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HomeMy WebLinkAbout007-350-002C"DA0.4-77-1 ll F L31 16. John 1Y. rake 3211 Silverbell Rd., lot30, Joshua Tree#2, Chico Per it #1.302-79B(new single family) ` 7T ,Nsr�� ,,44-Q contra Gore & White Plbg., Chico Permit #k1577-79P(plbg.for #1302-79) Contr: McClelland AC i P rmit ##3364-79M(mech/1302-79) 44 Contr: Foxlectric Permit ##3622-79E (ele/1302-79) SF L v B06=2246) "'c 007-350-002. Mi§CELLANEOUS s -.Re-Roo ` RE-ROOF (20 SQ)4 ' ' 4 3211. SILVERBELL RD o - 7AUREGUI,',GUSTAVO ETAL _ C"DA0.4-77-1 Lo PERMIT NO. 1302-79B i ;i PERMIT EXPIRES ;AWNER John D. Drake owner CONTR. 44-053-73 port. "LOCATION (A.P. ) 3211 Silverbell Rd., lot 30, Joshua Tree#2, Chico ,r F� ) tyy I{ ' ' 4 Temp. Power Pole Called PG&E Temp. Elea Serv.. Called PG&E _ Tefffft. Gas Serv. _ ?i Called PG&E _ JOB i' FINALED_� (Date) f (Signa Bond Beam z FIRE SPRJbWLERS Motors �— Fra Ing _9 1 Water Htr.—� Stucco 4 zFinal t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Subpanels BUILDING INSPECTION RECORD MECHANICAL"' Gird. Fault Prot. C Scratc Heating /,-- / B L NG BUILDING (Cont'd) Cooling PLUMBING Setback Firewall Soil Piping Forms ffParapets Interior Lath 1st Floor / Main Bldg. Restroom Finish 2nd Floor 960 Footings'_Windows MOBILEHOME UTILITIES ------------------ 3rd Floor Stemwall Siding To out oe —� Slab Roof Sheathingl 1 Water Pile* Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings gJAI Garage Vents """— Water Htr. Stemwall Insulation Heaters Slab Prov. for phslcally Appliances Carport Po handica ed Conformance of ex. Gas PI in & Test Footings structure • Temp. Gas Slab Final L5/, Sanitation r Patio FIREPLACE Final _ , Footings Footin ECT C Masonry Walls ThroatRou h Reinf. Steel Final % Fixtures Bond Beam z FIRE SPRJbWLERS Motors �— Fra Ing _9 Test Water Htr.—� Stucco 4 zFinal Subpanels Mesh MECHANICAL"' Gird. Fault Prot. C Scratc Heating /,-- / Service ��---� Brown Cooling Temp. Pole Finish Ducts Underground •-------— Interior Lath Ventilation / Permanent, 1 Door Closer Final 960 - Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1/ COUNTY OF,BUTI"E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ^Z X Date 2Z3 7 Signature of ermitee or A ent Receipt No. 19gs3� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B ounty Code and/or resolutions to do work indicated ar for hich es hake been paid. R C.TV'LR CIR PUBLIC WORKS Byy/Da Building permit expires Date a BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 7vR_i hi/7 L(f X4& , Mai I i ng Address �T- LJ 8®)( 4,06 Fireplace Total Valuation C ^ �� Vel J Permit Fee Building Address �2/� c�/�V�� ��L(,� �D, Plant Penalty FckingFee&/or Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,Q Each Traa 1.50 a , Dpi �� s 4,j7 ;4�/ �in « Repair drainage or vent piping 1.50 A. P. No. `t�`r�/ " 0_63 �3LPo,�r 8' Planning Water piping 1.50 -_3_ZZonin Each gas water heater or vent 1.50 F s 6-C� it Sanattan Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 , EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BId ans ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER FE Permit Fee $ D $ PL(IA46 . Ao- R- . 6P 1,5az_7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS MSS 5.00 100 AMP OR LE Single Family P3""' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service O100 AVERMeoov POR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADONST ( ACCLBLDGSCCUP. &'� 124; sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ` it �L n / ' ,e /' w(�,�,P .JY� b I -e- LC NEW CONSTR RANCH CIRCUITS) NON-RESID. ( BRANCH CIRCUITS) 2TLET .50ea NEW CONSTR. (POWER APPARATUS.5 NON -RES,D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BAL01 TS (RESAPPLNS. OR \ .2 00 Ex. Occup (OUTLETS OUTLETS (RESID) EA/ Temporary service 10.00 Mobile Home Facilities 15.00 / C License No. Classification 105 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. jQ� I have placed on file with the County of Butte a certificate of /+ Workmen's Compensation Insurance. r -1I 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and herebv Land Development Fee $ TOTAL PERMIT FEE > is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ^Z X Date 2Z3 7 Signature of ermitee or A ent Receipt No. 19gs3� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B ounty Code and/or resolutions to do work indicated ar for hich es hake been paid. R C.TV'LR CIR PUBLIC WORKS Byy/Da Building permit expires Date a JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of 4)CI ,, the Butte Coun:ty!Code and/or resolutions to do work indicated above for which fees have beenpLcL IRECTQR OF BLIC WORKS By — Date _�/Z/zy permit expires Date __3 -- 57-0-- 77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng AddrdJs Telephone No. Contractor.02 Q Mailing Addressom- 11C / Fireplace Total Valuation No. TelephoneF-91-426.2 ro0.2Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE oA PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _ — O S , f—Ling & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4,:fs veGI I Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B149—P+w —R,,'d Parcel Aperoyal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ v A -A o a -- ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 // Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. 'I) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style ff: /1/�� �., / e C✓C w Q t2of at . C,IJ/1G�. Thr . NEW CESI TD BRANC OUTL T NEW CO ID BRANCH CIRCUITS 2.50ea NEW CONSTPOWER APPARATUS 8 NON -RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES g L� FIXED EX. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 ��/��rl C� 9 Mobile Home Facilities 15.00 License No. �`�,a� Classification C �D Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability. for Workmen's Compensation. (� I have placed on file with the County of Butte a certificate of Y� Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws�df;3IL California. 'UY4 PERMIT FILING FEE $3.00 0 p Heating / ,v Cooling aT / •� Ventilation Hood*tI 2.00 Permit Fee $ $ [}� 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ /3 �� authorize representatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of 4)CI ,, the Butte Coun:ty!Code and/or resolutions to do work indicated above for which fees have beenpLcL IRECTQR OF BLIC WORKS By — Date _�/Z/zy permit expires Date __3 -- 57-0-- 77 9,!V, igizilizliTTl0Tl6181b Ile wv 6614 Noir SAN" 0I18nd d® 'Adan I"nl 99 AANnQO I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT / Owner Mailing kdodress Telephone No. Contractor Mailing Address494" o. �= >/ Building Address A. P. No. ^ 0-j5 �"% u-�/ I IZJ.ning & Planning Fees n 're Dept. I FireZone Use Permit EQAI Plans Parking I Declaration p p Parcel I Parcel Ma I 60' R/W I Improvements Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: e - fox �Lrci ,License No. 3Qe53 Classification G O I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Da te L,.J_/ Signature of Petee arr/Age Receipt No. e_a - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING D SQ. FT. OCC. I BUILDING VALUATION Fireplace I +_ Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee 600V OR LESS 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee Ex. OCCup.(OFUTLETSP(RESID.)REA) ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. DW AC UP. Y AC L 22sgft NEW CONSTR. unn,-RFSIn_ If MULTI-OUTI-t-1 BRANCH CIRCUITS)i 12.50ea Ex. OCCUDIOUTLETS OR FIXTIIRES� Ex. OCCup.(OFUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 90 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. ' D F PUABW ORKS B 00, ate 15- I#hvrpermit expires Date ^�©•—g® COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the Gou ty of t3utte to enter upon the aboZ prooper for ins a on purposes. l(vDate 3 /'y Signature o P r orAAggeeent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR 0 PUBLIC WORKS By a leN� Date -3,;—a. ilding permit expires Date 3 BUILDING Owner a SQ. FT. OCC. BUILDING VALUATtOe— IW4 Mailing Address ,. o d ) _ Contractor Mailing Address Fireplace �-- Total Valuation Telephone No. Permit Fee Building Address �/ Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / T A. P. No. ^ ('j Zoni °"fanning Water piping 1.50 Each gas water heater or vent 1.50 s S t on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans rcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Plans (.P Parcell/val I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑J Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Familyar Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING 1 OR ADDNS. ( ACC. BLDGSCCUP. !i� 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONST R -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS B NON-RESID. %SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L25 FIXED ALNS. Ex. Occup. (OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. � @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. RI certify that in the performance of the work for which this 1 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Land Development Fee TOTAL PERMIT FEE $ S� authorize representatives of the Gou ty of t3utte to enter upon the aboZ prooper for ins a on purposes. l(vDate 3 /'y Signature o P r orAAggeeent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR 0 PUBLIC WORKS By a leN� Date -3,;—a. ilding permit expires Date 3 Yv toe, 771,7.77-� f �1 E R S E T' . COMPANY ® LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date_ 19 . tLsk't THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN'THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Thickness/TypeJ� R Value J/ CEILINGS Batts: Manufacturer Thickness R Value ^^'' Blown: Manufacturer �� Thickness S No. Bags C Wt:/Bag Sq. Ft. Covered �! R Value- FLOORS alueFLOORS Manufacturer SLAB ON GRADE Thickness/Type R Value Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS anufacturer ��pp�� Th' ck(es(s//T{y�pe�� R Value GEN �rY�+cc A/`��t'"�aLICENSENUMBER `OWN TITLE c�V DATE `1 1 INSU, Lfj�fl0 ONTRACTOR L LICENSE NUMB TITLE AJU DATE SAVE ENERGY - INSULATE! ( DATE) ACCEPTED IrSETP COMPANY r'v ` (Authorized Representative) m ° � This set of plans and spe ifications MUST be � NOTE:—All Materials & orkma41p Shall Be in kept' on the job at all times and it is unlawful to QK Accordance with Recognized Good Practices and make any changes or alters ons on same without of a quality prescribed for the Specified use in the writton pern7ission from the Department of Pub= ` Uniform Building, Plumbing& Mechanical Codes and the National Electrical Coe. lic Works,, County of BuffE.