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Home My WebLink About041-470-116a r 041-470-116• . 0373601 PELLO,JEFF� 4123 PENTZ RD, PARADISE, Cont: OWNER F RE ROOF/6-8 WINDOWS (� 1 bt— A x f. z. r 041-470-116• . 0373601 PELLO,JEFF� 4123 PENTZ RD, PARADISE, Cont: OWNER F RE ROOF/6-8 WINDOWS (� 1 bt— A x COUNTY.OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 e Telephone (530) 538-7541, j� ERRMIT'NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-470-116 ZONING Yr 1 BUILDING PERMIT OWNER - JEFF IIIA TELEPHONE 6' 577-6364 SO. FT. OCC. BUILDING VALUATION - 20. . OWNER'S MAILING ADDRESS 4123 REHM RD DT EST 2000.00 CONTRACTORSNAME TR V WL'F9II TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 2420.00 ARCHITECT OR ENGINEER LICENSE NO. Felin Fee $ 20.00 Permit Fee $ 54,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1,17-1PARADISE 95969 Energy Plan Checking Fee $ $ PERMIT FEE $ 74.W LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O9 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 ❑ Other ❑.,t`' Describe Work: RER00F W/10014f_,,AE1R0 6-8 WINDOWS .1 J -f ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 0 r R LESS Main Service 2o.A OR LESS 23.00 a ' d LICENSED CONTRACTOR'S DECLARATION 1 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. f 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: I . F 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 offeied 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 A Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT; ONS NONEW REES D MULTI.OurLET 97,50 POWER APPARATUS i SINGLE OUTLET CIR. Ex. Occup. ounEr OR FURURES BAL o 1.50 FIXED A Ex. Occup. O.ASID.°.R, 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;1of,ithe 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 workfor which this permit is issued. My workers' compensation insurance carrier and;policy number are: Carrier :tri Policy Number iw- t (The above sections need not be completed if the permit is for work of a valuation of 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 workefs' compensate n . provisions of section 3700 of the Labor Code, I shall forthwith comply witfi those provisions. 1 " " �[ t� y "' /1�� r -�S X . Date Slgna�ure oAce ppllcant - 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation ' PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 74.00 TOTAL FEE $ HAZ. D. FEES IMP 0.0OD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work indicated above for which fees have been aid. 1 ' B j Date PERMIT EXPIRES O ' f ✓ G®l Date Receipt No. = '_/ �1 •ab 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) 538-7549 , PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' :--- ASSESSOR PARCEL NUMBER 041-470-116 ZONING BUILDING PERMIT OWNER . IFFE PET 3.0 TELEPHONE 877-6364 SO. FT. OCC. BUILDING VALUATION 420. 00 OWNERS MAILING ADDRESS 4191 PEN17 'RD, PARADISE 95969 EST 2000.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2 20.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS PARADISE 95969 Energy Plan Checking Fee $ 4123 RENTZ RID7 $ PERMIT FEE $ 74-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 121 Duplex ❑ Mobilehome ❑ Other SPECIFYEach Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PEROOF W/COMP, RETRO 6-8 WINDOWS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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.POWER 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: 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 permitis 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.) ❑ 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 work s' compensa ' n provisions of section 3700 of the Labor Code, I shall forth ith mply w' those provisions. //-2 ),0-0-3of X Date ), Sig at re f pplicant - Owner ❑ Contractor ❑ Agent An ICZHA permit is requiredf r excavations over 5'0" deep and demolition or construction of ructures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( 8 ACC. BLDS. 3.- FT. q�IpT' MULTI.OUTLET 97.50 APPARATUS a sINGLF Dimer cIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I.w Ex. Occup. OFuc�EEDA Aa oR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 L-1 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 IIAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the Butte unty Code and/or indicated ab a for which fees have PER IT EXPIRES the applicable provisions Resolutions to do work been paid. Date�j ✓� O Date Receipt No. ��b WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION RMIT NO. 7 County Center Drive Orovilll►e,,oCalifornia95965 • Telephone (530) 538-754-1, PE ) �Zo E l (Rev., 2/96) APPLICATION AND PERMIT ISSESSORPMOf7-NVIAE -�- CV `C — ZONNG BUILDING PERMIT `C HONE SO. FT. OCC. BUILDING VALUATION owrErt 1 _� O MALUNG RE G`/ S \ TELEPHONE FDO:/D APPLNS. OR X Ex. Occup. OUTLETS ESID. EA. COMRACTO E Temporary Service CONTRACTORS MA61NG ADDRESS Mobile Home Facilities coNSTRUCnON LENDER _ 23.00 Fireplace LENDER'S MWLWG ADDRESS Total Valuation $ LICENSE NO. Finn Fee $ 20.00 ARp{RECT OR ENGINEER $ Permit Fee ARCHITECT OR ENGINEER'S 6AUM ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ BunnwGADDREss $ PERMIT FEE S J PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 LOT Na SUBONISION'S NAME 7.00 Each Tr USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 [SFT'Duplex ❑ Mobilehome ❑ Other sPfslFr Each gas water heater of vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New E-3. Addriion ❑ Remodel E3 es 13stallatlo 15.00 Binding sewer S G W 020.00 Mobile Home Describe Work (G PERMIT FEE s ELECTRICAL PERMIT FiMg Fee 20.00 Main Service 200A11 oaLES 23.00 ' Main Service ( 2ODA TO ILm A 46.00 2–r PERMIT, PEE PAID $_L. ' SRA SHERIFF OTHER AMOUNT RECEIVED lJ � DATE RECEIVED C� .50 Ex. Occup. OUTLET OR FxruRE5 BAL @ .sit FDO:/D APPLNS. OR X Ex. Occup. OUTLETS ESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ►,r.— ur.A..— 23.00 PERMIT FEE I $ MPC14ANICAL PERMIT Firing Fee 1 20.00 6.50 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ CDL; CONST. TYPE TOTAL FEE $ NAZ D. FEES LMP FLOOD CDF PARCEL PD !m BSUE 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 Date J Q O.B.- I 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 erification is received. personally plan to provide the major labor and materials for construction of the proposed property improvement : YE NO ❑ HAVER HAVE NOT ❑ signed an application for a building permit for the proposed work P I have contracted with the following person (firm) to provide the proposed construction: AME: ADDRESS: CITY. PHONE: CON'TRACTOR'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: ADDRESS: 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: 1 NAME ADDRESS PHONE TYPE OF WORK IGNED: PROPERTYOWNE� S DATE: -2- F o 3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 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. M � ; I OWNER BUILDER INFORMATION 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 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 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. 0 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 i*mumce. ♦ For more specific information about your obligations under Federal Law, contract the haemal 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. lY, /%-.. Mic 1 C. Vi ira, C.B.O. Man ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER