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Home My WebLink About055-310-0060IMR 055-310-006 01-3094 PACIFIC GAS & ELEC PENTZ RD, PARADISE DEMO SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �d PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT C. ASSESSOR PARCEL NUMBER 55- ZONING BUILDING PERMIT OWNE /` cc TELEPHONE 3 SO. FT. OCC. BUILDING VALUATION . OWJOER' MAIDRE NY Cc91-11-4-4 C—OINNTRA/CTTO�R'�S /NAAMEE OC v l TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESSQ..� i' Plan Checking Fee $ BUILDINGADDRES Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL 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 ❑ Other ❑ Describe Work: l AY10 _ � . 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 Fling Fee 20.00 Main Service 2o.A OR LESS23.00 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. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: vi, 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 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT: NOµRE41DT' MULTI -OUTLET 97.50 R A 8 PSINGOUTLET CIR. OWELEPPARATUS 20 Ex. Occup. OUTLET OR FIXTURES BAL @ I:50 OWNER Ex. Occup. oFlx„T,E�°�A Aa ) 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 �f 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' 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 ply with those provisions. Sf�GG _ Date Z GT D __ gnature f Appli nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit' required for excavations over 5'0" 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 $ cc Crim TYPE TOTAL FEE $ HA2. p -FE IMP FLOOD 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 indicat above for which fees have been paid. fin By Darted -Zd--� PERMIT EXPIRES ON Date Receipt No. - &o WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT 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. 1. I personally plan to provide ther labor and materials for construction of the proposed property.imp ement : YES NO ❑ 2. I HAVE mHAVE 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: 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: NAME: ADDRESS: CITY: 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. ' NAME ADDRESS PHONE TYPE OF WORK SIGNED: < ROPERTYOWNER: \\SOCIAL SECURITY NUMBER: � WA 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 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. ♦ 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. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code OVER Name 1PACIFIC GAS & ELECTRIC CO Addr1 ICAPITAL ACCOUNTING DEPARTMENT AddrZ P 0 BOX 770000 Addr3 SAN FF3ANCISCO CA 94177 Addr4 Comments IWAS 055 310 005 S PLI T BY D E E D Creating D oc#1 1989R 20038 Date 08/01 /1989 Current D oc# 11989R 20038 D ate Killing Dee# D ate Asmt D esc SBE 135-4-5-1 Zoning DvvellF Acres 45.05 N/C 055 S uplCnt F— Asmt # 1055-310-006-000 Fee # 055-310-006-000 Status JACTIVE Status Date 106/01/1989 Tax P�—OJOWNED BY PUBLIC UTILITY TRA 093-023 S itus Base D t Land S tructure Fixtures Growing Total L&I Fix. R P MH PP PP Exempt AgPres 0 E tal 0 N otes 0 B ands 0 multi Situs Flag1 Flagg Asmt PP Pen Tax PP Pen Appeal Pending F Split Pending Land S tructure Fixtures Growing Total L&I Fix. R P MH PP PP Exempt 0 0 0 0 0 0 0 0 0 Net 1 0 Ricin T!R Dt� R!C Stat PHY I OWN I EXP I TAX I H R N I AT T I S I T I APR. I PCL I MFind [E -j 17"..., rti'l Jnr 10%rtin-1 IN +ti -7 1�4 nU J