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Home My WebLink About040-340-004'ssr"n-r..r••ir.t�,!-„".. r�`..�x"".�„T'P" Trgi.'R.,q„t»-.�.�,.., 1 ,. ® � 040-340-004 1 15 1JOHNSON, MARK ti ri,1!� Si 4'`t i ik sr ip L . f �4ftdiglFt !k (r f 9 y 1 3• IF 1 z i; • • esti din ,� 3 r, } : i i t•;r ril�. S$ 1 .31 � i ' •�rfr H ' t r F. s i t .f r .. , t " •1. Iry fi ( T1 fI ) ,1 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING CIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT , D� ®7 ESSOR PARCEL NUMBER 4�0-340-004 ZONING BUILDING PERMIT OWNER HNN JOHNSON MARK TELEPHONE - SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 535 PASEO CAMPANEROS CHICO, CA 9592a CONT EST VALUE 1,200.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,200.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 535 PASEO CAMPANEROS Energy Plan Checking Fee $ $ PERMIT FEE $ 51.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or veno 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RRXXXNNX DRY ROT ANn TFRMTTF. REPAIRS Gas piping system 1 - 5 outle*s 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eooLEss 200A v OR 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lao the following reason: ' 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 1000.4 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. Y. NOµgOSID MULTI.OUTLEr 97.50 POWER APPARArJS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @': o Ex. Occup. DFlxuri A= eRE1L 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 pERMI� 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 MECHANICAL PERM'T Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERM.T FEi_ S 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' conipensation provisions of section 3700 of the Labor Code, I shall forthw' o ly with those provisions. CJ �. y Z� d3 )gnature o p (cant - Owner ❑ Contractor ❑ Agent An OSHA pe it is requirea for excavations over 60" deep and demolition or constructio of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 51.00 HAZ. D. FEEB IMP FLOOD CDF PARCEL PD HD ISSUE` This permit is hereby issued under of the Butte County Code and/or indicated above for which gees have :By:�� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �� ial y ate Receipt No. 49 67, U WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV.SION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 536-754- PERMIT N x.12196) APPLICATION AND PERMIT 03 ^Z 7 �� :SE3S0RPApCMNJYBEA0q-,., 2 D J O �� zoralm BUILDING PERMIT TIMER TELEPI/ONE SO. FT. OCC. BUILDING VALUATION ✓ O o •--- W MERE NO DRESS DNiMCTDRS NONE TELEPHONE DMrRACTORS MAIUND ADDRESS DISTRUCTION LFl1DEA Fire lace -NDERLAGI1n�G ADDREss s Total valuation S C) d RCMnECT OR ENMUM LICENSE NO. Fl6n Fee $ 2D.00 Permit Fee to / / •. pco-CEM bit DMNEMS MA M ADDRESS Plan Checking Fee S wDa Energy Plan Checking Fee S PERMIT FEE S � � ' fl DT NO. S'8DrJStDNS Mue PAR -EL NAP PLUMBING PERMIT Filing Fee 20.00 Each Trap -- -- 7:00 --- USEOFSTRUCTURE >F Duplex ❑ Mobflehome ❑- Other`PEc Solar or heat Rump water heater 23.00 Water p In 15.00 Each r2pe Waferr or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U65116es ❑ Installation ❑ Other* Describe Work: Gas piping uystem' 1 - 5_0_ 15.OD Building sewer 15.00 Mobile Home S G W .00 PERMIT FEE t ELECTRICAL PERMIT Firing Fee 20.OD UMS Main Service eoavOA oR e I 23.DD j� L5/. (J msi � d Silk X !� otItr S O 44-mpr �l (J wwmi4 T=6, i(� \ Main Service 2-M TO IDDDA I 46.DD NEW CONST: VwESLm OCWP. OR ADONS. \ a A=. et Ds 3.5¢F 7 N]N R614 . MULTFOLITIET @7.50 PowEx L so+m.E Dvngr Ex. Occup. OutLET OR WnAtM m C9 I•Do ® .SO . Ex. Occup. FD= APPLNS. OR DLMETS m. EA. D Tem or Service 23.00 Moble Home Facilities 20.00 W=. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Firing Fee 20.00 Heating Coolie Hood 6.5D Ventflation PERMIT =Et S Mobile Home Installation Fee S Energy Inspection Fee S � Co"". TYPE TOTAL FEE $ -DC7 NAZ. D. FEES IAtP FLOOD 0Di PARCEL PD ND i ss JE Ntax mb�1�i�o bL��ai' 1n�o This permit is hereby issued under the applicable provisions of the Butte County Code ar•d/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /Dela) O.B.=1 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 g2 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES M"' NO 13I HAVE V HAVE NOT ❑ 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: -TAME: i PHONE: 4. I plan to provide por'b supervise, and provide NAME: i 'S LICENSE NO. of �s work, but I have hired the following person to coordinate, for work: CONTRACTO CITY: , LICENSE NO. twill provide some of the work but I have contracted (hir the work indicated: NAME ADDRESS PHONE following persons to provide OF WORK r DATE: D �v I 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. OVER �a OWNER BUILDER INFORMATION Dear Property Owner: OA-- I 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 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 '$300 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 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. `41�ficel , AX C. Vi ira,C.B.O. , Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER