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024-140-029
FENN, Michel 024-14-�0-029 1L,80E LEONARD _ E _PETER, - p 160 E. EVANS REIMER ROAD, GRIDLEY. (PERMIT #95-2253B(DEMO/SF) Evans' Reimer Rd. 2 62 + { 4th house east of 99B � Gridley i. 024-140-029 PEPMLIT#95-2254 T` _ PETER,- Leonard 'E�;%v�. 160 E Evans"Reimer Rd., Gridley Mobilehome Utilities ELECTRIC- GAS LINE IINATviPA'L -- COMPACTION TEST REQ__LtO SUPPORT STRUCT REQ IJ O i 024=140-029 PERMIT#95-2244 PETER, Leonard '4 R 160 E Evans Rteimer�j'Rd Gridley Cont'; Al Carl.-- :Mobilehome Installation a " b want,—.-- 77 y°'y'-�,.` - a` .naa`'.n'9�s��� IIh1�.`k�4'WT-.i;:aV,"�'`•"�{>'i�1:�'Sj�Y •�- .'M�°� "�,��,,, •'�r..f.9K��w.�y�"'k-car � ... 024-140-029 PERMIT#95-2244 PETER, Leonard 160-E Evans Reimer Rd., Gridley Cont; Al Carl Mobilehome Installation z -- - —&o9u 7 ftp_ �/ �jLoc�iivG L"� -71EF d d wAw - - - ... i _. •- ... j�:--fid ` � s- ���� .2 .. 1 t i OFFICE COPY Address GAS 7< Meter By Date/ ELECTRI Meter By Date ��— cD r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Qougty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-140-029 - �°"I"G A5 BUILDING PERMIT OWNER LEONARD PETER =2263 ^�''� ' SO• FT- OCC. BUILDING VALUATION OWNERS MAILING ADDRESS• 160 E. EVANS REI1 m lD cglp CONTRACTOR'S NAME AL CARL T 589 E0758 ` CONTRACTORS MAILING ADDRESS 50 DEERSPRINGS LN B.CREER, 95916 Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHRECT OR ENGINEER �:., LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDREss 160 E. EVA?1S REIfiT.I: . PERMITFEE $ 43.00 GRIDLEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. 1 � SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE Water piping 15.00 Each gas water heater or vent 15.00 SF ❑ Duplex ❑ OI, Other , Gas piping system 1 - 5 outlets 15.00 rMobilehome SPECIFY Building sewer 15.00 TYPE OF WORK - Mobile Home IS I GI W @20.00, ' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0-- Other ❑ PERMITFEE $ ' Describe Work: - Contractor ELECTRICAL PERMIT Filina Fee 20.'00 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLOB. ) SO. , 3.5Q FT; , NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 i 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 C" C/ "% Lic. No. L� (� q / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FIXTURES ( ) zL 0 x.50 BAIL so EX. Occup. OUTELETS (RESID.) ( ) 5.00 Temporary Service 23.00 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE _ ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 gereby affirm under penalty of perjury one of the following declarations: Heating ❑ 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. Cooling Hood 6.50 Ventilation I 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' compens tioninsurance cgmer and policy number are: Carrier /mow 1 4 - y'41 PERMITFEE S Contractor Policy Number ' oe a z s � Mobile Home Installation Fee $UU - (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES _ IMP 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. forthwith comply with ose provisions. r ,l /f X Date '+ -.! 59'4 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. ^ ; /N l By 'r /fes+,, 1 l Date PERMITEXPIRESON I (Date) Receipt No. 185374 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, Cal `oirnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION ARID PERMIT ASSESSOR PARCEL NUMBER 024-140-029 A5 ZONING BUILDING PERMIT OWNER LEONARD PETER TELEPHONE 846-2263 SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 160 E. EVANS REI1,1ER /e( G LQM CONTRACTOR'S NAME AL CARL TELEPHONE 589-0758 CONTRACTORS MAILING ADDRESS 0 DEERSPRINGS LN B. CREEK, 95916 Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 160 E. EVANS REINTER PERMITFEE $ 43.00 GRIDLEY 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 ❑ Duplex ❑ Mobilehome 0 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 Ift Other ❑ Describe Work: Mobile Home I S I GI W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. G'l License Class �%' Lic. No. / IP a '7 4/ � 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. ❑ 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. ( 8 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 @ 1.00/J 11AL 0 .5o EX. Occup. OUTLEEDTS ((.ESIo.ORR.A ( ) 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. I 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' compensgti0 inks prance c vier and/ policy number are: Carrier 37'117 e � V ,ti a MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number / Q.7 `1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 forthwith Com ly with ose provision /LLL� q X -- Date L— ✓ _findicated Sign ure of Applican - ❑ 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 $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HA2. D. FEES r IMP FLOOD / CDF PARCEL PD ._ HD ISSU his permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date C95' PERMITEXPIRESON l6 10 (per Receipt No. 185374 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY 9F BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road,'Chico CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ;OWNER 9sa�� PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - t KLV lU/yL �'��,, r�•tr'�r+::'J'rrwr+r-r�'i-ev�i4�r"r...rw'i«wii,:ri^w`L"a�"�r'filr�i-�'rn-••::hir`'�'+r.'hf'moi".,=j���+t'e•+�1'�"�,..�rv� �5i..,�;,•�"C%i�'=�x`�!"� tib'^'"..:i'i�L�ti'�'+CfZ. _,-+r'^t•. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 4.�,\, 7 COUNTY CENTER DRIVE - OROVILLE'-C, L OWN -TELEPHONE (916) 538-7541 •CIPTII111:01 Proposed Building Use P MIT APPLICATION DATA SHEET 1. i .1*t, Building Inspector P Mo. &a -/fL e , Date q At time of permit application, I was advised the following data must be submitted prior to permit processing and/6r issuance: DATE RECEIVED BY 1. All items have been submitted . .............. ......................... 2. Plot plans, 3/4 sets, signed by preparer of plans. . }�....................... . 3. Complete plans, 3/4 setssigned by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... g. Engineered truss details and la out in uired prior to plan check). Mobilehome data an anufacturer's installation instructions, sets. 4.-r1.el 10. es of $ . ........... . 1. Impact fees as shown on attached schedule. ��/yiU C_ ................. . 12. California Department of Forestry plan approval/fees. .... ................. . 13 --Flood elevation letter (100 year flood) by California Engineer . ................. . tatiorr arrd dot plan approval Health Department . ............ 15. City of Chico plumbing permit . .............................. ........... 16. Plot plan and business license approval from City of Biggs/Gridley. ............ 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..*. . Preanspedion request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information; (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation"Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 97 -tetter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... . PWp check list. .. - .. 34. When you issue the permit, process as follows: Mail to owner Telephone �dfi J70 and hold for pickup at Other Parcel Creation Acreage Applicant Mail to contractor. - office. Deliver with inspector. Date /�/ 9 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: tractor designer, owner, was advised of above required data by _',O phone -mail Counter by Date to Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G,N G (3a JS Date 10 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f '.fi.�i- 47T fes"' '3`.•: {:�ti E'✓� Tit, yclF�r--';S �h. rx ..,..y�.� i •}:—-�^'w:q::tr��'. ;�}�r;�:4F'_"'�e;<- r- MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --.PHONE (916) 538-7541 APN: (- .e 6— 9 PERMIT NO.: T , Owners: 0 o z Name: --•. &1 Owners: _ Address: i1f 12A &5 Mobilehomef� -cc�� Manufacturer C � A Pv) r Year of / Manufacture: Serial number 3 3 Insignia or -TKA Vl or V.I.N. HUD number: Official approving installation: Date: ,! . If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor INSTALLERICONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. ,' j COMPANY NAME: eh, / CONTRACTORS LICENSE yy CGI `1 DATE: d Oc qS SIGNATURE PAGE 9 59250 314" X.`36`' DOUBLE HEAD �NCHJR W/6" & 4" AUGER MRA % 59110 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD MIC2 59096 5/&" -X 3,0" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE MGRB 59145 GALVANIZED ROOF BRACKET MIDH 59100 DOUBLE HEAD ONLY MS2 59105 SWIVEL ADAPTER HEAD 67 56 BUCKLES C•=ivE MEmpi-tis, TN 38 1 33 90 1 -385- 1 1 99 901-386-66 1 4 PAGE 10 M.H.I.- 2 Mobilehome Manufacturer: �' �A' /;0 I AJ , Manufacture Year: 9 If other than single wide, furnish Setup Model Number: • � 1-/3 'C- Width:.2 y (ft.) Length: 62- (ft.) Tagalong or Expando Size - (ft.) X- (ft.) On all mobilehomes manufactured after October: 7, 1973, furnish manufacturer's - installation manual and structural setup 'slieets. .-FOOTINGS: ,^ori. pressp. c.'rea*ed_�i .lc u;_tdat�on:;grade[�r .. Other:.. -- ~ UPP OR i S: Concrete block[ IE E JGi1dEERrNG Provide Tie Down Specifications for all Mobilehomes Pier Footings Sizes and Location SINGLE WIDE - MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line................................................................................................. ine2 Line 1 Line 3 Line 2 .................... . ... ........................................................................ Main Beams Line 2 Line 1 . .................................................ine S Tag or Triple ine 4 r Eine 1 r Line 1 Piers: Size minimum: r :�& I x Spacing maximum: I C` From ends -maximum: ` Line 2 Piers: Size minimum: V Z ] x P 0 ]. Spacing maximum: 0 ` From ends -maximum: 0 ` ire yh Line 3 Roof Loads: Size minimum n, Location (from front): B Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x [30 ]. Each side of openings - with width over: / S� pi e Line 4 Piers: w6o ws Size minimum: [ ] x [ ]. Spacing maximum: F` From ends -maximum: ` 36 / 35' 37'3„ OVER T7 7 T T COD"y 1. Owner's Name: -4 e o yA 2. Assessor's Parcel Number: 3. Installer's Name: .4. `FIs the.sife currently undo p rinit?= :Ye [,k] - 7(]hermit No: _5. Is the site an existing site? Yes[ ' No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? I � Amperes. 8. What is the electrical rating of the mobilehome site? Z 0 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ --z] If it is, what is the rating? •� Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No VI If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from th mete or tank to the mobilehome?,4�, 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 , . 8.5 t CL0 . 0 (y Q w tD a0ty 1 Aa. RE" ACT. REaro ROOM ACT. REO'0 ACT. REa•0 Root ACT. REG D ACT. REOro ROOT CHANGES PER "*-4r UNIT a bHT LIGHT VENT VIM ROOM 30JT. UGIT UCHT VENT VENT ROOM Sail. LIGHT LIGHT VONT VENT 34.4 ROOM SJ. APL Rl. A.V. RV. KITCHEN MSIR. 9/1 1.2 21-41 15.3 11.6 7.6 FAIMY RM. UVINo RM. 237 27.0 203 118 103 O,r:.•' RW_ 171 29.9 13.{ 153 a.9 M.- 2 103 113 {.a 6.t /.2 OM 130 113 10.1 5.• 63 Y. 90RY. 20{ 22.6 1{3 11.6 t.2 :1YIN0 RM. 226 27.0 16.2 13.0 9.1 9EOROOM p 113 113 f.0 8.6 a3 OWING/KR. 200 29.6 I6.0 153 6.0 ort. 9ORM 2 120 113 9.6 3.2 IAA I COUNTY Or: BUTTE BUILDING` DEPT eg pr-/ S/1r) (,r-6 1hr) SEP 9 4 9995 31 /r OR : 1 1/r ' ,, 2 1/r oR 3 13/1 Irl r- T� �� lo-0-a3/,r 1 �_�-ylll-- 1//lr �� 9-w 1 `1r ----•{ 27- , �- 32 3•-/ 2/Ir uNEN /2x60 0.1 ® Ig it ,\ ] 2 ` : Iva l o l � �� / r-• 3/1r10,6, XITCHEN f Al ( )i• p 3 A-/ 2 i tit 111-0 S/r 1 -CA ; � : � / ® tr WALL J 7 \� T0SHOWEt 7 R-R3ESS� y a- I i 9-3 1 r-13/Ir 223-4C23-4C«� 9-7 1 /� S 4� u1P Tts.w. >f ro3n a-3 I '� I -7- o 2 OPENING . P. . 1 d OPEN" 3-4 3/, POSH r • l s ® 13sw. � \ 4 \. 11•-0 3/r 1 .. • �M I Llvna Roots •=a A-1 .. .`�W .1 L.S.W. MASTER BEDROOM U.S. - OFT. BEDROOM 04 i i ; �' • All 3 13/Ir A-1 A -/i A-1 ,I 0-2 • -1 2Y A-1 17-7 l/tr It•-! 7/r 3 1>/If X11-} 7n ---� •. Us• -11 t/1r) . _ � (6a) I i � I2r-+S/11FZ I sIt I I 3I2 >• • a to tl 12 13 14 a I ' I ZONE I O2n 35 APPROVAL STAMP W I N O,Og'M'1 L� CT E ,RPO DOOR LEGEND C L E O T R I C A L L C• 0714 O ELECTRICAL MIRE om M 0 T C R A-1 1!X20 1JIER, I�C`i1 `1:15 R-1 "oust TYPE DOOR srx7r comw vcs Awl Como 1•R 1Ra •WALL 1NOONf 71-0' TO T -r OMS,ON OF A-2 sdx27 , .�_a•-I'7j43 6-2 M061IN NOM[ DOOR 3zX7r ""°' PANEL 1 GENUAL 13 11/2 w/GROUND • trSTD4 M-1-66 GAS PWD -217 CHAMPION HOME BUILDERS CO. A-3 {6 1/2'x j W1► � -fi-iO •-a WA RrtuaR DDDR b WALL LIM 2 SM. APP_ 20 12/2 W/GROUN . SEA= coM6uxnoN T7PE WATER HEATER (on.) 5573 E. NORTH ET. DRYDEN. Mlcw0M /6428 A -a arxad umER tcRi9s� 'ifs» w MARS HEATER DOOR ourLEx ueoTAaE OUTLET 3 GENERAL t6 11/2 M/GRGUHD • RLvovA•Lt INTERIOR WM ACCESS PANEL MODEL 643C 24X56 28DRM F.L. A-3 .: , rx:rW>,cW r p is.. -6 ,r CLOSET DOOR . :w AFPL 20 un WiGIGMND SINGRANE SPECIAL uLxrrANxE • HUT TAP[ uNxPT UNDER F�ypR AT WATER *HST PART FLOOR PLAN ELECTRICAL A-{ Sd%Sr VEIR:�SU)Rf�C11CS3 Vit.. S-6 SUOINO O1A33 ODOR 10.0 6 WASHER 20 12/2 W/CROVN "- -I" ® SINGLE MCLIL ►UR/02[ ACCEPT. • SH010LED R00F ITS O NO C3 IORAW" SY). CAMPBELLOATG 3/6 e9 LIM A-7 7rXr 1-n[R% d N �.0 1-7 20 DNT[dOR DOOR ® • GENERAL f0 11/2 W/GROMNO � A-6 4rx3r VEINT'4DR fdAE 3*4j*! a -t it SUo1M0 CLDStt ODOR SPEC. PURPOSE CONN. OR PROV. FOR 7 F./•LOWER I 15 11/2 W/GROUND •RAM W IURNR a DR, ALL PROWDM RVV,S,ON DATE /T aLwo OR ox Lamy UCHT W/04A. 20' REarT. REv. wwueE WALL a LUT. 3HACX 3/16/to JIG A-{ ]d %Id VERT.g3}DR �.n�f3 1-9 S0' SLIDING CLOSET DOOR ® a OFT. O.W. 16 11/2 W/OROIJNO RAR '! ►OMR RANGE NOOD Sm A -I SOXW VERT; swelORSSS`'"1L0 10 12r SIJDINO CLOSET DOOR CLiD1G VENT FAN 8 OPT. D.C. 16 11/2 W/GROUND © CHC. SMACK DAR ADDED 541•-0' STRETCH OPT. CHO. MA. WINDS. 8/17/10 49 A-1 1rxa3' Y0T1`D`simRc-tx"fzm a 9-11 /r amuw cLOsET DOOR SMOKE DaWOR 10 W.1IUTER, 20 12/2 W/GROUKI' A-1 30x6r VERT. SIORLCjICSSr�lf.t S fINGLE /OLE SWRCI 1/ GENERAL 1S 11/2 M/GR NOtF.p a ANDMI:j LU A-1 6r Xaa Slll EfR 173 O IYRNAC[ TH[RYOSTAT 12 GENERAL 16 11/2 M/GROU O CTMG , =0= HEAT TAIL RECEPTACLE 220 Pam 30 10/3 W/GROUND INTERIOR SHEARWALL REQUIREMENT 0 OCT - 5 1990 0 IND VOLT RANGE 10 0/3 W/GROUND Wzowt 1 NONE Q a_ n a - STANDARD GiA21N0 � 11 . SJ. AI►t. PURR WIN PER Uro4/A't. INSTEP WIND zoNE a N RESIDENTIAL 024-140-029 PERMIT#95-2254 j PETER, Leonard E. 160 E, Evans Reimer Rd.; Gridley Mobilehome Utilities JOB FINALED Date) v Signature J=OK O = Not OK Not = t Readyable N MOBILE -HOMES Date MOBILE -HOME UTILITIES (Plans) OK except #'s 1.4'��Req u i rements-Setbacks-Easements Soils ecial MH Support Sketch ewer cation -Test -Fall -C/O Concrete Water cation -Test -Easement Needed (Sketch) ectricity, Location-Clearences-Grn p -Concrete as, ation-Test-Wrap: / /"L"ft. /✓/'jLat. or/ /"L"ft./ /"LPG r-V�e_ll nce & Disconnect tility Clearance Date Card B- c Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'S Zoning Requirements -Setbacks Easements 2. .F otings; Size -Spacing -Marriage Line i s; MH Test-Demand-Valve—Connector 4. lectricity; MH Test -Crossovers -Breakers -Clearances 5,' ain; MH Test -Fall -Flex Connector �. Water; MH Test -Regulator -Connector 7 ater and Sewer Connected -C/O to Grade -HD Approval / 8.,Gas and Electricity Tagged Exits nsp.-Sketch 10. ert. of Occupancv Dat 92 and B-1 date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ------ ---------------------------- --- 17. Water Pipe: Test & Anchor -Nail Protection -------- --------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------- - ---------------- -- - -19. Shower Pan; Test, First Floor -Tub Access --- - - 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors --------- ---------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------- ----- ----- --------------------- ----- -------------------- E--lec. Receptacles Spacing -Lights & Switches at Doors ----------- -------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - ------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------------- --- ----- ------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------'------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At ------------------------------------ --------- ------------------------------------- 29. ------------------ -- -- -- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------- -------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- - ---------------------------- --- - 31_ Equip_Ctearances Panels-Motors-Mech. Equip. ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------- -- -------------- 33. Smoke Detector ------------- ---------- ----- --- -------------------------------------------- --- Date Card B-1 Date Card B-1 ------------------------------------------ ----------------------------------------- Date ---------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------- ----------------------------------- ------------------------ ------------ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- ---- ---------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- ------------------------------------------- ------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------- ----------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors -------------- ------------------------------------------------------------------ ---------- 40. Walls Studs-Nailin-g. Spacing -&-Bracing-Plates-Sound---------------------------------------------- --- 41. Bearing Walls over Girders & Floor Nailing --------------- ------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ -------------------------------------------- 44. Headers & Beam -Size & Bearing 'ingle & Duplex) Qate FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors -46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Properly Line Firewall & Openings _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------53.--Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ - - - - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------ -------------------- -Date -------------------Date _________Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's _____ 61. Ext. Steps -Door & Sidelight Protection -Landings %* 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------- - 64. Bedroom Exiting _________ 65.--G.-F. I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- ------------------- 67. Stairs & Rails _ 68. Fireplace or Stove Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ---------------------------- 71.-Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer ------------------------------ --- --9 --- - - 73.--A.C.-Duct in -Garagea-Damper ------- ----------------------- ---- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection ----------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- --- 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- -- 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes D No; Planters ❑ -Yes---E:) No 81. Stucco; Brown -Finish ------- -- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------------------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - --- -------------------------------------- - 87. Glass Protection _.. ----------------------------------------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric --------- -------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- -- - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� _ ASSESSOR PARCEL NUMBER 024-140-029 ZONING AS BUILDING PERMIT OWNER LEONARD PETER TELEPHONE 846-2263 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 160 E. EVANS REIMER RD GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERO. LICENSE N Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 160 E. EVANS REIiIER RD PERMITFEE $ GRIDLEY PLUMBINGPERMIT 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 ❑ Duplex ❑ Mobilehome ff 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 ❑ Xlnstallation ❑ Other ❑ Describe Work:—�IT3LJ Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Mein Service ( 200A ORLEss ) 23.00 23.00 Main Service ( 2..A To Io00A ) 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 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. ❑ 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. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID.( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 209 1.00 BAL 30 Ex. Occup. ( OUFIXED APLNS. TLETS (RE ISD.OEA ) 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 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'H 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 orthwith comply with those provlsl s. t — X _ � — Date (�J-- Signature of Applicant - B -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 TOTAL FEE $ AZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD SU 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 at _< PERMITEXPIRESON fie) ReceiptNo. 185523 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :..��...i7Mr..i..jr•1'�s+y..yr..,,T1q,•+�5;�n^�%i":tirt'7.fi - �1. p,+ � .r~►.E'n'-':F+•'r07..1�1�k 'A,�(T-+J...�i'►i.-r�'•,1 : -w"� � r hrio M^Y�?Y'f�yKkZk'f'-r"]� wtt'� r�,q. y,y.r �. •. e COUNTY OF BUTTE - DEPARTMENT OF.DEVE'LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALINx95965 -TELEPHONE (916) 538-7541 PERMft APPLICATION DATA SHEET OWNER A.. x ;�p o. / Proposed Building Us _ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY L-1 • All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer.of plans? .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet -(signature on plans . ............. ` 5. Hazardous Material Form . ............ ............................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installration instructions, 2 sets. ........... 10.- Fees of $ . ..........� .............................. . 11. Impact fees as shown on attached schedule:, ............................. . 12. Calif rnia Department of Forestry plan approval/fees. ....................... . 1 ood elevation letter (100 year flood) by California Engineer . ................. . 4 Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18.�6htact Land Development about (A) Improvements (B) Drainage. ....:..::: _71 Driveway permit (construction approval required prior to occupancy). . Fre-Inspection requ�- 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... n - r- Builder Verification (Given to owner , Mail to owner �. ........ . (J` Recorded c6py of Agricultural Acknowledgement Statement . .................. 25. Letter of signature,authorization........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...............�. .�. 32. Plan check list . .......................................... �:,........ . 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation G� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by G k'98 o,JS Date Sets of plans on hold in File cabinet 3 AP folder Copy - Department of Public Works 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 will be issued until this verification is received. 1. I personally plan to provide. th dor labor and materials for construction of the pose perry improvement: ] NO[ ]. 2. ] HAVE NOT[ J 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: 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 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 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. OVER M 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 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 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. S;in'c'Zrrel � • r. ` Michail 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 E.H. USE• ONLY Plat Plan An had J� Floor Phu AttacW Seat to B.D. mil �7 i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location' Plan Approved for: Sewage Disposal C Clearance for -3 bedroomo�home.Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public Private Well X R�j � Lrje D DOD /0')aA-LLMUAzU- I 42TM C921`�-A Environmental Health Specialist • ' D ate I ® 4 • tw,7.5 19 . �6 J•i .•Et1iK+ -j •+ . M' This'set of plans and epeciScal kept on the job at all twee and make any oranges or a1 permission from Warks, unty of Butte. ; 39 DTOTE: All Materials & WorkM Accordance with Recognized C of a Quality prescribed for the in the Uniform Building, Flun Codes and the National Electr :EC RHANQS. SHAW .- BAC':FT. FT. FROM T. Fii�R OF STRUCTURES."