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Home My WebLink About060-100-010060-100-016'1� .1'" 03-3173 :,� . . - MCGOWEN;,. ToM� �443'-_H U!M"B_'OLbTRD -,BUTTE MEADOWS V.. �0'nt;'§UBUR—B�ANPROPANEi!,,,.,'-�, At. �INSTALL LPG FUTURE HEXT�,,�-,,_', OFFiCE COPY 4t eisN 13 0u) 7- ''Addr s W -�GAS Meter.6y Dat LT f� � - - ' 4 . _ELECT'_l et ate M er By.' 'n ifCOUNT%POFU TTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION,. 7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME N CONTRACTOWS MAILING ADDRESS CONSTRUCTION UENDE3i Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NU. Fee 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVtSIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex EI Mobilehome 13 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 1:1 Addition 11 Remodel C3 Ublifies; 13 Installation [3 Other 13 Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.001 1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 a00V OR LE:: Main Service .. OR . 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, 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. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST DW .�LIW OCCUR OR ADDNS. ' . S. so 3.50FT.' NEW CONST. MULTI - BRANCHONX� (_W7.501 _NON-RESID. OWELR AP=US PSING E 0 CR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 L @ .50 OFIXED APPUNS 0" Ex. OCCUP. UTLETS A. 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' c I ompensation 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 c;mpleQ if th; 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. X Date Signature of Applicant - 0 Owner 0'Contractor 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. TYPE TOTAL FEE $ HAZ. FEES IMP t. FLOOD I 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 (Dah?) LReceiptNo. WHITE -D. �L D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT In I - SOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Ciroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060-100-010 ZONING BUILDINGPERMIT OWNER TnM MCGOWAN TELEPHONE SO. Fr. OCC. BUILDING VALUATION R65 -22Q2 OWNERS MAILING ADDRESS Q44 STODUTWE DR.-, ORLAND, CA_ CONTRACTOR'S NAME SUBURRAN PROPANE TELEPHONE CONTRACTOWS MAJUNG ADDRESS 46 N0R.FTELD A QMI(�Q CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 744-1 HUMBOLDT -RD, RITFIE MFAT)MS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XX 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 0 Utilities 0 Installation 0 Other)CX Describe Work: INSTALL LPG LINE FOR FUTURE HEATER —Gas piping system 1 - 5 outlets 15.00 15 oo Building sewer 15.00 Mobile Home IS I GI W1 (–W20.00 PERMIT FEE 1; N) ELECTRICAL PERMIT Filing Fee 20-00 800 R UE:SS Main Service . ,V1 00 R 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 isjn full force and effect. 0 -7aRA'76-7 License Class )9� 1 C,)C,3(a 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 ownerof theproperty, 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 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. R ADONS. ACC . 0. 3.50FT. NEW CONST OUTLET NON-RESID. XUXLT.' CIRCUITS --- @?7.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES 20 @ 1.00 BAL @ .50 O.MEO A UNS OR Ex. Occup. PIPES,6.) 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: 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. Er' 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' sation insurance carrier and policy number are: Carrier CM9 Policy Number to Lk r�q :�5'5 19, (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 f with comply w t ose =provisions. nX Date % gnature of ApplicWnt - 0 Owner Wcontractor 0 Agt!Flt An OSHA permit is required for excavafions over 60" deep and demolition or construction of structures over 3 stories in heigpt. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FOE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 0---b FEES IMP FLOOD I CDF PARCEL PD I HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By4C�t� A///- (_1 V / I PERMIT EXPIRESO d1f rW(D*a_ the applicable provisions Resolutions to do work been paid. D t IdJAJ103 I 0 I Receipt No. 76 WHITE-D.D.S CANARY -ASSESSOR PINK-INSPE R GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 PERM NO. 0_9__,3,5T_ (Rev. 12/96) APPLICATION ANDPERMIT 42 ASSESSOR PARCEL NUMBER 060-100-010 ZONING 11 BUILDINGPERMIT OWNER Tnm McGOWAN TELEPWO-NE SO. Fr. OCC. BUILDING VALUATION OWNERS KWUNG ADDRESS 6344 SITINERIDGE DR, ORTAM 22 SQ 1320.00 CONTRACTORS NAME I 'RICK CARREWER RnnFING. TELEPHONE R79-9704 CONTRACTORS MAJUNG ADDRESS c;9-,7 S011111 TIBBY PARADISE 915969 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 1320.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 —Permit Fee s 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDI74D4TSS FILMOLDT RD, B= MEOWS Energy Plan Checking Fee $ PERMIT FEE $ 53.00 LOT NO. SUBDNISIONS NAME PARCE MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 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 0 Utilifies 0 Installation 0 Other 0 Describe Work: H -ROOF- MEFAL Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W_F_ 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 600 OR LESS Main Service .1V1 OR 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 C -3A Lic. No. 7�2177< 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. 