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Home My WebLink About040-240-026a t 040 r.. �SLINKARD, 'JEANNIE,t 2 a VIS ST. "DURHAM .�. �.�. ' 410 SER ` S � - v CONT `'ARTIC ALAE �� /1 G 0 AO AO, Aubry - - 683! 67B, REPLACE DUAL PAK/SF ', ri !-7 TR573-67E-- 1182.- -7-24 _;_2 -2=2 t/ ' . 328 Serviss St., Durham (repairs, model &add garage) M-2--olillFrow'.04, 040-240-026 PERMIT#94-81 SLINKARD, JEANNI=E f s — . 2410 SERVISS ST', DURHAM CONT: ARTIC AIRE REPLACE DUAL PAR/SFS P 160 L � t P - •� A/(/%/J� - Ary Ag ` V • o 1 +o...,.,� .a aq ,. . �....� . _�...R•..�.--..nsc�^w- -- .- ..•mnr-a++w ,` rxy,,,,ryq,np—... �.— w - �n...�,,.. f1+: T;`-• + '; ,f ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County. Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 q PERMIT NO. APPLICATION AND PERMIT l - p ley/ ASSESSOR PARCEL NUMBER 04a-24 ZONING R3 BUILDING PERMIT OWNER TELEPHONE JEANK• R SLIARD 0 W NER'S MAILING ADDRESS ' + 2410 S y SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME AFTIC AIRE TELEPHONE 595-3330 CONTRACTOR'S MAILING ADDRESS A Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2410 SERYISS ST DURHAM. PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF C11 Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition.0 Remodel1:1Utilities ; Installation O Other O Describe Work: RMACB DUAL PAIL UNIT PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( 800V OR LESS ) =A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S B OR ADDNS. ( ACC. BLDS. ) 3.50 FTO- CONTRACTORS LICENSE LAW I declare under penalty of perjury (checkone)& Cl I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a an m license is in full force 1d effect. License No. 1' Classification '?=) O I, as the owner, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason . NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) SINGLE. OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.50 Ex. Occu FIXED APPWS. OR Occup. ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service . 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O T11ja permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating DUAL PA Cooling • Hood 6.50 Ventilation PERMIT FEE $ 50.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 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 Count in consequence of the ranting of this permit. ` s� XJ+.-�.�""- Date f�^1`. `� (7`-( Signature of Applicant - ❑ Owner 3^Contractor O 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 $ HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD Issu 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 /. PERMIT EXPIRES ON ///16 If /Date// Receipt No. 168839 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 00- Forte1 Urgent ❑ Date Time Whil You M Of Were Out Phone AREA CODE NUMBEA EXTENSION e Telephoned ❑ Came To See You ❑ Returned Your Call ❑ Please Call Will Call Again ❑ Wants To See You ❑ Message Signed 9711 ru ADAMS BUSINESS FORMS a •-., ....x..1`3`>";i5$"7�:•'d'°'"'�" s.'7!�^4'".�i{�`4q�P �. ry'fi';... _ _ �:. r 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 CORRECTION NOTICE 01 �'JcaAo OWNER PERMIT NO. `1 A routine inspection indicates that the following violations of Butte County Ordinances exist at `3 the above address and should be corrected. Please notify this office when correction of work' is completed. If have you any questions pertaining to this matter, or need additional explanation, ple sec tact office immediately. 'this 0 44 V c 7 .x; �� l/� Inspector 1 p� Date �� REV 10/92 0 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; Califc;nia 95965 - Telephone (916) 538-7541 4 PE MIT N . APPLICATION AND PERMIT f - _Zl: T ASSESSOR PARCELNUMBER 040— 2 — 2 ZONING R3 - BUILDING PERMIT OWNER TELEPHONE • • ARD OWNER'S MAILING ADDRESS 345-3530 2 SO FT OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS HWY 32, CHIM Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2410 SERVISS ST DURHAM PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W I @20.00 TYPE OF WORK New El Addition Remodel ❑ Utilities 5 Installation Other ❑ Describe Work: RF.PT.AC:F, DIIAT. PAK TTNTT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co an m license is in full forcq-agd effect. yy,, LicenseNo.� ,NClassification �`i ❑ 1, as the owner, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I 20 @ 1.00 BAL. .50 Ex. Occup. FIXED APPWS. OR p' (OUTLETS A=.,EA. I S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑Thh'�'aa'permit is for $100.00 (valuation) or less. �. ave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating DUAL PAK 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Count in consequence of he ranting of this permit. X ®-� Date !%- "( Signature of Applicant - ❑ Owner ontractor ❑ 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 I $ Energy Inspection Fee I $ occ CONST. TYPE TOTAL FEE $ "AZ- D. FEES IMP FLOOD 77PARCEL PD ND ISSU 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. BDate Y PERMIT EXPIRES ON lOerel ReceiptNo. 168839 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • b n f�R`�yi�n�...-�w.�µ'rwro�4R+sr+r�..�..+r^r�.vwFr A COUNTYOF BUTTE - DEPARTMENTO,PDEVELOPMENT SERVICES -BUILDING DIVISION 7�COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 `. PERMIT APPLIC'ATIONDATASHEET OWNER eci4tiie- A. P. No. Proposed Building Use ^ Building Inspector Date D , a' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have beenksubmitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 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. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection at requ 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............ 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 permit, process as follows: Mail to owner. r X Mail to contractor. --�`_-- and hold for pickup at effice,. Deliver •i inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air,Pollution Date 'k 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: SZ7 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 ; 040-24-0-026 99-0417 B 8LINKARD, Jeannie. 44: 2410,.Serviss St, Durham (woodburning stove)SF a 00d e i •^ t 'a ti 1 t t f � i - 1 ' i f k P. i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califormia 95965 • Telephone (530) 538-7541- PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER _.I T'' SO. FT. OCC. BUILDING VALUATION OWNER'S MSI NG ADDRESS r / A'," CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ t 5 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 641 Energy Plan Checking Fee $ $ PERMIT FEE $ S "" LOT NO. SUBDIVISION'S NAME VARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX 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 ❑ OtherA Describe Work: 14 O ods 7 J V E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service 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: EK 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 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a Acc. BLns. 3.5¢FT; rNjOµRalp.. MOLT O.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 .00 EX. OCCu OUTLET OR FIXTURES BAL @ 1. 0 Ex. Occup. OUT�rs PR D.OEl 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 dof one hundred dollars ($100) or less.) ❑ 1 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. f! Date i w' % i Signature of Applicant - O 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 $ S� HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO 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. B (1 r m Date y np//3 9� 1 PERMIT EXPIRES ON J nrT ata Receipt No. n� % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California.95965 • Telephone (530) 538-754PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT l— to �/7 ASSESSOR PARCEL NUMBER n ZONING 'i� BUILDING PERMIT OWNER .,_, _ r217,' c S3 SQ. FT. OCC. BUILDING VALUATION 15-00 .OWNERS NG DRESS CONTRACTOR'S NAMETELEPHONE N CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ( c7G ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 5 - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS T r T Energy Plan Checking Fee $ $ PERMIT FEE $ 5,5' LAT NO. SUBDIVISION'S NAME A I EL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ,W' 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 ❑ OtherA Describe Work: wO od'S n 1/ e— 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 600V OR LESS Main Service ZDOAORLESS 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.6 License Class LIC. NO. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License Law 10r the following reason: 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 TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. ORW: ADDNS.CONS( .3.5aFT. MUL�TIC-ou�TLS. ET =R.,.. @7.50 FSINGLOUTLET COWER AP= U E IR. Ex, Occup. OUTLET OR FD=AFS BAL Q I .50 FIXED APPLNS. OR Ex. Occup. ourLETs RESID, EA 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: O 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) M1certify 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with those o '.ion 19- �/ �i Z Date C Flo nature of Applcant -�Owner ❑ Contractor ❑ Agen An OSHA permit isVequired 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 $ 5-5-- MAZ. D. FEES IMP FLOOD CDF PARCEL PD 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. By Date9 PERMIT EXPIRES 4N 3' _?i a -J �d ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MUM OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatutn. Please complete and return this information at your earliest opportunity to avoid unnecessary delve 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 improvement: YES �r7,% NO O 2. I HAVE [] HAVE NOT O signed an application for a building permit for the proposed wort` 3. I have contracted with the following person (firm) to provide the proposed conatrnctioaa:' NAME: ADDRESS.- PHONE:' DDRESS:PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to. provide portions of this "rk, but I have hired the following.pers6 to coordioste, . supervise, and provide the major work: NAME: , ADDRESSi PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prgvlde the work indicated. NAME ADDRESS PHONE TYPE OF WORK SIGNED: n. PROPERTYOWNER: Me,&J1)1J2aAd SOCIAL, SECURITY NUMBER:_ DATE: NOTE: Thu Owner -Builder Yerreatlon is required by Section 19831 and 19832 of dw. California Health and Safety Code. This ver fcatlon must be completed a:td returned to our office before we are permitted to issue the permit. OVER 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 party ofretoed 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. Ifyou 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: ♦ Ifyou employ or otherwise engage any persons other than your immediate family. and the work (inchWing material and other costs) is 5300 or more for the entire project, and such persons are not licensed as contrao 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 contrt'butiors. 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 worn personally or through their own employees, without a licensed contractor or subcofitractor, only under limited conditions. ..A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building perfnk erroneously implying that the property owner is providing his or her own labor and material personally. Building pamits.are hot required to be signed by property owners unless they are performing their own work personally. V a x In&meition about licensed contracps may be obtained by contracting the Contractors State License Board in your eon_ ununity or at 1020 N Street, Sacramento, CA. 959 14. .Please hdmPlem-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. rely, Mic el C. Vi ira, C.B.O. M ger, Building inspection NOTE. T/iis Owner-Builder.Informadon is required by Section 19830 of the Cal jornia Health and Safety Code - OVER i i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 74 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (0 w- r / 7-" n AA r r /—/'1. Date ZE411 i Inspector e REV 10/962 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I 0A / r % llrl ��oi.v�5 40 r `r Date U �(.. Inspector REV 10/92 - `