` ORA 2 FT. EAVE'C)ill`I fiAN o M T be A permit will be required for the unl&*U to insiallation of the moailehome. SaMe without Lment of Public r , In .n andy . e � Mecha3310e1 • ode. TENT INCLUDING LL EASEMENTS. THE SIDE AND dolia Min ERLINE SHALL BE UIPMENT EXCEPT BUTTE COUry 'AQPRO ED lis - FILE. Or� OWNER&,r--= PERMIT MH UT IL . CLEARANC DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . ervice ize Other Load T e Pipe Size Length YES NO YES NO f 30 wv� / '-�- . ., � try1r-w�----e:,/•-- �'--v..�.•-+;�.�.,rki�'"'_�4're'�7"...5't"�'(tir�-tj�w � _ � � ro �.., BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM } (One Form Per Building) School District Building Department No. A.P. Number 0.,241 Jurisdiction: City County Property Owner_X 5A �del - Property Location/Address Subdivison " Lot No. Footage a Residential Development 0 � 0 Sq. Footage No. of Living HI Ad fit. (Group R) Units �rp �Q CC S 90,5— Commercial/Industrial Sq. Footage )n (Including Exterior Roofe Areas) Da (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies thats (Applicant) . //,,o (Street Addi (City) (Phone Number) (Zip has complied with the requirements of Resolution No. // 9 3 y"/ by payment of $ .4 -- representing Le j=4 - uare feet. School District Rep"esentative Paid by Check # Bank Number Paid by Cash AB 2926 $ PULL MITIGATION /e) A/ /9 S— Date ' Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (11/94)dmm -•..gym--�•yi� _ '��'"�`�`'� ��.:r � . 024-140-029 PERMIT#95-2253 PETER, Leonard ,E'. din g. 160 E`Evans Reimer Rd., Gridley_ s Demo/SF /4i ------------- o ' t f t 0 r. T COUNTY OF BUTTE- DEPARTMENTOF DEV ELOP.MENT SERVICES -BUILDING DIVISION 7 County Center Drive - OrovilI , California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT '� ASSESSOR PARCEL NUMBER 024-140-029 ZONING BUILDING P MIT., OWNER LEONARD jr E7E-k T 6N=2263 SO' FT- OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 16 E EVAN'S REIM RD GRIDLEY CONTRACTOR'S NAME /' a TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER / UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS /• Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER I- LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS . Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS MER 160 E EVANS REiRD PERMITFEE S GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ 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: DEMO Mobile Home IS I GI W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET us Ex. Occup. (OUTLET OR FO(TURES ) 20 Q 1.00 BAL SO Ex. Occup. ounces Pa SE D.°EA ( ) 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 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 with those p �visions. ,�� CZ' '"" n -�/ .` �- X C�.� Date a 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated abov for which f shave /%,f BY r'�''��-S` PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. l^ 1 ate 7 (Date) ReceiptNo. ' ' WHITE•D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT VALUATION: FLOOD: FEES PD 1: 35.00- RECEIPT #1: 18552.2 FEES BUILDING. PERMIT_ EN7Y. 2: RECEIPT #2: FEES PD PERMIT #: 95-2253 A:' 024-14-0-029 PD 4: �V.#: #4: ISSUED: 09/14/95 FINALED: EDIT LAST NAME: PETER FIRST NAME." LEONARD CONTRACTOR: OWNER • CITY CTY: C USE: D TYPE: SF REM RKS: DEMO/SF.' B: 1 P: E: M: ADDRESS: 160 NAME: E EVANS REIMER RD. CITY: GRIDLEY VALUATION: FLOOD: FEES PD 1: 35.00- RECEIPT #1: 18552.2 FEES PI) 2: RECEIPT #2: FEES PD 3: RECEIPT #3:.! FEES PD 4: RECEIPT #4: ISSUED: 09/14/95 FINALED: EDIT :<C:>:PERMITS :Rec: 14171/14184 :NuTCaps f —�tof fi:;*,��- 7 County Center,Drive, illell, rnia .05965 - Jelephone (916) 5 -75 P COUNTY OF BUTTE-DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, Cajifornia, 95965 -Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-140-029 og ZONING i4 BUILDING P MIT OWNER LEONARD C, ETA k T'=—'2263 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1619 E EVANS REIMER RD GRIDLEY. CONTRACTOR'S NAME I _ /Y TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNINIOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 160 E EVANS REIMER RD PERMITFEE $ 35 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehre ❑ 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: DEMO Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000Y 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 Larthe following reason: asowneroftheproperty,ormyemployeeswithwagesastheirsolecompensation, 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 ( 8 ACC. / SO. 3.SQ FT. CNS. NEW CONST. MULTI -OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BA2L Q +•50 L 50 Ex. Occup. OUTLEETS AESID.j 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 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 1�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 wo kers' compensation provisions of section 3700 of the Labor Code, I shall comply wit those vlsl s. f hw�(�:�7 X __ Date=�s 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated abov for which f shave BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. C ate T IV 6 (Date) Receipt No. 135522 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permit's Asbestos .Notification. Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form.. 1119827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the .applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on'the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. nzl:::�� L Signature of Applicant 2/19/91 r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMLNT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _0 ^� ZONING BUILDING PERMIT G OWNER-Y'TELEPHONE SO. Sa. FT. OCC. BUILDING VALUATION OWNERS MAI ADDRESS '� ' CONTRA R'S NAME NE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS $ 7Penalty BU LDINGADDRE PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ 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:— ��- Mobile Home ISI GI W1 920.00 PERMITFEE S 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 1 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 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. ❑ 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 OCCURS OR ADDNS. ( -&-ACC. BLDS. ) O. 3.S¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Occup. ( OUTLET OR FUTURES ) 20 Q 1.00 SAL .O Ex. Occup. ( .) OUTLETS DEA) 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 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.) ❑ 1 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 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. X Date 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. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ t 07 HAZ I D. FEES I MP '[773771 PARCEL PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. — L `�_ 5 5 WHITE-D.D.S.•B CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I O.B.- I $: x•: x.v:::::::. �.v:: ;vS:.vn*..5::::.v; }:.vf .. .x\•. •\ vr0!S'• .5::'•..\S::S :•}:•:t 5:::. v . •.Y:y}i';:}: •;}:•:iii}v}�:iii:i<{}:ijij:i:j:i'+' '•:iGti iitt; ..:.�.}}., fir >j:^ini:•x:•: .};.. .: .;. ••.:. •.;.:. :•. � >.?w .. ..mow• f:S' v.v::::. r....... • vw: i:: x.}•.v ....:::.................... �.:..................•+v.v::v, r.•:::::..... v v.................. . v.; }}:•}::.}Y::::...... . A":... )Cai.:::::'::::S:ii•}}:try:io;S}}}:•}}:4}}:•:i.}}:Ji}}:tb};•}}:S:O}:S:v....... i.; •; .}}}}{:}:::. :'....:'v; •}+:}:.;}}:S:itt3}:•}:•:tt:i?vi.:....v}vv 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 will be issued until this verification is received. 1. I personally plan to provide the gajer,11abor and materials for construction of the pr se roperty irriprovemen ( NO ]. 2. HA J HAVE NOT[ ] signed an application for a building permit for the p s 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 following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 1� 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. 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 yourseliy 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 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, 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 profe"sling 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. Sincc'brel Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.