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Home My WebLink About031-201-033i li BROWN, C.G. _ 1317B J_ : - 1015P -:l(,-7 1157 Plum -as Ave . , Thermalito 031-201- BROWN, LA _ b s ,a 01-1319 z: 1157 PL AVE" MLLE CONTR..THRESHER HEA REPLACE FU /AC RNACE ADD A/C 1 E! J, li BROWN, C.G. _ 1317B J_ : - 1015P -:l(,-7 1157 Plum -as Ave . , Thermalito 031-201- BROWN, LA _ b s ,a 01-1319 z: 1157 PL AVE" MLLE CONTR..THRESHER HEA REPLACE FU /AC RNACE ADD A/C 1 E! J, { e. 031-201-033. 01-1319 BROWN, LARRY. 1157 PLUMAS AVE., OROVILLE. CONTR: THRESHER HEATING/AC REPLACE FURNACE ADD A/C. OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -0-4-131n ASSESSOR PARCEL NUMBER 031-20V,033 ZONING - - BUILDINGPERMIT OWNER MXM a' WRY TELEPHONE 533-4081 SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUAG ADDRESS t157 RIMS AVE, ORMUZ, a 95966 CONTRACTOR'S NAME C TELEPHONE 1 534-5002 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 $ BUILDINGADDRESS 57 AVE,O CA 466 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00/ USEOFSTRUCTURE SF U Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 / Water piping 15.00 Each gas water heater or vent 15.00 I TYPE OF WORKGas New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other 1 Describe Work: REFACE 3+UMCE ADD AC piping system 1 = 5 outlets 15.00 / Building sewer 15.00' Mobile Home I S G W @20.00 PERMIT FEE S /; ELECTRICAL PERMITFling Fee 20.00 800V OR LESS Main Service 200A OR LESS I , 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. �+�y (j License Class t4- 2 G / ( 7 e 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: 1 ❑ I, asbwner 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 r 46.00 NEW CONST. DWELLING Occup. OR ADDNS. ( S. s0 ! 3.5Q1T: / NEW CONST. MLIACCo NON•RESID. @7.50 POWER APPARATUS /' a SINGLE oUTLtT CIR. i Ex. Occup. OUTLET OR FocruREs 20®'•00 BA @ .SO Ex. Occup.. ouriEDrsA Aa 0 °� 5.00 • Temporary Service 23.00 Mobile Home Facilities I /20.00 Misc. Wiring / ! 23.00 PERMIT FFcE _ 2J.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 MECHANICAL' PERMIT Fling Fee 20.00 Heating ,/ ;r 15.00 Cooling $5.00 Hood I I • 6.50 Ventilation r i ! ; ,• PERMIT FEI: S 50.00 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 yrovisions. X ia, ,.. Date IFI .�%_ 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 $ Energy Inspection Fee $ Oct CONST. TYPE �}' TOTAL FEE $ 75.00 ` HAz. o. rEs IMP FLOOD CDF PARCEL p0 HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , B.y.,- PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. � � Date I6 , 4,e � efe 't ReceiptNo. ,gIJ /01 -]1 *7 q /'i to WHITE-D.D.S.-B� CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. .2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION J County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. �'y• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-201-033 ZONING BUILDING PERMIT OWNER LARRY. TELEPHONE 533-4081 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS AVE. 0RQV_ILLE,_CA 95966 CONTRACTORS NAME —AC TELEPHONE 534-5002 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS 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 1157 P VE. ORMLLE, 95966 Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDWSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF GX 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: REPLACE FURNACE ADD AC Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.A OR mss 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 forge and effect. License Class G- / T Lic. No. 7//78'F",0" OWNER -BUILDER DECLARATION 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 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 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 worker' compensation provisions of section 3700 of the Labor Code, I shall fordIt comply with thosje Rrovisions. X __ Date ! C2 _ Signature of Applicant - ❑ Owner 9 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.0�2L��akAate Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADONS. ( i ACC. BLAS. SO 3.5ttFT. NEW RO2. MULTI.OUTLET @7.50 POWER APPARATUS BSINGLE OUTLET CIR. Ex. Occup. oLTLET OR FonUREs 20 ® 1.00 BAL @ .SO FIXELNSI Ex. Occup.OuT rs REs,D,°EA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 25,00 MECHANICAL PERMIT Fling Fee 20.00 Heating �33115.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEI_ S 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 75.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I HDL This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. m' ReceiptNo. 3a 0 617317 WHITE-D.D.S.-B. D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7544 (RASSESS RP - APPLICATION AND PERMIT MIT No. ASSESSOR PARCEL NUMBER OWNER 3— ZONING BUILDING PERMIT TE�Ep►pNE S11 FT. OCC. ^^ O'WNERs MAILING ADDRESS/) 11 BUILDING VALUATION LOT NO. I SUBDIVISONs NAME USEOFSTRUCTURE S Duplex❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New , Addition ❑ Remodel ❑ lAl6es ❑ Installation ❑ Other Describe Wor : Q ff - *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOVNT RECEIVED a $Dd *RECEIPT NVMBER 3aLL2 3_ " TO BE PVT INTO COMPUTER Fire lace Total Valuatlon S rllln roe 4FEE Permit Fee Plan Checkin Fee Energy Plan Checking Fee PERMI PLUMBING PERMIT Each Tra Solar or hent um water heater Water pipin Each gas water heater or vent Gas 1 in s stem 1 - 5 outlets Buildin 1 sewer Mobile Home ST—W PERMIT FEE 1 $ tOccu RICAL PERMIT ervice e00v OR LESS 200A OR LESS ervice 200A TO 1000A ST. DWELLING OCCUP, . ACG BLDG MULTFOUTLir.POWER APPARATUS6 SOIOLE OUTLET CIu OUTLET OR FwTMES FOGA APPLNS. ORu OUTLETS EsiD. EAar Service i Mobile Home Facilities -rang t-ee 7.00 23.00 15.00 t 5.00 15.00 15.00 020.00 23.00 48.00 3.5¢F°. @7.50 5.00 23.00 20.00 23.00 20.001 20.00 I 20.00 0 PERMIT FEE t aS .� MECHANICAL PERMIT Fling Fee 20.00 EHeatin 1�> 8.50 PEnergy Home Installation Fee S Inspection FeeCONST. TTF£ TOTAL FEE $ 10D HAZ. D. FEES IMP FLOOD COF PARCEL PD ND ISSUE it is hereby Issued under the applicable provisions utte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By I Date n — v PERMIT EXPIRES ON �j CONTRACTD '9 TE C CONTRACTOR'S MAILING A0ORES9 QCONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER UCI ARCHITECT OR ENG'N MARINO ADORESS BUILDING ADDRESS LOT NO. I SUBDIVISONs NAME USEOFSTRUCTURE S Duplex❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New , Addition ❑ Remodel ❑ lAl6es ❑ Installation ❑ Other Describe Wor : Q ff - *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOVNT RECEIVED a $Dd *RECEIPT NVMBER 3aLL2 3_ " TO BE PVT INTO COMPUTER Fire lace Total Valuatlon S rllln roe 4FEE Permit Fee Plan Checkin Fee Energy Plan Checking Fee PERMI PLUMBING PERMIT Each Tra Solar or hent um water heater Water pipin Each gas water heater or vent Gas 1 in s stem 1 - 5 outlets Buildin 1 sewer Mobile Home ST—W PERMIT FEE 1 $ tOccu RICAL PERMIT ervice e00v OR LESS 200A OR LESS ervice 200A TO 1000A ST. DWELLING OCCUP, . ACG BLDG MULTFOUTLir.POWER APPARATUS6 SOIOLE OUTLET CIu OUTLET OR FwTMES FOGA APPLNS. ORu OUTLETS EsiD. EAar Service i Mobile Home Facilities -rang t-ee 7.00 23.00 15.00 t 5.00 15.00 15.00 020.00 23.00 48.00 3.5¢F°. @7.50 5.00 23.00 20.00 23.00 20.001 20.00 I 20.00 0 PERMIT FEE t aS .� MECHANICAL PERMIT Fling Fee 20.00 EHeatin 1�> 8.50 PEnergy Home Installation Fee S Inspection FeeCONST. TTF£ TOTAL FEE $ 10D HAZ. D. FEES IMP FLOOD COF PARCEL PD ND ISSUE it is hereby Issued under the applicable provisions utte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By I Date n — v PERMIT EXPIRES ON �j •t 031'-20-1=033 =172B BROWN, L.L.1157 Plumas Avenue,O(new vinyl siding & COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1 PER T NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-20-1-033 ZONING AR BUILDING PERMIT OWNER BRO14NEST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11.57 :iAVE.,R 7200 CONTRACTOR'S NAME 01.1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1157 PLUMAS AVE.,V PERMITFEE $ 119.00 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ON Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 fnl Describe Work: NW VINYL SIDING AND REPLACE WINDOWS Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service %-A oR LEss ( zooA 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. I 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 OCCURS OR ADONS. ( 8 ACC. ) O. 3.5¢ FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo p 1.00 BAL .00 Ex. Occup. (OUFIXED APPLNsTLETS (RESID.)OR 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. ❑ 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 �. (' [�=¢�i � Date g= 0 J _ Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 119.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU t This permit is hereby issued under the of the Butte County Code and/or indicated-aybove for which fees have / By �-- ;,� PERMITEXPIRESON applicable provisions Resolutions to do work beorn paid. (% Date 8/8/95 8/8/96 (Date) Receipt No. 180939 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 (916) 538-7541 ER T O. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 031-20-1-033 ZONING AR BUILDING PERMIT OWNER L.L. BROWN TELEPHONE 933-4081 SO. FT. OCC. BUILDING VALUATION EST 7200 OWNERS MAILING ADDRESS 1157 PLUMAS AVE, DROVITLE, CA 99Q655 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNI(NOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1197 PLITMAS, AVE, DROVIT.I.E. PERMITFEE $ 119.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 00 Describe Work: NE14 VINYL SIDING AND REPLACE WINDOWS Mobile Home I S I GI W I :T (—W20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service 600V OR LESS ( 260. 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 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) S0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Ex. Occup. (OUTLET OR FIXTURES) 20 ®1.00 SAL SO Ex. Occup. ounEEDrsPaEwso.°ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 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 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. Q _ Q� Date 8=� 1 _ Signature of Applicant - 'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 119.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for which fees have b paid. By ate 8/8/95 PERMITEXPIRESON 8/8/96 (Date) ReceiptNo. 180939 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 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[ ] 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: q — "t - 1� S . - -,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 propertyowners .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. Sinc1rely. . 7 ! Michail C. Viei a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER