HomeMy WebLinkAbout026-242-028r
HLAD, Otto 902-71Bs
--- --- - - - -- - —843-71P'
828-71E,
-2 2-
1835 So. Villa, Palermo
(convert garage to living area) F
V
VAN.-SCHAICK, Al 41-67B* 4575B.
3616P
1835 So..'.Villa,� Palermo 26-242-
(new,single family) /t _5
('add garage)
k
026-242-028 02-2574 -
KUOPUS,CAROL �NALED
1835 SO. VILLA, PALERMO �_`$_O?v
RE -ROOF
026-242-028 03-2107
KUOPUS, CAROL
1835 SOUTH VILLA, PALEDIALED
COVERED PORCH , �S -03
r
HLAD, Otto 902-71Bs
--- --- - - - -- - —843-71P'
828-71E,
-2 2-
1835 So. Villa, Palermo
(convert garage to living area) F
V
VAN.-SCHAICK, Al 41-67B* 4575B.
3616P
1835 So..'.Villa,� Palermo 26-242-
(new,single family) /t _5
('add garage)
k
I
rd
411,
r
• �02-2574
026-242-028.,; ,
KUOPUS, CAROL '
1835 SO. VILLA, PALERMO
RE -ROOF -
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A.
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 , - PERMITNO.
(Rev. 12/96) APPLICATION AND PERMIT 112-7574
ASSESSOR PARCEL NUMBER
026-242-028
ZONING
BUILDING PERMIT
OWNER
CAROL 00PUS
TELEPHONE
538-3713
SO. FT. OCC. BUILDING VALUATION
9b0• 00
. OWNER'S MAILING ADDRESS
PO BOX 272 PALERMO 95968
CONTRACTORS
�N+AMME
OWI
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS -
Total Valuation $ %0.W
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1835 S VLLLAv PALERMD
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE #
SF 111 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK (
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 17 1
Describe Work: REROOF W/COMP
1
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
800VOR LESS 23.00
Main Service 200A OR LESS
•
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC. BLnS. 3.5QFT.
NO" N.gES1DT MULTI-OUTLEITST @7,50
APPARATUS
3 SINGLE OUTLET C1R.
.00
EO0
X. Occup. OUTLET OR FDTrURES BAL @ 1
FIXED APPLNS. OR
Ex. Occup. ouTLErs RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will Maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Cg' 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in, any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. r
X ,(_ • Date �=� - D "1_
ow&Aj
Signature of Applicant - ❑ O ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction1
structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 45.00
,
HA2.'
D. FEES
IMP
FLOOD
I CDF
PARCEL
I PD
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abo.Ve for which fees have been paid.
T (0of
B Date
t�
PERMIT EXPIRAJO
Date
Receipt No. A •00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT -09-2571
ASSESSOR PARCEL NUMBER
026-242-028
ZONING
BUILDING PERMIT
OWNER
CAROL KUOPUS
TELEPHONE
538-3713
SO. FT. OCC. BUILDING VALUATION
960.00
.OWNERS MAILING ADDRESS
PO BOX 272 PALERMO 95968
CONTRACTOR'S
OWNER l\
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 960.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$
BUILDINGADDRESS 1835 S VILLA, PALERMO
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF )7 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ufilifies ❑ Installation ❑ Other IX
Describe Work: REROOF W/COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
a00VOR LE
Main Service 20 OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lawes or the following reason:
l� 1, 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
• reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'FEES
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.�- t
rof
X c/ Date — l —
Signature of App Icant - ❑ O ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service POOR TO 1
46.00so
NEW CONST. DWEWNG OCCUP. SO
U
OR ADONS. ( a Acc. BLnS. 3.5QFT.
N"ON EW CO MULTI.OUTLET @7.50
POWER APPARATUS
NGLE OAP=
a sI CIR.
EX. OCCU OUTLET OR FORURES B20 o 1.00
Ex. Occup. OUTLEEDTSA R61D.DFR,A 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 45.00
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
SS
This permit is hereby issued under
the Butte County Code and/or
indicated aboa for which fees have
B
PERMIT EXPIRE O
the applicable provisions
Resolutions to do work
been paid.
Date 1 , IT 0a
9
Dele
ReceiptNo. 361278/$45.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT N
(Rev. 12/96)
APPLICATION AND PERMIT`
ASSESSOR PARCEL NUMBER O/\� /1� I ,\ nowNo BUILDING PERMIT
�6
' `l ,^�(LA�I -:�>Q~ so. FT. I OCC. ILDING VALUATION
OW MA'S WAJr67`8 O�
COMRACTOR'S NAME
CONTRACTOR'S MAAJNO ADDRESS
CONSTRUCTION LENDER
LENDER'S AWUNO ADDRESS
ARCHITECT OR ENOINEER
ARCWMCT OR ENGWEERS MAILING ADDRESS
BUILDING ADDRESS
an
LOT NO. I SUSDNBpNSNAME
USEOFSTRUCTURE
SFA Duplex ❑ Mobilehome ❑ Other
TYPE OF WORK
New ❑ Addition ❑ Remodel
\ b❑ UdCibes T
insta t
Describe Work: Yk - v %7
PERMIT FEE PAID $
SRA $
SHERIFF $
OTHER $
AMOUNT, RECEIVED.. $
.., {
RECEIPT- #
Total Valuation Is )lp d
_
ELECTRICAL PERMIT
LICENSE NO.
Filing Fee
$
20. 0
Permit Fee
$
48.00
,4J`c Tyj_3
Plan Checking Fee
Energy Plan' Checking Fee
$
$
OR ADDNS.
L ACC. SIDS.
3.5¢so
$
aFew
n.Ue.L••u° m .T,c )
PERMIT FEE s
PARCEL YAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
SPECIFY
Each gas venter heater or vent
15.00
❑ Other
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
Q20.00
OTHER $
AMOUNT, RECEIVED.. $
.., {
RECEIPT- #
EX. OCCU .
PERMIT FEE s
I az ; 1Z
ELECTRICAL PERMIT
Filing Fee 20.00
Main -Service
OORRLLURN
23.00
Main Service
200A TO 1000A
48.00
NEW CONST.
DwELLs+o OCCUP.
23.00
OR ADDNS.
L ACC. SIDS.
3.5¢so
GOMT.
NO"ESID.
aFew
n.Ue.L••u° m .T,c )
@7.50
EX. OCCU .
OUTLET OR FIXTURES
I az ; 1Z
Ex. Occup.
pA MES OFA.
5.00 1
Temporary
Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE I t
MECHANICAL PERMIT I Fling Feel 20.00 '
Hood I 1 6.501 1
PERMIT FEIE S
MobUe Home Installation Fee S
Energy Inspection Fee s
oce CONST. TTS TOTAL FEES
11AZ 10. FEES I IYP I fLOOD I CDf I PARCEL I PD `SS -
This permit is hereby lamed under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your sig,
Please complete and return this information at your earliest opportunity to avoid dday
in processing and issuing your building permit. No building permit will be issued use this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES 0"" NO 13
2. I HAVE CI HAVE NOT O signed an application for a building permit for the proposed VVQ&
�. I have contracted with the following person (firm) to provide the proposed eonstz radon:
NAIkkE:
ADDRE
PHONE:
4. I plan to provideFde
s
supervise, and pro
YAti1E:
ADDRESS:
PHONE:
5. I will provide
the work indii
NANIE /
OR'S LICENSE NO.
of th work, but I\ ave hired the following person to coordinate,
ai6r work: 1
CO
of the work but I hav
CITY:
CTOR'S LICENSE NO.
ntracted (hired) the following persons to provide
ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:_
SOCIAL SECURITY NIMi ER:
DATE: 2 - / 7 - D --)-
NOTE: This Owner -Builder Ver fication is required by Section 19831 and 198314 f AU
California Health and Safety Code. This verification must be eompkMd atd
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
cex- Proc!r-,, Ow-:-.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection. you should be aware that as "owner -builder" you are the responsible party of recoi+d on such
a permit. Building permits are not required to be sighed by proper, 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'ihould
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 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations inciuding'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially, serious
wih respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
Stag Law, cer,ract he Department of Benefit Payments and the Division of Industrial Accidents.
If the strucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permir, erroneously implying that the property owner is providing his or her own labor and material personally: Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be. obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
Ijt�vt
rely,
J
�= el C. Vt Ira, CB.D.
ger, Building Inspection
NOTE: Tint Owner -Builder Information is required by Section 19810 of the California Health and Safety Cads
OVER
NOTES
ate.
RESIDENTIAL
026-242-028 x03.2107
PERMIT NO. __KUOPUS, CAROL------------�-
1835 SOUTH VILLA, PALERMO
COVERED PORCH
SPECIAL CONDITIONS '
CHECKED
SRA
i
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
t USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
E ,
1
JOB FINALED (Date)
Signature
J=OK
D = Not OK
.=,NotReadyable
•MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11.. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
ELLANEOUS
Date ? '`DECK, , CARPORTS, GARAGES (Plans) OK except #'s
ing Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
i 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.: Pool Liahtina: 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water.Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
o = Not
- =NotAApplicable RESIDENTIAL (Single & Duplex)
p�
. = Not Ready r
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
48.
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
20. Shower Pan; Test, First Floor -Tub Access
51.
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Garage Fire Protection. Framing -RC Channel
23. Fire Sprinkler; Test
53.
Property Line Firewall & Openings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
25. Elec. Receptacles Spacing -Lights & Switches at Doors
57.
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
59.
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Shear Walls; Nailing -Bolts
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral ❑ Yes ❑ No
61.
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
Insulation -Walls -Ceilings
34. Clothes Closet Light -Shower Light -Spa Light
63.
35. Smoke Detector
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
Ext. Steps -Door & Sidelight Protection -Landings
37. Vent Fan, Exhaust above insulation
65. Smoke Detector
38. Condensate Drain & Overflow, Size & Grade
66.
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
Stairs & Rails
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
71.
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
Elec. Outlets at Wood Panel, Int. & Ext.
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
73.
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection. Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/0 to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95. Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 R
r�j
,(Rev. 12/96) APPLICATION AND PERMIT
03-
ASSESSORf�lilt�Nl{I+jBl�i 028
�J[, [,C}L
ZN 1
BUILDING PERMIT
OWNER
Carol Kuo us
TELEPHONE
5383713
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
PO Box 272 Palermo CA 95968
90 C 1170.00
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $1170.00
ARCHITECT OR ENGINEER
UCENSE NO.
Ellin Fee $
20.00
Permit Fee $
29-00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checkin Fee $23.00
BUILDING ADDRESS
1835 South Villa Palermo
Energy Plan Checking Fee $
$
PERMIT FEE $
72,00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each nas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: covered porch
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2a 0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
w for the following reason:
9 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date %-14-03
Lnature of Applicant - Z Own r ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To 1o00A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADONS. ( 3 AM. gip S. 3.50FT;
NEW CONST. MULTI.O_
NON.RESID. @7.50
POWER APPARATUS
8 SINQLE OUTLET CTR.
Ex. Occup. OUTLET OR FIXTURES 20
BAL_ p .so
Ex. Occup. OFIx�E�DTSA RLNs OR
Ell 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
::E
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
TYPE
TOTAL FEE $ Z2 00
:GONST.
EESIMP
CDF
pARCE PoD SUEcompensation
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate ab ve for which fees have been paid.
"
oZ h'
B AhLDate W
PERMIT EXPIRES ON O Q
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR LDENROD-APPLICANT
'i�'�inJP>f�11�';,.�"�.��5/'���'��J���'t/'�1►'l � '"'i'�,Rr,�A�y�.✓�.��'+i�j�Sh.•ri7��{Y"7ii'!(ery1,.,M �*r.�'t�`��T�•-r^�'�t�4y.-.�,�I.r�..
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
y 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: '}-_:/L-� ASSESSOR PARCEL NUMBE
Proposed Building Use: Counter Technician: Date: /
IItemms required in order to apply for a permit. I All boxes MUST be checked OR marked NA in order to apply.
42< Plot plan , 3,r 4 ets, signed y the preparer of the plans.
L Complete plan , 3 r 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer.
r
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be 1
ndexe nd returned to the plan review line-up Alien required items are received.
-pLc-larc�-te�'1'U rl' D ec ' By
F ood Elevation Gerdfrme; wet -stamped and signed, in duplicate ................................
9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:.. ;
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
C� Statement of Intent for Non -heated and A/C Buildings ................................ ...(
6. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.......................................................................:
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: O K (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
,/-r-iL/-o3
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner as advised cf the above data by phone, ❑ mail, ❑ counter, by Date: IF- 2.1 'd
Contractor, designer, owner,ed of the above to by phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: tv
Date: ' d Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Buildine Division
' E.H. use ONLY.
/ Piot Plan Attachad
Floor Plan Attaehad
Sana to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
60 r- lea h a 135 S D,��A 2(�--Z`i2--Z�
Owner Location AP#
Plan Approved for: Sewage Disposa Water Supply: Public Private Wel\
Clearance for dweilina. Other x, [_� )DII
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
FLOOD PLAIN DECLARATION
I declare the actual value of /the proposed construc
J
ing permit application -e2/(J at
A.P. #
ion /rk �}nderu' ld
I G�, h
not equal or exceed the definition of "Substantial Improvement."#
does
I am aware the -building site is in a flood -plain area, even though I
am not required to comply with the flood plain management criteria.
PROPERTY OWNER c�� a --e lLC�-o C` s
ADDRESS 1 3
PHONE NO. (_53 o f X 3 3 3 l 1 b
DATE
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
50% of the market value of the structure either, (a) before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
0
Department ®f Development Services
Building Divisi®u
7. County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Residential Constructi®n Requirements
IMPORTANT .
This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make
any changes or alterations on same without written permission from the Building Division, County of
Butte.
All materials and workmanship shall be in accordance with recognized good practices and of a quality
prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California
Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National
Electrical Code (1999 N.E.C.)
The following. items are separated into two categories (general and specific). The "general" items are for
your reference and are not specifically called out on the plans by the plans examiner. These items MUST
be complied with, if applicable, and it is the builder's responsibility to comply. The "specific" items have
been keyed to the plans. If an item is inadvertently left out or missed, it does not relieve the builder of any
responsibility for code requirements, general or specific.
GENERAL REQUIREMENTS
• Guest rooms and habitable rooms shall have natural light equal to 10% of the floor area and natural ventilation equal to 5%
of the floor area (Sec. 1203, U.B.C.)
• Provide required room dimensions and ceiling height. (Sec. 310.6, U.B.C.)
• Provide lights, switches, and receptacles for maintenance of mechanical equipment. (Sec.306, U.M.C.)
• Approved vent and adequate combustion air for gas water heater and/or furnace. (Ch. 7& Ch. 8, U.M.C.)
• Provide minimum one 3'-0" exterior door.. (Sec. 1003.3.1.3,U.B.C.)
• Provide adequate clearance and type A flue for fireplace/woodstove.
• All stairways to comply with U.B.C. section 1003.3, for rise, run, headroom, width, landings and handrails.
• Hallways to be minimum 3 wide .B.C. 1004.3.3.2 .- -
• Underfloor access and ventilation per Sec.2306.3 & 2306.7, U.B.C.
• Attic access and ventilation (UBC section 1505).
• Provide approved flashing at all exterior openings.
• Provide 18" platform for appliances/equipment in garage capable of producing a flame, spark or glow.
• Provide protection of appliances in garage from vehicular damage.
• Closet lights per N.E.C. Article 410-8.
e Provide certificates of conformance for all glu-lam beams.
• Provide approved spark arrester at all chimneys/type "A" flues.
• Provide''/Z"x 10" anchor bolts @ 6' o.c. max. and within 12" of all joints. Provide 2"x 2"x 3/16" steel plate washer @ each
bolt. (Sec. 1806.6, U.B.C.)
• Foundations with stemwalls shall be provided with a minimum of one number 4 bar at the top of the wall and one number
4 bar at the bottom of the footing. (Sec. 1806.7.1, U.B.C.)
o Slabs -on -ground with turned -down footings shall have a minimum of one number 4 bar at the top and bottom (Section
1806.7.2, U.B.C.)
a Guardrails to have minimum 36" high top rail, with intermediate rails spaced that a 4" sphere cannot pass through (Sec.
509, UBC)
Page 1 of 2 Owners Name: KIIU-0lpu.Q
Building Permit Number. -0_3-01g_7
Plans Examiner: Martha Christy
509, U.B.C.)
• Veneer per Ch. 14, U.B.C.
• Exterior plaster — weep screeds (U.B.C. section 2506.5).
• Skylights per Sec. 2409 & 2603.7, U.B.C.
• Protect plastic foam insulation per Sec. 2602.4, U.B.C.
• Ground fault protection shall be required in all bathrooms, garage, kitchen, wet bar, and exterior receptacles (NEC 210).
• Electrical, mechanical, and plumbing construction (not plan reviewed) shall comply with the current editions of the
National Electrical Code, Uniform Mechanical Code and Uniform Plumbing Code.
• Minimum water closet clearances of 15" from its center to sidewall and 24" front clearance (U.P.C. 408.6).
• Minimum shower compartment size of 1024 sq. in. & 30" circle (U.P.C. 412.7).
• Provide plumbing fixtures, water closet clearances and shower sizes per U.P.C.
SPECIFIC REQUIREMENTS
1. Provide safety glazing in all hazardous locations (U.B.C. section 2406).
2. ` Garage firewall separation — required on garage side, including supporting walls and posts (U.B.C. section 302.4 exception
#3).
3. Install smoke detectors as per the requirements of U.B.C. section 310.9.1.
4. Special roof covering required, class B minimum.
' S, Provide 2 separate exits from the third story (U.B.C. section 1004.2.3.2 exception #4).
6. Every bedroom shall have at least one operable window or door. Windows shall have a minimum net clear openable area
of 5.7 square feet. Additionally, the window shall have a minimum net clear openable height of 24" and a minimum net
clear openable width of 20". The window sill height shall not be more than 44" above the floor (U.B.C. 310.4).
COLOR CODE USED ON PLANS
Blue = Engineering Pink = Firewall
Green = Braced wall panels Yellow = Important
COMPLY WITH ITEMS INDICATED BELOW
❑ Your parcel lies within a designated 100 -year flood plain. Finish floor shall be a minimum of one foot above the
elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required
Note: We will normally accept the following as compliance with the flood elevation requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24"
above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the 100 -year flood
' elevation.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square
inch for every square foot of enclosed area.
' S. -The bottom of the openings shallbe no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater.
7. All building materials below the 100 -year flood elevation must be of fire-resistant material.
❑ Fire sprinklers are required in this structure.
❑. This parcel is located within the California Department of Forestry and Fire Protection area. Compliance with the
attached CDF fire safe requirements will be necessary.
® All structures and equipment including overhangs shall be clear of all easements.
A setback of ' from the side and 5— 'from the rear property lines and 20 feet (25 feet if Federal Aid Route)
from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang.
® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a
California registered engineer or licensed architect.
Page 2 of 2 Owners Name: U -G u.o
Building Permit Number: -,f In 7
Plans Examiner: Martha Christy
F
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ENVIRONMENTAL HEALTH
JUL 14 2003
7 COUNTY CENTER DRIVE.
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O.B.-1
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1� I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES m. NO ❑ .
2. I HAVE 9 HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
/1
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE
SI NED:
PROPERTYOWNER:
FOCLM E ER:
DATE;
N TE:
-/L/—D,3
TYPE OF WORK
This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.- I
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible,
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which theyr
apply. ,i
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should.
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation'insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely, y
✓w �
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection !
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
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ENVIRONMENTAL HEALTH
JUL 14'2003
7 COUNTY CENTER DRIVE
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