HomeMy WebLinkAbout028-310-044,
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_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-71 _ O PE I No
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
028-31-0-044
ZONING
BUILDING PERMIT
OWNER
MICHAEL AND DIRRA MCKENNA
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
-679-24,59
. OWNER'S MAILING ADDRESS
67 SICENRITER LANE, 'RANCOR CA 95914
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
&1`97' ° MEITER, BANGOR
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SP Duplex ❑ Mobiiehome ❑ Other
SPECIFY
Each Trap
7.00
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 ❑ j{
Describe Work: REPAIR AND RFPT,AC'.F. RT,E SFR R.
INSTALL HEATER
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Fee 20.00
800V 0 ' UESFiling
Main Service 20OAORLESS
23.00 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
I hereby affirm under penalty of perjury that I_ am exempt from the Contractors License
La for the following reason:
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.
❑ 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
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO tOooA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
S°
3.5QFT:
T.
NONNEW REESID. MULTI.OL c
g7.50
POWGERLE APUTLErPARATUS
8 SIN
OCIR.
Ex. Occu OUTLET ORFDCTUREs
20°''00
BAL O .SO
MED
Ex. Occup. OuTrs ROE,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ 35 00
Policy Number
(The above sections need riot be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
l� I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply ith those provisions.
Date ��
Vgnatur of Applicant - t$ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
$ 136.00
HAZ.
D. FEES
ETOTALE
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicate above for which fees have
1
y A40
PERMIT EXPIRES ON
I f
the applicable provisions
Resolutions to do work
been paid.
Date
e Q011
D e
Receipt No. ra3a,459K
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
.t
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your si
Soatut+e.
Please complete and return this information at your earliest opportunity to avoid unnecessary dpi
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed.
property improvement: YES EP NO 13 '
I HAVE a HAVE NOT 13 signed an application for a building permit for the proposed
3. I have contracted with the following person (firm) to provide the proposed construction;>a.
NA_
ADDRESS: CITY:
4.
PHONE: CONTRACTOR'S LICENSE NO.
I plan to provide portions of this work, but I have hired the'followin8 n to coo
p� rdutate; .
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
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:
PROPERTYOWNER•
�_&U -uv
SOCIAL SECURITY NUMBER:
DATE:.
NOTE: 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 ___1
Dear Property Owner:
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-buildee, 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 perforating 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:
♦ Ifyou,�mploy 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.including state and federal income tax withholding, federal social security :taxes,
workers* compensation insurance, disability insurance costs, and unemployment compensation contnbutions.
.. ,..r .
♦ 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 SwAce (and,
if you wish, the U.S. Small Business Administration). For more specific informatiori 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 contractprs may be obtained by contacting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 958.14.
Please complete the "Owner Builder Verification" bn 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.
i rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Builder.lnjormation is required by Section 19830 of the California Healdt and Safety Code-
OVER
oda
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) ,APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 00-8", 3LD
ZONNQ BUILDING PERMIT
I ►1i� 1 rr�fD�_ IYI� nrrm„� /T"E�rlc� SO• FT• I OCC. L BUILDING VALUATION
RAME
Crows NA`�. f
CONTRACTOR'S MALING ADDRESS
OOMTRU07M LENDER
LENDERS MAILING ADDRESS
ARCHITECT OR EN WNEEA
ARCWTECT OR ENGNEER S MAILING ADDRESS
BUI DOMADORESS I L-4
Lor NO. I SUBDIVISION'S NNMIE
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other it
Receipt No,
WHITE•D.D.S.•B.D..
Total Valuatlon Is
.Filina Fee
S
35.1 W
Permit Fee
$
Main Service
Plan Checking Fee
$
Main Service L
Energy Plan Checking Fee
$
NEW COMET.DwELLM
OR ADONS.
OCCUP.
i . _ m nc )
S
PERMIT FEE
$
PLUMBING PERMIT
Fling Fee
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
020.00
00
20.00
EX. O CU . OUTLET OR FIXTURES IeAL " 3
.so
Ex. Occu 7OAPPLVS. OR
olmr. ESIO. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 vP3,tU
PERMIT FEE taoldu
MECHANICAL PERMIT Fling Fee 20.00
—Heating�S
—Cooling
Hood 6.50
Ventilation
PERMIT FEE S
—Mobile Home Installation Fee S
Energy Inspection Fee S
OCC CONST' TYPE TOTAL FEE ;
MAZ 10. FEES I IMP I FLOOD I COF I PARCEL I PD I HD I ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
SOR PINK -INSPECTOR GOLDENROD•APPLICANT
Date
PERMIT FEE S
35.1 W
ELECTRICAL PERMIT
•Filln 'Fee 20.00
Main Service
ow ooR =
23.00 o;2S &C
Main Service L
200A TO 1000A
46.00
NEW COMET.DwELLM
OR ADONS.
OCCUP.
i . _ m nc )
sO.
3.5t—
EX. O CU . OUTLET OR FIXTURES IeAL " 3
.so
Ex. Occu 7OAPPLVS. OR
olmr. ESIO. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 vP3,tU
PERMIT FEE taoldu
MECHANICAL PERMIT Fling Fee 20.00
—Heating�S
—Cooling
Hood 6.50
Ventilation
PERMIT FEE S
—Mobile Home Installation Fee S
Energy Inspection Fee S
OCC CONST' TYPE TOTAL FEE ;
MAZ 10. FEES I IMP I FLOOD I COF I PARCEL I PD I HD I ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
SOR PINK -INSPECTOR GOLDENROD•APPLICANT
Date