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Home My WebLink About021-320-0086 .021'-320 008', + its PERMIT#95 19'71 SMITH,'-Udell�'„x" * , ': 595 Lalovi 'Dr ,-jGrid1ey 021-320-008 ,; 04-0319 , SMITH;-UDELL 595 LIALOVI DR,rGRIDLEY CONT:' OWNERS REPLACE HVAC/SF Smith, Udell — `J _962__69B# 725=6gB - --- 354-69E, a�- 3 �f -a� 33 - P - — — 8 1 '1 / a a 6 .021'-320 008', + its PERMIT#95 19'71 SMITH,'-Udell�'„x" * , ': 595 Lalovi 'Dr ,-jGrid1ey 021-320-008 ,; 04-0319 , SMITH;-UDELL 595 LIALOVI DR,rGRIDLEY CONT:' OWNERS REPLACE HVAC/SF Smith, Udell — `J _962__69B# 725=6gB - --- 354-69E, a�- 3 �f -a� 33 - P - — — 8 1 '1 / a 1 1 1 I' Y o � i I • ' r / I �" � fVC't-�CJ1 �� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1NO. (Rev. 12/96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER 021-320-008 ZONING BUILDING PERMIT OWNER UDELL SMITH TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 595 LALOVI DR GRIDLEY CA 95948 CONTRACTORS NAME 0 W LVl:�I.\ TELEPHONE CONTRACTOR'S 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 MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 595 LALOVI DR GRID= Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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. 0 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REP> .AC;F, EX HVA( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 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 46.00NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. SO 3.S¢Fr: No RES 0. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE DurLEr CIR. Ex. Occup. CUTLET OR FDRURES 20 Q 1.00 BAL .50 Ex. Occup. oLIn,is ALID,DEA 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 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 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 forthwit ply Ywit,,those rovisions. Date �D��qof ature of Appli ant - Owner ❑Contractor ❑Agent R SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAz. D FEES IMP I FLOOD I CDF PARCEL I PD 71 ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which leeshave been paid. 2 D e J PERMIT EXPIRES O ate Receipt No. WHITE-D.D.S.-B.D. CANAR - SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -7r -A ,oma R O• (Rev. 12/96) APPLICATION AND PERMIT (� ASSESSOR PARCELNU ZONING BUILDING PERMIT OWNER A nIJA OI TELEPHONE SO. FT. I OCC. BUILDING VALUATION w CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADORESS Energy Plan Checking Fee $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFjk Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon OR LEss 23.00 PERMIT FEE PAID $ SRA$ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # Main Service 200A TO 1000A 46.00 NEW CONST. DWELLwG OCCUP. 3.5Q F7. OR AODNS. b ACC. BLOC.. NEW c0 MULTI -OUTLET NDNRE51D. @7.50 POWER APPARATUS 8 SWGLE OUTLET CI0. OUTLET OR FIXTURES 20 @ I. Ex. Occup.SAL ® .So Ex. Occup. ounETs s APPLNS)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood . 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ HAZ I D. FEESIMP I FLOOD I cDF PARCEL I pp I HD I ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dafe �s-G7�'elma��rv7Vt•.a��'y;��p�iv,='�gMf"/-�•,r.��r�..:yar._rti :•y,�gr�j',�t+w Y > J'f ltfd'�= t :r�m�;-m!�w�x';x . �. •s�'L<'i'�v�T"lre.�,�.:-.�-.. • c.��ar•-�a�,�i"+:vNy7-�y•++�+.wriY..... _ r a r - • ,021 '32-X008 t�,._ k_ PERMIT#95- SMITH, 'Udell ` ,3 595 Lalovi Dr .," Gridle f s > y ;V Reroof/SF Y P J � s qr� i 1 ' s t 1 i 1 / 1 i x� ,sj' COUNTY OF BUTTE - DEPARTMENT OFf DEVEkOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT -Z 70` zq �y ASSESSOR PARCEL NUMBER 021 -32O -W8 ZONING BUILDI PERMIT Ir OWNER tfiELL SMITH TELEPHONE 84 SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 595 TALOVI DR CONTRACTOR'S NAME r-� 0W lY Cali EL TEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Ui I OWN Total Valuation $ LENDER'S MAUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ 26,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Q VT PERMITFEE $ 40. PLUMBING PERMIT Fili g Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S -ME PARCEL MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF ER Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑y, Describe Work: REROOF 12 SQ COMP Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 2 0:0 0 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 pass Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.5Q FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ( OUTLE°Ts RESID.)EA) I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: �O- 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.) 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. "'D .. ,�lv' Date 0 .50� 5 _ -Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST; TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been PL - �Y Date PERMITEXPIRESON /1,5 (Dat) provisions to do work paid. / k r Receipt No, ,4 /§(.1� WHITE -D. D.S.�g'.D' _ CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF OEVECbPMENT SERVICES - BUILDING DTVI ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-320-008 ZONING BUILDI PERMIT OWNER UDELL SMITH TELEPHONE 846-2289 SO. Fr, OCC. - BUILDING VALUATION OWNERS MAILING ADDRESS 595 LALOVI DR 790-00 CONTRACTOR'S NAME 041NER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE S PLUMBINGPERMIT Fili g Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REROOF. 12 SO COMP Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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.Ex. - License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: tai, 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 NEW CONST. DWELLING OCCUR \ OR ADDNS. ( a ACC. BUDS. / SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER ( ,PON a OUTLETAPPARATCIR. ) Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. oFT�s A sE S. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. ❑ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 wit ose provisions. _ Date �� 1g4naurZeof Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD MO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ove for which fees have B in PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date u AS] (Dat ) Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I But4._!71i RIEFE XNX: Attention Property Owner: An "owner -builder" budding 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. I personally plan to provide the major labor and materials for construction of the'. proposed property improvement :YES [pl. NO[ (32. 1 HAVE[v] HAVE. NOT[ ] signed an application for a budding permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 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. 1 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: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required b- Section 19831 and y 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. rNITVID 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. 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: 0 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. 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 incnrance costs, and unemployment compensation contributions. 0 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. 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 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. Sinrel , • r. Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER