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HomeMy WebLinkAbout040-240-007Al a205 - 89M O ZLr©— 40=24-07 ELLIOTT, 7 r -� i ELLIOTT; Oliver , ,` - . • • :�. � _ ' 2373 Florida Lane, Durham y t•'ContR: Do-4-U,'Red Bluff. I (install gas furnace)SF 040-240-007 04-0851 SMITH, KENNETH 4 ' 2373 FLORIDA LN, DURHAM Cont: OWNER REROOF t -qq BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040851 LICENSED CONTRACTORS 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 Issued Date: 03/29/2004 APN: 040-240-007-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2373 FLORIDA LN DUR Date: Contractor: Map Index: Description: RE -ROOF (10 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SMITH KENNETH M & SARA M to its issuance, also requires the applicant for such permit to file a 2373 FLORIDA LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938-9622 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).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SMITH KENNETH M &SARA M PP owner of property who builds or improves thereon, and who does 2373 FLORIDA LN such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95938-9622 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I a6Exemp, nder Article 3 o sine(�ofessio de Date: Owner: License #: WOR ERS' 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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 those provisions. 31?_ O Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages for in Section 3706 the Labor $ I (O as provided of 39 5 4-17. ® 4/2-1-Y/04 / code, interest, and attomey's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Lr� 3-.2-7 Name: BY Date: • 04- PER EXPIRES ON: 3 -.2,9 S Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized a oft a owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or cum- of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: V X t T 1 Signature: Date: O G Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Ji BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP o4o85I GATE: APN: D 0— zyo-007 ZONING: OWNER'S LAST NAME: Sr,& �Tt� OWNER'S FIRST NAME: ,�� PHONE 8,�4 - 7 C - S 7 STREET ADDRESS: 2-3"7. F�n��p`4 L,qE FAX CITY, ZIP: rz ��vt.� 2 Sit 3 E-MAIL: SITE ADDRESS: CITY, ZIP: � ftVA. NEAREST CROSS STREET: TRACT/LOT P. APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CRY, ZIP: E-MAIL: CONTRACTOR AME: W�S�o loc. PHONE: STREET ADDRESS: e FAX CITY, ZIP: JL Ci E-MAIL• LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL, DESCRIPTION OR SCOPE OF WORK: �o AD ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by::Z►1 Date:—4-2s-'? -404- Receipt number: 2Sof -7 Amount Received: 110. O.B.- 1 OWNER -BUILDER VIERIFIC .ATION Attention Property Owner: An "owner -builder" building permit has been applied for inour Please complete and return, this info Y name and bearing your signature, imation a# your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until verification is received, this V 1. 'Personally plan to provide the major labor and materials for construction of the Property improvement: YES I NO p Proposed V, 2• I HAVE O HAVE NOT signed an application for a buil I have contracted with the f � Permit for theProposed ro osed NAM. "owing person (Tum) to provide theproposed.co P P work. nstruction: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the fo supervise, and provide the major work: llowing person to coot dinate NAXRn_ � ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will Provide some of the work but I have contracted (hired) the following persons to provide the work indicated: p vide NAME ADDRESS PHONE TYPE OF WORK RM Wrn. �C PROPERTYOWNER. X DATE:_ 311,41, NOTE. This ®Fuer Bu'ldp Verification is required by Section 19831 and 19 California Health and Safety Code. This verificat�n mast be comp83832 f the e returned to our office before we are u� permitted to -issue the pernd �j , c . I- I OWNER BUILDER INFORMATION' Dear Property Owner. -0-B.- 1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourprotection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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 youplan 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: e Ifyou 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. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveha obligations including state and federal income tax withholding, federal social security taxes, workers compensation ina,n-an e, disability insurance costs, and unemployment compensation contributions. There may be financial risks for yon if you do not cavy 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 pmperty 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 guilder 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 imsiaed until the verification is returned. Iy, M I C. Vi ira, C.B.O. ger, Building Inspection NOTE: Thu Owner Builder btformadon is required by Section x9830 of the California Health and Safety Code OVER 4'-E01205-89M� # er Lane, Durham U, Red Bluff furnace)SF T S > ya7— G, ' COUNTY OF BUTTE - DEF RTIIVENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �, / J A �5 APPLICATION AND PERMIT C tEL NUMBER ASSESSOR PARC I I / � r) � - ZONING BUILDING PERMIT OWNER (lOWNER'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS ACT 'S NAM TELEPHONE IrN -S70 CONTRACTOR'S MAILING ADDFj ESS "7 10 L� til Fireplace 'COr4STRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 r / ✓�n Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: (/V�i[a k� ;{�►.�'•ri�_c�y , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 10.00 100 AMP OV OR R LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of check : P Y perjury Y( 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. . 5 License NoClassification \ r ❑ 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. l Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.01 OR ADONS. ( ACC. BLDGS. , /20sgft NEW CONSTR I -OUTLET 2,50 ea N 0N.RESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 200OOt eALO 30 FIXED PR Ex. OCCUp- OUTLETS (RESID 1EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. 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. I 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. allso liabilities, ree judgments, c sts,nandeex expeness the ses which man in anof y way against crus against said County in consequence of the granting of this may Y y %CDate SIgno/''ture of Applicant — Owner ❑ Contractor 0 Agent ❑ An 'SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 7 ` f Cooling g Hood 3.00 � > permit Fee $ C y7 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP[J ISCHOOLI FLOOD PARCEL PD NO Sr�UE, This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. f / r • Dated call L PERMIT EXPIRES Date Recei, ;5(D( at No.._ WN1.T[-O.P W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEFf%RT.10ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi% 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SOR PA! YEL UMBER �Q_)' ZONING BUILDING PERMIT O E i , n TELEPHONE SO. FT. OCC. BUILDING VALUATION 0 NER'S MAILING ADDRESS � I f ON A T S NAME ELEPH RA OR'S MAILIN 5 II Fireplace 'CON19TRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 3 Flo,- 1.614, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobi le Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 06 Describe work: j PermitFee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main S@rVICe 100 ORORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 ElAPLNS. 1, 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , ACC.T6 � �22sgft New CONiSTR.� ODUTLET NON•RESID .BRA C CIRC TS 2.50 ea POWER APPARATUS N SINGLE OUTLET CIR. I 0050t Ex. OccU OUTLETS OR FIXTURES 2AL0 P eL0303O FIXED Ex. Occup. OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Penult Fee $ 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. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Permit Fee $ Contractor I 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 a al st sa' my in consequence of the granting of this permit. X l Date / Ignat re of Applicant — Owner Contractor �[] Agent ❑ An OS A permit is re uired for excavations over 5'0" deep and demolition or construct- ion of s ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCuP. CONST.TyPtJ SCHOOL FLOOD PARCEL PD I NO I Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TO O PUBLIC - B/y� PERMIT EXPIRE Date_ the applicable provi- resolutions to do fees have been paid. WORKS D9a/t�e/�— /[/ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT