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HomeMy WebLinkAbout021-070-047"021'07-0447DILLAFiD Wesley i �ILLAR�, SL .; „' T----'— 94g -67B IS OA r�,� 1526-67-P � �F 1446 LEW , , :GRID 'EY -67E A4, `�CONTR DOWNER '`• �" _ RE ROOF; �, . L A� e/s Lewis Oak Rd . 500no. of -.Little Ave Gridley �' CONTR: Joe.•Wright, . PBox 674, Gridley :;?Y i (new single family)'• i of • - - ... sr�` �` F n • i. • i t S o • 1 J 1 d ' !I •1r S y ' • rf "021'07-0447DILLAFiD Wesley i �ILLAR�, SL .; „' T----'— 94g -67B IS OA r�,� 1526-67-P � �F 1446 LEW , , :GRID 'EY -67E A4, `�CONTR DOWNER '`• �" _ RE ROOF; �, . L A� e/s Lewis Oak Rd . 500no. of -.Little Ave Gridley �' CONTR: Joe.•Wright, . PBox 674, Gridley :;?Y i (new single family)'• i of • - - ... sr�` �` F n • i. • i t S o • 1 J 1 ,. _ _ • I �` J + � r -' �t 4�yry r.�r rl + . .� 1, ,e2%:?F':d,. }i;::��:y' . � ,;. 1 .. � � S E ,�, J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MI No. (Rev. 12/96) APPLICATION AND PERMIT &__ - ASSESSOR PARCEL NUMBER 021-070-04 ZONING BUILDING PERMIT OWNER WESLEY DILLARD TELEPHONE & SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7T t) s CONTRACTOR'S NA — 1 CA /5 v TELEPHONE CONTRACTORS MAILING ADDRESS 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 1446 LFNIS W RD.s GRIDIFY Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Or 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 ❑ Installation ❑ Other ❑ Describe Work: REROOF 34 SO COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMITFling Feel 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 com (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for.the following reason: [i.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. E,. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) Irl 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. • 1 n Date / f l j -Signature of Applicant - ❑ Owner ❑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 1000A 46.00NEW CONST. DWELLING occuP. so OR ADONS. ( a ACC. BLDS. 3.5Q�; NEW OST ' MULTI.OUTLET NON-RESID. @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDRURES BAL O 1.500 Ex. Occup. ouxnEEDTSA(RREES,6.LNSoEw 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES IMP I 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 above for which fees have been paid. ` J Date O PERMIT EXPIRES ON De Receipt No. WHITE-D.D.S.-B.D. CANAL -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �h - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P I, O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 021-070-047 ZONING BUILDING PERMIT OWNER WESLEY DILLARD TELEPHONE 846-4377 SO. FT. OCC. BUILDING VALUATION 2040 . OWNERS MAILING ADDRESS 1446 TMJ CONTRACTOR'S NA . 7 6A 95948 TELEPHONE OWNER CONTRACTORS MAILING ADDRESS 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 1446 LEWIS OAK Energy Plan Checking Fee $ $ PERMIT FEE $ 74,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF )UC Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF 34 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LES Main Service zo.A 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 fgthe following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46. 00 CCU000A WEE200A NEW CONST. DWELLING occuP. O AD oNS. ( ACCO. BILDS. so 3.5QFG; M NO RfSID. CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOCTURES pIaBay Ex. Occup. oFlx�eED�A PP ES, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number heabove sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) Zof 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. d X� Date do Ignature of AppI' nt - ❑ Owner ❑ ontractor ❑ Age An OSHA permit is squired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicateo above for which fees have been paid. _ Q Date V PERMIT EXPIRES ON " thkl e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT c'' • `COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 No. (Rev.IZV6) APPLICATION AND PERMIT 0-70-- Q 4 7 ZONIW BUILDING PERMIT N°rk?-j-7 LSO. FT. f OCC. I BUILDING VALUATION is Oak. i 6101V EX. OCCU RXEO APPLNS O.R. GIBLETS ESIO. 5.00 Temporary Service MCTO77 INH Mobile Home Facilities 1lLlPIgN! Misc. Wiring 23.00 _777'm 00"rRACT0111 U06110q"J ADORUS COMT14lCT10N LEMER LENDER" MAIU10 ADORUS Fireplace Total Valuation b ARCNrrECT OR ENGINEER UCENse No. Filing Fee b 20.00 ARCHITECT OR ENONEER'S MAJUNO ADDRESS Permit BeF b ,T- , Plan Checking Fee b OULMO ADDRESS Energy Plan Checking Fee b � b PERMIT FEE b IGT NO. SUaDIValONSNAME PARCqL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other BPEcsY 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 ❑'rRemodel ❑ Utilities ❑ Instigation Describe Work: Y e. �`� �LA ❑ Other, �'l� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home tS I G I W 1 (920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service eoov OR LE S za.OR LESS 23.00 Main Service TooA TO 1006A 48.00 NEW CONST. OWELLNO OCCUP. OR ADONS. A ACC. BLDS. 3.5Q f{, MULTFOUTLET ` NOKRESID. BRANCH CIRCILMM / /� l=, 7.50 EX.. OCCU . OUTLET OR FIXTURES g w aAL .SO EX. OCCU RXEO APPLNS O.R. GIBLETS ESIO. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE b P I MECHANICAL PERMIT Fling Fee 1 20.00 1 Hood I 1 8.501 1 Mobile Home Installation Fee b l Energy Inspection fee b O" CONST. TYPE TOTAL FEE $ �Z• D. fEE4 IMP I FLOOD I COf I PARCEL ,PD I ND 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 Date V PERMIT EXPIRES ON ro 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 *M . be issued until this verification is received. 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[Lj"' NO[ ]. 2. I HAVE[v] HAVE NOT[ ] signed an application' for :a binding permit for the proposed work....: 3. I have contracted with the following person (firm) to provide.: the -proposed construction: NAME: ADDRESS. CITY: 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 followip&4wsons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: J PROPERTY OWNER: 10J, 0_�� SOCL-kL 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. Mav 1995 2.26 r 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 ok'r6ord 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 t you plan to subcontract, you should be aware of the following information for your benefit and protection: - 0 If you employ or otherwise engage any'persons other than your immediate family, and the work-(mcluding 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. 0 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. . 0 There may be financial risks for you if you do not carry out these obligations,4and these risks esp are.ecially serious with respect to worker's compensation insurance. . .. 0 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 r 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 "ownerbuilder" 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 Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0,.�%.-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27