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HomeMy WebLinkAbout031-254-034(C 031-254-034 03-1882 MASONER, ROBERT 1674 10TH ST., OROVILLE RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . ;7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT Nq, (Rev. 12/96) APPLICATION AND PERMIT 1 ASSESjjSMMOR PA))R %NUppMyyBER W1 _V34 ZONING BUILDING PERMIT ��5�1��90 RGB TELEPHONE 589-2>�2® SQ. FT. OCC. BUILDING VALUATION 22 326) ESS ,3Us �DXA�fP CT. O'u Ey CA 95 CO//N��iRyyACyyTO..��R'S NAME '�J�GJLGK:cL� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 110320.UO ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ^q{ //t2(r0��.00 �ldOilU" ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2674 ICU S'� M ORM= CA 95%5 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SFdb Duplex ❑ Mobilehome ❑ Other sPEcuv 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: RE PMF EZM OXY& Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z'ooAv oRR'ss 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for"Ithe following reason: Ql, 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 Main Service TO 46.00 WEE200A NEW CONST. DWELLING OCC P. CC OR ADDNs. ( a ACC. BLDS. s0 3.5¢FT. NEW NON-REOSID. MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR Ex. OCCU OUTLET OR FaTLIREs BAS ®1:550 Ex. Occup. DurLEeDrsalD. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 those provisions. �rof ,\ y J GD -ate 6 14S �LoCYZ2N, ' Signature of Appl cant-_0.Owner ❑Contractor ❑ Agent An OSHA permit is requiredlfor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53.00 HAZ D FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. k� y By �'`�= •; i� I Date `/ PERMIT EXPIRES ON DBfe ReceiptNo. ,a > "%,/ -� . d! l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B ILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • TelephonPERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e 530) 538-7541 -� 3 -A"I 2 JASUJRPL J'-F1VJ'-F ZONING BUILDING PERMIT ° L`7HJONER, ROBERT T589 2820 SQ' OCC. BUILDING VALUATION 22 SQ 1,320.00 OTS M D IESCF. OROVILLE CA 95966 CON7•pp ff NAME TELEPHONE CONTRACTORS MAJUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 - ARCHITECT OR ENGINEERS MAfUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1674 10TH STREET' OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONSNANIE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )1 Duplex ❑ Mobilehome ❑ Other sPECFY Each Tr 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 N Describe Work: RE ROOF 1,TITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z'aw oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 fojthe 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLWG OCCUP. SO OR ADONs. a ACC. BLDS. 3.5QFr; No"�R6ID MULTFOUTLEr @7,50 PSO APPARATUS a =APPARATUS CIR. EX. Occup. OUTLET OR MURES a20 ® 1 Ex. Occup. ouTUETS C� D.J E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 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 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 I 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 rs' compensation provisions of section 3700 of the Labor Code, I shall forth h ompl ithose provisions. X CLteof X ate %-L?�d� 1�6natur4 drAplivant_ - Owner ❑ Contractor ❑ Agent An OSHA permit is required lor excavations over 60" deep and demolition or constructi of structures over 3 stories in hei ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TTPE TOTAL FEE $ 53.00 RAZ. I D FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / Date PERMIT EXPIRES fe Receipt No.3 92I S •� WHITE-D.D.S.-B.D. CANARY -ASS SSOR 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 signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit" will be issued until this verification is received. &I.personally plan to provide the major labor and materials for construction of the proposed rty impr ement:YES ❑ NO ❑VE IV HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: K H;,1,J• CITY:— PHO ITYPHO CONTRACTOR'S LI SE NO. 4. I plan to prove onions of this work, but I hired the following person to coordinate, supervise, and prove a major work. NAME: ADDRESS: CITY: PHONE: CONTRA R'S LICENSE NO. 5. I will provide so of the work but I have contracted the following persons to provide the work in ' ed: NAME ADDRESS PHONE OF WORK SIGNED: PROPERTYOWNER: SO�rrVrnr�_ DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I 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 worm 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 '$300 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 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 insurancecosts, and unemployment compensation contributions. ♦ 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. ♦ 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 "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 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 - - - gMicrely, el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. Thu Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER