The URL can be used to link to this page

Home My WebLink About060-090-02727 lAv. d6o'-'0q-'_o-o'2! CA ROBERT_ LLENDER- 70461,GREYBE -',",BUTTE MEADM. A9D LIN lit. REMODL/SF 44 Yls �02 660-2'0'90:�;4� �,�VK-��ERMIT#97-1510 Robei CALhEi4bEk' beard'I L ea d yu, 4 () Uy r� e y. u ADemo SF: ows., -060-090-027 01-2016 HENSOM-GERALD gy 7'04� GREYBEARD B'U'TTE NIFADO �T .CONT:,OW,4ER' lqEL 'IN -;ELEC SE R'v Wf DEVE T -.;Mwwmppcw OEM 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) APPLICATION AND PERMIT 0/- W)& ASSESSOR PARCEL NUMBER oto ZONING BUILDINGPERMIT OWNER & err SO. FT. OCC. . BUILDING VALUATION AILING OWNERS M ;r Ave, a I �J 0/cr-12 G_ "`M� I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee I$ --- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS (:)44(.0 Lei, Energy Plan ChecNa4'_Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP --,"-PLUMBING PERMIT Filing Fee 20.00 'Cach Trap 7 Owl USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome pP Other SPECIFY 4FEE$ Solar or heat pump water heater t Water piping 15.00 Each gas water heater it 15.00 TYPE OF WORK New 0 Addition 0 Remodell 0 ities [3 1, Ilation 0 Other Dzes 61�e Work: _wrent Gas piping systery tr ,)A< 5 outlets 15.00 Building sewer*� 15.00 4 IS I GI W1 Mobile tiome 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ( 80.0.V OO.R LESSS Main Service LE 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: 0 1, as owner of the property, or my employees with wages as their sole compensabon, will do the work, and the structure is not intended or offered for sale. S/l, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNGaZCUP. OR ADONS. & ACC. S. 0. 3.5,FT, CONST. T ES'.. =O .y . ITS &7.50 97.50 _=R OWELR AP= U PSIN. E . CSIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 ..FIXEO APP . OR Ex. Occup.. C.= .) El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23" 09 PERMIT FEE $ (eel) P) WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Pee- 20.00. Heating Cooling Hood 6.50 Ventilation 11__� lo< PERMIT FEt 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 P ovisions. - 7y_po rAl/ 9113 hzt,. I X Date Si n. A.re of 1-pplic-an't ED,'Owner' [3 Contractor E3 Ag ant IF 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 TOTALFEE$ HAZ. D. FEES IMP I FLOOD CDF PARCEL-] PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 16.�L 6k� r 0� r.0 PERMIT EXPIRES In the applicable provisions Resolutions to do work been paid. Date - 17 02, (Date) ReceiptNo. WHITE-D.D.S.-B.D..O .0CA`NAA`Y-AVSeSS9?R PINK -INSPECTOR GOLDEN ROD -APPLICANT f OFFICE;.COPY Addre ss -- GAS Meter B Date TWJ� ELECTRIE. G: Meter By Dat (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL6MBER 0 ZONING BUILDING PERMIT OWNER C 0 V) TgiVHONE � 17tZ,1' L SO. Fr. Occ. BUILDING VALUATION OWNER*S MAILING ADDRESS z- �, �j r. a c, Ck 9,S9'?_ —(a ME "77,o -, e - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCT10N LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ .00 Permit Fee _S_� ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking F Is $ BUILDINGADDRESS --) 0 4 Energy Plan Checkingf-Fee $ 1-1 $ PERMIT FEE $ LOT NO. SUSIDNISION'S NAME PARCEL MAP ,,-"PLUMBING PERMIT Filing Fee 20.00 Each Irap 7.,Oa USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 19 Other SPECIFY Solar or heat pump water heater ----23.00 Water piping 15.00 Each gas water heater or -vent 15.00 TYPE OF WORK New 0 Addition 0 Remo" 0 Utilities 0 In Ilation 0 Other Dges. Work: LJ i t Gas piping syste%-I"- 5 outlets 15.00 Building sev%� 15.00 Mobile _, 9 IS I GI W11 1 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service .*A Do. 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: 0 1, as owner of the property, or my employees with wages as their sole compensation, Wwill 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. 0 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: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed d 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 fort with comply with those p visions. x Date 9113 JAI A I Si ni�t_ure_ Ef-Applicarrt er 0 Contractor 0 Ageny An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. P. a ow.wagcsu 3.5,s OR ADDNS. FT. ==T- MULTI-OLITLET 97.50 & SINGLE OLITLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FD=RES akL @ .50 O.RXED A NS 6.)O.R Ex. Occup. PPR L. I A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 LAO, Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation z PERMIT FEP Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE e TOTALF—Ew HAZ. F EES IMP I FLOOD L CDF PARCEL PO �IS TE, 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 LiTI-0—t- PERMIT I ON I -T .0 2-- (Date) ReceiptNo. 