HomeMy WebLinkAbout042-020-020�1111 10'
042-020-020 PERMITH96-0728
STOTT, Odell & Janet
2802 Guynn Ave,.,)Chico
Demo/SF
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042-02.0-020 PERMIT#96-0728
STOTT, Odell &.Janet,
2802 Guynn•Ave.,' Chico
Demo/SF i Y/Lfc/
5
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER - 0 042-020-02
L LV
ZONING
BUILDI G PERMIT
OWNER
C
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
f RODEO
CONTRACTOR'S NAME
•�f n ,
TELEPHONE
CONTRACTOR'S MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
f-! RT AVE
PERMITFEE
S 35.00
PLUMBING PERMIT
Filing Fee 20.00
? i 120
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑;( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe Work: DD10 SF—
—
Mobile Home I S I GI W
@20.00
S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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
Law for the following reason: I
;1 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( d ACC. BLDs. )
SD.
3.5¢ FT.
NEW CONST.LTI.OUTLET
NON-RESID. ( -BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Ex. Occup. (oFIXEEDrs (AEN D.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
I Policy Number
1 (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' compensation provisions of section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
=--
�iX Date
gnature of Applicant - E]; Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 3.5. W
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
t
B i ( 0+
y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
Receipt No. 9 �/% 11.^
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville,_6
California 95965 - Telephone (916) 538-754 �67_2&�
ERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 042-020-020
ZONING
BUILDI GPERMIT
OWNER
T
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2806 RODR0 AVE CHicc), 959216
CONTRACTOR'S NAME
r1
ELEPHONE
-
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
AVERPLUMBINGPERMIT
PERMITFEE
= 35.00
Filing Fee 20.00
uNAME
Each Trap
7.00
LOT NO.
SUBDNISION'S
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF OX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe Work: DEMO SF
—
Mobile Home I S I GI W I
@20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filinci Fee 20:00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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
w for the following reason:
09Z 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
NEW CONST- DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
L. 20 @ I.00
.00
Ex. Occup. (oFT%Ers (AES D.OEA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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' compensation provisions of section -3700 of the Labor Co, I shall
forthwith comply with th se provisions.
,'I� „
_ Z�l r Date _Z/ -94 _
igne a of Applicant - 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.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated a o e for which fees ha
�.
B
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
a been paid.
Da te
-
(Date)
Receipt No.
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
O.B.-1
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:::.......
+�.''.�'.'�''...'..�'�..+�'.'�;.,�'�II�I��F�::.;ii .y:?:'•�i.::; �•i'.i.. ..fes.
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 prrope : YES"I NO[ ].
2. I HAVE[ HAVE NOT[i ] 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:
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:
NAIMM:
ADDRESS: CTI'Y:
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:
NA1-IE ADDRESS PHON_E TYPE OF WORK
SIGNED:
PROPERTY OWNER: JAiv£7 ti- -S'_T'e7-7 c
SOCIAL SECURITY NUMBER:
DATE:
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
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 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 S300 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.
0 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.
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 uaiiceased persons professing to be contractors is to secure an "oNranerbuilder"
building permit, erroneously impi,,ing 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. 95314.
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.
Sin'cl�rel , '
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code.
OVER
Demolition Permits
Asbestos Notification 'Statement
Date
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out -this form..
719827.5: A demolition permit shall not be issued by -any city,.county,
city and county, or. state and local agency which is authorized_to issue
.-demolition permits zs to any building or structure except upon the.receipt
from the permit applicant of -a copy of each written asbestos notification -
:: regarding the building --that has been required to be -submitted to the_,Uriited
-States Environmental Protection Agency or.to-a designated state -agency, or
:both-; pursuant to Part 61 of Title 40 of the_'Code of Federal Regulations,
Or the successor -to that part. The.permit may be issued without the applicant
_..submitting a.copy of the -written notification if the .applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency mayrequirethe applicant to make the declaration in writing,
or it may incorporate the applicant's response on the demolition permit appli-
cation."'
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
6R
I hereby declare that a'written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
Signature of Applicant
2/19/91