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HomeMy WebLinkAbout056-170-026CHAR.LT•• �ti ;.z l+Ei ��y i xkif� ,z �t� c n.� •+,. �y♦�'; tt t, %tS t . { • t' c t ,[♦ N 1� w YRFLOCATr 3 p 33 t ER.t PANEL y♦ t t 'a a { x- ',f fl f� r f � !: r ``+' � � �' r � }° 3 ,� %!�+'� t k `f°'r. >� of . 1 » _ _ A ♦.. f'�k ! [{�a Cxy j If! aiAt t .s fir ! t' "� �r e r tj , ' y i` 1+�'1t jtY ' �= 4 t` R ay y i• -v: T s r.,; t i r r;�.<� .r: t�C ?� tj: i t ' Yt[} �trt � ° 1 .r ry i � � � T � r� �}� . ?i2 �d1[— e f _ � ki:^t .F a ;• 3 '.! "`,'�... z !H r .. VS , • .. Tt. ! •` ,r � 1 S3`.i� ( ..t, - a ! � ai• hw - '.�.. TI' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ®,3' o?5� ASSESSOR PARCELNUMBER 056-170-026 ZONING BUILDING PERMIT OWNER Charlton,Roy 342-8863 TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 211 Mountain Ranch Road Chico CA 95973 CONTRACTOR'S NAME TELEPHONE owner CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 211 Mountain Ranch Road Chico Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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: relocate electrical service panel Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 ±E PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 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 I No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License or 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 Main Service 200A TO 1000A 46.00NEW CONST. DWaELLING OCCUP. OR ADONS. ( ACC. sLAs. s0 3.5¢FT: T. NON-RESID. MULTI-OUTLEr 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES Bn� @ .50 Ex. Occup. Dingy ..'6.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pre -Inspection 3.00 PERMIT FEE s66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 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 co y with those r ' 'ons. Date O-3 _ SI ure of Applicant - ❑ Owner ❑ Contractor ❑ AgO&I A OSHA permit is required for excavations over 60" deep and demolition or construction of structures wk sLrie in VOL Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE k6. 00 D cDF pARC0. PD HD ISSU This permit is hereby issued under the Ofthe Butt unty Code and/or indicated ove for which fees have B- PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate 6 l� D to WHITE-D.D.S.-B.D. CAN RYAS SSOR P INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - S eLDiNG DIVISION. 7 County Center Dave • Orovills, Wdorni4: 959885 ► Telephone0) 538-t54 �, � APPLICATIONANDPERMiTi 55303LP �"' / `7O — /j 7° BUILDING PERMIT nkm► n / / v 3 SO. FT. 0= BUILDING VALUATION �tdAR"iflgi wvara ADDS � euan� �� Fire?le.-e T aw Valuation = aa"`S FSim Fse S 20.00 Da ee== mumAo Parmft RR= -a S Pian chazieng Fee s / / Energy Pian Che-aig FestIn s l119,44f ; P7-RMfT F>s S Eilf3 USEOFSTRUCTURE �F 0 Duplin 0 Moboahome O Other sv�r TYPE OF WORK *PSWT FEE ?Alb SkA Sklkn: e4�i4QlJl�i R:Ge"`. Ycty a s� IS evr srt70 cow PLUm31lmG •PERMIT FFmg Foal 20.00 Emzh Trap 7.D0 Solar or hem weler hammer 23.OD y►Iatsr Pig 15.DD walm heeler or vent 15.DD Gs Wng svrtm 1-5=aeft 15.DD sewar 15.DD jlg i.bme 131G W �D.DD PER= Fm _ ELEMWCILL PEMrT Filing Fee 20.00 morin awize = oa i =I> � Wm Swire ( anm =feu° j 4SD0 I w•O=-= f Damsoamnmm) I I n fAL ; --ftI �I NbbRe Home Fa T&ms II =DDI J 2D.DD 6.50 PcRBMT FEE I s Nbboa Hame hss't-mafion Fee Is 'energy Inspmdon Fee Is a" �7T8L TOTAL FELE $ I M4Z d D� H.77D CDF PAR=�1 PD I HD I MLF itis perml is hereby issued under the appka51e prv%sons Of 1h9 Bufte County Code and/or Resohi mrss b do work inoeeied above bt which fees have been pelt 3y r'3e�',r+tNa P=PMiT D:?1REs Did Date O.B.- I 0 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 buildin_ g permit will be issued until this verification is received. , 1. I personally plan to provide th major labor and materials for construction of the proposed property im ovement : YES 21 NO ❑ 2. I HAVE 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: NAME: ADDRESS: CITY: PHONE: - CONTRACTOR'S LICENSE NO. 4 f I plan to provide portions of this work," but I have hired the following person to coordinate, supervise, an(f provide the major work: , NAME. ADDRESS: CITYc ' 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 DAT `O� • 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: i D.B.-1 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. f rely, /%(1% N is el C. Vi 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. OVER e 7- COUNTY OF BUTTE t BUILDING DIVISION DEPAR�,�AENT OF DEVELOPMENT SERVICES.' 411 M,, :n Street - Chico, CA - (530) 89.1-2751 7 County Ct",nter Drive - Oroville, CA a (530)538-7541 CORRECTION NOTICE OWNER PERMIT NO. ---A routine inspection indicates that the following violations of butte county Ordinances exist at the.: above address and should be corrected. Please notice this office when correction of -work is - completed. If you have any questions pertaining to this matter, or need . additional explanation, please contact this office immediately. x A A .......... -w- DateD a Inspector REV 10/92 PRE -INSPECTION REPORT OWNER - LOCATION: CONTRACTOR: PRE-INSPETION F DATE TO INSPEC BuIlding Description: Residcnd&Y# of Units: Currently Occupied Abandoned/Vacant. Electric: Yes ✓ No Condition of Electric Gas: Natural Propane Obvious Problems: Sanitation: Plumbing Working Well Workin Obvious SewaeeProblems BUILDING INSPECTOR'S RKPORT Electric currently On Off DATE: ' A.P. #. D�' None . Currently On L,Off * ' Potable Water Comments: 4 ACTION RECOMMENDED: ISSUE: HOLD FOR-; Inspector._ Date 41, CI) Sketch buildings on reverse and indicate location on proper, fy -. MUN'i Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovills, Oa. dom:a 95965 ► Telephone (530) 538-754 3 - - �1us� APFUCAT[ ONAND PERMIT 124 IISEOFS�ir UCiURE �F 0 Dup1m D M*95boms 0 Other Now 13 'iYFE 0MOM 1 =-- n * I I *?iii FEE PAID SkA Air i��c�b :ee s Fee s hyo Fee s Plan mazwng Fes s wWBT healer 1r or vert - s muleb Idem Same :e ( 2m -Mon" outii-s Da F9rLM Home FaeF R.:M A . 0 ding Fee 20.D0 i'.00 2S.DD MOD 15.00 15.00 15.DD cb20.DD 20.00 O©�Gtii 6.50 p�>safT � s IibbBe Home knsaMon Fee32 s nw-,w ee s TOTAL FEE $ � oma _ � � COd FS w( P -=0t DF PA=M PD !� 6tF. V�"�-i This permfl is heresy issued under the apple prsv:s rs of the Bute County Code anWar Re=kj'=ns b do work Ind=sled &ave for whrb fees have been paid 3y . Dsie ne-sip:l�la. ----------- --•--••--- •__, �..., FB�MfT E�IZ=S Ofd OFFICE COPY