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HomeMy WebLinkAbout035-221-009• • Lillian Turner 35-221-9 Avef; / r16 4861 Virginia Ville Pem it # 2688-82E(ele s/c for -SF) 035-221-009 PERMIT#98-0662- POITRAS, Roger 4861 Virginia St., Oroville, ..Reroof/SF �, � �/� /^G BROWN, Isom 5311B 861 Virginia 4 St., Oroville CONTR: West Coast Home- Products, 415 So.FrEhonf (alum.' siding)Alhambra -3 035-221-009 PERMIT#98-0662 POITRAS, Rogerg 4861 V,irginia, St., Oroville Reroof/SF 'L—H I Iel I Ll COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT N.O. (Rev. 12/96) APPLICATION AND PERMIT - - `? y y ASSESn357 NUMBER ' ,1 ZONING BUILDING PERMIT OWNER11 TELEPHONE 53224433— SO. FT, OCC. BUILDING VALUATION MA1'UNG AD RESS 1716 hemmnn MIX AVE. 7 ..NCA A 6nn.OWNER'S CONTRACTOR'S NAME 11 TELEPHONE CONTRACTORS, MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 4861 Energy Plan Checking Fee $ _T $ PERMIT FEE $ i LOT NO. SUBDIVISION'S NAME PARCEL MAP,' PLUMBING PERMIT Filing Fee 20.00 4 USEOFSTRUCTURE ` SF f l Duplex ❑ Mobilehome ❑ OtherWater SPECIFY V.. Each Trap 7.00 Solar or heat -.pump water heater 23.00 piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other .© Describe Work: REROOF 10 .SQ C%1P 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 Fee 20.00 Main Service ioon oa'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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: yO�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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. DR ADDNS. ( a ACC. BLDS. SO 3.50FT; NON -R RES B ANCI CIFTCUI S @7.50 PSINGLE OWER APPARATUST OUTLECR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL o .50 PPLNS Ex. Occup. ouriETs RS D.OEA 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: ❑ 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 $ 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.) 11 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 wi h those provi ions. P — Xe fl.,t __ /�i#�L Date �Signaturer f Applicant --0 Owner ❑ Contractor ❑ Agent An OSHA(permlt 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 HAZ. I D. FES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ,0 i"id `- �1$'­ II PERMIT EXPIRES ON 4$ . 4/16/9 the applicable provisions Resolutions to do work been paid. / kv- Date 411" Date ReceiptNo.: WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-754 L_0 PSR ' D fA ASSESSOR PARCEL NUMBER 035-2210-009 ZONING BUILDINGPERMIT Ll� OWNER roger poitras TELEPHONE 532-0433 SO. FT. OCC. BUILDING VALUATION 600 OWNERS MAIUNG ADDRESS 1716 hammon HY4 -AVE, OROVITLE., CA 95966 CONTRACTORS NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Felin Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4861 VIRGINIA ST-, OROVITLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP -37-00 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap' Solar or heat um 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] Describe Work: REROOF 10 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT- Filing Fee 20.00 Main Service '..AORLLE 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION -I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lakv�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. ❑ 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 OCCUR so OR ADDNS. ( & ACC. BLDS. 3.5¢FT, NEW CONST.MULTI.OUTLET NON-RESID. C u @7.50 PSINGLE OUTLET OWER APPARATUCIR.S Ex. Occup.OUTLET OR FIXTURESens x':50 Ex. Occup.OUTELETS RESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 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 workers' compensaterovisions of section 3700 of the Labor Code, I shall forthwith comp) wi th a prov' ions. � f ID N _ _ Date ignatur f Applican Owner ❑ Contractor ❑ Agent An OSHA ermit is required for excavations over 5'0" deep and demolition or constructionJ of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I 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. - A By Date h.N PERMIT EXPIRES ON 4/16/99 Date Receipt No. 236499 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J O - 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 property ' rovement : YES NO D I HAVE HAVE NOT O 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: 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: PROPERTYOWNER: SOCIAL SECURITY 1 DATE: 6 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 OWNER BUILDER INFORMATION Dear Property Owner: O' s An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. t For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. =s{ ♦ 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, Cworkers compensation insurance, disability insurance costs, 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 contrac9rs,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. +irely, Vi ira,C.B.O. uilding Inspection NOTE: This Owner-Builder,Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER — ��. ?r... .. ! . 1 t ,,...i GJ►-• r .hlla��.rl%4:x., y L :`t...�� ,t':y�:cs,;:/yw ., c,.• iakt,� t, :.�a.a.�'f•�t�-`"1�4•t,:`-` �'� �>.�-..ws• .-...s.�i1.s �. :• aa, ....n,. i 60:5-. ACO C,4,C - 0' • r r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, i✓alif6r0a 95965 - Telephone 916/534-4541 APPLICATION Ah PERMIT PERMIT NO.CX ASSESSOR PARCEL NUMBER SS_ Z�%� ZONING BUILDING PERMIT OWNER LLL.L!/4N 7�'it%J ,-37,Z TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S jQi6/ MAILING I ADDRESSl Ahl! r✓ �' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I ` Permit fee $ BUILDI `G ADDRESS r�i �W PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or'vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Q�uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK, New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ®- Describe work: � l cif S%C %GfJ 1441P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service 100 AMP 15.00 /Q, V Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS, i ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. r License No. Classification Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 70449 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR OU LET 2,50 ea NON -R ES ID. BRANCH CIRC ITS NEW CONSTR. IPOWER APPARATUS .&) h NON•R ESID, \SINGLE OUTLET CIR 50 @ zea Ex. OccupOUTLETS OR FIXTURES 100 FIXED Ex. OCCUp.�OUTLETS P(RESID ) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 p - !�(iSl� /S•Gp Permit Fee $ -5-0,00 Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate a of Consent to Self -Insure. n I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con§equence of the granting of this permit. t �? �. Signature of Applicant — '` OWnert�� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC a By. � �, � - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date q Receipt No. _q1&6_3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D.EPARTMENT OF PUBLIC WORKS/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT i ASSESSOR PARCEL NUMBER � j tW- ZONING B NG PERMIT OWNER L` /I a / �!J �p LL. �I' I `/�E'! T Y�}*iO2".jz� J, SO. F OCC. BUILDING VALUATION L�iN1fG��/�V,I OWN Or�(�/LLYi' CONTRACTOR'S NAME TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG ER'S MAILING ADDRESS Permit fee $ BUILDIN (/�// ADQRESS /Al /1 A11641WC— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑U A-Iities [—] Installation[] Other Describe work: ELEC 4c /®O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS /O, CIO100 l Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.EI) OR AODNS. ACC. BLDGS. 2�sgft ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason rNErW CESID R MULTCIOUT CIRCTITS 2.50 ea NEW CONSTFL POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES BAL�j ,FIXED APPH LS, OR Ex. OCCup.(OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S,0U Misc. Wiring 7.50 ` SP /S.O p Permit Fee $ OB Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noti a to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating - Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte.against all liabilities, judgments,sts, and expenses which may in any way accrue agai st s id County in co equence granting of this permit. X e %cf—If L Signal re of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st//o__rie//s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ So. 0o OCCUP, GROUP TYPE OF CONST. PARCEL PO I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF P LIC .o BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D :�T� Receipt NO. / �tG'(l�VQ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT