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HomeMy WebLinkAbout024-010-092• rte. 024-01-0-.092. 95 1708 B s ERICKSON,: Dale'. : r �' / ERCCKSON, .-Dale---- - 1225-67B ' 0 --R {I - 219 Archer,.Gridle' % r • (reroof/SF•} 2 -01-92 2 nYs Archer 3rd house west of.Gilstrap Gridley,_ (add 2 wi dows, siding & brick veneer] ;. 3 io-G9 r �1 i .y r y A 11 ... . s., �� .i _ -.rte" �,•- _ ws. 024-01-0-092 95-1708 B ERICKSON, Dale 219 Archer, Gridley (reroof/SF) w:t f � J F l 3 > c COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATVON AND PERMIT 95 ASSESSOR PARCEL NUMBER OVA= 024-010 92 ZONING AS G BUILD PERMIT OWNER DALE ERICKSON TELEPHONE RAA -4325 01 SO, Fr. OCC. 00 BUILDING VALUATION OWNERS MAILING ADDRESS 219 ARCUR 13 60 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDR S - Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ 1/1 LENDER'S MAILING ADDRESS Kling Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 219 ARCHER PERMITFEE $ 41.00 GRID,EY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF NX 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 ❑ Describe Work: _ REROOF Mobile Home IS I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 000V 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 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: 14 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 NEW CONST. DWELLING OCCUP. \ OR ADDNS. ( -.& _ACC. BLDS. / SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .SO Ex. Occup. (oFIXEt-Drs PLNS. 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: ❑ 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. • ,Date / -� � = X ,>�( ��P % Z 22f Signature of Applicant - *' Owner ❑Contractor ❑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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE .1 •/V\00 41.00 TOTAL FEE $ 4 HAZ. I D. FEES I IMP I FLOODCDF PARCEL PD HD ISSUE This permit is hereby'issued under of the Butte County Code and/or indicated above for which fees have " YL the applicable provisions Resolutions to do work been paid. Date (Date Receipt No.PERMITEXPIRESON WHITE-D.D.S.-A.D.- CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT mow COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT S-1709 ASSESSOR PARCEL NUMBER 0ZAZ;�ZON 024-010-092 ZONING A5 BUILD G PERMIT OWNER DALE ERICKSON TELEPHONE 846-4325 SO. Fr, OCC. 11.0 BUILDING VALUATION 13 @ 60 OWNERS MAILING ADDRESS 219 ARCHER CONTRACTOR'S NAME RX OWNER TELEPHONE CONTRACTOR'S MAILING ADDR Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 21 ARCHER PERMITFEE $ 41.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF NX 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 ❑ Describe Work:PERMITFEE -- RER,O(1F Mobile Home I S I GI W 1 @20.00 S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 1700v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To IooeA ) 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 Class Lic. No. -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: "K 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 NEW CONST. DWELLING OCCUP.SO. OR ( R ACC. BLDS. ) 3.5¢ F7. CNS. NEW CONST.// MULTI.OUTLET NON-RESID. J. BRANCH CIRCUITS ) @7.50 8POWER APPARATUS ( SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 2e @ 1.00 BAl w Ex. Occup. ( OUFIXED TLETS(RES D.) EA) OWNER 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: ❑ 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 Filing g 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 shallTOTAL 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 forth ,ith comply with those rovisions. /f X ate J =�`� /_� 'Signature of Applicant - 'IW Owner ❑ Contractor ❑ Agent An OSHA 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 Is occ CONST. TYPE FEE $ 41.00 HA2. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the the Butte County Code and/or in indicated a ove for which fees have c PERMITEX IRESON applicable provisions Resolutions to do work been paid. Date o) (Date Receipt No. - 1WHITE-D.D.S.• .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � ` J I -2 .3 t-) -e 1 ` -Attention Property Owner— An "owner-builder" wnerAn"owner-budder" 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 *ill be issued until this verification is received. 1. I personally plan to provide the major lab r and materials for construction of the proposed Property improvement : YES[ L f NO[ I 2. I HAVE[v] 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: NAME: ADDRESS: QTY: 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. NATNM: ADDRESS: CTTY: 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: PROPERTY OWNER: 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. O.B.-1 � RF.. .. � :.:; .. .. .: •:•:: >: •..' :ass»».:`.'::':�:>��`�''?��<`<r:;>:>:::>z:::•• . ��jj�:.i\v::::isii:��1]!i:Y:::i:":Q:n:::vf.:vii:�::: i::�:iC::��•��•! i./��I V.•'iil�<• •.'•�•''•..����1����vnl:�i:�i:•i�:�::�:i::it::Y..�:::•:1{{{{vr tiiv {: r��iv ::Jj 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. t 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- bther 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 Gove.rr=ents 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, 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 unlic--nsed 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 arc not required to be signed by property owners unless they are performing their own work pem :nalIy. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95811. 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. Sincerjelly, / Michael C. Vicira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.