7 -3 1 V (-) I WHIrE-D D S -B Or-` _-1'CANAFtY-A'9SESS9IR PINK-WSPECTOR GOLDEN ROD-APPLFCANT I I I A , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 41 � 7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT bl-aa& ASSESS11 IC16C 0 D. _ (0 Z_:� ZO BUILDINGPERMIT OWNER C epl�2 0 �n TE E0 so. Fr. OCC. BUILDING VALUATION OWNER'S LWUNG Z_ / C0`77jo e— TELEPHONi— CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace UENDER*S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filinq Fee $ Permit Fee ARCHITECT OR ENGINEWS MAILING ADDRESS Plan Checking F e s SUIWINGADDRESS —� C) 4 co �4 tOP" Energy Plan Chockinj'—Fee $ $ PERMIT FEE LOT NO. SUBMISION'S NAME I PARCEL MAP I -�PLUMBING PERMIT Filing Fee 20.00 LISEOFSTRUCTURE SF 0 Duplex 0 Mobilehome P Other SPECIFY ach Trap 7. Solar or heat pump water heater ----23.00 Water piping 15.00 Each gas water heater,or-vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Lqities 0 1 Ilation 0 Other Dgese Work: —c>c+r *C I Gas piping systerp-l""5 outlets 15.00 Building sew e2!� 15.00 — Mobile I S I G JwT §20.00 PERMIT FEE ELECTRicAL PERMIT Filing Fee 20-00 800V 0" LES: ) Main Service .. OR UES 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: 13 1, as owner of the property, or my employees with wages as their sole compensation, 3/will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. & ACC. Sms. so. 3.50FT.. CONS LT'_O =RESIDT 97.50 WER APPARATUS PSOINGLE OUTLET CIR Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED APPUNS. OR Ex. Occup., OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 61 (C) WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe 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 1-11, PERMIT FEt Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with t s. hose ision 21 " I X ' — " .49 9111� J Date J Signature VEApplicarit '- UrOwner 0 Contractor 0 Agen —L lY or An OSHA permit is required for excavations over 60" deep and emolition or construction of structures over 3 stories in height. J Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE$ Z.Aff IMP I FLOOD I CC) 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 t? I T. o PERMIT EXPIRES ON 2— )ate) ReceiptNo. q (,:;2 "o WHITE-D.D.S.-B.D�- _--CA%IAFtY-A1SESS95R PMK-ft#SPECTOR GOLDEN ROD -APPLICANT I I OWNER-BUILDERVERIFICATION Attention Property Owner: An "owner-buildee' 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 dela% in processing and issuing your building permit. No building permit will be issued until'this verification is received. 1. 1 personally plan.to provide the major labor and material ' s for conitruction of the proposed . . property improvement - YES NO 13 . *. . *' "i , 1. '2. 1 HAVE 13 HAVE NOT 04gaed an application for a building permit for the Proposed work. 3. 1 have contracted.with the fol.lowing p�rson. (fum) to.pMvio-theproposed construcUon:' NA�M-E: Wj ADDRESS: crry:- PHONE: coNTRAcrows ucENft No. 4. 1 plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: crry-, PHONE: CONTRACTOR'S LICINSE NO. 5. 1 will provide some of the work'but I have contracted 0iired)the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SE NUMBER. DATE:— NOTE. rhis 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 I OWNER BUILDER INFORMATION I Dear Prop" Owner: An application fbr a building permit has be= submitted in your name listing yourself as the builder of propefty improvements specified. For your protection, you should be aware that as "owner-buildee, 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 nsime. Contractors are required by law to be licensed and bonded by the State of Califoruia and to have'a bus' license ftm die city or county. They are also required by law to put their licetise number on all permits for which they apply. Ian tdsubcontrac4 ihd�ld Ify0d p1ii to &Jfl�ir OV#M woik wfth ihe wb6eptlon of various trades that you p YOU be aware of the following information for your benefit and prowdon: If you employ or otherwise engage any persons other than your immediate family, and the work (including -niatmiaLs 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 espe cially serious with respect to worker's compensation insurance. + For mom speciii� information about your ob-lip'ft'o'ns under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Admini;6�tfon). 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 buildee' 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. rely, Mic el C. Vidira, C.B.O. Mal gizer, W�Buiidiirngg lnspo/eciion IVOTE. Thif Owner -Builder Information Is required by Section 19830 of the CaWornla Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 4 ERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 541 (Rev. 12/96) t % 7 6T7 1`11�71 APPLICATIONAND PERMIT z ASSESSOR PARCEL NUMBER Co - 0? a - 0 V72 ZONING(j RLD(DINGPERMIT 7 - OWNER ClOel-idtA_ TELEPHONE Qp_� SO FT OC6. BUILDING VALUATION -0 ..073 OWNER'S MAIUNG ADDRESS :2 v y6 6 e/Ad 17"IL 5 'D CONTRACTOR'S NAME 0_tWV11"1_ tT I'll, HONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 5-0 0 ARCHITECT OR ENGINEER UCENSE NO. Filina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 710 16 r,,q �,,6,5,4/0 Energy Plan Checking Fee $ r -M Me- 4do w:tt-- PERMIT FEE $ LOT NO. SUBDIVISION'S NAME I PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF.,��Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 11 Utilities 0 Installation 0 Other 0 Describe Work: —Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 -ii Mobile Home 1 G I W 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 800V OR LESS Main Service .A 0. LESS 23.00_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �fith 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: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. a R ADDNS. ACC. EILDS. 3.50sFT. N - ..S -LET 9N-RESI.T @7.50 Po ER APPARATUS ( & SINWGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 2* @ "00 BAL @ .50 FIXED APPLNS. OR - Ex. Occup. ( OUTLETS (RESIO.) EA)— 5.00 - Temporary Service 23.00 Mobile Home Facilities 20.00 - Misc. Wiring 23.00 I PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating — Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 fog4with compi with thoswrovisions. I Date_ial_��, Sili-irtar-6 @ AppficarK 20 Owner 0 ContraclZrf 0 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 PE TOTAL FEE $ HAZ. I D. FEES IMP I FL;T I CDF PARCEL PD 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 Da� PE EXPIRES ON J ReceiptNo._ ci3 �-)e E4&.!n!4 r / WHITE-D.D.S.-B.D. �ANAAY-ASSESSOR` PINK -INSPECTOR GOLDEN ROFD-APPLICANT 0 Attention Property Owner: An "owner-buddee' 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 budding permit will be issued until this verification is received. I personally plan to provid th * r labor and materials for construction of the e he rn .0a 0' proposed property improverne I NO 2. 1 HAVEV] - HAVE NOT[ signed an application for a building permit for the proposed Work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAMEE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, -but I have hiied the following person to coordinate, supervise, and provide the major work: NAMIE: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 5. 1 will provide some of the work but I have -contracted (hired) the following persons to provide the work indicated: NAMEE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNERr:j7�, Tc_�_ - SOCIAL SECURITY NUMIBER:_, DATE: =J 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. Mav 1995 2.26 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-buildee, 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 �erfbrming their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liabdity 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 aiid to have a business license from the city or coun . They are also required by law to put their license number on afl permits for which they apply. . ty 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: 0 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. 0 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. 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. h9orniation 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. Sincerely, Michael C. Vieira, C.B.O. N, Manager, Building Inspection NOTE This O%vner-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 1. 17 Demolition Permits Asbestos Notifi6at'i"on Statement I Date An 60 - O'cro - o2:7 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 the permit 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 -lioth t6 Part 61 of Title 40 of the Code of Federal �-Regulations, or & successor tio.that p;�rt. The.permit may be issue'd 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 S Signature of Apylicaat E)R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. F�,Iiiniture of Applicant 2/19/91 COUNTY OF BUTTE - DEPARTMENT OF PUB L RKS PERMIT��V 7 County Center Drive - Orov I ille,.-Califoriiiia 95965 - TelephojT6 '538-7541 q 37 - APPLICATION AND PERMIT ASS�OR PAICEI NUMBER .0_09 C)( ZONING BUILDING PERMIT V OWNEF— — — Robert L. Callender TELEPHONE 865-2419 SQ.FT. OCC. BUILDING VALUATION 7,0Q1_00 OWNER'S MAILING ADDRESS 7756 County Rd. 9, Orland 95963-9627 CONTRACTOR'S NAME ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER OWN Total Valuation $ 7,Oni _n Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $82.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ��Zo 4 Permit fee $97.50 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SU BDIVISION NAME PARCEL MAP Water piping 7.001 E ach qas water heater or vent 7.001 USE OF STRUCTURE SF ff] DuplexF� lvlobilehomeF� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W� @ 15.00 TYPE OF WORK Newi 1 Addition Ej Remode I EX, Utilities [] Installation Other Describe work: Remodel Permit Fee $ Co_ntractor ELECTRICAL PERMIT 1 Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 18.50 18.50 Main service 20r A TO 1 OOOA) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F_� I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 OR ADDNS. ( ACC. BLDGS. 3.60 sq.ft.1 N EW CONST R_ MULT'-OUTLET NO N. R E S, BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20 @ 76cl IIAL P 460 FIXED APPLNS. OR Ex. 01ccup. A OUTLETS IRESID.) EA.1 1 3.001 Temporary service 15.001 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 I Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 1 The permit is for $100.00 (valuation) or less. F-1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shal I not employ any person in any manner so as to become subject 64W to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 15.00 Heating Cooling Hood 6.501 Venti lation 1 rp: ermit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against es all lia"i d menW, cos;s, and e ns s which may in any way accrue aJT,— 'e A ,ZnsWt,bdouna in ons lence rfe grant' g of this permit. Z Date—Ly"3 SiA'a*ture of Appficant — Owner Ck�jContractorEl Agent E] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC ONST TYPE ITOTAL FEE $ 146.00 HAZ I D FEES I IMP FLOOD I CDF PARCEL HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI WORKS By Date _IV 2 _gX PERMiT EXPIRES Daiiii — / / 141131 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT I COUNTYOF BUTTE - DEPARTMENT ORDEVE-LOPM ENT S S_ BUILDING DIVISION 'V 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - LEPINE (916) 5�8-75411 PERMIT APPLICATION DATA SHEET OWNER pdwjz* 0, a_� Lj'v\AQA A. P. No. ow - 017 __0 _Z -7- Proposed Building Use =azip_- fsd!A� S P7. au."ilding Inspector YJ �Date 3 o -93 At time of permit application, 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 preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and caics, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................................. 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . .... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees Of $ . ......................................... 11. Impact fees as shown on attached schedule ............................... 12, California Department of Forestry plan approval/fees ......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval , Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: ' (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). r64uest 20. Pre -inspection for required. tPort.ilding Inspector Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27. Letter of intent on building use .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... 33. -34. When you issue the permit, process as follows: Mail toro-wner. X Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other A Parcel Creation --a Acreage Applica:n�t Date 0'6 Copy of Haz-Mat form sent Health Dept. - Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. - Fire Dept. = Other - Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner,-, was advised of above required data by _ phone - mail Counter by - Date Contractor, designer, owner, was advised of above required data.by _ phone - mail Counter by - Date Plans checked by __ Date Plans approved by Date Sets of plans o, n hold in File cabinet AP folder Copy - Department of PubiicWori(s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT - PERMIT NO. A;ISSSOR PARCEL NUMBER , "T. 060-09-oa-2-0 ZONING I BUILDING PERMIT 0 Y" d, -Q It, L e.A) TELEPH SO. FT. OCC. BUILDING VALUATION _�1_5 r_ :7, o( F60 _(3L OW`NER'S MAILING ADDRESS 7 '1 -5-1. (_IfXJAJTy 0 CONTRACTOR'S NAME 11 ELEPHONE CONTRACTOR*S MAILING ADDRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ .150 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ -7, 5`0 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00i Solar or heat pump water heater 1 20.001 LOT NO. SU BDIVISION NAME PARCEL MAP Water piping 7.001 Each qas water heater or venv 7.001 USE OF STRUCTURE SF DuplexF_� Mobi lehomeF� Other SPECIFY Gas piping system 1 - 5 out/ets 5.00 Building sewer 15.001 Mobi I e Home I SYG FW @ 15.00 TYPE OF WORK New r Addition L__j R emode I El Uti lities InstallationE: I Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT 1. Filin.%Fee 15.00 Main service 600V OR LESS 200A OR LESS L, "'18.501 Main service 200A TO 1 OOOA) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License 'Jo. Classification F-1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 0 1, as the owner, am exclusively contracting with licensed C;UJILFdG1- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.&) OR ( ACC. SLOGS. 3.64 sq.ft.1 _ACDNS. NEW E-ONSTFL �A ULT"OUT LET _NON"RESID, RANCH C1 TS) @ 5-00 (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FrIXTURES 1 20 @ 75d RA R41 PIXED APPLINS. OR Ex.'Occup. OUTLETS (RESID.� EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /Je__ Permit Fee $ 5-0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (v'aluation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing FeeK 15.00 Heating Cooling Hood 6.50 Venti lation ermit Fee F—P $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a!g �ai n nty i cipse ence th ting of this ermit. X Ze O;zDate Si/ -L__. of AppK`C.nt_–_ OwnerX Contractor F I Agent F� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ HAZ I D FEES I IMP I FLOOD CDF PARCEL PO 1111 ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW-A5SCSSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT