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Home My WebLink About060-090-022E i i zz • fti to fsf3., s -n.r .vr" ? r .r �.,.,> S i�'?'� k F3�� iar;`� G k � �... .,� ' � .r � � .�,;: �;` 060-090=022 PERMIT#97i-0061►�2s', BAKER; Albertil-iI�U�I.Z��7 E. PotaHole�Dr,:x�*Butte Meadows�`��. �"� � `��'��, •;;t+/ � r .j Demowia. <� r E- is .fit: �?� .. �,��*" ❑ i ��, 1.1 . � �, �. c:, :,�" -.r:. _ _. ;; ._ .. ..r..,�,: � `_.,_,..T,,�..,• _ , .'^,..,r Firms%� •cs.•-�-rv..^-w'K. fv"A�P'•.{R�h e�;�Y 'Fryc. •rn•Or 060-090 022 PERMIT#97-0161'k1- 1` BAKER, Albert �• '` Pot Hole Dr., Butte Meadows Demo/SF , • z� I- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DI J6ION 7 County Center Drive - Oroville, California .95965 - Telephone (916)::�97_ PER/ IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB 060-090-022 ZONING BtfLDINGPERMIT OWNER1'11.lJT ^„, BAKER i T yH{_".I SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1573 6Tf11 ST OROVII IE CONTRACTOR'S NAME IM T.T. , J TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 1� 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS POT IT f, DR OF IIL'•J•2ALT)T Energy Plan Checking Fee $ PERMIT FEE S IAT NO. SUBDNIS ION'S 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 as water heater or vent 15.00 TYPE OF WORK _ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other !17 Describe Work: DT140 Gas piping system 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 z on oa mss 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 Law for the following reason: fid 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 ( TO 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO 3.5¢x; NON -REBID. NEW CONS17__ MULTI-OUTL.- @7,50 OWER APPARATUS b SINGLE OUTLET C,R. Ex. Occup. OUTLET OR FIXTURES 20 eA®I:so Ex. Occup. ouTELE RUYES,n.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 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.) *0 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. �/� >� n� X .^ _ l 3 Date Signature of Applicant - ® OwnerLp Contractor ❑ Agent TT 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 $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Defe Receipt No. 209665 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ION 7 County Center Drive - Oroville, Ca!ifr.;nia 95965 - Telephone (916) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 060-090-022 ZONING B LDING PERMIT OWNER ALBERT BAKER JR NE TE '' -1648 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1873 6TH ST OROVILLE ' CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS POT HOLE DR OFF HUMBOLDT Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF JAI 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 It Describe Work: DEMO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zuonoaLEN, 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, ( g ) 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: 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 TG Main Service ( TO 46.00 NEW CONST. DWELEL DWOCCUR CCU OR ADONS. ( 6 ACC. BLDS. SO 3.5¢FT. NEW CONST. MULTI -OUTLET NON -RESTS C 97.50 POWER APPARATUS 8 SINGLE OUTLET CTR. OUTLET OR FIXTURES Ex. Occup.BA 20 p •,o Ex. Occup. OUT�rs REESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 of one hundred dollars ($100) or less.) III 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 � Date _ '3� -- Signa ur icant - G9 Owner Lo Contractor ❑ Agent TT An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 39.00 FEES IMP I FLOOD I CDF PARCEL f PO I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. `�+-/ Date 6 3) ! / [ —13 Date ReceiptNo. 209668 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 :'i.: ,.:...i:.,::::,., .:i . :.. ........,.:. �: i:., ::.; :;: v:tii •ij; :vj•i:}•:. •:i:;:?}' i:i:.S,�•:.......... ,..'.• •.v.v . , '}:L:i: �: •.,..}.• , rt,r.r:..t..,r::.V..:•.�.�\\ti::\veo?C.,:..•t;:.:::r::C:�y,.}::.:.tLL,ir.,•>.ti:::::}':�:'�:::�"•':'.;';.:::: .................. �� vti?:. �L{ fir. , •:j: :ti i yF .•f: ?,,vy',\•r�,' :?•:C:4}}}} :::::::.r:•ir:Or}:?v:i?::: v: r::i viri}}: � }: � i}:•}}'.; v:::::::: i::.:i'::::: .rr:i?::::.: �::::::?v:. �::. �:::::: _::::. �:::::: v.: �: },. L �•.::}:•:.:?{•: .... ...............,.....n,•}}:?t:>:•rrr'':.iiii>:>.:}:�ir �ii:;:>+;Y;::.y: }}}::......\.,}:Q �}::ti :!�iiiir:•i:�iri "i:�i: 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 the major labor and materials for construction of the proposed property improvement: YESPQ 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. 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: PROPERTY OWNER: SOCIAL SECURITY NUMBER: 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. • RE 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 Acoun . They\are also required by law to put their license number on all permits for which they apply. If you plan to do yo own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information fog your benefit and protection: _ 0 If you employ or other i rise engage :Ina� y arsons other than your immediate family, and the work (including . materials and other costs) is 5300 ore for the entire project, and such persons are not licensed as contractors or subcontractors, then yo be an employer. _ 0 If you are an employer, you egistefath 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. 0 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. 0 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 "ownerbuilder" 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. Sin'c��rel ` Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits Asbestos Notific_3.24brf,S=r,;atement Date AP# 0, 'O -Gj'o -oaf Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from thepermit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to -that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may. require the applicant to make the declaration in writing, or. it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection -Agency for the demolition project located at Signature of Applicant 6R 1 I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of .. ., May 1995 3.27 COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• v." 77,.+:: 7M If, �!�._ I_ . ! - -M�7�71.=,_r -•7 , At,3 MFIF7 �,44- z_n, - wl; I R 7%, f•�i y.. 3�t,�y�t.�h Sr.,,,-. 1: .a•.. no 50 7 T - - E� Tax Area Code 93-06 -,OF —2-9 T 26,-. -R. 4, nk A.4 t 4 4 14 U 08 A .;vy- tt 14W I ju inv .4 OU Lj C 0 92 9.� 0 .254C 71 7' j 2 4 Z, vz� _pil 'All5.0 9 9 OL LvVE 2i �V 25-1 UL. 0 3: 0 I.L SEr 29. HRA SEL TO A PU Z le It Assessor's Map No. 60-09 "r, NOTE --ASSESSOR'S PARCEL BLOCkUM . JR, County of Butte,'Cal if + V/ 5!Cv & LOT NS"ERS SHOWN., IN 1-CL r: r 1957-