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HomeMy WebLinkAbout030-140-02930-14-29 i TONY LIMA 1297 Feather A e, 0 oville Perm t��158-80E(e xerse.r- ch)SF j - 030-140-029 00-0084 LEmA, susAN 1297 FEATIMER AVENUE, OROVILLE CONTR: OWNER f` REPAIRS -SIDING, REROOF, ELEC 030-140-029 Y 02-23,11 1 . t MARK HELLER 1297 FEATHER AVE., ORO IDtE CONTR; OWNER GAS PIPING & FURNACE M 3,1 f 3,1 i � {J r T ;4, I � tu�`A •, �• , jY .; ��r . _.. ��� . w .,...:,.: �lr.;,:i r: -r ..-r.'`��LJ,- .r, -.:i' -"tit �i':.:r�\?s'.S-..f4rrs.����u+i�cx. :,.�ZS1lYdi�"�'i"'. _.�-.�, ,�-,p•-�-a-". "---ter .. -`� 34/ ����--•—.waac p Ic ra cvz�� 11 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 4 ZONING BUILDING PERMIT OWNER �-`'� \ , � 1 I ^\ TELEPHONE TE1 �_ 0 � SO. FT. OCC. BUILDING VALUATION r OWNERS MAILING ADDRESS D C 6: RACT6RS NAME TELEPHONE 1A SO IR 1.080, CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 99,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12c):7 "Anup. AVE. 0mrim Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X 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: REPAIRS—SIDING.REROOF.DRY—ROT REPAIR MISC F. LECTRIC,WINDOWS & REPAIR FMR IN BATHRM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G w @20.00 PERMIT FEES 27.00 ' ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2ooA 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.POWER 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. i❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 Main Service 200A TO fOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. OCS. SO 3.5¢FT: NON p610T MULTI•0UTI ET @7,50 APPARATUS S SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 p t.00 p .so Ex. Occup. DUT�7g . .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PERMIT FEE S 43.00 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 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. y..� •� X y.� .., - _ Date r4 ,/_ o_0 Signure of Applicant - ❑ Owner ❑ Contractor 13Agent i at 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 $ 189.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO 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. _ l GCS By l.rD 1 / Date i PERMIT EXPIRES ONV % /' i / Date ' Receipt No. Hatt '�'►%'� WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JUVA - -1- (14k =030-140-09 02-2311 MARK HELLER 1297 FEATHER AVE., OROVILLE CONTR; OWNER GAS PIPING & FURNACE OFFICE COPY Address GAS DaJ64 7 Meter By ELEC - Meter By Dare - .00, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754r -- I PERMIT 0. (Rev. 12/96) APPLICATION AND PERMIT P UMBER ,- } f ','� ZONING BUILDING PERMIT OWNER HEELER MARK 5 TELEPHONE — so. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 140 M"PA PLACE SAN RA", CA 945,93--M37. CONTRACTOR'S NAME OWM 945 TELEPHONE 583-3837 CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 18y14pIyG�Ci:t1lCiCd� AVENiIE 95965 +_ 11ii�� / Energy+Plan Checking Fee $ $ .r ._ j_•+' ;. _ •«d� - PERMIT FEE - $: LOT NO. SUBDIVISION'S NAME PARCEL'MAP PLUMBING PERMIT Filing Fee 20.00 ;-IEach Trap 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY 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 Q I Describe Work: GAS PIPING AND FURNACE Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20:00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 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 L 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the,project 1 ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION rI h eby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are. Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) -I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and. agree that if I should become subject to the workers' compensation provisions -of section 3700 of the Labor Code, I shall forthwith comply with thoswpro .islor s. Qx,t t. 'te ur— e' of Applicd6t Owner O Contractor ISI Agent An OSHA permit is require. for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so. OR ADONS. ( 8 ACC. S.3.5¢FT. O µR S DT' MULrI-OCYTC @7,50 OWER APPARATUS 8 SINGLE OurLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL O 1. 0 FIXED APPLNS. OR Ex. Occup. ounETs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 s PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation W FURNACE15.00 1-5.00 PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP FL000 CDF PARCEL PO 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. IB YVe2 ox Date��' Y RESUE1 PERMIT EXP Z :9"•� Date Receipt No.&D i0 57 ZeW747- WHITE-D.D.S.-,Bp.' SCA A -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 O• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-140-029 ZONING BUILDING PERMIT OWNER HE LER MARK 92-50 TELEPHONE 899-5792 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 140 MADORA PLACE SAN RAMON, CA 945,93-1817 — CONTRACTOR'S NAME Ogg 945 TELEPHONE 583-3837 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 1297 FEATHER AVENUE OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ]I Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Liili6es ❑ Installation ❑ Other 1A Describe Work: GAS PIPING AND FURNACE Gas piping sy2tern 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W 4T@" PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L 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 f� to construct the project. /❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION reby affirm under penalty of perjury one of the following declarations: )I 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. KE) 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro ' f section 3700 of the Labor Code, I shall fort wit comply with rov' io f <D/�te w7 2 �J I&ture of -Applicant Owner ❑ Contractor Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construction�� in h of structures over 3 stories eight. Main Service 200A TO tOooA 46.00 NEW CONST, DWELLING OCCUP. Sp OR ADDNS. a ACC. BLDs. 3.50 FT. NEW9 CONST,µ . MULTI.OUTL 1 @7,50 APPARATUS S SINGLE OUTLITT CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDRURES L BAo .50 Ex. Occup. ounFTs I.= .oE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation GASFURN AC E 15,00,15-00 PERMIT FEE S35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. p, FEES IMP FL -7 CDF pARC0. 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. B y Date PERMIT EXP ES N c "e? 3 —� Date ReceiptNo. 0, C% WHITE-D.D.S.• AR -ASSESSOR PINK -INSPECTOR 'GOLDEN ROD -APPLICANT OWNER -BUILDER VERIFICATION A-,tentlon Property Owner: Aa "owner -builder" building peim.it has been applied for in your name and bearing your sig mwe4-8. Please complete and return this information at your earliest opportunity to avoid moe ary%MMV_ in processing and issuing your building permit. No building permit will be issued tmoi ..d& verification is received. (: personally plan to provide the major labor and materials for construction of the proposed property improvement �: _YES _ �NO 2. I HAVE- HAVE NOT 0 signed an app ' 'on for a building permit for the 9aopa3 VM& I have conducted with the following person, =) to provide the proposed eonsOnud=a: - ADD PHONE: 4. I plan to provide portio supervise, and provide the Y UNEE ADDRESS: PHONNE: 5. I will provide some of the the work indicated: / NAME 'S LICENSE N this work, but l I have hired the owing person to eoordbu Le, itw,work: crry: I have 4ontracted (hi ADDRESS I PHONE following persons to provide OF WORK �RPM;�� �►—ter. t D S i NOTE: This Owner -Builder Ver&ation is required by Section 19831 and 19831 Vrgk California Health and Safety Code. This verification must be eongs140d aid returned to our office before we are permitted to issue the permit OVER i . _ «.-.yli'- . 1.. '_ __ _moi ...✓ _ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE I �_ 1/$ A 11 i-- , — o` 'OWNER IZ9`i ������ ()�0/1�)� PERMIT NO. ' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining t%this matter, or need additional explanation, please contact this office immediately. Q rom 14) yn• , C.. i tI CA r- I, w Si PL4 W• %4MWs -T-- 100 r �6,AT - 1be r V -- ax -! c— W n, L eN 17en c,. :r Date ) F (v IOU Inspector REV 10/92 EZZ JW COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT " ASSESSOR PARCEL NUMBER 010-140-029 ZONING BUILDING PERMIT . OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION FqT 6,900 . OWNER'S MAILING ADDRESS 1997 FEATHER AVE-, OROVILLE, CA 95965 go rnip 1,08() - CONTRACTOR'S NAME TELEPHONE -is CONTRACTORS MAILING ADDRESS r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 9-00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1297 FEATHER AVE., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF F Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump 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 ❑ Describe Work: REPAIRS–SIDING.REROOF,DRY–ROT REPAIR MISC ELECTRIC,WINDOWS & REPAIR FLOOR IN BATHRM Gas piping syste!n 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V Of' LESS Main Service za.AORLESS 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: f Q 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. ❑ 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 zooA To i000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADONS. a ACC. stns. SO 3.5QFr: CONST MULTI. OUTLET NON•RES D. BIRAMH @7,50 POWER APPARATUS 6 SINGLE OVRET CR. Ex. ccu ounFroRFaruREs EO aA0 o L: o Ex. Occup. otmtDrs RES PLNS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 00 .23 PERMIT FEE $ 43.00 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.) IR 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 moi„ ice. , Date 01AV-00 PIfa e 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ 189.