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. BUDS. & ACC. a 3.5,s FT. NE ON C ES S MULT'_O NO ZR IDT BRANCH IYRTC, 97.50 OWER AJP= U PSIN.LE . CS1 R. Ex. Occup. ouTLEr OR FUTURES 20 @ 1.00 BAL @ .50 Ex. Occup. o'."A'(.M-.)0,'.A, 5.00 - Temporary Service 23.00 Mobile Home Facilities 20.00 - Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION I 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. [3 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.) Ey/ 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 i1h -S k -x-> Signature of 4plicant - W Owner VC-ontractor 0 Agent ' An OSHA permit is required for excavations over 60" deep and demolition or- construction of structures over 3 stories in heighy MECHANICAL PERMIT Filing Fee 20.00 Heating — Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53. 00 EIES IMP I FLOOD I CDF PARCEL I po This permit is hereby issued under the applicable provisions of the Butte Coun C� andhor Resolutions to do work in icate ov ave been paid. w fj f'r� a r By ate #-XICS PERMIT EXPIRES ON 11—a—TA( I (Da te) ReceiptNo. 31a2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT ;I '. . 4'L. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT ' SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-75 — - (Rev.12/96) APPLICATIONAND PERMIT ZON171 BUILDINGPERMIT ASSESSOR PARCELNUM I BER AM I :.f TELEIRC14E DING VALUATION OWNER om —so. Fr. occ. BUIL n7j -7--- --T- ADWIIP'l ZI 11,W /9A e !2 CONs,mucriONLIENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECr OR ENMNEER LICENSE NO. Firing Fee 20.00 Permit Fee s ARCHITECT OR ENMNEER'S MAL= ADDRESS Plan Checking Fee $ _A_-!�,-* BUILDING ADDRESS r—) / ergy Plan Checking Fee PERMIT FEE WIND. SUBDIVISIO" NAIM PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF 0 Duplex 0 Mobilehome 0 Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15. Now E3. Addlition Utl [3 InsWistion E3 Other 0 Building sewer 1 15.001 :d Mobile Home I S I G La)20.001 Describe Work: PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 "Vo Main Service .0..RR LLE"SS5 26.00 Main'Service 2M TO IONA 48.00, F �CONST.�( DV=G so. 3.50 OR ADONS. . VMW CONST @7.50 PERMIT, FEE PAID 63, _NO"ESID. =17-ff W -M) EX. OCCUp. OUTLET OR FOCrUM ) m Q9 1.0* BAL @ W MA PLNS M Ex. Occup. P(RESE.) III ) 5.00 SRA $ Temporary Service 23.001 hkobile Home Facilities 20.00 Msc. Wiring 23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Firing Fee 20.00 OTHER $ Heating, Cooling LJ --A 6.50 AMOUNT RECEIVED$ 53. co r DATE RECEIVED 05 RECEIPT 3 q Ventilation PERMIT FEPE I S Mobile Home Installation Fee —L $ Energy Inspection Fee I s =c CONST. TYPE ITOTAL FEE $ KAZ I D. FM I PAP I FLOOD I CDF I PARCEL This permit is hereby issued under the appricable provisions of the Butte County Code and/or ResolAons to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ff).t.) -;6 11� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-75 P (Rev.12/96) APP - LI CATION AND PERMIT C�- ASSESSORPARCEL NUMBER C)()_ C) ZONING BUILDINGPERMIT OWNER C_ & ,7OW6,41) T0VVJ -1y'r -Z 39L SO. FT. OCC. BUILDING VALUATION OWNEI(;,!L;AItMDRESJ5+L�.Je VJ Dr. oy CONTRACTOR'S NAME V TELEPHONE CONTRACrOR'S MAILING ADDRESS CONSTRUCTION LENDER I LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER�S MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS-� 4 L[2, t4, Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME II PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 11 Duplex 11 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 11 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: I '11"rf N- kvvt ova's Gas piping system I - 5 outlets 15.00 Building sewer 15.0-0 Mobile Home I S I G I W @?20.00 PERMIT FEE -e� 0 loq ELECTRICAL PERMIT Filing Feel 20.00 "OOV OR LE:,S Main Service .A 0. 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 ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: X1, as owner of the property, ormy employees with wages astheirsole 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. 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 of the Labor Code, for the performance of workforwhich this permitis 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.) 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 tie Labor Code, I shall T f rthwith xc�iy Ithose provisions. 0 1 wit -A— -:3 X k e Date &6A Signature of Applicant - 0 Owner [3 Contractor 0 Agen/ / - 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 J 46.00 NEW CONST. DW .