD Parcel Number: 072-070-020 Owner Name: GRIMES, SCOTT Description: ADDITION - 849 SO FT SINGLE STORY Date: 7/7/2009 By: NJS Sub Type: ROOM ADDN-FIRS] Phone: (530) 589-1972 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ - PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ - ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 "�j, /❑�' ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6332 Clark Road, Paradise CA 95969 - (530) 872-6393 0 Other: ❑ ❑ Other: "When filed, this application and all s information related to this application i; access. Signature of Applicant: rting materecomes su ect to p is i pection al FILE to the California Public Records Act. All public be posted on the County's website for electronic Date: 7/7/2009 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901- (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 0 Other: ❑ ❑ Other: "When filed, this application and all s information related to this application i; access. Signature of Applicant: rting materecomes su ect to p is i pection al FILE to the California Public Records Act. All public be posted on the County's website for electronic Date: 7/7/2009 Butte County Department of Development Services TIM SNELLINGS; DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile ADMINISTRATION * BUILDING * PLANNING August 11, 2009 GRIMES, SCOTT & GABRIELA 6210 MINERS RANCH RD OROVILLE, CA 95966 Assessor Parcel Number: 072-070-020 Building Permit Number: B09-0997 Plan Check #1 . Description: ADDITION - 849 SQ FT SINGLE STORY Thank you for submitting permits for your building project. The permit documents have been reviewed and comments are listed below. Please respond in writing to each comment. Complete and clear responses will expedite the re -check and approval of this project. Provide 2 complete new sets of plans showing the correct code references, and with the following corrections. GENERAL COMMENTS: 1. The plans reference the 2001 California Building Codes. Please reference on the plans the 2007 California Building Code (CBC), California Mechanical Code (CMC), California Plumbing Code (CPC), California Electrical Code (CEC), and 2005 California Energy Standards as amended by he State of California and the local jurisdiction. Please contact Cal Fire for a site inspection to determine their requirements for the proposed structure. Cal Fire is located at 176 Nelson Avenue, Oroville, CA and their phone number is 530- 538-7111. Please note on the plans any construction. items required by Cal Fire and CBC 7A. If fire sprinkler system is required a separate building permit must be obtained. . 'The' Department of Development Services Building Permit Fee Schedule requires additional plan review fees after the third review. The additional fee is charged at the Plans Examiner's hourly rate. We have completed 1 review. i NON-STRUCTURAL COMMENTS: Remove the water heater from the bathroom. 71W r" 2. Provide disabled access to the storage facility office and bathroom and to all areas accessible to the public. Show these access "features on the plans. These facilities must be designed by an architect or engineer licensed to practice in the State of California. r Pl e specify Arc -Fault Circuit Interrupter Protection, combination type, to all dwelling unit edroom circuits per 2007 CEC Section 210.12 (b) Why re there 4 heat sources in this dwelling? (2 wall heaters, 1 pellet stove, and 1 wood stove) W is there a pellet stove in the laundry room? 1 lease provide the number, type, size and location of attic vents at not less than 1/150 of the area of the space to be ventilated, with 50 percent of the required ventilating area provided by ventilators located in the upper portion of the space, at least 3 feet above eave or cornice vents with the balance .being provided by eave or cornice vents per 2007, CBC Section 1203.2. ' Specify exterior glazing in accordance with CBC Section 704A3.2.2. One pane all exterior windows shall be tempered. Specify ignition resistant or non-combustible eaves and soffits in accordance with CBC Section 04A.2.3. Specify fire resistive exterior doors in accordance with CBC section 704A.3.2.3. STRUCTURAL COMMENTS: 1. This structure does not comply with the Conventional Light Frame Construction (bracing) requirements of CBC Section 2308. Please provide a lateral analysis of wind and seismic forces prepared by a Registered Design Professional (i.e. Engineer or Architect). The 16 foot high walls shown on the plans do not comply as standard braced wall panels as shown. s'�,8,,� pl,,#,J The anchor bolt washers specified on the plans do not comply. Specify 3"x 3" x 0.229" thick anchor bolt plate washers per 2007 CBC Section 2305.3.11. Provide verification and a report by an engineer or architect licensed to practice in the State of California that the footings have the required depth, width, and reinforcement. If you wish to discuss these comments, please call between 8:00 a.m. and 12:00 p.m., Monday through Friday or contact us by e-mail at the address below. Scott Rutherford Philo Hunt, P.E. Plans Examiner Plan'Check Engineer (530) 538-2875 (530) 538-2130 srutherfordnabuttecountv.net phunt(@buttecounty.net { STOP -AC C YJr ° D t3AN FENCE 7 BUTTE COUNTY DESEYtV CESs� 725. ?,-/, a PLO ► PLAN APS v?z v -)o 020. 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