HomeMy WebLinkAbout029-144-008
A Z,INA GARNER 29-144-08
SW cor Main & Midway, R;rhvale
PPrmit#1514'= E(ne-w foundatio &
plumbing) SF
29 1 ; 3�/
4(Permit03339-79Pgappng11-
a -9S F
- 29-144-08
1205 Rice Avenue, Richvale
permit#1378-85B(reroof/SF)
029-144-008 PERMIT#96-1884
GARNER, Verner & Linda
1205 Rice Ave., Richvalee
Partial Reroof Garageu/ /
voll,
RION
cr.)
-;-
029-144=008. PERMIT#96-1884
GARNER; Verner & Linda
1205 Rice A`ve.', Richvale
Partial ReroofyGarage
77— /77-97 jc::�;dk
t ;�
J
fo
029-144=008. PERMIT#96-1884
GARNER; Verner & Linda
1205 Rice A`ve.', Richvale
Partial ReroofyGarage
77— /77-97 jc::�;dk
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV,N
7 County Center Drive - Oroville, Califofnia. 95965 - Telephone (916) 538- 1PERMIT NO.
APPLICATION AND PERMIT _01" �� ` -I
ASSESSOR [',€LN�IMIBF,A_M8
ZONarmh
B ILDINGPERMIT
OWNER VERNER AND LINDA GARNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
300
'LIC) "Xs
GWNEA'SBO 192. RICiVALE CA 95974
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NOMAILIN•VtGrt-ADDRESS
UNKNOWN
Total Valuation is
Filing Fee $
20.00
LENDER'S
Permit Fee $
.
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1205 RICE AVE. RIMALF.
PERMITFEE $
35.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.SUBDNISION'S
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other ('ARAGE
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
�v
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑'
Describe Work: PARTIAL RER00F W/COMP
-
Mobile Home --[S G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
O
Main Service ODV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
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:
'Ed 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. BIDE. )
SD.
3.SQ FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES )
BAL @ L.50
Ex. Occup. (GFIXEL-Drs (PLNS..OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
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 provisions.
(_
X ' Date t! `� tL�/ _
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 is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HA2.
I D. FEES
IMP
FLOOD
CDF PARCEL PD HD
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or R olutions to do work
indic�ted1 bove for ich fees hate been paid.
d
f9/19/96
Y �: - Date
8/19/97
PERMITEXPIRESON
(Date)
��t -��
Receipt No.
J
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, Cif &rpia 95965 - Telephone
APPLICATION AND PERMIT
BUILDING DIV ON
(916) 538-7 1 PERMI NO.
ASSESSOR PARCEL NUMBER
029-144-008
ZONING
armh
B ILDING PERMIT
OWNER VERNER AND LINDA GARNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
5 @UOT
300
OWNERS MAILING ADDRESS
P 0 BOX 192, RICHVALE CA 95974
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee $
20.00
'S
LENDERMAILING ADDRESS
Permit Fee $
15.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
1205 RICE AVE., RICHYALE
PERMITFEE $
35.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
GARAGE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas I In system 1 - 5 outlets
p
piping y
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ • Installation ❑ Other
Describe Work: PARTIAL REROOF W/COMP
Mobile Home I S I G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
La or the following reason:
L�f 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
WORKERS' COMPENSATION DECLARATION
I 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. BUDS. )
SO.
3.S¢ FT.
NEW CONST. MULTI�OUTLET
NON.RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(s SINGLE OUTLET CIR. )
EX. Occup. ( OUTLET OR FIXTURES )
200 1.00
aAL 0 .S0
EX. Occup. FIXED
OUTLETS PUNS. OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
9
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.)
W/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 Co, I shall
forthwith comply with those provisions.
X Date ���
S4,nur, of Applicant --A 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
HA2.
I D. FEES
I IMP I FLOOD
I CDF PARCEL I PD HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Re olutions to do work
indic d bove for ich fees h e een paid.
OF
1A &1 8/19/96
Y Date
PERMITEXPIRESON 8/19/97
(Date)
Receipt No. 202521
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
:5.....:
...is............:•:'-iiiiii>ii}iii:4ii:•i:Sii:Ji>i:{;•i 4:{•y}:}}4i:�i: :{.iii: �......... ......{•:.•iii:..'..
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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.
I. I personally plan to provide the- major labor and materials for construction of the
proposed property improvement: YES] NO[ ].
2. I HAVE[X] '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:
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:
w4�
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: (/}' do &hM-QJJ
SOCIAL SECURITY NUMBER:_
DATE: — �Q
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
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 �vork 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.
Sincbrel ,
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE - D6PAFJT,VIENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
OWNER
,1
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
r
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS -
�, -
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
f
(
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
1 110-00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ �.Uti lities ❑ Installation ❑ Other ❑
Describe work: 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2I/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
20@60a
Ex. Occup(ourLETs OR FIXTURES SAL®300
FIXED APLNS
Ex. OCCUp- OUTLETS (RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �, i�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPPoR=TM�NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT/N.
5
ASSESSO P7 RCE MBER
-r` -0
ZONING
BUILDING PERMIT
OWNER
Z�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE MAILING ADDRESS `
COAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LEN R'S MAILING ADDRESS
Permit Fee
$ 01
ARCHI CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILI G ADDRESS
`
Permit fee
$
BUILDING ADDRESS
I
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
,C
Water piping
5.00
LOT NO. JTUEFF7iSION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF XDuplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ RjeodelD ti lities ❑ Inst llation❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ACC. BLDGS.