%ING OCCUP. so. OR ADDNS. C S. 3.50FT.._ NEW ONST. NON-ROESID. C M."T.1--o. ff"CU, @7.50 POWE.RAP.PARATUS — 0 _ET CIR. 209 1.00 OUTLET OR ForrURES Ex. Occu aOkL @ .50 Ex. Occup. PPRM.) E O.FIXED A ORA_) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 I I PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating !3.10 1U4W_ t �--Cu Cooling Hood 6.50. Ventilation PERMIT FE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ �,5 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PO HID ISSUE This permit is hereby issued under the applicable provisions of the Cod d/ Resolutions to do work indica e been paid. By Date PERMIT EXPIRES ON (Date) 7, -y -- Receipt No.... �5 9 U 1132 B.D. CANARY-ASISESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT �z . I Dec 17 02 11:38a P. ; OWNER -BUILDER VERIFICATION Attention Property Owner: An "owmer-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 delay in , processing and issuing your building permit. No building permit Will be issued until this verification is received. /01 1 personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA NO 13 Q2. I HAVE F, HAVE NOT 13 signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE 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.- —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: NAMM ADDRESS PHONE TYPE OF WORK --------------- ---- DATE: 3�. /// �—//)---7 - AIO TE: This Owner -Builder Verification is required by Section 19831 and 1.9832 of the California Health and Safety Code. This verification must be completed and returned to our qfjilce before we are permitted to issue thepermit. OVER �4 - � Dec 17 02 11:37a P. 1 Dear Property Owner. .An application for a building pernift 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 orwners unless they are personally performing their own work. If your work is being performed by someone other than yourselz 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 pla� to mbcontract you should be aware of the following information for your benefit and protection: I 0 if you employ or otherwise engage any persons other am your immediate himly, and the work (including materials *and other costs) is $300 or more fbr 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 Goverrunents 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 Therc may be financial rislm for. you if you do not carry out these obligatiqns, and ihese risks are especially serious with respect to worier's compensationiinsurance. 0 For more specific information about your obligations under Federal Law, contract the� Internal Revenue Service (and� if you wish. the US. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of industial Acciden ts. 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 materW personally. Building permits are not required to be signed by property owners unless they are perfbrming 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 St=4 Sacramento, CA. 95814. . Please complete the '%)wmer Builder Verification" on the reverse side of this fbrm so that we cain confirm that you am aware of these matters. The building permit will not be issued until the verification is returned. n �,, . Michadl C. Viciia, C.B.O. Manag'er, Building IrLspection NOTE- This Owner -Builder Information is required by Section 19830 of the California Hedlth and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95§65 * Telephone (530) 538-7541 PERMIT NO. e_1 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060-100-010 ZONING BUILDINGPERMIT OWNER TOM MCGOWAN 865-2392 TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 6344 STONERIDGE DR ORLAND CA 95961 CON'rRACTOR'S NAME OWEM TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEER�S MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS 7441 RIMBOTM ROAD RI=E MEADMS Energy Plan Checking Fee $ -T�L $ PERMIT FEE LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome El Other SPECIFY Each Trap 7.00 —Solar or heat pump water heater 23.00 Water piping 15.00 Each nas water heater or vent 15.00 TYPE OF WORK New 0 Addition C3 Remodel 13 Utilities 0 Installation 0 Other 0 Describe Work: GAS PIPING Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ r, ()() ELECTRICAL PERMIT Filing- Fee 20.00 Main Service '..*,v; 'oR. s'ss 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 1 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. -0 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. so OR ADDNS. & ACC. BUDS. 3.50FT. NEW co -0 —NoNnESIDT' BRmuNLcT,, n, u,Ts 97.50 OWER AP= U ( PSINGLE . C SIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) "00 BAL @ .50 ..FIXED A NS OR 5.00 _Ex. Occup. PPL.16.) EA- ) 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: 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, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fQdhyAth comply with th rovisions. 4--- —7�;Jol I % Signature of Apple 7�zz Date Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories n eipht,11 - I J — MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35. 00 KAZ. I D. FEES IMP R I FLO0DT7FFr;ZFC9 PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for wl ",s have been paid. y Date 2�4 070-1— 1 PERMIT EXPIRES ON cx.