HomeMy WebLinkAbout035-228-001035-228-001 PERMIT#98-0460
VALDEZ, Angel
4937 Baggett Marysville,Oroville
Gas Wall Htr & Gas Line Ex n/SF
,elkw C, 3- 51-q
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
AS ESSORPARCELNUMBER
U35-223-001
ZONING
RN
BUILDING PERMIT
OWNER
ANGEL VALDEZ
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4907 BAGGE"T'T 1tARYSVILLE, OROVILLF CA 95966
CONTRACTOR'S NAME
\lYi IY ER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAIUNG ADDRESS I
Total Valuation $ •
ARCHITECT OR ENGINEER
NONF—Filing
LICENSE NO.
Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
4937 BAGGETT MARYSVILLE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
S UBDIVIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE i
i
SF Cbl Duplex ❑ Mobilehome ❑ Other j
SPECIFY T
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORKGas
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1 Other pJ(
Describe work: GAS WALL HTR & EXTEND GAS LINE jI
k
piping system 1 - 5 outlets
—Buildingsewer
15.00 15.00
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
5.00
i
ELECTRICAL PERMIT
Filing Fee 20.00
I
OOVOR LES9
Main Service noon 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:TemporaryService
– O 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
Main Service 200A TO 1000A
46.00
NEW CONST. OWEwNG OCCUP. SO
OR ADDNS. ( a ACC. BLOS. 3.52FT:
NON-RESND. MULTI -OUTLET 97.50
PSOWERINLE APPARATUS
b G
OUTLET CIR.
00
Ex. Occup. OUTLET OR FDCTURES SAL @ 1 0
PR
Ex. Occup. ourLEtOrsREuS,6.) E
5.00
23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating •
Cooling
Hood
6.50
Ventilation
PERMIT FEE $ 3•
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.)
-o fi] 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.
1
X '.-•'-: i �� —_ Date
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 $
OCC
CONST. TYPE
TOTAL FEE $ 70.00
FEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
I 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 Kave been paid.
` n 3/19/98
By .b1ri .%LGlfi Date
PERMIT EXPIRES ON 3/19/99
Date
Receipt No. L�oc�
WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.;rX�'*Mrv..,t-r�-r,�,.s, TiM�'+. --t•�<;+r«:-+-moi..=:-.u.�•.,y--' „�, r ,. _..., .:.-<�...ss.3...
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
iIla
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address ndshould be corrected. Please notify this office when correction of work
'
is completed. ou have any questions pertaining to this matter, or need additional explanation,
• please cwdact this office immediately.
r
Y�5 _
Y:
aC,
w-
rL'
fy
Ktv i uiaz
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ISION
7 County Center Drive - Oroville, C, difornij 95965 - Telephone (916) 538- 41 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT g-
ASSESSOR PARCEL NUMBER
035-228-001
ZONING
RN
EIDING PERMIT
OWNER
ANGEL VALDEZ
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4907 BAGGETT MARYSVILLE OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONE
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
4937 BAG ETT MA YSVI E V
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF LX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
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 IRX
Describe Work: GAS WALL HTR & EXTEND GAS LINE
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo n oa 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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
10 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
TG
Main Service TO
46.00
NEW CONST. DWELLOCCUCUP.
EE
OR ADDNS. ( & Acc. BLDS.
SO
3.52 FT.
NEW
NON -q SID.T. ANC I CIRCUTITS
@7.50
PSINGLE OUTLET OWER APPARATUS
Ex. Occu OUTLET OR FIXTURES
SAL @ .eu
ED APPLNS.
Ex. Occup. OUTLETS RSD.OEX
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
3
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
15.00
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ 35.00
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.)
s 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
Sign reso ppl ant - ❑ Owner ontractor ❑ Agent
An OSHA permit i 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 $
occ
CONST. TYPE
TOTAL FEE $ 70.00
HAZ.
D. FES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicate ova f r w ' h fees v
B
PERMIT EXPIRES ON
the applicable provisions
solutions to do work
been paid.
3/19/98
Date
3/19/99
Date
Receipt No. 236257
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 signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No build_ ing permit will be issued until this
verification.is received.
0I personally plan to provide the major labor and materials for construction of the proposed
property improvementYES i � NO 0
I HAVE � HAVE NOT 0 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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER v G
DATE:
NOTE. This Owner -Builder Verification is required by Section 198.31 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
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 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.
♦ 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.
♦ 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 contraggrs 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.
4irely, l C. Vi ira, C.B.O.r, Building Inspection
NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code
OVER
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
.....:::r;>
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Inspector must draw a plot plan with all building locations:
Additional comments from Inspector:
F)