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025-120-034 V63-1922
HAURY, MARGARET .
38 DRAKE AVE, BIGGS
RE -ROOF
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 'NO.
(Rev. 12/96) APPLICATION AND PERMIT -_Is - /��`
ASSESSOR PARCEL NUMBER
025-124-034
ZONING
BUILDING PERMIT
OWNER
HAUR,Y, MARGARET
TELEPHONE
868-5655
SO. F7, OCC. BUILDING VALUATION
°vN°� �zS AKV s. , BIGCS, CA 95917
1.32G.
CONTRACTOR'S NAME
f1i.7RTU'Ia
TELEPHONE
66kThACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 38 DRAKE AVE.. BIGGS
Energy Plan Checking Fee $
$
PERMIT FEE $ 53.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF )Q; 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 Oh
Describe Work: REROOF 22 SO MIP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 ,
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
800V OR LE s
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lawfor 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 20M TO ,000A 46.00NEW
CONST. DWELLING OCCUR s°
OR ADDNS. ( g ACC. BUDS. 3.5QFT:
NEW CONST.
NON.@7.50
RLglp, =O g%
OWER APPARATUS
8 SINGLE LET
OUTCIR.
Ex. OCCU OUTLET OR FDRUREs SAL @ . o
Ex. Occup. o xT� pap °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
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' compensetion,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: r
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
fort with comply with those," rovisions. s
X) Date /'� ��/ ��
_Signatd_ of Applicant - ❑ Okner 13 -'Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
structures over 3 stories in heir
MECHANICAL PERMIT Fling Fee 20.00
r Heating r
Coolin '
Hood. ,,. 6.50
Ventilation ,
; .•
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 53.00
r
HAZ.
D. FEES
IMP
I FLOOD
I CDF
I 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.
//of
Awix,03
By i Jjf Date /44 7/l
PERMIT EXPIRES ON f -7// )4 r
/ Date C
Receipt No. /l;.) r) r I
WHITE-D.D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B ILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone ( 30) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 3'� 9a�"
ASSESSOR PARCEL NUMBER
025-120-034
ZONING
BUILDING PERMIT
OWNER
HAURY MARGARET36B--5655
TELEPHONE
SQ, F', OCC. BUILDING VALUATION
_"E'i3 4 ^lA6T. 9 3IGGS ; CA 95917
1 ;320.
CONTRACTOR'S NAME
TELEPHONE
RS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
38 DRAKE AVE. BIGGS
Energy Plan Checking Fee $
$
PERMIT FEE $
53,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 5g( 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: RFRnnF ?i SQ ('SMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A.R LE:s
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
commencin
9 with Secon of Division 3 of the Business and Professions Code,
( g ti7000 )
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
or 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
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. & AOC. BLDS.
s0
3.50FT.
NEW GUMT. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
@7.50
OWER APPARATUs
8 SINGLE OUTLET CIR.
Ex. OCCu CUTLET OR FIXTURES��
@': o
Ex. Occup. DFlXurL�ECs RLNs DR
Tl
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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
r 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
wor rs' compensation provisions of section 3700 of the Labor Code, I shall
f ith comply with those rovisions.
011
X Date _
Si ature of icant- ❑ O er tractor ❑ AgenOSHA per i srequired for exca io over 5'0" deep and demolition or construction0of structures er 3 stories in hei t.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 53.00
„Az.
D FEES IMP
I FLOOD
I COF
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 fo*fees been paid.
B DateReceipt
EXPIRES
at
No.PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
OWNER -BUILDER VERIFICATION
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 major labor and materials for construction of the proposed
property improvement: YES Ot NO ❑
2e1 HAVE HAVE NOT 11signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
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:
PROPERTYOWNER:
DATE: 14-,
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
OWNER BUILDER INFORMATION
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:
♦ 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.
♦ 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.
♦ There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ 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 "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed 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
rely,
Mc 1 C. Vi ira, C.B.O.
M er, Building Inspection
NOTE. This Owner -Builder information is required by Section 19830 of the California Health and Safety Code
OVER
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