► _ �O�, . _""'� leptic system and location of build- ing drain stub out to be as per, /I �utte County, NQalth Dept„ RW quirements. ON The Bldg. Setback shall be . from the side property line and 50 ft from the I W ti centerline of the road, permitt ng a maxi- mum of a 2 ft. save overhang but entirely out of all easements. NSnW i V6 f � e 3 OUNTY __d_jBUILDING DEPARTMENT APPROVED V6 f � e 3 OUNTY __d_jBUILDING DEPARTMENT APPROVED t =t RESIDENTIAL ENERGY CCVSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN 0 ERVATION REGULATIO S INSTALLEq I CONFORMANCE WITH CURRENT ENERGY C AT (Z 2 C�Si' 30 31\ �i l..Ui(L.�D (lo a t on)XAA—053-73 n�� BUILDING PERMIT N0. ��o� �� A. P. N0. i THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge. Fdn. Walls Floors Walls OK Ceiling/Roof 0 - Ducts Circulating Pipes feu APPROVL•'D HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) N CERT. & LABELED WDS. & SLIDING DRS. v� 5 WEATHERSTKIPPED DRS. "ES BACK DAMPERED FANS Tv— INTERMITTENT IGNITION DEVICES C CERT. APPLIANCES v� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVF. HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIR12-ENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name_ Signature of (please.print) Insulation Applicator State Contractors License No. Gevievel /Owner NaW--Z,4/N '-!) 'T " Signature of ^. /Owne (pose jfrAnt) MDate Jtractors ense No. PHIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING.. A '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) 538-7785 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. ° 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 ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, 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. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IM6;6 PROVEMENT. �OR NO) 2. IVE 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: NAME 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 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 Description: RE -ROOF (20 SQ) Reference Number: B06-2246 Applicant Name: JAUREGUI, GUSTAVO ETAL Signature of Property Owner: Date: / U� 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.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name �C"'p e irs�.,pIame 11 (7 ws 'T av 6 Mailing Address 3ztl City G (,� e� 0 State c ✓1 Zip q 5 7 ,,one 550 - ZZ 4 6 Z 6 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X '&�L For office use only: Zoning Property A dregs 3zi( : Iv e-(- �e o Flood Zone Cross Street C,.� vio✓� SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. () (I-) Q BIN # PROJECT LOCATION AP# O 079— Property A dregs 3zi( : Iv e-(- �e o City C Cross Street C,.� vio✓� WORKER'S COMPENSATION Policy Number Carrier 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 Description or Scope of Work: e 00 -C_ S k�eS 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: Kb . Amount: In. Bldg SRA Receipt #: Sheriff SMIP Datel-lon - V Total 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 PROJECT INFORMATION Site Address: 3211 SILVERBELL RD Owner: Permit No: B06-2246 APN: 007-350-002 JAUREGUI, GUSTAVO ETAL Issued Date: 09/20/2006 By KCG Permit type: MISCELLANEOUS 3211 SILVERBELL RD Subtype: Re -Roof CHICO, CA 95973 Expiration Date: 09/15/2007 Description: RE -ROOF (20 SQ) (530) 228-4626 Occupancy: Zoning: RI 0( Contractor Applicant: Square Footage: JAUREGUI, GUSTAVO ETAL Building Garage Remdl/Addn 3211 SILVERBELL RD CHICO, CA 95973 Other Porch/Patio Total (530)228-4626 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B159 LICENSED, CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 09/20/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date [;;2fLAS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR ` WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements EI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or s ona hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 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' X 09/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signatur Date provisions. X 09/20/2006 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 Signature Date WARNING: FAI RE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop rt owner r am authorized to act on the property owner's behalf. 09/20/2006 CONSTRUCTION LENDING AGENCY arae ofr ittee [SIGN] Print Date 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) BOwner ❑ Contractor OR. F]Agent for Owner Agent for Contractor FILE Lender's Address City State zip