HomeMy WebLinkAbout031-201-030031-201-030- #98-2212-
OLRY, SCOTT D: W.- - - - - -1010-B -
1012 BUTTE AVE. OROVILLE ' 390P /
REROOF WITHOUT PERMIT 8
OWNER v
9/15/98 1� - -
eaVt-- r - - -' qq► �- 1 - - -201- r
REROOF COMP. 1012 Butter Ave., Oroville 3 T
031=201-030 yCONTR: James M.. Ladd Const., Inc., Orovi]a8
,'MISCELLANEOUS^ - �, ;, SidineStucc '(repairs) F
NEW SIDINGQ53 1 Q,,REPLACE WW1'
1012 'BUTTE°AVE
' OLRY SCOTT D & JANIE E— ' '=-` '
Y.
..
Y! I
i
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
- .r
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT
INFORMATION
Site Address: 1012 BUTTE AVE
Owner:
Permit NO: B07-0871 '
APN: 031-201-030
OLRY, SCOTT D & JANIE E
Permit type: MISCELLANEOUS
171 N KAREN AVE
Issued Date: 04/24/2007 � By KCG
Subtype: Siding/StuccoCLOVIS,
CA 93612
Expiration Date: 04/23/2008
Description: NEW SIDING(153 It), REPLACE W
(530) 37071092
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
OLRY, SCOTT D & JANIE E
-Building Garage Remdl/Addn
171 N KAREN AVE
CLOVIS, CA 93612
(530)370=1092
Other. Porch/Patio Total
FEE INFORMATION' "
DBE Single Phase Service-Resid $55.00
DBMSC Stucco/Siding-Stone/Bric $110.00,
DBMSC Window/Sldng GIs Dr -Rept $110.00
LICENSED_ CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
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.
X 04/24/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY 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.
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. Policy Number: Exp. Date:
���...
(This section need not a competed if the permit is or one undred ollars ($100) orless.)
II t ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
�J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensatio aws of California, and agree that if I should become subject to the workers'
compo-- orcprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
X j 04/24/2007
ure Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
City State Zip
Balance Due:
No:
OWNER,hBUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
rAS 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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
EI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractors) licensed pursuant to the .
Contractor's License Law.).
❑ I AMM MPT under Section B. 8 P.C. for this reason. I
04/24/2007
9wrterS�'Ignature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harnles:
Butte County, its officers, agents and employees from any and all claims and liability for personal.
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
propertyweer or a orjzW to act on the operty owners behalf.
-`t) "Ad 04/24/2007
LV_rOwner Contractor OR:Agent for Owner ❑Agent for Contractor
FILE COPY
Butte County Ddpartment of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. .
1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.00R NO)
2. I IAV /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 CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE 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
Description: NEW SIDING(153 Lf.), REPLACE WINDOWS(5), ELEC PANEL
Reference Number: B07-0871
Applicant Name: OLRY, SCOTT D & JANIE E
Owner's Name: OLRY, SCOTT & JANIE AP # : 031-201-030
Signature of Property Owner: Date:-"�"
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name/ n
(I„
First Name
Co
Mailing Address 1
City C to Ul
State C4
Zip
Phone3
Fax
E-mail lj / 1 ve– .J 5-co*co lkx Co.lam•
APPLIC T SIGNATURE
X
PERMIT
NO.
BIN #
PROJECT LOCATION
CONTRACTOR
Name
15;c.rrtr y
Address
_.._ .....
City
I No
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLIC T SIGNATURE
X
PERMIT
NO.
BIN #
PROJECT LOCATION
ARCHITECT/ENGINEER
Name
15;c.rrtr y
-Address
_.._ .....
City
I No
State
Zip
Phone
Fax
Email
State License Number
APPLIC T SIGNATURE
X
PERMIT
NO.
BIN #
PROJECT LOCATION
APPLICANT INFORMATION
Name
15;c.rrtr y
Address
SRA
City
I No
State .
Zip
Phone
Fax
E mail
APPLIC T SIGNATURE
X
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# V
eQn( -
Properly Address Z !� vT
City �C-
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
>J 1E \.,w t
r.G" N
��o r
Uj
I ro
b — log 4m?
Sq FT- Living Garage Open Cov
O Structure Built without Permits
ED Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
--•--�- -r,- •�- —• '•re a...�$ T—�.-.,..,�.,�,,.—.,-rr....tez-+..—.....-w'•-'�r�v �iv__-�'2c..t ;wvrrw�^�.y �.•,..r _.�,�� �,�,�,,�.e�.�„yti^'�-+v .—.-any � y. -
� J+�
• «. ;t
• � y
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• •b •
COUNTY 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�'�"
ASSESSOR PARCEL NUMBER 031-201--030
ZONING
BUILDING PERMIT
OWNER
01'n�tl t SCOT
6r— -„0311
SQ. FT. OCC. BUILDING VALUATION
Y6 -s(, • 7 VO.00
�y,[p�g qpD
OWNER'S [IFI li •ES ti�Si A l' Li • CIDY IS CA
CONTRACTOR'S NAME OT
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 1012 BUM` AVE.
Energy Plan Checking Fee $
$
�
OROLU
PERMIT FEE $ 45.00
IAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF a 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: RI R00FICW
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ioOA ow 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 force and effect.POWEPPARATUS
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:
was owner of the property, or my employees with wages as their sole compensation,
ill 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.
0 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 0 the permit is for work of a valuation
ozone hundred dollars ($100) or less.)
,P401'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 withpr visions.
`
X Date
Signoture-6f Applic of - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavati s over 60” deep and demolition or construction
of structures over 3 stories in height.
Main Service zoo. To 46.00so
COU000A
NEW CONST. owELUNo occuP. 3.5aso.
( FT
ORw
corgi . MUL"cCC S.
NON-RESIO. @7.50
8 SINGLER AOurLEr CIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL O I. 0
FIXED APPLNS. OR
Ex. Occup.ourLErs REsID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 45.00
HAz.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for hich fees have been paid.
- r� _7�` _99-
— >r:�i! %--Date �L a (U
PERMIT EXPIRES ON
Date
Receipt No. LJUO4
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 (530) 538-7541I, o•
(Rev. 12/96) APPLICATION AND PERMIT
°��
ASSESSOR PARCEL NUMBER 031-201-030
ZONING
BUILDING PERMIT
OWNER OLRY, SCOTTM—TY/-0311
SO. FT. OCC. BUILDING VALUATION
1 S 960.00
OWNERS 'T9 T "RI'EsKAREN AVE. CLOVIS CA
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1012 BUTTE AVE.
Energy Plan Checking Fee $
$
OROVILLE
PERMIT FEE $ 45.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Ci 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: REROOF/COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Feel 20.00
a00OR UE
Main Service 2o.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.
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:
as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO RaooA
46.00
NEw CONST. DwELUNo occuP.
OR oNS. (
3.5¢F°.
MULTI-ourLEr
NONNEW-REBID.
@7.50
POWER APPARATUS
a SINGLE ourLEr CIR.
Ex. Occup. OUTLET OR FIXTURES
aAL Q''�
FIXED APPI IS. OR
Ex. Occup. uTLETs RES
o10. EA
$,OO
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' 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
o ne hundred dollars ($100) or less.)
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'
comp - tion laws of California, and agree that if I should become subject to the
w ers' compe n ovisions of section 3700 of the Labor Code, I shall
f rthwith comply wi pr visions.
X Date
of Ap lic t - ❑ Owner ❑Contractor ❑ Agent
An OSHA permit is required for excavati s 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 FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
PELT
TOTAL FEE $ 45.00
HAZ.
D.
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for ch fees have been paid.
�51�
PERMIT EXPIRES ON
ete
Receipt No. 250643
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 (530) 538-7541 PER' W NO.
(Rev.1M6) APPLICATION AND PERMIT
ASSESSOR PARCEL NU
�q
d�
m�NNG
BUILDINGS PERMIT
OWNN />
TMONE
1 1
S0. OCC. BUILDING VALUATION
owNER'S r �C=iloOF=$
!o�
cONTRACiOR'S NAME
TELEPHONE
CONTRACTOR'S MALINO ADDRESS
coNsTRNCMN LENDLA
Fireplace
LENDER'S MNLNG ADDRESS
Total Valuation is
ARCHRECT OR ENGINEER
UCENSE NO.
