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HomeMy WebLinkAbout042-130-044"� T s i 1 � '`r .��k%� * �+-"•u••rar,•a•.ur_.,wasy,:wut;a�^:r�n: t '�i 042-130-044 02 } i 3JURA A 1214 GLENWO( )D, CHICO s , 1 moi._ .�:�i!✓.^.r"*.-�_:.tGtja.. ^'^x'"'' ., r t 042 13�-044+t ' ; qq �3 1102 NRA FAMILY, + k+ 1214 GLENWOOD, CHICO , RE do � },' 4 ��' 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 01-1.102 ASSESSOR PARCEL NUMBER 042-130-0" ZONING BUILDING PERMIT OWNER JMA FAMILY TRUST TELEPHONE SQ1-17 1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1213 GLIM'.i)QD CHIGO 95926 'JS Q 1 (M CONTRACTOR'S NAME A!ONM'rxTFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1.50 M ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAWNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1713 � MICOnergy EPlan Checking Fee $ $ PERMIT FEE $ 55 Q(1 LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O 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 ❑ OtherX❑ Describe Work: PEROOF W. ffYIIVD Gas piping stem 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 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. 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: 16 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 46.00NEW CONST. DWEwNGa ACC. OCCUP. s0 OR ADDNS. ( BLDs. 3.50FT: NON-RESID. MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ ,50 Ex. Occup. AFIx�LE�DSA R oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 Code, I shall forthwith comply with those provisions. X �i�Mf t .t Date (4- 1 9, - Off__ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agents— 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 $ 55 • HAZ. D. FEES IMP FLOOD CDF PARCELPO HO ISSUE XX This permit is.hereby issued under the applicable provisions ounty Code and/or Resolutions to do work f r�hich fees have been paid. j !,!• 1� ' VBy Date PERMIT EXPIRESto ((, ' (Date) ReceiptNo. S5�`!lt `- GOLDENROD -APPLICANT CANAA�c6FWHITE-D.D.S.-B.D. SSSY ►-INSPECTOR 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 03-1102 ASSESSOR PARCEL NUMBER 042-130-044 ZONING BUILDING PERMIT OWNER JURA FAMILY TRUST TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1213 GIENW001) CHICO 99926 25 SQ 1-5000121 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 15 0 ARCHITECT OR ENGINEER LICENSE NO. .0 —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ -39-00 Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE s 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF N 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 X0 Describe Work: -RF.Rn LW JMMp 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 I Fling Feel 20.00 Main Service 2oD.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 penaltyof erIL Nthat I am exempt from the Contractors License Law for the following reason: 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 Main Service 200A To +000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so 3.50FT NON-RESIIDD. BRANCHMULTI-OUTLETrs 97,50 POWERAPPARATUS 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FDMRES BA0 O' 1. o Ex. OCCU oUCrsFED APRLENSID. OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ I 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 FEt $ 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 Code, I shall forthwith comply with those provisions. .{� X \I �/`,L.�(1_ Q 2 Date y� O Signa ure of Appli� ❑ 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 $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE XX This permit is ereby issued under the applicable provisions of th Butte unty Code and/or Resolutions to do work indic ted a hich fees have been paid. By r Dat PERMIT EXPIRES I Date Receipt No. WHITE-D.D.S.•B.D. ARV-A�-necK- PECTOR GOLDENROD -APPLICANT 04/18/2003 09:20 5304590342 w.o.USP�:MONTAGUE PAGE 01 Ll - / �- 0.3- /� ace(, CLOIJ 1 r le -rte WOO 1� 3737. a 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. GI personally plan to provide the major labor and materials for construction of the proposed property improvement: YESX NO ❑ I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. �. I have contracted with the following person (firm) to provide the proposed construction: \NAME: CONTRACTOR'S LICENSE NO. 4. I planprovide portions of this work, but I have hired the following person to coordinate, supervis and provide the major work: NAME: \ - ADDRESS PHONE: 5. I will provide the work indic NAME SIGNED: CONTRACTOR'S LICENSE NO. of the work but I have contracted (hired) the following persons to provide ADDRESS PHONE TYPE OF WORK 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 f- . . ') 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 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. ♦ Theremay 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. rely, Mic 1,CVi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 3 _ .