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HomeMy WebLinkAbout030-170-075030-170-075 PERMIT#96-0060 OLRY, Scott 26 Cabana Dr., Oroville Retag Gas Meter/SF �` r oQ - / 7e- - OFFLCE COPY Address GAS Meter By Da� ELECTRIC . Da e COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION <S 7 .County Center -Drive'- Oroville,'Califordia 95965 - Telephone (916) 538-7�4� rQD PERMIT NO. APPLICATION AND PERMIT 6 - ASSESSOR PARCEL NUMBER- r 1 030-170-075 ZONING BUILDING PERMIT OWNER [��-i�t IffCITRY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS I 171 WT. V61ZV.N A C 1 CONTRACTOR'S NAME TELEPHONE t CONTRACTORS MAIUNG ADDRESS � Fireplace CONSTRUCTION LENDER UNKNOWN I Total Valuation $ Filing Fee $ 20.00 MAILING LENDER'S MG ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ( Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ( 9A R- PERMITFEE $ •-- - PLUMBINGPERMIT Aling'Fee 20.00 Each Trap 7.00 LOT NO. SUBDNMION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE � SF � Duplex 11 Mobilehome ❑ Other ; SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.0 0 Building sewer 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O1 Describe Work: RETAC GAS METER — t Mobile Home I S I GI W I @20.00 PERMITFEES .5. 00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 7{ Main Service e0ov OR LE ( 200A OR LESSSS ) 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 t I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: L I, as owner of the property, or my employees with wages as their sole compensation, Owill 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 reasonMECHANICAL NEW CONST. DWELLING OCCUP. SD. OR ADONs. ( s BLDS. ) 3.5Q FT. NEW CONST. MULTI.TI.OUTLET NON-RESID. ( s ) @7.50 PBORW RCH�CIIRRCCUUI ( a SINGLE OUTLET C1 R. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 perlmit is issued. My workers' compensation insurance carrier and policy number are: Carrier i 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 dollar's �($,100) or less.) e1 ' 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 Califol.nia, and agree that if I'should become subject to the r workers' compensatio provisions of section 3700 of the Labor Code, I shall - forthwith comply withl th •serprovisions. I X / ___ Date `°SignaturofArplic'ent'- ❑ Owh�r ❑ Contract 1 ❑•Agent An OSHA perm)t is required for excavations over 5'0"deep and demolition or construction, -g of structures over 3 stories in height. Mobile Home Installation Feeil/ $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 r•.' HAZ. 'D. FEES IMP I FLOOD CDF PARCEL I 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. ,C t Date y v AJI/ PERMITEXPIRESON J4 q, , (Date) - ' Receipt No. WHITE-D.D.S.-.D.1 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Orov&e Cdhfornia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER 030-170-075 ZONING BUILDFG PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 171 NT. KAREN AVE CT-C)IIIS 9361 ? CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS C-ABANA DR- PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 _26 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 X USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other A SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: RETAG GAS METER — Mobile Home S G W 920.00 PERMITFEE Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License -Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR\ OR ADDNS. ( & ACC. BLDS. / SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON -RESOD. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CI R. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ( OUFIXED TLETS(RESID.�FA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not e y any person in any manner so as to become subject to workers com ation laws of Califo ia, and agree that if I should become subject to the wor ars' compen p isions of section 3700 of the Labor Code, I shall fort ith comply it th s r sions. _ Date n ure o I nt - Ow r ❑Contract ❑ Agent PAnOS A 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. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated ove for which fees have been Y PERMITEXPIRESON Ap I ( provisions to do work paid. Date Ael ate)' Receipt No. ��'�� C�C�' WHITE-D.D.S.- TCANARY-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 abor and materials for construction of the proposedro erty improvement: YES NO[ J. 2. I HAVE[ HAVE NOT[ J signed an application for a building permit for the proposed ork. 3. I have contracte_ d 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: k— h 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 60,., {� /.1.39Ac. r td h 14. THERMAL / TO.;_' T. /9N. R 3E M. D. B. 8 M. _ _ . -1na:n°a5 sP�� ISI I •/247.2251.83 0� I I 13 Olive_ IG /enn Drive i 12.WI I il 6-3 4 C80 JIM ,y © /OQZ 1/Z d avvt Rt•f _L2.SC4AC-;-\ V Court 4 9 -= -ff 3b uo I I i I Ol:v� Lea v fs�j 176 Ac 5 ® 4O/� :} \ 4 ----I I 3 ...--- �D N _ « k ft'bROtARftR T - 0141`*i1:' q 4 K I Tax Area Code104-10 104-16 J •� . tom}, iCr' E ' - � ,V _ - � •1 -w- '358.68 - _ - ��., :� w - • 7i !�` a •-- ,. - _ '624 /Ts, sT.�9 322.44 27/..7 +� - - ' 411 3&9 2- -- - /031 Sky3&9 - 299.57 �4 /AC Ar b 2.12 Ac N w O /021 73 N I N /M 33_48 I ow 447.3 a. 78 Ac • $ N' .� Abd DEP6 72 6 w' I - ' 27,.24 �`/ 12' R=2.f'ft ZIS./OHO �r !STA TE HIGHWAY 1 oR�i14iC9zih'mu 1� -� — — _ ,, _ o ' 270 8., 0 ! /4682 60.6 60 •- O ® ® � i w i � 28.3 i C_ /23.73 90 O I O w o r 5qo. 2 w i J -7S t - /7Q / /00./ 220 c tt ♦ 79�- _472 /9/ I I Isf't 27 THER"UrO M.O.R. if��4LL A"IAP'Na.6 l IYUU[E JeIA) N. W. Cor. B/k. /42 - - THERNi ' NOTE: These parcels are for assessment puiDtl>I�t .4L/TO ' n� only and may nai constitute legal-pa►cslit, Assessor's Map No. 30-/7 rt—m5bESSOR'S PARCEL BLOCK County of Butte, 0011 b LOT NUMBERS SHOWN REVISED:: 8- 9s IN CIRCLES }wr IV _r 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, pe=m ts'are riot 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 bondedlby 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. M `' z _' 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. " s. materials and other costs) is: 5300 or, more for the entire project,- and such persons are not licensed as ; ., contractors or subcontractors,'then you maybe 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;