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Home My WebLink About060-110-011060-110-011 0-2772 MILLER,.STEVEN DC4u�.Q� ft 7553 HUMBOLTRD.BILITTE NEADOWS SIR CONTR: OWNER It -ly' INs,rALL LPG GAS LINE & VENT FURNACE -4 060-lio-'O'l,l 00-2772 MMLER, STEVE14 D. -7';-53- HuMB-OLT RDBUTTE1,EADOWS' .,,�6NTR:'OW�ER FUMACE ��'OFFICE C 0�'Y` 4";.� S7 SO ,�ddmss W.I el -GAS Mete Date -r By ate c ELECTRI - Date ..MetbriBy ell COUNTY OF BUTTE - DEPARTMENT OF DEVELqPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroyille, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPL I CATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS; CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAIDDRESS Energy Plan Checking Fee $ $ PERMIT FEE LJOT NO. SUBDIVISIONS NAME IPLUMBING PARCEL MAP PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Trap 7.00 —Each Solar or heat pump water heate�_ 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 0 Describe Work: Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W (–W20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ( 800V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. & ACC. BUDS. a 3.5,s FT.' CONST- =T.10 T ES'.. g =R . U.TS @7.50 OWE.RAP= U &PSIN. 0 C SIR. Ex. Occu OUTLET OR FIXTURES j 20 @ 1.00 BAL 9 .50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of work forwhich 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 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.) 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 TOTALFEE$ HAZ. t. FEES IMP I FLOOD I CDF PARCEL I 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 Date PERMIT EXPIRES ON I (Data) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 4 PRE-INSPVC.,TION REPORT, OWNER: LOCATION: ItIl-i 1-1" � 0 Aed C-01 CONTRACTOR: OL,/.,v e- PRE-INSPETION FOR:. e -A - DATE TO INSPECTOR. ZZIX - PERMIT HLVrORY:( )NONE Building Description: Residentialffi of Units: CwTently Occupied Abandoned/Vacant Electric: -DATE: A.P. # -'go - /'c) -416- ZONING: ( )AS FOLLOWS: BUELDING INSPECrOR'S REPORT Yes NO Electric cun-ently On._. Off Condition of Electric Gas: Natural Propane None---- CurTently On— Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblew Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch.buildings on reverse and indicate location on pir'operty. N 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 Ad— 74�a ASSESSOR PARCEL NUMBER 060-110-011 ZONING BUILDINGPERMIT OWNER MTT SUDZEN 1) - !�& TELEPHONE 345-0806 SQ. Fr. OCC. BUILDING VALUATION OWNERS MAILING 870 MOSS A CHIC0 CA 9592(; CONTRACTORS NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS I.WUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7553 Humou RD., Bu=E mEApQWLs r.A Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL 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 15.00.19 _ no TYPE OF WORK New 0 Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0 Describe Work: INSTALL T_PG GAS LINE AND DIRECF VENT WALTL FURNACE Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 -PRE-INSPECTION 3.00 PERMIT FEE 58.00 ELECTRICAL PERMIT Filing Fee 20-00 Main Service ".A .0 FR� 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 L f r the following reason: —X01, as owner of the property, or my employeeswith 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR_ADDNS. & ACC. SIMS. so — 3.5 - 0 FT. NEW CONS . NON-RESID. E= 0, lux. 97.50 OWE.RAP.PARATU &PSIN. . I. CSI R. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 SAL (9 .50 ..F01ED A LNS OR, Ex. Occup. PPES,6.) E 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. I 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 workirs' compqnsa on ingyran carriel and oicy number are:, Carrier ftV0-tfs_ta.,, Cu�k. �, li� L&Ira-t-tv, Col Policy Number !PS 0 11 1 a 2-:2 6 V :3 1) (The above sections rided not he co6pret6d if the pi?rmit 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 fo with com P/1,11 with those provisions. X Date —at) 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. MECHANICAL PERMIT Filing Fee 20.00 Heating VWJ_T FLrINNACE 15.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ 35.00 Mobile Home Installation Fee Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 93.00 HAZ. D. FEES IMP I FLOOD CDF I PARCEL I P0 I HD I ISSLTE 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 D te PERMIT EXPIRES ON 171, i rReceiptNo. -� 0 2- -2 cin27 W w 17 HITE-D.D.S.-B.D. CANARY -ASSESSOR P41K-INSPECTOR GOLDEN ROD -APPLICANT T E I`, OWNER-BUILDER,VERIFICATIO 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 -issue,d until'this- verification is received. I I personally plan to provide the major labor and material$. for construction of the proposed property improvement: YES. NO 13 1 HAVE)� HAVE NOT 13 signed an application for a building permit for the. proposed work. 3. 1 have contracted with the following person. (firm).to.provi4e ,i the�proposed cQnstluctim NAME: ADDRESS: CITY: - PHONE: CONTRACTORS 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: CONTRACTOWS LICENSE NO. 7 5. 1 will provide some of the Work*but I havd contracted Nr'ed)th*e'fbllowing persons to provide the work indicated: ZAn ADD RESS HONE TYPE; PF WORK :.1"I J:i S�l 3 Af h 0-10 SIGNED: I- PROPERTYOWNER: & SOCIAL SECURITY NUMBER: DATE: //—C) 6 �C)&.� 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. 1-111J, OWNER BUILDER INFORMATION Dear Property Owner: : An application fbr a building permit has been submitted in your name listing yourself as the builder of propetty 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 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. ifyol'o,b,*�iito,dd-i-'�o--,U*rown'work, with the exception of various trades thatyou. plain tdsubcontract you Adfild be aware of the following information for your benefit and protection: If you employ. or otherwise engage any persons other than your immediate &mily, and the work (Mic and other costs) is $30O.or more for the entire.pr9ject, 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. * Iliere 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. * Por'more spec4ic'information about your oblippons under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Admin!;66on). �6r more specificinformation 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. 4 rely, Micel C. ViJira, C.B.4. L 2 9 _ sn�.J Ma ger., Zuii?ding inspection NOTE. This Owner -Builder Information is required by Section 19830 of lite Calffiornia Health and Safety Code - OVER TO. Buildinq Department FROM:- Environmental Health SUBJECT: Sanitation Clearance ...... . ..... Owner Location. APO Plan for: Sewage Disposial'� Water SupplV Water Supply ce, O.K. for: Water Supply Clearance for 2L --be'd'room ;askAgbe- home. other' NOTE sihitarian Date