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Home My WebLink About005-404-006t � 005-404-006 PERMIT#97-1326 JOHNSON, Edward 1414 Boucher St., Chico Cont: Chico Electric Ele Ser Ch/SF 005-404-006 99-1891 • JOHNSON, EDWARD 1414 BOUCHER ROAD. CHICO CONTR: OWNER ; na J GAS LINE REPAIR . Y r 005404-006 99-1891 JOHNSON, EDWARD 1414 BOUCHER ROAD, CHICO CONTR: OWNER GAS LINE REPAIR r OFFICE COPY !n Address GAS Meter By Date ELECTRIC Meter By Date vv s 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 NUMBER005-404-006ZONIN 4 O AR 1 BUILDING PERMIT OWNER - ;. EDWARD -JOHNSON TELEP O E x—$975 SO. FT. OCC. BUILDING VALUATION - . OWNERS MAILING ADDRESS P.O. BOX 1667, CHICO 95927 r a (� CONTRACTOR'S NAME OWNER TELEPHONE . CONTRACTORS MAILING ADDRESS i CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ± Plan Checking Fee $ BUILDING ADDRESS 1414 BOUCHER. CHIC0 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PAROL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap - 1 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY ( Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 A! TYPE OF WORK New❑ Addition ❑ Remodel ❑ Utilities 13 Installation ❑ Other ❑ Describe Work: GAS LINE REPAIR � Gas piping system 1 - 5 outlets 15.010- 5.00New Building sewer 15.00 Mobile Home S G W @20.00 �. PERMIT FEE $� t ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LES Main Service 200A OR LESSS 23.00 LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter a 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 Law for the following reason: fp/, 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 licensedcontractors 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 IAk (The above sections need not be completed if the permit is for work of a valuation of>one hundred dollars ($100) or less.) Q 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 forthwith comply -with those provisions. Date ?//G/Q Signature of Applicant - caner ❑ 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 200A To L000A 46.00 NEW CONST. OW EWNG OCCUP. SO OR ADDNS. a ACC. BLDs. NEW CONST. MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS a sINGLE GvrLFT CIR. 20 @ +'00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. ounE s R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolingt Hood 6.50; Ventilation , PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1 / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dattee� Date ) Receipt No. 3Sv �✓ WHITE-D.D.S.-B.D. CA ARY-A ES OR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 RMI. NO. (Rev. 12/96) APPLICATION AND"PERMIT J ASSESSOR PARCEL NUMBER 005-404-006 ZONING AR BUILDING PERMIT OWNER EDWARD JOHNSON TEL 4 8975 SO Fr. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 1667, CHICO 95927 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1414 BOUCHER, CHICO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describe Work: GAS LINE REPAIR Gas piping system 1 - 5 outlets 15.00 5.00 Building sewer 15.00 Mobile Home TS -G -W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFling 800VMain Service zoOA 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foj the following reason: Q/I, as owner of the property, or my employees with wages astheir 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 46.00NEW CONST. DWELLING Occup. OR ADDNS. ( a ACC. BLDS. SD 3.5¢FT: ,OµRESID MULTI.BRANCH CIRCUT 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET oRFIXTURES 20°'•0° BAL @ .50 Ex. Occup. oirnFrs Ro .) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring fl 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation gone hundred dollars ($100) or less.) U000l 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 �complyith those provisions. X � ' p Date d 1&1q Signature of A • p (cant - caner ❑ Contractor ❑ Agent An OSHA perms 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 TOTAL FEE $ 35.00 HAz. D PEES IMP FLOOD CDF PARCEL PDHD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON OQ I D provisions to do work paid. a - ,, Receipt No. TO 7 77-3FAM WHITE-D.D.S.-B.D. CANARY -A ES OR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signapu+a. Please complete and return this information at your earliest opportunity to avoid imnecessary delay. in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally planjo provide the ajor labor and materials for construction of the proposed property imp vement : YES NO C3 - 2. I HAVE Er HAVE NOT C3 signed an application for a building permit for the proposed aeilc. 3. I have contracted with the following person (firm) to provide the proposed eonstri cddn::;; -NAME; ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ...._Rana • 4. I plan to provide portions of this work, but I have hired the .following person to c . 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:' SOCIAL SECURITY DATE: Y Owner -Builder Verification is required by Section 198.31— _19U California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I 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 -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. : - r . 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: '+ f... A ♦ 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 conti ictors`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 *Xes, *orkers compensation insurance, disability insurance costs, and unemployment compensation contribution& ,. ♦ There may be financial risks for you if you do not c out these obligations, and these risks are e ecial 1 r y y y arty sp - ly� serous with respect to worker's compensation insurance.. ._ %-i-. "' = ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Serviee.(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 througr. h their own employees, without a licensed contractor or subcontractor, only under'lithkid 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 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. 4icly, '�1 l C. Vi iia,C.B.O. r, Building Inspection NOTE: This Owner-Builder,Informadon is required by Section 19830 of the California health and Safely Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVEL40PMENTSERVICES - -" -7 County Center Drive - Oroville—California 95965 - Telephone (Rev.12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541?"" _'IRMITo. ASSESSOR PARCEL NUMBER .005-404-006 ZONING AR BUILDING PERMIT 0 OWNER EDWARD JOHNSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CHICO ELECTRIC TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 36 W FATON RD., CHICO, CA 99998 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1414 ROTICTIF ST_ C14TCO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFXX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ELECTRICAL SERVICE UPGRADE 100 AMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home T§ G W 920.00 PERMIT FEE S 1 ELECTRICAL PERMIT Fling Fee 20.00 - Main Service IIIV OR LESS zooA oR Less 2 23.00 •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.P License Class C t C> Lic. No. 4 % W 3N 5 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 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 CA I'k ir,S_ Main Service ( TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( & ACC. BLDS. 3.50FT. NEW CON5T. MULTI -OUTLET NON-RESID. C c 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS o FIXED Ex. Occup. OUTLETSPRES D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE—TNSPECTION 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number M `4-0-f tj Q1 l ► C - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X ?�_Cdc,� ____ Date _L,-�=q-7 Signature of Applicant - ❑ Ow er ❑ ContractoZDAgent An OSHA permit is required for ex vations over 5'0"and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the a County ode and/or Resolutions to do work indic ed for hich fees have been paid. By Date Q PERMIT EXPIRES ON /� 7 Date ReceiptNo. 222270 WHITE-D.D.S.-B.D. CANARY -ASSESSOR .. PINK -INSPECTOR GOLDENROD -APPLICANT '�-,,�(..T:.�"S'ti.,."�'Yr'.v^•nr `'�`'�R'.'7+y��i'Tk: �.t'!�+'�i ya�y�{tii �� '1. �� ,�i.��J�'Fy; "'J+'il�i^�1:,t1Y"'� :T�.�.h+"•`.T��,•,._.�'�y� R. ... 1 a COUNTY OFBUTTE'- DEPARTMENT OF DQE;fDPMENT SERVICES -BUILDING DIVISI N - - 7 COUNTY CENTER DRIVE= OROVILLE;AI:IFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET t OWNER: - ASSESSOR PARCEAt L ER: Proposed Building Use: Building Inspector: At time of permit application, was advised the following data must be submitted prior to permit processing and/or issuance: ` Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 0.2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ j.- E16. ._.❑6. Energy Design Compliance and supporting documentation.=="i ------ _-- --= i ---------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------- 4 ----------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ,,:,'C "El 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. E oachment Permit for drivewayconstruction a royal prior to occupancy) ----------------- ' ( PP P P Y)- ---------- . Pre -inspection for ��`�- required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------- `------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. ----- -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or,expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, ❑Grant Deed, 0 M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ! ------- When you issue the permit, process as follows ❑ Mail to owner, Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. t Applicant:1 � QIDate: 6-Q3 `3 7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: - ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 13Plan Cabinet, 11A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division.