- a// (Da to) I 1 Receipt No. 17� Cl ;7V W 1--� I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT , R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -. Oroville, California 95965 Telephone (530) 538-7541 PERM NO. * PERMIT nL�, (Rev.12/96)— APPLICATIONAND _ ASSESSORPARCELINIUMBIEn ZONNG BUILDINGPERMIT OCC. BUILDING VALUATION _2Q. FT. eR W-2 V-2 OV44MIS IWLING ADnES CONSTRUCTION LEMER PERMIT FEE S "1 01, ELECTRICAL PERMIT Filing Fee 20.00 Fij .000.v Do',' 2i.001 LEWE" MARMG ADORE= Total Valuation 46.001 NEW CONST. MVTA1-=N6 ar--�-j LICEME NO. Firing Fee $ 20.00 ARCHffECT OR ENGINEER FDaED APPLNS. a. Occup. OVTLE-M fftesm.'FEk 5.00 SRA Service 23.00 . Permit Fee AACWrECT OR ENGNEMS MAILING ADDRESS Plan Ch ecking Feei $ 14sc. Wiring 23.00 gr�2rgy Plan Checking Fee SULD24r. ADDRESS PERMIT FEE PERMIT FEE $ MECHANICAL PERMIT Firing Fee 20.00 PARCEL MAP PLUMBING PERMIT Heating�, Firing Fee 20.00 LOT NM Cooling Each Trap 7.00 USEOFSTRUCTURE Solar Or heat pump water heater 23.00 Ventilation Water piping $ 15.00 SF 0 Duplex 0 Mobilehome 0 Other Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 CPO New 13. Addition 0 Remodel 0 Willies 13 Installation 0 Other 0 Building sewer $ 15.001 "e'l — I — . - — Mobile Home I S j G I W 020.001 PERMIT FEE S "1 01, ELECTRICAL PERMIT Filing Fee 20.00 Main Service .000.v Do',' 2i.001 Main'Service 2wA -ro towA 46.001 NEW CONST. MVTA1-=N6 ar--�-j 3 OR ADOM Ex. Occup. ovrLEr OR FKnJRW SAL@ .50 [Temporary IN KEW GONST @7.50 49 =Mm PERMIT, FEE PAID U.2 I -- - 20 @ 1.00 Ex. Occup. ovrLEr OR FKnJRW SAL@ .50 [Temporary FDaED APPLNS. a. Occup. OVTLE-M fftesm.'FEk 5.00 SRA Service 23.00 . M oblie Home Facilities 20.00 14sc. Wiring 23.00 SHERIFF PERMIT FEE MECHANICAL PERMIT Firing Fee 20.00 $ Heating�, OTHER Cooling Hood 6.50 Ventilation $ I PERMIT FEt it Mobile Home Installation Fee $ $ Energy rispection Fee $ =C CONST. TY E $ C, C) I KAZ I D. FM I IMP I FLOOD I COF PARCEL I ID AMOUNT RECEIVED $ 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. DATE RECEIVED By Date V%rprinlr PERMIT EXPIRES ON 0�- O.B.- I OWNER-BUIELDER VERIEFICATIO 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 delay 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 mdjor labor and materials for construction of the proposed property i7mrovement: YES M NO 13. 2. 1 HAVE HAVE NOT 13 signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (�=) to provide the proposed construction: NAMIE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE No. 4. 1 plan to provide portions of this *ork, but I have hired the following person to coordinate, supervim, and provide the ra� or wo& NAM[E: 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: NAM ADDRESS PHONE TYPE OF WORK SIGNED: DATE: NOTE.- nis Owner-Bugkr Verification is required 0 Section 19831 and 19832 of the CaUfornia Heafth and Safety Code. This ver�ftcadon must be conTlated and returned to our office before we arepermitted to issue the permit. I 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 "Dwrier-builder" you are the responsible party Dfrecord on such a permit Building permits am not required to be signed by property owners unless they are personally pmfoming their own work. If your work is being performed by someone other than yourselt 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. 11hey are also required by law to put their license number on all permits for which they apply. Ifyou 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: + Ifyou employ or otherwise engage any persons other than your.immediate fkmily, and the work (Including materials and other c;osts) is -$300 or more for the entire project, and such persons are not licensed as contractors or mboontractors. then you may be an employer. + If you are an employer, you must register with the State and Federal Govemments as an employer and you are subject to several obligations including state and federal income tax withholdin& federal social security taxes, workm omoperisation. insurmce, disability insurance costs, and unemployment compensation contributions. + 11= may be financial rWm fDr you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. + Formore specific infirmation aboutyuur obligations under Federal Law� contrad the Internal Raverme Service (and, ifyou wisk the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Depariment of Benefit Payments and the Division of Indistrial AccidentL If the structure is intended for sale, property owners who are not licensed coriftwtors are allowed to perform their work personally or through their own employees� without a licensed conftwtor or subcontactor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is tD secure an "owner builder" building permit, erroneously implying that the property owner is providing Ins or her own labor and material personally. Building permits are not required to be signed by property owners unless they am perfbrming their own work personally. 1uhmation about licensed contractors may be obtained by contracting the Cantractors State License Board in your community or at 1020 N Stut, Sacramento, CA. 95914. Please complete the "Owner Builda Verification" on the reverse side of this fbrm so did we can confirm that you are aware of these mattem The building permit will not be issued until the verification is retumod. ff I C. V16-4 C3.0. Building Inspection mcer, in?v - NOTE: YhIS Owner -Builder Wormation is required by Section 19830 of the Cabfomk Heakh andS4�V Code. OVER