HomeMy WebLinkAbout040-240-010E�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _,PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT L"Z3
ASSESSOR PARCEL NUMBED j [ D - o , o 1 D ZONING
BUILDING PERMIT
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S9. FT. OCC. BUILDING VALUATION
owI DR
5600.
CONTRACTOR'S M
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
161
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
23�� tor,- � L4.Dw�
$
PERMIT FEE $
_
LOT NO.
SUBDNLSIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel 20.00
USEOFSTRUCTURE
SF,Pr'0`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 ❑ Otheroz
I/e -
Describe Work: ✓0 I . �.{ '' >l ii
Sid I ✓ 01 yid� 4- (C-
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service 20 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:
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 ADDNS. ( a ACC. S.
SO
3.50 FT.
NON-. DT MULTI OUTLET
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 100
BAL @ .so
Ex. Occup. o'." R=ID.orP.a 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I 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 4 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith co ply With those provisions.
°
X •_ Date _ —�
Signature of Applicant - ❑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 Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 0- (�
HAz.
D FEES IMP
FLooD
CDF
PARCEL Po
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indic d bove for w Ich ees ave been
t
By Date
PERMIT EXPIR S ON
Date
provisions
to do work
paid.
(J /
Receipt No.-
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Dec 17 02 11:39a
p.2
I OWNED-BlUILDER 'VEWFICATION
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 labor and materials for construction of the proposed
property improvement: YES ❑ NO ❑
2. I HAVE ❑ HAVE NOT ❑ signed an application for a building peanit for the proposed work
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:_ SC
ER:
DATE:
NOTE: This Owner -Builder Verification
is required by Section 19831 and 19832 ojthe
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Dec 17 02 11:37a
Dear Property Owner:
An application for a building permit hes 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 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:
0 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.
0 If you are an employer. you must register with the State and Federal Governments as an employer and yon 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.
0 There may be financial risks for you if you do not carry out these obligations, and these risks arc 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
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
Singel , �
I' • r
Michas 1 C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
RECORDING REQUESTED BY
MID VALLEY TITLE AND ESCROW CO.
AND WHEN RECORDED MAIL TO:
BARRY M. BARTLETT
233u ��kor� P,
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AN 02 -Jun -2003
i AX FEE 132.
I
I
i
1 Barbara
I Page 1 of 3
Above This Line for Recorder's Use Only
A.P.N.: 040-240-010 Order No.: 21076ODT Escrow No.: 21076ODT
GRANT DEED
&�J
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $132.00
X ] computed on full value of property conveyed, or
} computed on full valueless value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; i ] City of DURHAM , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
BARRY D. WINEROTH AND JUDITH A. WINEROTH, TRUSTEES OF THE BARRY D. WINEROTH TRUST
DATED AUGUST 2, 1984
hereby GRANT(S) to
Barry M. Bartlett , AN UNMARRIED MAN
the following described property in the, ounty of BUTTE State of California; - -- -
See legal description attached hereto and made a part hereof.
/Itu
1 ,
GRANT DEED CONTINUED ON NEXT PAGE
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
A,P. N.: '040-240-010
CONTINUATION OF GRANT DEED
BARRY D. WINEROTH AND JUDITH A.
WINEROTH, TRUSTEES OF THE BARRY D.
WINEROTH TRUST DATED AUGUST 2, 1984
By:
BARRY D. � WINEROTH, TRUSTEE
By JUDITHa.� lc,
A. WINEROTH, TRUSTEE
Document Date: May 28, 2003
SPATE OF CALIFQ}�N�IS�,� np )SS
COUNTY OF 471;'4 )
On — 3 before me
personally appeared_ !S_�L-✓t/L_ _�L7. W L V\J— C _ 14,1 ZS�\ 1 U'iA& (./C .�,U l
personally known me (or proved tome on the basis of satisfactory evidence) to be the persbn(s) whose name(s) is/are subscribed to the within
instrument an k owed
to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrume a erson(s) or the entity upon of which the person(s) acted, executed the instrument.
WITNESS had nd official seal.
Signator
This area for official notarial seal.
DEE PAL�t�EP
CCMM11358088
NOTARY PUBM-CALIFORNIA
COUNTY OF BU77E
Comm. Expires June 22, Ma
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SECOND MC ANARLIN TRACT OF
THE TOWN OF DURHAM", AS THE SAME ARE LAID DOWN ON THE OFFICIAL MAP
THEREOF, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA.
APN 040-240-010-000