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PO I 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. r y Date 0 PERMIT EXPIRES OW Ild In ate Receipt No. WHITE•D.D.S.-B.D. C NAR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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[A NO[ ]. 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: 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: (] f — Q 7 — OQ 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. May 1995 2.26 u' _, . 0 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- Sincerely, eturned Sincerely, Michael 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. May 1995 2.27 El -Y-weua� a,,.e A, 116, w COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT JV O. ASSESSOR PARCEL NUMBER �. ZO I BUILDING PERMIT OWt=R L) TELEPHONE r SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD 5 / e I I'e- 'CONT-RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER 8�N UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE �� � NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �,,� _ 2'a� PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ILEI' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition IRemodel Q ilities ❑ InstallationC Other ue Describe work: i •J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service sooV OR LESS 100 AMP OR LESS 5.00 �— Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR OR ADDNS. ACC. BLDGS. // 20 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 -OUT ET NON.RESID, BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR, RESID.Occup( Ex. S OR FI. OUTLETS OR FIXTURES 500250 BAL01 FIXED OR Ex. -- - -(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ y, Contractor r MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 2.00 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 Countyot 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 -'__ _11, Date � '" } / Signature of App icant — Owner ❑ Contractor ❑ Agent ❑ An OSHA per is required for excavations over 5'0" deep and demolition or construct- ion of structures over�3 stories height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OR CONST. PARCEL PD HD 155UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF RUBLIC By .�.r - - PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS - Date �'"'/ inn� Receipt No. `4 A WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZO -19 0 r� OW R TELEPHONE 41 VY, SQ. FT. OCC. BUIL N ALUATION r OWNER'S MAIL I NG DD S (1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZO -19 0 BUILDING PERMI J IF OW R TELEPHONE 41 VY, SQ. FT. OCC. BUIL N ALUATION OWNER'S MAIL I NG DD S (1 'CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' CONSTRUCTION LENDER� Al UNKNOWN Fireplace Total Valuation 1$ LENDER'S MAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER JV t" LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSlil�V PLUMBING PERMIT Filing Fee Filin Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets ,/ USE OF STRUCTURE SF (_ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ilities ❑ Installation[] Other Describe work: la—� -S — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 0V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. LING OR ADDNS. (DWEACCLBL GS.CCUPM 22 sq ft • 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 El 1, 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 CIRCUIT S IRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 AL�O¢ FIXED APPLNS. O R Ex. Occup.(OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 , Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. (�1 I shall not employ any person in any manner so as to become subject �t 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 2.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 consequenc of the granting of this permit. X �—� Date 8� 7 _gam Signature of Kant - Owner g ,A ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ 0CCUP. GROUP TYPE OF CONST. PARCEL Pb HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI R TOR OF BLIC ® -� By. ! r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date s � -� Receipt No. 4,(Y K2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 , TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: -A., Owner's Name: �.�C-�- T iesfrc `� Gtr Date: % Address: Acct. No: xf -Le A. P. No.: Phone: = 27, , %5fl <,/ No. Units: Applicant/Agent: /�%�/ Agents Proof: 4, 4", � r Address: Fees: Phone: Application $ j Arrearage Preliminary Review By:--/`-�'�► Zr /- Date: -7& CSA 26 Remarks: SC -0 R 1st mo. S.C. Other (ef r .*,j ' Total Fees Collected By:'�' Date: 7'. - 2 Field Review By: '��i� M��t,t.� -, Date: n" r7"' 5?A Remarks: �„ ,.f W.W e ' � rim ��/'• �' ��'I/�-f_G%ti MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). W, 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 197,4). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID