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PLANS BY OWNER ARNIE QUEVEDO
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DATED 5/25/17
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2X6 D.F. RAFTEF
24"O.C.
(E) STUCCO
\ EXISTING SLAB
BUTTE
COUNTY
MAY 31 2017
DEVELOPMENT
SERVICES
BLITT E COUNTY DEVELOPMENT SERVICES
!MAIL:
C 0 D E
COMA -, IIAI E
DATE BY
m
NEW R 38 BATTS
NEW DRYWALL CEILING
PROVIDE 510 SQ FT/150= 3.4 SQ FT
IT APPEARS THE EXISTING
FOR ATTIC VENTILATION
GABLE END FRAMING WILL REM)
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1-4
PROPOSED ROOF OVER
BATH AND LIVING
SECTION
— NEW
2X6 D.F. RAFTEF
24"O.C.
(E) STUCCO
\ EXISTING SLAB
BUTTE
COUNTY
MAY 31 2017
DEVELOPMENT
SERVICES
BLITT E COUNTY DEVELOPMENT SERVICES
!MAIL:
C 0 D E
COMA -, IIAI E
DATE BY
m
917- )0,o
L L_ , _l.._ � -L l _I 1 -- 1 l
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecounty.net/dds
PLEASE PRINT CLEARLY
Address
State
Fax
Cell
CA State License No.
PERMIT NO: FORM NO
917-1070
DBP -1
BIN NO:
aA PL CL1
Last Name
First Name
Property��
i11
Mailing Address
0.f17 I
cityLocation/must not be i/r%tthee city limits off,�.yChico Gridley, Oroville or Paradise,
City
http://clismal)s.buttecountV.net/flexviewer/bcdatasearch/index.html
State
Zip
Phone
Fax
Email
Cell
PERMIT NO: FORM NO
917-1070
DBP -1
BIN NO:
Policy Number
Carrier
If hiring other than a licensed contractor, a certificate of worker's
compensation must be shown at the time of permit issuance
Name
Mailing Address
City State Zip
„DES b PE C?F,VHOR�� D
Mobile Home permits (other than installation, foundation, utilities & non-attached "V
structures) are issued by the State. Tell staff if this permit is for a Mobile Home. Click Z
below to see Manufactured Home Alterations and Permit Guidelines at:
this a Manufactured/Mobile Home (circle one) Yes / No
Living Area: JGarage:
;Open Area: Covered Area:
TOTAL SO:
Structure Built without permits
[- Proposed Change of Occupancy/Use - Note previous/current use below:
Zone:
YES ❑ NO
! Code Ent: YES ❑ NO ® ILegalLot: YES 0 NO L1
APPLICANT SIGNATURE '.AND, ,AT :a. ;
”- :Occupancy Type Construction
Date-:
jPfm't Tech: Date:
"When filed, this application and all supporting material becom s ubject 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.
Revised 12.19.2016
Page 1 of I
APN
Property��
i11
�Address
00W'TYC x
0.f17 I
cityLocation/must not be i/r%tthee city limits off,�.yChico Gridley, Oroville or Paradise,
15 - 1 Z, I7
http://clismal)s.buttecountV.net/flexviewer/bcdatasearch/index.html
Policy Number
Carrier
If hiring other than a licensed contractor, a certificate of worker's
compensation must be shown at the time of permit issuance
Name
Mailing Address
City State Zip
„DES b PE C?F,VHOR�� D
Mobile Home permits (other than installation, foundation, utilities & non-attached "V
structures) are issued by the State. Tell staff if this permit is for a Mobile Home. Click Z
below to see Manufactured Home Alterations and Permit Guidelines at:
this a Manufactured/Mobile Home (circle one) Yes / No
Living Area: JGarage:
;Open Area: Covered Area:
TOTAL SO:
Structure Built without permits
[- Proposed Change of Occupancy/Use - Note previous/current use below:
Zone:
YES ❑ NO
! Code Ent: YES ❑ NO ® ILegalLot: YES 0 NO L1
APPLICANT SIGNATURE '.AND, ,AT :a. ;
”- :Occupancy Type Construction
Date-:
jPfm't Tech: Date:
"When filed, this application and all supporting material becom s ubject 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.
Revised 12.19.2016
Page 1 of I
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecounty.net/dds
IMPORTANT! NOTICE TO PROPERTY OWNER
FORM NO
DBP -43
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
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 that you understand or verify this
information.
1. I understand a frequent practice of unlicensed persons is to have the property owner
ob in 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.
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.
l3. 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
an
d 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
t their license numbers on permits and contracts.
5. I 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. 1 understand under California Contractors' State License Law, an Owner -Builder who
bui ds 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.
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8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I
y 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.
A9. I understand I may obtain more information regarding my obligations as an "employer"
fr m 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.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name,
a - understand that I am the party legally and financially responsible for proposed construction
activity at the following address: 13 -In Czffi t, 0
N11-
11. I agree that, as the party legally and financially responsible for this proposed
co struction activity, I will abide by all applicable laws and requirements that govern Owner-
Buildjars as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or
ch ges 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
willbe 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.
Signature of property owner: Date:^
Note: The following A uthorization 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: Tel No:
Address of Authorized Agent:
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:
Revised 12.19.2016 Pape 2 of2
Iii � ' I I II lu I
Date:
Department of Development Services
Tim Snellings, Director
Pete Calarco, Assistant Director
7 County Center Drive T: 530.538.7601 Buttecounty.net/dds
Oroville, California 95965 F: 530.538.7785
DEVELOPMENT SERVICES
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:
- Make sure your application is complete.
- 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 (per Butte
County Code Chapter 26, Article 1, Section 263.1). A permit may be renewed (for a fee) prior to expiration a
maximum of two (2) 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. The
current refund processing fee is $127.00. 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 htlp://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.
Permit Number: B17-1070 Date: 5/31/2017
Parcel Number: 039-390-059
Location: 1370 ORCHARD WAY, CHICO Phone: 5303423472
Owner Name: QUEVEDO CONSTRUCTION COMPANY
Description: NEW ROOF STRU RE FOR HOME
Signature of Applicant: Date: 5/31/2017
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