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Home My WebLink About058-350-003STUART RANCH 728-67B Y, 058-350-003 03-1777 HOLLAND, LUCILLE sa- - _ 607=67�. - 12967 CONCOW RD, CONCOW NEW MAIN METER w/s Concow Rd. app. 2' mi. no. of -0 d Pine ;>t Concow (Box 2 ) r� 058-350-003 (.fireplace) 4—%-7 � 03-2551 HOLLAND, LUCILLE 12967 CONCOW RD, OROVILLE O H20/GAS LINE REPLACEMENT f r • �- I. J a i L ' I { i 1� I i I t a N S. "l,�}�.3z.. ,.. x` +�'�sr..�� 1 1Ty(1i1 $',�'Ml".. _ r •.�. n• • .:K-S,;yA+ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 4 PERMIT NO. (Rev. 12/96) , APPLICATION AND PERMIT 03 - ,��7 ASSESSOR PARCEL NUMBER ^, OQ 06— Y — �/ / VVV ZONING BUILDING PERMIT OWNER '!/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OW I NG DRESS n �� O C� W - / / v 4 CONTFIACYORS NAME Oymnpr TELEPHONE CONTRACTOR'S 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 ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF MX Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other Qv Describe Work: T. DATER UEATER 7GAS LINE RE�ivED TO IH\MF.RGJRnjJND & WA -1-1 HATER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 i5. 00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service A 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: X-1111 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 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 w kers' compe on prov ions f section 3700 of the Labor Code, I shall f With COMPI ose p is' X Date o1 1 Signature f Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is requITe for excavations over 5'0" deep and de olition or construction of structures over 3 stories in height. Main Service s00A TO 46.00 CCU000A NEW CONST, DWELJNG OCCUP. SO OR ADDNS. ( MNGS.3.5Q�. NON-RNONMULTI.OUTLET 97.50 POWER APPARATUS a sINGLE ourLET cIR. EX. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. ountrs PENSS16JOE.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CC CONST. TYPE TOTAL FEE $ ;of HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS permit is hereby issued under he Butte County Code and/or indicated a ove for which fees have PERMIT EXPIRES ON UV70122_/ the applicable provisions Resolutions to do work een paid. JA -Z I to Dat Receipt No. WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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) I APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER pJ� �� ZONING BUILDING PERMIT OWNER- �, /%/V/,1jT / /� / ITELEPHONE SQ. FT. I OCC. I BUILDING VALUATION CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDINGADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New �❑ Addition ❑ /R/pmode ❑ Utirrti ❑ Instal t Desdribe Work: /�f/ &,t?/ /&a& PERMIT FEE PAID $ TELEPHONE C SRA $ SHERIFF $ OTHER $ 22000A oA LEss $ Main Service $ AMOUNT RECEIVED $ DATE RECEIVED. RECEIPT # 3� 33S - EX. OCCU . OUTLET OR FIXTURES Fireplace Ex. Occup. oUTE�E°Ts R=1 E ELECTRICAL PERMIT Fling Feel 20.00 Total Valuation $ 22000A oA LEss 23.00 Main Service Rlinq Fee $ 20.00 DwEWNo G ccUP. 1 a erv� c� nc Permit Fee $ Pian Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 _ Each gas water heater or vent 15.00 167— Gas piping syste!2 1 - 5 outlets 15.00 _ Building sewer 15.00 Mobile Home I S G I W @20.00 EX. OCCU . OUTLET OR FIXTURES PERMIT FEE $ Ex. Occup. oUTE�E°Ts R=1 E ELECTRICAL PERMIT Fling Feel 20.00 Main Service 22000A oA LEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. / no AnnNC l DwEWNo G ccUP. 1 a erv� c� nc 3.5dscr0' EX. OCCU . OUTLET OR FIXTURES a4L a .SO Ex. Occup. oUTE�E°Ts R=1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEt= S Mobile Home Installation Fee $ Energy Inspection Fee $ °OC CONST.TYPE TOTAL FEE $�J'� HAZ D. FEES IMP FLOOD I CDF I PARCEL PD ND ISSUE 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 PERMIT EXPIRES ON O.B.-1 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. �I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES 9- NO 0 . HAVE 14 HAVE NOT 0 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: 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 n NOTE. This Owner -Builder Verifuation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER IlVFORMATION Dear Property Owner. O.B.- I 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 inbonmation about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou 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, Ivfic 1 C. Vi ira., C.B.O. er, Building Inspection NOTE: Ykis Owner -Builder Information is required by Section 19830 of the California Health mrd Safety Code OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (53 538-7541 '77 (Rev. 12/96) APPLICATION AND PERMIT11V ASSESSOR PARCEL NUMBER 058-350-003 ZONINGBUILD G ERMIT OWNER HOLLAND LUCILLE T�T1 N4266 SO. FT. OCC. BUILDING VALUATION AI . OWNERS KUNG ADDRESS 12967 CONCOW RD. OROVILLE CA. 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAD129679DREr o7 CONCOW RD. OROVILLE CA. 95905 Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M 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 ❑ Other ® Describe Work: NEW METER MAIN SERV. CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 OOOVOR LESS Main Service A 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: ,a 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 reasongo Main Service 200A TO 1000A 46.00 NEW CONST. DWELUP. LING OCC OR ADDNS. ( DT ACC. S. SO 3.50 FT. NON-RESI�. MULTI -OUTLET 97,50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL 0 .50 Ex. Occup. ourlEEis AESIo.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.06 PRE INSPECTION 23.00 PERMIT FEE $ nn WORKERS' COMPENSATION DECLARATION I Jereby 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 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 o California, and agree that if I should become subject to the workers' pensa ' n provisions of section 3700 of the Labor Code, Ishan f rt ly wi o ov ions. X Do, ature of Applicant Owner f[3 -Contractor El Agent An OSHA permit is require fiir excavations over 60" 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 FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. —' D. FEES IMP ---- -- FLOOD ---- COF -- PARCEL ---- PD — HD -- ISSUE 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 Ditto PERMIT EXPIRES ON 612,'51"e Der Receipt No. 382090 $89.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t.. ;•.�-v ... ,_ .. .. ...._ _ ire -...-r ..:�, ;,....,. •• ..r . r i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530).538-7541 CORRECTION NOTICE A— OWNER PERMIT NO. 7 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. / Date Z / `Inspector ��' 1. 0 9�—� REV 10792' 2 REQUEST FOR INSPECTIONn Permit No. 0-13 Locatior>: Call 1 � f ti<�... Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTI Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp: Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: Date: Comment: PRE -INSPECTION REPORT OWNER DATE: __(4// 7 0f LOCATION: C� / G /"v AP CONTRACTOR:ZONING: PRE-24SPETION FOR /z m., ; DATE TO INSPECTOP- 6LI f PBRMIT HUTORYt ) NONE (JAS FOLLOWS: BU LDING II4SPECTOR'S REPORT Building Deseription: . Cortuna�csaWsage: Residentiallf of Units:__ CMT=tly Occupied AbandoneaVacant Electric: Yes No Electric currently On Off Condition of Electric Gam Natural Propane Nose Carne 4 Oa Off Obvious Problems: Sanitation: Plumbing Working - Well Working Potable Water Obvious Sc'wageProbletns _ ACTION RECOMMMED: ISSUE: !/_ HOLD FOR Inspector._,/=�5 Date - Sketch buildings on reverse and indicate location on proper ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75410-3 IZ7(Rev.12/96) APPLICATION AND PERMIT f zGNING. BUILDING PERMIT ASSESSOR PARCEL NUMBER Ol G- D //� TELEPHO�{NE(J�J SO, FT, OCC. BUILDING VALUATION OWNER 1rl 'i A -)C% .OWNERS MAILING ADDRESSw J ,// �/� C." -106W `_ l TErE T / LEPHONE cow CTO S NAME C CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILIN ADDRESS Total Valuation $ _ ' LICENSE NO. Flin Fee $A20.00 ARCHITECT OR; N ` Permit Fee $ ARCHRE ENGINEERS MAIU I D ,I Plan Checkln Fee $ t BUILDING Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 - — --------._...-- ------ -- --- — — ._._._ -- Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water iping 15.00 SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping stem 1 - 5 outlets 15.00 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Buildingsewer S G W @20.00 )� / ��—' Mobile Home Describe Work: 1` PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 aow oR LEss 23.00 i Main Service Z.A OR LESS Main Service 200A To t000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. ( DWELLING OCCUP. 3.5¢Ft. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ` CONS . MUL�TFOLRLET @7.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON-RESID. P RANC APPARATUS and my license is in full force and effect & SINGLE OLIILET CIR Lic. No. °'.50 License Class Ex. Occu ovrLEr OR FocTUREs BnL a .� OWNER -BUILDER DECLARATION FxED APPLNS. OR 5.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. OUTLETS ESID. EA 23.00 Law for the following reason: Temporary Service 14 I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 will do the work, and the structure is not intended or offered for sale. Misc. Wirin 23.00 ❑ 1, as owner;of the property, am exclusively contracting with licensed contractors ��J, G C_i 3 to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this ERMIT FEE $ C, reason MECHANICAL PERMIT Filing Fee 20.00 20 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 performance of the work for which this permit is issued. ❑ Ihave and will 3700 of the Labor maintain ode, for the performance of work for which thiensation Insurance, as s permit iuired s issued. Section Ventilation My workers' compensation insurance carrier and policy number are: PERMIT FEE $ Carrier Mobile Home Installation Fee $ Policy Number is (The above, sections need not be completed If the permit is for work of a valuation Energy Inspection Fee of one hundrbd dollars ($100) FThis NST TM TOTAL FEE $ ❑ 1 certify that in a of the wor or which this permit is issued, I shall not em any erson I a y manner so as to become subject to workers'HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD SSUE comp n tion I s of C ia, and agree at if I should become subject to the wor r cc nsation provisions of ction 3700 of the Labor Code, I shallmit is hereby issued under the applicable provisions fo w' c ply ith th se provision / ( of the Butte County Code and/or Resolutions to do work X Date 5 indicated above for which fees have been paid. Signat re of Applicant - ❑ Owner ❑ Co actor B�Agent An O HA permit is required for excavations/over 60" deep and demolition or construction Date j of st ctures over 3 stories in height. % By PERMIT EXPIRES ON ReiptNo. ITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) �mw M .H P, r - o C� O - .C\l E -H 3 �, `i ul 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 ity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. or labor and materials for construction I HAVE 21—HAVE-NOT0 signed"an application for a building permit for the proposed work. �Ihav�lrnsrf4►a c, 1, +1,o�Fir11., ,,..«ems,.,. �- _Y- -'�� ---- .:":� 4. I plan to prov supervise, and NAME: ADDRESS: PHONE: 5. I will provide the work in NAME CONTRACTOR'S LICE O. ions of this work, but I have ' ed the following person to coordinate, e major work: CITY: CONTRA R'S LICENSE NO. the work but I have contracts ..Zed) the following persons to provide ADDRESS PHONE OF WORK NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returngd to our office before we are permitted to issue the permit OVER . OWNER BUILDER INFORMATION I 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 sliouild 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, ifyou 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. s rely, Mic I C. Vi ira, C.B.O. . M , er, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER