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Home My WebLink About005-404-005005-404-005 PERMIT#97-1325 JOHNSON, Edward �J- 1412 Boucher St., Chico' Cont: Chico Electric Ele Ser Ch/SF 005404-005 99-1775 JOHNSON, Edmond 1412 Boucher, Chico 11(41 Contr: Owner Gas line Repair and Re -tag 11 B06-2281 005-404-005 RESIDENTIAL Remodel Repair damage to SP: porch, replace wind 1412 BOUCHER ST JOHNSON, IRREVOCABLE INTER V s y 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds Site Address: 1412 BOUCHER ST APN: 005-404-005 Permit type: RESIDENTIAL Subtype: Remodel Description: Repair damaee to SF: OWNER PO BOX 1040 CHICO, CA 95927 (530)624-2735 PROJECT INFORMATION Owner: JOHNSON, IRREVOCABLE IN 5521 WEST COMMERCIAL ST NORD, CA 95926 Applicant: ED JOHNSON PO BOX 1040 CHICO, CA 95927 (530)624-2735 FEE INFORMATION Drainage Fees $0.00 Remodel - Residential $714.87 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class ! Expires OWNER I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/25/2006 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. `/) I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by LLL777JJJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier:�[ / zfi ry JV0 Policy Number: L U Exp. Cate -3-1-07 (I his section need n te completed ommpleted if the permit is Tor one hundred dollars ($100)—or-Fess ) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 16 0— �09/25/2006 SignatureDate WARNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Permit No: B06-2281 Issued Date: 09/25/2006 By KCG Expiration Date: 09/20/2007 Occupancy: Zoning: AR Square Footage: Building Garage Remdl/Addn 510 Other Porch/Patio Total Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: UUUUdl, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuart to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this Owner's 09/25/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propQrty owner am authorized to act on the property owner's behalf. :? /C/��Y/� :-_b (? , 9,_9 )-,IA,, S UfL.09/25/2006 �wner ❑ Contractor OR; E]Agent for Owner Agent for Contractor FILE COPY 1S BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last , ams irst Name s Mailinddres910 City /a f �t„_tFL)"f'o State - Zip (15q7 Phone `ol S Fax .. E-mail APPLICANT INFORMATION CONTRACTOR Name ZA Address Zip s City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name ZA Address Zip s City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address nO D !D 40 //'' City �O State , Zip s Phon`�7� - Fax E -ma , APPLICANT SIGNATURE X �_✓ For office yo only: AP# _ 7 Zoning Flood Zone SRA I Yes I No Occ. Policy Number /gz) F3,5g,O 1, Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# _ 7 Pro perty2ddress � � � Ci� G c o Cross Street WORKER'S COMPENSATION Policy Number /gz) F3,5g,O 1, Carrier 6�ak F -4n If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descriptioh or Scope of Work: X11 jS eke L r Vjd .6 1,40 /1110 Sq FT- Living Garage Open Cov. ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 1�•6' Amount: `1.0 Bldg Receipt #: 02�� Date: 9 - 2 -CJ -06 SRA Sheriff "Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone ; (530) 538-77.85 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance cosis, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL A�,,TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.,`fE9OR NO) &/HAVE NOT)) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS 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 TYPE OF WORK Description: Repair damage to SF: porch, replace windows, misc elec/plumb Reference Number: B06-2281 Applicant Name: ED JOHNSON Signature of Property Owner: O Date: p z— s 02,'10/2006 16:51 FAX 530 342 8286 R00II1 TKBNDA 0UWAR 1434 NORMAL AVE. CHICO,CA 95926 PH. 942-8267 0 FAX 342-6266 Classification flDemolition 2 Framing 3 Insulation 4 Sidinr/Exterior Trim 5 Porch 6 Roofing 7 Windows 8 Painting -Exterior 9 Painting -Interior 10 Electrical I I Cabinets 12 Cabinet Finish 13 Kitchen Plumbing Fixtures 14 Front Door/Hardware 15 Plumbing 16 Kitchen Counter 17 Sheetrock 18 Finish Carpentry 19 Vinyl 20 Carpeting 21 Reframe ceiIin 22 Dum ster _ 23 Cleaning 24 Appliance removal and re -install 25 26 27 Subtotals: ROBIN TRENDA (0 001 Date: 10 -Feb -06 $3,971 $2,875 $6,705 x13,551 Overhead & Profit (18%) $2,439.1g Total 51s,99o.1s Estimator: Robin Trenda Owner: Edmund Johnson Estimate no: Project name: Boucher St. ateti$1 Labor Subcontractor costs cost Cost Total! $140 $140 silo $175 $285 $140 $170 $310 $620 _- 5:360 $980 $690 $990 $1,680 $210 $310 $520 $936 $60 5996 _ $820 $820 $770 $770 $200 $250 _$450 _ $1,320 $1,320 $210 $210 $420 $420 $315 $315 $720 0$720_ 5415$41.5 $900 $X $120 5250 -- $370 $560 $560 $670 $670 $70 $100 $170- $320 $320 $140 $140 $70 $70 $3,971 $2,875 $6,705 x13,551 Overhead & Profit (18%) $2,439.1g Total 51s,99o.1s 005-404-005 99--1775 JOHNSON, Edmond / 1412 Boucher, Chico Contr: Owner Gas line Repair and Re -tag F .1 a I sal c�lS� OFFICE COPY Address GAS/6 Meter By Date G ELECTRIC, Meter By Date sal c�lS� D 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 qf—if ASSESSORPARCELNUMS ()� ZONING BUILDING PERMIT OWNER M V1� J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER IT DRESS C, y CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. 1 Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 141a!] iK.i Energy Plan Checking Fee $ 1 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE I SF Duplex ❑ Mobilehome ❑ Other ! SPECIFY I Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ �tUtilities ❑I�Installation ❑ Other ❑ Describe Work: �� / ( iJ T. Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S CF ELECTRICAL PERMIT Fling Fee 20.00 Main Service ..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 Llc. NO. OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: EY 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. ❑ I 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.) [7 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�% ' i / �,/ (./.L Date S �� Signature of Applicant - ❑ Owner ❑ Contractor gent 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 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. S. 3.5¢FT: NPN HEOS,pT. MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLEr OR FIXTURES BAL @ 1. 0 FI Ex. Occup. OFIXNTE S RES 6.) EA 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ 3 TYPE FEE $ HAZ. D. FE IMP FLooD CDF PARCEL PD HD ISSUE ,, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. �y r By 0 Date PERMIT EXPIRES ON Date Receipt No. 4, ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s COUNTY OF BUTTE s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. • A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be'orrected. Please notice this office when correction of work is completed. If you have any Westions pertaining to this matter, or need additional explanation, please contact this office i ediately. �8�n .t s; D 2- f I Mtv 1u/'JL A r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California! 95965 • Telephone (530) 538-7541r PE RIT O. (Rev. 12/96) APPLICATION AND PERMIT elf ASSESSOR PARCEL NUM BE$„t4DY ^ 005- 0 ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr. OCC. BUILDING VALUATION .OWNERD 0ox iisy__ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDINGADDRESS I a f� O udury Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 ❑ Installation [3 Other ❑ Describe Work: _ Gas piping system 1 - 5 outlets 15.00 15.0)1 Buildingsewer 15.00 Mobile Home I S G W @20.00 •iro PERMIT FEE S , ELECTRICAL PERMIT 20.00 RLEFiing'Fee Main Service 200' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am :icensed 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 axempt from the Contractors License Law jor the following reason: lg/ 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 per is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanceof work for which this permit is issued. My workers' compensation insurance carriar and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( a AGC. BLDS. 3.50FT. NO.R.Ip ' MULTI -OUTLET BRANCH rlgcurrs @7,50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 O 1.0000 Ex. Occup. . EDAEs o,DERA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 of one hundred dollars ($100) or less.) 6X 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 seclon 3700 of the Labor Code, I shall forthwith comply wi those provisions. ' Q X Date (— Signature of Applicant - ❑ Owner ❑ Contracbr Agent An OSHA permit is required for excavations over SU' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occPE ,3 TOTAL TAL FEE $ Tj 8 b HAZ. D. FE IMP FLOOD COF _ PARCEL _ PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedove for which fees have been paid. p By Date d PERMIT EXPIRES ON I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-161SPECTOR GOLDENROD -APPLICANT 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 rovide the �Ni)i bor and materials. for construction of the proposed ,property, ement .YES_0 . '2. I HAVE HAVE NOT O signed an application fora building permit for the proposed work. 3. I have contracted with the following person. (firm) to"provide the proposed construction: ' NAME cam.: ,c.( :t'.t ..,It tet •-c•dre •yf ADDRESS: CITY: t PHONE: 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: 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 NUMBER: DATE: l0�1`7 Ci 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. OVER OWNER BUILDER INFORMATION 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 - a c 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: _ __. • t i ` " ' ♦ 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 perforin 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, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 050 005-404-005 PERMIT#97-1325' JOHNSON, Edward 1412 toucher St., Chico Cont: Chico Electric. Ele Ser Ch/SF DETACH FOR SERVING UTILITY Address GAS Date ----- — Meter By ELECTRIC Date Meter BY UTILITY t. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ,PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER EDWARD J01MON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CHICO ELECTRIC TELEPHONE 4 — CONTRACTORS MAILING ADDRESS 36 W EATQN RD., CHIM, CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S 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 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO, SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN 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 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y] Describe Work: ELECTRICA1 SERVICE UPGRADE 100 &MPS Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR Main Service 20 A OR LESS 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 C 1 �� Lic. No. �IS� ` y 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 r ,�a� �,: :, ,. ^'z� Main Service ( 200A TO 1000A 46.00 NEW CONST. DWEwff 000UP. OR ADONS. ( 6 ACC. BLDS. so 3.5¢FT. NON-RESIDT MULTI.OUTLETTS @7,50 POWER APPARATUS 8 SINGLE OUTLET TN. Ex. Occup. OUTLET OR FIXTURES .00 BAL20 @':50 Ex. Occup. OunFrs R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinp 23.00 FKE—INSFEUION 3.00 PERMIT FEE $ • MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number �� wl ,a•{ , ,�— (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _.�. �-( – Date _Lr Signature of Applicant - ❑ 04vner ❑ Contractor Jp Agent An OSHA permit is required forexcavations over 5'0" deep and demolition or construction h of structures over 3 stories in fight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD CFF PARCEL PD I HD ISSUE \71 / This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / ; /, . I By /'� lit ��f ` l PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. r �'� Date Cl- '- (a ' – ry Date Receipt No. LLLL�U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y COUNTY OF BUTTE- DEPARTMENT or- DEAELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT-� ASSESSOR PARCEL NUMBER 005-404-005 ZONING BUILDING PERMIT OWNER EDWARD JOHNSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CHICO ELECTRIC TELEPHONE ' 891-1933 CONTRACTOR'S MAILING ADDRESS 36 W EATON RD CHICO, CA 95928 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 $ BUILDING ADDRESS 1412 BOUCHER ST., CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTiURE SF CY 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 WOWK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ELECTRICAL SERVICE UPGRADE 100 AMPS Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500VMain Service 200A OR LESS 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. His -4 License Class Gi0 Lic.No. H' OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I arc 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. ❑ 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 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. SO 3.5¢x. NEW CONST.MULTI-OUTLET NON-RESID. C CIRCUITS @7.50 APPARATUS 8 SIPOWERNGLE OUTLET CIR. Ex. Occu OUTLET 20@'•00 BAL p .50 Ex. Occup. OUTTLEDTs REESSIOOFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE—INSPECTION 3.00 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 cf consent to self -insure for workers' compensation, as provided for by sect -on 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 ca-rier and policy number are: Carrier CA hF hf Tr,S-_ Policy Number jJ &4 pyo `, IIcu_ (The above sections need not be complettad 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 D * (— �, Date (o_Q�'�7 __ Signature of Applicant - ❑ 0 ner ❑ Contractor XAgent An OSHA permit is required for 4cavations over 60" deep and demolition or construction of structures over 3 stories in h ight. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By / PERMIT EXPIRES ON 6 the applicable provisions Resolutions to do work been paid. / ate 6 4 b 2 e Dae Receipt No. 222270 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINC-INSPECTOR GOLDENROD -APPLICANT M'::' ., .'�v-i �� i:i+�s i.;• . �.C- �F�'.K't . 7 * r Yw>�, i��'.��y +� . '�yfC.'�� .�`•��7!�"oS COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Cen4er Drive, Oroville, CA (916) 538-7541 CORRECTION NOTICE � 'W' -4s o' U (3- - Yo OWNER PERMIT NO. A routine inspection indicates thet the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pl ase contact this office immed ately. 511 1 Alz2oe5 D hid ,-,C- ��s�-�a//ems .� ke f i- w/li'-- /SSu2lt::�. Date - Inspector REV10/92 OWNER:) LOCATION: PRE-INSPtCTION r CONTRACTOR: C- 4 ! CO DATE - 3 �" 7 A.P. # oor- TO C(--DcjS^ ZONING ------------------ PRE-INSPECTION FOR: DATE TO INSPECTOR ----------------------------------------- ------ ----------- PERMIT HISTORY: IfF NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED D HAS ELECTRIC HAS GAS [:]HAS SANITATION FACILITIES Q HEATED -COOLED F-1 PERSON CONTACTED OTHER COMMENTS: r�S i ACTIO-4'REC ENDED +' a ISSUE OTHER: AufL BY HOLD FOR /dAP f�s d- D /-24 J e , rJe,,-J L,//',� reA_ "-(-ems /,^j DATE a //,? --) /