Filing Fee S 20.00
Permit Fee S
ARCWMCT OR ENMEER'S MA JW Anoa9l14
Plan Checklna Fee S
EULDMADDRESS'
Energy Plan Checking Fee S
PERMIT FEE _
ILOTNO•
sUe0NL91DN'SNME
PEEL MAP
PLUMBING PERMIT Filing Fehr 20.00
Each Tr 7.00
USEOFSTRUCTURE
SF 0 Duplex 0 MobIlehome O Other
OPEC"r
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New O Addition O 7el O 0 InptngntJon 0 0
Describe Work: - l� f� (�J � Q
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
Mobile Home S G W Q20.00
Mobiln
PERMIT FEE _
ELECTRICAL PERMIT Fqn ' Fee 20.00 ;
Main Service =oA99RLEes 23.00 i
I
iEx.
_ ..
.
Main Service 2WA TO I000A 46.00 i
NEW CONST. DYVELLlIo OCCUR so. I
OR ADDNS. a ACC. Dins. Fr.
NON -REBID.' MULTFOLmEr @7.50
PowER APPARATUS
as�o as
Occup. oL1fLEt OR R%iUi0E8 SAL 0 I.50
RXED APPINs. OIL
EX. OCCU OVTlET9 E'SID. EA 5.00
Temporary Service 23.00 I
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood e.50
ventilation
PERMIT FEt i
Mobile Home Installation Fee S
Energy Inspectlon Fee S
occ
CONST. TYPE TOTAL FEE $
NAL
0. FEE'S IMP
FLA00
COF
PD
ND
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.
By Date
PERMIT EXPIRES ON
I XleIo1
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY - ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing'
your.
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 personally plan, to provide the major labor and materials for construction of the proposed
property improvement: YES Cr --'NO
\,--j2. I HAVED"'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 conshuctioa '**.'"l`"`s�: {:. ' _ .
NA
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. Y;
4. Irovide to lan
p p portions of this work, but I have hired the following person to coordinate;
supervise, and provide the major work:
NAiMM:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to prpvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:�
SOCI.AL SECURITY NLTM 3ER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the,
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit:
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder ofpropgty
improvements specified. ;jzr- lfi'
For your protection, you should be aware that as "owner -builder" you are the responsible party oflecord on stub a
a permit. Building permits are not required to be signed by property owners unless they are personally performing mew
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
.:.h: .
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
be aware of the following information foryour benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the workincl
( . ttdiag
and other costs) is 5300 or more for the entire project, and such persons are. not licensed as coatYac& s or- =-
:..,
subcontractor, then you may be an employer. .; .
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♦ 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 socialSM
workers compensation' insurance,'disability ' p ytn cp pe Y-.-
+
Pe ty insurance costs; and unem to ent to nsation contributiions..'- Y-.—
♦ There maybe financial risks for you if you do not carry out these obligations; andthese risks areespecially'sertous
with respect to worker's compensation insurance. --'
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service;(and,
if you wish, the U.S. Small Business Administration). For more specific informatiori about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Y, ..
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform dkir
work personally or through their own employees, without a licensed contractor or subcontractor,•oitly undeflii&d
conditions. tis:
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' buiidi g
permit, erroneously implying that the property owner is providing his or her own labor and material personally: Suildmg '
permits are not required to be signed by property owners unless they are performing their own work personally. ,
Information about licensed contractprs 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" bn 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.
y-
4Micel
,
C. Vi ira, C.B.O.
, Building Inspection
NOTE. This Owner-Builder.Informadon is required by Section 19830 of the Calljornla Health and Safety Code.
OVER
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant: ;
Address:
Phone Number: =
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Other Comments:
Additional comments from Inspector:
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COUN OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chic', CA - (530) 891-2751
7 County Center Drive - Or6ville, CA - (530) 538-7541
CORRECTION NOTICE
0 C�261-0361�:'.,
OWNER 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 to this matter, or need additional explanation,
Date —
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THESE PARCELS ARE FOR ASSESSMENT PURPOSES MAY NOT CONSTITUTE LEGAL PARCELS
ONLY AND
/TO )W. 0. R- WALL NOS. 4 6
THERMAL
AVE.
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Ma / 20
AssessorsP No. Calif.
County of 8utte,
REVISED: /0- 96 _