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Home My WebLink About033-034-007ETH., -Gilbert --33C . " --- 68B— 38z3i3. ` 2699P 3301E 33-034-7 282 Gold Ave., Oroville ' (addition) *open Porch ' 1 - 0 •- -Ver--:,�; u i + j 1 t t (•V-tC P1J P47 W,.Ij i �!-� G.�2•K,5 c,d � � r �Ly t 'yi'OFFICE Copp,., tet '• Address r llf -ELECTRIC r w `Meter Dat t r _ COUNTYOFBUTTE- DEPARTMENTOFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541' PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT /)_ n a? SO ASSESSOR PARCEL NUMBER 033-034-007 ZGNI;Itom BUILDING PERMIT OWNER EDWARD JOHNSON TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 282 GOLD AVE OROVILE, 95966_. CONTRACTOR'S NAME MER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER NON ji- UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 282 GOLD AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOTNO. SUBDIVISION'S NAME PARCEL MAP - PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF QX 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities70 Installation ❑ Other ❑ Describe Work: RUN OVERHEAD WIRING Gas piping system i- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service i0.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.8 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: Sif 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 I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR AD DNS. ( 6 ACC. BIDS. 3.50FT. NON-RESND? MULTI -OUTLET @7,50 PSINGLE UfET CIR.OWER APPARL.ATUS O 20 � I'� Ex. Occu OUTLET OR FIXTURES eAL so Ex. Occup. OUTTLEETS RES n.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 • UU PRE 1NSFhLiiVN 43 PERMIT FEE 9 6060. Liu 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 PERMIT FEE S 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��' Signature of Applic - ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ 66.00 HA2. I D. FEES IMP I FLOOD COF PARCEL PD I HD IS E 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. `I_ / By /t Date PERMIT EXPIRES ON i { afe �r- p 4U990U ReceitNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPiiIIIENTSERVICES- BUILDINIVISION 7 County Center Drive - Oroville, Califoria 95965 - Telephone (916) -75AI D PERMIT R T NO. (Rev. 12/96) APPLICATION a AND PERMIT jj ASSESSOR PARCEL NUMBER 033-034-007 , z0"IARMHelltUILDING PERMIT 7 OWNER EDWARD JOHNSON TELEPHONE 80. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 282 GOLD AVE OROVILE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 282 GOLD AVE� Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation ❑ Other ❑ Describe Work: RUN OVERHEAD WIRING Gas i in system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 Main Service OOOV OR LESS 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. 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: 6c� 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 200A TO 1000A 46,00 NEW CONST. DWELLING OCcuP. OR ADONS. ( a ACC. BLOS. so 3.5QFT; NEW CONST. MULTI- OUTLET NON-RESID. ANC cu @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL @ 1.50 Ex. Occup. ourELErs PM.0EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PRE I SPE PERMIT FEE $ 66. OU 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.) Q 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 ��!/ Date —�P' y7 Signature of Applic - ❑ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL pp HD IS E 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 ate Receipt No. 209900 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J{ � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - B kCDINGDIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPWEE (916) 538-7541 D PERMIT APPLICATION DATA SET OWNER C GtJG ✓� S O �No. Proposed Building Use 5F / Building Inspector Date At time of permit application, I -was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . .................... ...... . .............. 2. Plot plans, 3/4 sets, signed by preparer of plans. ..... j .................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . All 19. 20. Driveway permit (constr�;tign approval requir�drigr-to occupancy). . Pre -inspection for ((� i c_ required. .. oe�;,d 9 ��e- (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner .......... . 24. _). Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you --issue the ermit, process as follows: Mailp owner. Mail to contractor. Telephone " ��/. and hold for pickup at ��y v) ( office. Deliver with inspector. Other Parcel Creation !!�� '�gZ /` ' ,*kW6V'j o%Acreage ApplicantDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 labo and materials for construction of the proposed property Yimprovement YES[ ' J �• 2.: J HAVE NOT[ J signed an application for a building permit for the pr sed 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: 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. that as "owner -builder" you are the responsible party of record For your protection, you should be aware 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. d and bonded by the State of California and to have a Contractors are. required by law to be license 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: I _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 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 tares, 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 are not required to be signed by property owners unless they are perfo personally. Building permits rming their own work personally. be obtained by contracting the Contractors State License Information about licensed contractors may Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are avare of these matters. The building permit will not be issued until the verification is returned. Snce rel ` Michael C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER DATE: OWNER: �C( cJ Q rc� LOCATION: a $ el" =l v e O /d Ile A.P.#: CONTRACTOR PRE -INSPECTION FOR n PERMIT HISTORY: [ ]NONE AS FOLLOWS: �v a cE t o ✓� ZONING: _ DATE TO INSPECTOR o� •Ia f TYPE OF OCCUPANCY: 13MILDING ig Description: S REPORT [ ]. CommerciaVUsage: [�ake-s-j—ientiaU# of Units:Mobile Home: Yes[ ] No[ntly Occupied. [ ] Abandoned/Vacant. c: [ �esE ] No ' Electric is currently :[ �On [ ] Off Condition of electrical? Natural( ] Propane[ ] None[ ] ' Currently On[ ] Offs ] Obvious problems: tion: Plumbing working Yes[" ] No[ ] Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: % sue . � ��.s ., ctio■ Recommended: [ [ Date: 2—r,i- 91