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HomeMy WebLinkAbout058-690-020.. I a 058-690-020 �. a LAND DEVELOPMENT SHEET t 058-690-020 P IT#97-]585 MORRIS, Ted u,, ld 270 Patton ak Rd., rov'lle New Sin Family ed f LAND DEVELOPMENT BUILDING / ENV IRONMENTAC'HEALTH = PERMIT CLEARANCE Building Permit No. NAMERS f � 5 ,� a NUMBER: (� G' - [Oa-Cp PRINT LAST NAME RPST COUNTY ZONING .DESIGNATION: FLOOD ZONE: FLOOD MAP: Ic rI APPROVED. CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: 2 S c7 PARCEL CREATION. BY DEEDS DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COM MENTS/CONDITIONS: MAP INFORMATION: OR MAP 12.3 0^4 G 7 42, 45- Ac SrC l$ DEED REFERENCE: T z/r 2¢6C LEGAL ACCESS REQUIRED: YES NO YES NO DATE OF RECORDING LOT B BOOK Z PAGE 67 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK dPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. 12Ek-r- %Lo" _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 2 5. Pay water tender fees in the amount of $ 2©0 to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below). _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be msota to Lha P1<err*V DAdsion. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20.L 123 Al -7 3 1=x,2 Us�/N3t SEW14�f< b/Si'fol/� L �+�2.E� 21. 22.- 23. 24. 25. 'A!O j.P!„lid013A30 CINVI .'-!jC',j.,1100 r. .! 0 l Nnr ��2 - Im LD 9/95 - C:\WPSITORMS.K\BLDGPERM.CLR COUNT`i("OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: TED MORRIS ADDRESS: PO BOX 1357 CITY & STATE: MAGALIA. CA 95954 DATE OF CLAIM: 12/02/98 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING rnnns nn cFr?V1r=c r%.l -.-- DATE - DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY)AMOUNT PERMIT EXPIRED.(A.P.#058-690-020, BP #97-1585, RECEIPT #222554, DATED 7/29/97, OWNER: TED MORRIS. Total Amount Paid..........................................................$2,195.40 Retain refund processing fee .......................................$ 25.00 Retain building permit filing fee ....................................$ 20.00 Retain plumbing permit filing fee ..................................$ 20.00 Retain electrical permit filing fee ............. *mesa ................ $ 20.00 Retain SRA plan checking ............................................$ 43.00 Retain mechanical permit filing fee ...............................$ 20.00 ' Retain plan checking & energy Ian checking fee ........ $ 547.90 Total amount to be retained ...........................................$ 695.90 . TOTAL $1,499. 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this '3 day of n e m , 19��at 0-e : , 1(e , Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articl specified above pixe n performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ J (Check one) for the same. Dated this Z/ day of �� , 19-11 at �'�Calif. '�bepartmenI Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 for $1164.50 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code _1800/280 Exp. Code 1011811 for $335.00 PAYABLE FROM sheriff development FUND Det Code . Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. December 2, 1998 Ted Morris PO Box 1357 Magalia, CA 95954-1357 Dear Mr. Morris: BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for Refund . (A.P. #058-690-020) Your request for refund was received by our office on 11/20/98. Please find attached a general claim form ready for your signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, W el C. ieira, .B.O.er, Buidling Inspection MCV:aam COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Gam- 7 County CeSt r rive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) pzst! 6?6 5; APPLICATION AND PERMIT 7 - ASSESSOR ASSESSOR PARCEL NUMBER _ ZOM G �d BUILDING PERMIT OWNER TEUSHONE_ • SO. FT. OCC. BUILDING_ VALUATION /� a /� /f�% A �/ r/[/t OWNERS MAIUNG ADDYJ,) Y/rJ( /V) J / f (� / (r(q CID �r I bk D CONTRACTOR'S NAME s ,/f TELEPHONE Q� D CIO CONTRACTORS MAILING°C/ADDRESS O t7 (J 71 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation It.� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee S QItSD AACHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 0 BUILDING ADDRESS �7 y © N &il— � Energy Plan Checking Fee S PERMIT FEE S 1375 LAT O. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f7,-6uplex ❑ 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 Ne ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:, e e -- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z -ow ORLE S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of'Chapter 9 (commencingwith Section of Division of the Business and Code, ti7000 ) 3 id Professions 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: ❑ 1, 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 I he-eby affirm under penalty of perjury one of the following declarations: - J 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 tFiis 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 Main Service 200A TO 1000A 46.00 22. NEW CONST. DWELLINGOCCUP. OR ADONS. ( i ACC. BIDS. sO 3.51tFr. N GUMT. MULT40UTLN NON•REsto. @7.50 POWER APPARATUS a swGLE ourLR cIR. -- Ex. Occu OUTLET OR FIXTURES _ eu®' 0 Ex. Occu . D��A OA.5.00 Temporary Service _ 23.00 Mobile Home Facilities _ 20.U0 Misc. Wiring 23.00 PERMIT FEE S �� MECHANICAL PERMIT Filing Fee Heating _20.00' Cooling Hood 6.50 Ventilation PERMIT FEt S 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.) ❑ 1 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. _ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 1-� TOTAL FEES ! y Z% ,,� D � INP FLOOD COF PARC PO ( ssuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been padd. Date _ (Data) Lceipt No. HITE-D.O.S.-B.07ANARY-ASSES R PINK -INSPECTOR GOLDEN ROO-APPLICANT I?�6 - �°��ISFS COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, ,California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT �- 5s C5 ASSESSOR PARCEL NUMBER 058-690-020 ZONING FR40 BUILDING PERMIT OWNER TED MORRIS TELEPHONE 532-1688 Sq. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1397, MAGALTA, CA 95954-1397 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFXX 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: 3 BEDROOM Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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 DECLARATIONPPLNS I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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. DWELLING UR NG OCC OR ADDNS. ( a ACC. BLDS. So 3.50FT; NEWCONST.9 NON-RESID. MLTLITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. ouiirDrs RES D.OEA 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. • ❑ 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 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. Xj� _ �______ Date —2�_ Si ature of Applicant - ,V 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 $ =HAS IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 99999 L WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^; COUNTY OF BUTTE DEPARTMENT OF DE[�ELOPMENT SERVICES -BUILDING DIVISION ti 74COUNTY CENTER DRIVE - OROVILLE CX1F®RNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �-GS ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: At time of permit applicati , I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 104. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- I' . Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ "—Energy Design Compliance and supporting documentation. ---------------------------------------------------- O 07. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 1-18. -------------------------------------------------------- ❑8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ------- ------------------------- --------------------------- California Department of Forestry plan approval ees.��--,- --3� -------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- P-P4—Sanitation and plot plan approval z!:J� Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ^❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ C1 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑2244.^Letter of signature authorization. -------------------------------------------------------------------------------- K25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------- :�Whh you issue the ernuto s follows ElMail to owner, ❑Mail t contractor. M'JTelephones —1 rs and hold for pickup at o office. ❑ Deliver with inspector. (Date) � �. Applicant: )-iir� 1�-L..- Date: Z 7 — / 7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner; was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. IL 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541. SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE I 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ --- Revised Plan Checking Fee ....... $ `' 2. SCHOOL DISTRICT FEES at District Office) L&____'�3Said OHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES r$425.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A. P. # .r/ Q Q' (' DATE " 2 REC # DATE REC -7 10. OTHER . At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ,'�/�/Y�U2�,c DATE Original -Owner Copy -Building Div. (Rev. 12/96) 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 property improvement: YES P NO ❑ ---) 2. I HAVE 01 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: -G ADDRESS: a CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to piovi a 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: PROPERTYOWNER: a SOCIAL SECURITY NUMBER: DATE: % "' 2 i - i 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. 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 per ed by someone other than yourself, you may protect yourself from possible liability if that person applies the proper ermit in his or her name. Contractors are r fired by law to b licensed and bonded by the State of California and to have a business license from the city or unty. They are also re uired by law to put their license number on all permits for which they apply. If you plant to do your own work, with �e exception of various trades that you plan to subcontract, you should be aware of tl} following information for your enefit and protection: ♦ If youmploy or otherwise engage any per ons other than your immediate family, and the work (including materials and o er costs) is 5300 :�: -more fo- Pe entire project, and such persons are not licensed .as contractors or subcon ctors, then you may be an employer. ♦ If you an employer, you must r aster with the State and Federal Governments as an employer and you are subject to vera lig cluding state and federal income tar withholding, federal social security taxes, workers compe n iasbrance, 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 aboutyour 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. Irely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Groner -Builder Information is required by Section 198.0 of the California Health and Safety Code OVER