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Home My WebLink About022-040-047- 't fr:i?ri• -1 ?h., ti!" .:i°� f - r e r i -t,R' 1 s � ®- _ Y022 0': 0' `1 , yl~R+R �jE{ i1tflRs i i tls %1 } r R rpt ! i >"� ? 2711 AIFTON, BIGGS s ? • - . ' f, x• t .. ® � '�� •i` ! r !l.f sxf� rt �`tl ,ilkw ' t x a , 1 , /y,/�l _ _ y,. - • ,_,mow Yi. _-.. �.' e��.• � ��.�..:i: "-w : --.._n...r-, . _ _. � i {� .._ r- •�..(:////.. .r-+� 5_. .> ._ .. Qq ��• b4C - c 4 Z 3 • r _ OFFICE COPY pAddress op •GASI, Meter By Dates ELECTRI Dat)W-!T.l A Meter By y 7.1 .�. i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO - (Rev. 12/96) (Rev.12/96) APPLICATION AND PERMIT (-' � • 7 y cz S ASSES SORPARCELNUMBER 622-040-047 ZONING BUILDING PERMIT OWNER l TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS ;X, Box 143 . yoZs CA 95917 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2711 Afton b' s Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: retag electric, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F�@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisio s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof#ssions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION ctors License Law for the following reason: I hereby affirm under penalty of perjury that I am exempt from the Conyfornpensation, I, as owner of the property, or my employees with wages astheir sole 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service To ,000A 46.00 NEW CONST. DWELLMx3 OCCUP. W OR ADONS. ( 8 ACC. BLnS. SO 3.50 FT. NEW T. NON-RESID. muLTi0cUg ET 97,50 8�SINWAPOUTLET PA US GLE� CR. Ex. Occup. OUTLET OR FDRURES e20 O 1.00 LNS. EX. Occup.ouTLErsFlXED APPRESID. OER w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PTE' .in3 tion 23.00 PERMIT FEE $ 66.00 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: I❑ Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation ,/bf one hundred dollars ($100) or less.) 6a' 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�tindicated kknaiure_of.Applicant - \BO ner ❑ Contractor`�Q Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP ------ FLoo CEL Po HD .._ ISSUE t-- This permit is hereby issued under the of the Butte County Code and/or above for which fees have B (� ��_ Y PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERM`� w (Rev. 12/96) APPLICATION AND PERMIT '3 L/ y% ASSESSOR PARCEL NUMBER 022-040-047 ZONING BUILDING PERMIT OWNER Walton. Cathip 8�;A_9440 TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS HARING ADDRESS PO Bny, 14-3 JQ 0,5917 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2711 Afton Blass C Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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: r_ etas electric Gas piping system 1 - 5 outlets 15.00 Building -sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L W 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. ❑ I 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. C3I 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 /,0f one hundred dollars ($100) or less.) w' 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 f Jth comply with o provisions. D to 7- (� �J ' atu licant - 0 ner ❑ 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 TO 46.00 CCUOOOA NEW CONST. DWEWNG OCCUP. SO W:O OR ADDNS. ( 8 ACC. S.3.50'. N" RESD MU LTI.O!i.=I @7,50 8 OUTLET OWER APPARATUCIR.S ouTLETORFocruREs Ex. Occup. BAL p':50 Ex. Occup. o�'xLmEEDTs A o DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre Jnsper-tion 191-00 PERMIT FEE _ 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 HAZ. D. FEES IMP FL CEL PO HD UE This permit is hereby issued under the applicable provisions of the tte County ode and/or Resolutions to do work indi ted a for ich fees have been paid. %g fJ2 By * " Date PERMIT EXPIRES ON �� D 1 e1e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i My O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit Inas been applied for in your name and bearbg your 0.4 Please complete and return this information at your earliest opportunity to avoid uoneoesagrGMW in processing and issuing your building permit. No building permit will be sssued U09 Gh verification is received. o I . I ersonally plan to provide the major lab and materials for construction of the proposed perry imp ement : YES 0 NO 2. I VE M HAVE NOT C3 signed as applicatioa for a building permit for the poop a od w L 3. I have contracted with the following person (firm) to provide the proposed eon-mucticm NAINIE. - DRESS: 710EN;ET0-_,,:;::� PHOS COr'I'R4CTOR'S A. I plan to provide 'ons of this work, but I have hired the foil g person to coordinate, supervise, and provide ajor work: ADDRESS: CITY: PHONNE: COL CT 'S LICENSE NO. 5. I will provide some of t]DRESS rk b have contracted the following persons to provide the work indicated: T - NA�iE PHONE TYPE OF WORK IGNED: P RO P E RTYO WNER: SOCIAL SECURTIY NUMBER: DATE: A — A'.OTE: This Owner -Builder Verification is required by Section 19831 and 19831 oWAt California Health and Safety Code This ver�fieation must be ton9deftd aid returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFOR1ti1ATION As application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified - For your pecified.Foryour protection, you should be aware that as "owner -builder" you are the responsible parry of recacd onwch a permit. Building permits are not required to be signed by property owners unless they are personislly perf5ocmiri 16eir own work. If your work is being performed by someone other than yourself, you may protect yourself frompossible 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 ihould 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 worst ('including arauxiaLs and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcortractors. hen you may be an employer. ♦ I;. you arc an eatplover, you must register with the State and Federal Governments as an employer and you are S, to several obligations including *state and federal income tax withholding, federal social seetairy taxes. workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may Ee Fnancial 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 scecitic infornadon 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, ccrtact the Department of Benefit Payments and the Division of Industrial Accidents. If the mctLre is intended for sa!e, property owners who are not licensed contractors are allowed to perform their work personally or trroug.`t 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 contactors may be obtained by contracting the Contractors State License Board in your community cr 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. NCuc el C. ViJim C.B.O. Nt ger, Building inspection NOTE: Tit:r 0wrrer-Builder Information is required by Section 19810 of 1h California Health and Safety Cads OVER