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HomeMy WebLinkAbout025-030-0154' k n �•w^ w r .R 025-03-0-15 00-0864 BIRKHOLZ, RON 36 GROVER LN., OROVILLE 1 ELEC SER CH fl nPo / S 11 � 025z93-0-0 15 BIRKHOLZ' Ro n 00—08'64 � � . 36[Gr0ver.Lane, Oroville(elec ser ch')SF OFFICE Copy ddre Address ss GAS Metereier E3y t 6 ' Date - ELECTRIC LECIRIC Meter By D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES-N&JILDING DIVISION �.. "7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,/61EIT No. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ._11 ZONING BUILDING PERMIT OWNER N. .fir TELEPHONE /^� ��QQ SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 16 2 1,01P. Of1V T T? CA 05265 CONTRACTOR'S NAME (71TFIR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r.Pn1TT'" T ,, T' n� VTT T 11 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MrC SPR C" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600R LESS Main Service 200, OR LESS 23.00 7Q LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .p, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. & ACC. BLD S. 3.50F7EW T.. NON p61D. MULTI-OUTLET1. @7,50 POWGLEER APPARATUS 8 SIN OAP= CIR. zo @ 1.00 Ex. Occup. ourLEr OR FIXTURES BAL @ .50 Ex. Occup. oFucuTE a� oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PPT' TNCD 7 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating —cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) y0- 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. .,�•- ��of X ," Date 00 Signa ure of Applicant - M,,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 I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 FEES IMP I FLOOD CDF PARCEL I PO I HD 5S This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By ✓ Date PERMIT EXPIRES ON f�� 2 441 Date ReceiptNo. 104132 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) 538-7 T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-03-0-015 ZONING 1 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 36 GROVER LANE, OROVITLE, CA 95969 — CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y SF O" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um 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 IN Describe Work: ELEC SER CH Gas piping system 1- 5 outlets 15.00. Building sewer 15.00 Mobile Home I S I G 1W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 vFILE Main Service 20 A OR LESS 23.00 23 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. SO 3.5¢FT. N" .RESDT' MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE ourLEr CIR. Ex. OCCU OUTLET OR FIXTURES 20 @I .00 BAL Z. Ex. Occup.oDrE. Aa D OFR,p 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ AA nn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit ply with ho provisions. X Date L/� ®J Signa ure of Applicant - kowner ❑ 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 $ 66.00 =.A IMP FLOOD CDF PARCEL PD ND ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. " I Date'V14,0 OU Te ReceiptNo. 211L►132 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r� Attention Property Owner. _ An "owner -builder" building permit has been applied for in your name and beaiYnS your_ signature. Please complete . and. return . this information at your earliest opportunity to .avoid,;.. unnecessary delay in processing and issuing your building permit. No binding permit iA be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction -of P roposed. property.improvement • Wn�L . NO[ w►: *:' ._ `_ -. Z. I HA HAVE NOT[ . -_.],signed an applicatton for abuding pernatt for the V•- - proposed work..:. -, 3. I have contracted with the -following • person (firm) to provide. -the _ pioposed construction: NAME: ADDRESS•..._ CITY:.. PHONE: —.-- . - :_ .: :.CONTRACTOR'S. LICENSE WO:.— : 4.- I plao-provide-portions �of this woik i -but I have hired the f n tollowing 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 followinggi.eisons to provide the work indicated: NAME ADDRESS . PHONE TYPE OF_WORK SIGNED: PROPERTY OWNER: SOML 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. 17A Dear Property Owner. An application fora building permit has been submitted in your name listing yourself as the. of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party'af 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 su 'htract,-:you:= .--= - - :- - should be aware of the folIawmg information for your benefit and protection: 0 If you employ or otherwise engage fa any'persons other than your immediate mily,_and the work(melnding - 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 employei.: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 unemploymentcompensation contnbr tions. ;.... _ 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 spe:i5c information about your obligations under Federal Law, tontine the 1Iriteinal 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 pe mit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA_ 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building -permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: Tris Ov,-aer-Builder Information is required by Section 19330 of the California Health and Safety Code. Nfav 1995 2.27 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P N APPLICATION AND PERMIT ' Vie .--© (s'' -'I r'""° BUILDING PERMIT `g8, SO. FT. I OCC. E'„IL DING VALUATION r3-3 w.E,w ADDRESS , ADDRESS :CT's w::r+c ADDRESS Fireplace I I Sc.I O;k DD'DHS ( HDSJP. I I 3.5¢ Total Valuation I S aAULT� ourtEr I ( @7.50 COP —ECT OF EWUNEER ` UCE'aE No. I Filing Fee I S i S"G-E our; C:k 20.00 ,C -ECT OR 043WEER S W,,JNn ADDRESS Permit Fee S Plan Checking Fee l b -xw ADD RES e - Energy Plan Checking Fee S - S PERMIT FEE S -13. SU6DNS qA'S 1i.WE PARCEL MAP PLUMBING PERMIT I Filing Feel 20.00 USEOFSTRUCTURE Each Trap 1 ' 7.00 � /,D-,plex Solar or hent um waver he.::er I 1 23.001 ❑ hrabilehome ❑ Other Water piping 15.001 sPeCsv TYPE OF WORK Each ns water heater or ver.; I I 1 5.00 Gas piping system t - 5 ou,.et 1 15.00 w ❑ AddP.ion ❑ Remodel ❑ LUUes ❑ irSt?-kton ❑ Other ❑ Building sewer l I 15.001 scribe o Mobile Home I S G W I 1 @20.00 " =E I � I PERMIT . I S ELECTRICAL PERMITI lFilingFee 20.00 WAin Service 000v OR L: PRE -INSPECTION REPORT i OWNER: DATE: o� LOCATION: A.P. #• Ocf51—d�Q �0�� CONTRACTOR:o�� ���--- ZONING: PRE-INSPETION DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant PERMIT HLSTORI�. �NE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric: Yes No_� Electric currently On Off Gas: Condition of Electric Natural Propane None_. Currently C Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date -a�,a Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 I Telephone (530) 538.7541 PERMIT NO. 5) APPLICATION AND PERMIT BUILDING PERMIT T [:P�a�MC )20✓,, R07%1 �; Il H��Z . r SQ. FT- I OCC. I °`J!_DING VALUATION �s No ADD66I -u-r�a•I I J:�EA 0 :CCs "L Poo ADDRESS Fireplace I I Total Valuation 1.i —ECT OREUCE06E NO. i �+MEER Flirt Fee $ 20.00 -C-E= OR 9N304EiR7 UkUW. ADDRESS '-..n ADDAESI - Permit Fee 1 Plan Checking Fee I E Energy Plan Checking Fee i PERMIT FEE I S fU6DN610NS r•1.�►+E //.ACEI MAP PLUMBING PERMIT I Filing Feel 20.00 USEOFSTRUCTURE /.-C1,;�1ex ❑ hFabilehorre 13 Other s� sY Each Trap 1 7.001 Solar or heat um water 1:E�:er i I 23.001 Wateripin I 1 15.001 TYPE OF WORK w ❑ Addei-n ❑ Remodel O Utilities ❑ ❑ 0"mer ❑ S_ribe Work: �A ,c.. Cil m„ Each gas water heater or vert I I 15.001 Gas piping irystem t- 5 oua.et 1 1 15.001 Building sewer I 1 15.001 Mobile Home Is C I W: 1 I 020.00 I I I PERMIT -'E I S ELECTRICAL PERMIT I I Filing Fee 20.00 Main Service o;,OORLE S ) 1 1 23.001 ° • Main Service xoA TO IOOGA ) I I 4s.001 MEM'FUMT. ( DWR1 QDSj0. I I 3.SC _I OR AD DNS. "5WtFRESID. wu�� ovnEr ) I 1 07.50 DRSI C.r- EX. Occup. OVTLLT OA FtCrAES 1 I 0 1.00 6L .!0 E%. OCCU F=EO APP -04S. D4 I I 5.00 OVTLEm ESID. G Temporary Service 23.00 Moble Home Facilities- 20.00 Mise. Wiring 23.00 PER IT FEE _ ka L --::MECHANICAL PERMIT 1 Fling Fee 20.00 6.50 Ve PERMIT FEE S Mobile Home Installation Fee i Energy Inspection Fee $ ODD COWT. TYPE TOTAL FEES 1MZ D. FEB W► P=3 I qF I PAACEL I PO I PO ;rsK This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which feet have been paid. By Date