2/20sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
I,LINIS
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R. BRANCH C.IRCTITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON•R ESID. SINGLE OUTLET CIR.
Ex. Occu 20®60C
P�o FIXTURES 9AL®aoQ
FIXED A POR
Occup.
EX. OUTLETS (RESID,)REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said Coun�incon�sequence of the granting of this permit.
%�Date �S
5ignarur of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 01
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
UE
his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRECTO PU�IC
By.
PERMIT EXPIRES Ae
the applicable provi-
resolutions to do
fees have been paid.
WORKS
At.
Receipt No. V
WHITE-D.P.W., YELLOW -ASS SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r` ,
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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 or no) dd2�2_.
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License No.
City
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 Contractors 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 Nu er _
Date
NOTE: This Owner -Builder Verification is sent to you -as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to is.sue the permit.
_PERMIT NO. 1514-79B,P,E
PERMIT EXPIRES 3/22/80
11OWNER ALZINA GARNER
�CONTR. owner
LOCATION (A.P. 29-144-08
SW corner Main & Midway, Richvale
t
�1
�4
`
r
v
Temp. Power Pole A. -
Called PG&E
Temp. Elea Servo
Called PG&E
T Gas Serv.
CalleZPG&E
UALEID
l
(Date)
(Signature)
n
btucco
• r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback jr — 9
Firewall
Soil Piping
Forms
Cooling
Parapets
1st Floor
Main Bldg.
Underground
Restroom Finish
2nd Floor
Footings
Door Closer
Windows
3rd Floor
StemwaII
Siding
To out'
Slab
Roof Sheathing
Water Piping
Piers
-
_ Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
h ndicappej
Conformance of ex.
structure
Appliances
Gas Pipinq & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
-Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Finni
btucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
_
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate 3 «�`'- /
S' ature of Permitpee or Agent
Receipt No. ZO v �✓
White-D.P.W. — Yellow -Assessor — Pin -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above r which fees have been paid.
JQ EC 0 OF2PU C WORKS -);-)1
B Date3,,
Building permit expires Date �Oy
BUILDING
Owner 94 �
SO. FT. OCC. BUILDING VALUATION
Mailing Address
,CY L��
Te epho No.2?
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
Checking Fee &/orPenalty
Permit Fee
--
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 s®()
Each Trap 1.50
�ICHt/xi'Z�'
Repair drainage or vent piping 1.50 , S 0
/�
A. P. No. / 4
pM#
/ /tZonin & Planning
Water piping 1.50 —0
Each gas water heater or vent 1.50
s
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
J Plans
ParcelEach
Declaration
I Parcel Map 1
60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
ons Rec d
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -3,QC/
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex,[] Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. S� 20Sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
le of:
NEW CONSTR BRANCH CIR T
NON.CONS , BRANCH CIRCUITSI 12.50ea
NEW CONSTR. (POWER APPARATUS S
NON•RESID. SINGLE OUTLET CIR,
4
EX. OCcuD{OUTLETS OR FIXTI-RES BAL2100
Ex. OCCU FIXED APPLNS. OR
Occup. (RESIDJ EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25�-
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Z
-FEE
$ Zi
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ �.
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate 3 «�`'- /
S' ature of Permitpee or Agent
Receipt No. ZO v �✓
White-D.P.W. — Yellow -Assessor — Pin -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above r which fees have been paid.
JQ EC 0 OF2PU C WORKS -);-)1
B Date3,,
Building permit expires Date �Oy
- ,. ,.a, .h.._ .-.�.�.T •: '�-gym.
COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
cr. c.�cna.auUlc VVUl. y UI OU lir. W GIILVI U1JU11 LJ
above-mentioned property for inspection purposes.
X ateLt4_
Signal of Permitee o(Agent
Receipt No. / X�'I) _-3 3 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
l'x ,0tRSCA_TQRAOF PUBLIC WORKS
Building permit expire; Date
BUILDING L1011-
OwnerAl
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
IR
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 0
)JW` e
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. — _.
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1 1.50 I,gD
F
6aARa46sn
Fi;e•Bept.
Frre-Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
pl eclacaxien
Parc 60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
1314 4-a e2d
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $ iKD
1,0
.d_— N--
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Sin
Single Family Duplex ❑ Mobil Home ❑ Others
g y P �
Main service 600V OR LESS
10o AMP LESS 5.00
-L
Main service EA. ADD100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLLING BLOGS.CCUP. 8) 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW RESID,CO N MBRANCULTI-OUTL T
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTSL (PO ER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
250 1
Ex. Occup{OUTLETS OR FIXTIIRES 5 L
Ex. Occu / FIXED APP LNS. OR
{�•\OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
No.
MECHANICAL @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
$
cr. c.�cna.auUlc VVUl. y UI OU lir. W GIILVI U1JU11 LJ
above-mentioned property for inspection purposes.
X ateLt4_
Signal of Permitee o(Agent
Receipt No. / X�'I) _-3 3 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
l'x ,0tRSCA_TQRAOF PUBLIC WORKS
Building permit expire; Date