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HomeMy WebLinkAbout062-180-042rT PLUMBING, MECHANICAL & ELECTRICAL WIRING WITHOUT PERMITS 3/10/97 _ 6.5 062-180-036 PERMIT�97-0410 DELABY, Judy �n r1L 5�ez9/' u`v�oZ9�% 252 Lakeside Way,Lake Madrone Cont: Fahey Electric Ele Ser Ch/S# 4-Pl&mLL 'og /S f- 062-180-0M ?,4�_ 01-2048 DELABY, JUDY 252 LAKESIDE LAKE Lt3 CONT: OWNER ] ` RE ROOF 062-180.042 02.24 DE LABY, JUDY 262 LAKESIDE WAY, BERRi-G$EEL, RE-ROOF 062-180-042 04-2389 DELABY, TRUST. 4� 252 LAKESIDE WY, BERRY CREEK''f�• Cont: OWNER RE-ROOF 18SQ (METAL) / BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042389 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pejury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/12/2004 APN: 062-180-042-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 252 LAKESIDE WAY BCK Date: Contractor: Map Index: Description: RE ROOF 18 SQ. METAL ROOFING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DELABY FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4572 OLIVE HWY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 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 (Sec. 7044, Business and Professions Applicant: DELABY FAMILY TRUST Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy n: 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 the 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 thoseprovisions. Date:J�L6 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - 10.4° CONSTRUCTION LENDING AGENCY This permit is hereby issued under t applicable provisions of the Butte County Coda ?n=or I hereby affirm that there is a construction lending agency for the Re olutions do work indigated ov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . /�-(����777/�L/ Name: By: Date: Address: PERMIT EXPIRES ON: -�� Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Count to enter upon the a ove mentioned property for inspection purpos s. Print Name: Signature: Date: / 7 Xowner ❑ Contractor 0 Agent for Owner 13 Agent for Contractor r� COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 � a� MT � . (Rev. 12/96) APPLICATION AND PERMIT " T ASSESSOR PARCEL NUMBER 062-180-042 —8 ZONING BUILDING PERMIT OWNER DE LABY JUDY TELEPHONE 589-3000 SO. FT. OCC. BUILDING VALUATION 10 S U 600.00 . OWNERS MAILING ADDRESS 688 NIT. IDA ROAD OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 600.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 262 LAKESIDE WAY BERRY CREEK, Energy Pian Checking Fee $ $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 30 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 EX Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service p A 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.P 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: _ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. SO 3.50FT, NO RES DT ANIC I.OU CUI @7,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL p I.50 Ex. Occup. OFUTIEEDTS REESSIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure.for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply1hose provisions. (� at 'tgna G e o App icant - wner ❑Contractor ❑ Agent/ An O A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h ight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE 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 PERMIT EXP ON �7 Date Receipt No. 3%®% Jr WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I OWNER -BUILDER VERIFICATION 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2. I HAVE HAVE NOT 0 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: ADDIkESS: CITY: PHONE: 4. I plan to provide supervise, and pr( NAINEE: ADDRESS: PHONNE: CONTRACTOR'S LICENSE NO. ions of this work, but I have hired the follo person to coordinate, ,tie major work: CO 5. I will provide some of the=DRESS the work indicated:NAME 'S LICENSE NO. contr ed (hired) the following persons to provide PHO SIGNED: �/� ��✓ PROPERTYOWNER: SOCIAL SECURITY Da TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be -compkted and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiti1ATION I 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 parry 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. 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 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 especially serious with respect to worker's compensation insurance. ♦ 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 "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. IIMrely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Secdon 19830 of the Callfornla Health and Safety Coda OVER 062-180-036 01-2048' DELABY,JUDY ' 252 LAKESIDE LAKE MADRONE CONT: OWNER - RE ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N0. (Rev. 12/96) APPLICATION;AND PERMIT - d ASSESSOR PARCEL PARCEL NUMBER t 062-180.036 `ZONNG BUILDING PERMIT OWNER TT 1l V TELEPHONE e n SO. FT. OCC. BUILDING VALUATION SQ tiTAT it OWNFA'S MA UIP3.02RRESS -. vv wa. 7E Hwy. Ogawnp,A CONTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAIUNG ADDRESS j CONSTRUCTION LENDER l I Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSENO. ' Filing Fee $ 20•00 Permit Fee $ 15-00f ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 97 TAKESIDE WAY) TAKE MADR(W Energy Plan Checking Fee $ $ ! PERMIT FEE $ Zq LOT NO. SUBDIVISIONS NAME PARCEL)MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY 'f 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 T New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 11. Describe Work: RVE- 00F 8 SMARFFS WMAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 e 600V OR LESS Main Service 2ooA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Profess6s Code, and my license is in full force and effect.\ 4 License Class Lic. No. 9i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: r 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 I Main Service ZGGA TO to00A 46.00 NEW CONST. DWELLING OCSUP. OR ADONS. ( DVI: Acc, erns. SO 3.5¢FT: N CONS MULT40UTLET NON•RESID. @7.50 POINGOUTLET CIR. WELER APPARATUS 8 S Ex. Occup. OUnEr.OR FIXTURES 20 @ 1,00 BAL @ .w FlxED APPWS. OR Ex. Occup., O.FIXED EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ i have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. f ❑ 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 ;f -a- valuation of one hundred dollars ($100) or less.) p 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 -r. Date 1 "-Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in -height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 FEES IMP I FLOOD CDF PARCEL Pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. ¢ ate PERMIT EXPIRES ON '% O 0 et Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-7541 /_0 PERMIT (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-180-036 ZONING BU I LDI NG P ER M IT OWNER TELEPHONE . DAN—. I IE S 479 01.TVF. f� GROVTT.T.R_ CA 95966 CONTRACTOR'S NAME TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19 nn ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7 1 AWFqTr)P Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: -RERnOF 2 SQUARES jv, MAT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service noon 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. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCSo OR ADDNS. ( a ACC. e1 UP. DS. 3.5QFT; T. NOWRESID. INCHO CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.. oirTLtis REM.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those ovisions. X Date pplican - O ❑ Contractor ❑ Agen Ag"HAmitis required f cavations over 50" deep anmolition 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 ROOD I CDF PARCEL I PD J HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. - -. g ate F/00/01 PERMIT EXPIRES ON O v� I Def Receipt No.7277 WHITE-D.D.S.-B.D. C NA Y SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I OWNER -BUILDER VERIFICATION - Attention Property Owner: _,.. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be' issued uniil this verification is received. QI personally plan to provide th major labor and materials for construction of the proposed property improvement: YES/AR NO D 20 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 portioris 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 SIGNE ROPERTYOWNER: SOCIAL SECURITY N ER:�— DATE: &/ l% ,24 ,/ 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 OVER OWNER BUILDER INFORMATION Dear Property Owner: i44 1 J .r` 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 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 plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage_ ny 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. ♦ 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 cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Irely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code l OVER .. C T • t .. C • t t t 1 . . " � w f 062-180-036 PERMIT#97-0410 DELABY, Judy 252 Lakeside Way,Lake Madrone Cont: Fahey Electric Ele Ser Ch/SF �Ad OFFICE COPY Address *mr-aylZ ELECTRIC Meter By Date i J COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' -.� 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 ,,?ERMIT No. (Rev. 12/96) J APPLICATION AND PERMIT l ASSESSOR PARCEL NUMBER 62—I8-36 �SNAYS. ZONING IN 1 BUILDINGPERMIT OWNER DrI.ABY., _ � TEL.E�H5uy-300rJ . SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4512�bhk*\}1 O VILLE CONTRACTOR'S NAME FAHE ET ECrRIC 1LB TELE RVINE^3507 (� CONTRACTOR'S MAILING ADORES,S,OlU Xs'�7.9:A4�1Jl1lOrROVIIIE j'�J CONSTRUCTION LENDER } Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 252 LAKESIDE WAY Energy Plan Checking Fee $ $ LAKE IMADRONE (2A'D GATE.) {, ! PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARC , MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y SF 0 Duplex ❑ Mobilehome ❑ Other � SPECIFY i Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 -' S L� TYPE OF WORK tI a New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: NEW 200 AMP MAAIN F,L.IJCT. SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SG W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 - Main Service zoos oa mss 23.00 23 OC LICENSED CONTRACTOR'S DECLARATION 1 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. L/ ✓ 6 / �C� 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 Main Service ( 200A TO 1000A 46.00 NEW CONST. / DWELLING OCCUP. so OR \ 8 Acc. BLDS. 3.5¢FT; CNS. NEW CONST.MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 10 00 EX. OCCU OUTLET OR FIXTURES B20 @ .0 Ex. Occup. ouT."s AFwsISD.DFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PIKE iribrwilufq• PERMITFEE S b%.86 5l9. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply 'th tho previsions. - X __ Date / � -- — Signature of Ap icant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavation over 60" deep and demolition or construction of structures over 3 stories in height. r 1 Gi Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 19, 1j6 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated. for which fees have been paid. f i r By PERMIT EXPIRES ON Date `" ReceiptNo. L1tJVyC) 66 / 1. WHITE-D.D.S.-B.D. CANARY -ASSESSOR If PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE- DEPARTMENT OF dEVELbPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT I �� i ASSESSOR PARCEL NUMBER 62_18-36 ZONING TM 1 BUILDINGPERMIT V1 OWNER JUDY DELABY TEIP192'3000 ��// SO. FT. ' OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4572 OLIVE HWY OROVILLE CONTRACTOR'S NAME FAHEY ELECTRIC TEfJ§i4E-3507 y CONTRACTOR'S MAILING ADDRESPO BOX 794 OROVILLE 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 $ BUILDING ADDRESS 252 LAKESIDE WAY Ener Plan Checking —Energy g Fee $ LAKE MADRONE ( 2ND GATE) PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IQ 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 b-, 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 15 Other ❑ Describe Work: NEW 200 AMP MAIN ELECT. SERVICE Gas piping system 1 -5 outlets 15.00 /S- ©D Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S S-0.OD ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 23.00 23.012 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 G `) Lic. No. 1// b 3 C/ 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 Main Service 200A To I000A 46.00 NEW CONST. DWELLING .00 S. OR ADDNS. ( 8 ACC. BLDS. So 3.5Q FT. NON -RES ID? STI -O11 UTCLET IATS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. OUTLET OR FucruREs 20 @ I. 0 BAL @ .550 UNOR Ex. Occup. oFIxuTLEt°TS FIES,6) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinp 23.00 3.(9 PRE INSPECTION PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 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.) 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 forthw' complyAh h tho pr sions. X Date �_ Sign re of Ap i ant - Owner Contractor ❑ Agent An SHA per is required for excav tion over 5'Q"�ee and demolition or construction/�p of structures over 3 stories in height. a Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate ve for which ees hav By PERMIT EXPIRES ON the applicable provisions Resolutions to do work b en paid. Date ((/ De ' Receipt No. 210096 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '.�. � d e.i�� ' i..,y�ae � cc•� Vis; � • M t-� 7s>.�.� � moi/' +{•.,` ir, 'i + �'+,? w �7 �•-^ i��l �..+-i _ )i}A��Y-•� �� •i� � l T v^'Y .•l yip j�L.Fl. '�+� ,'.0 �i�",..�✓t'�. Y COUNTY OF BUTTE- DEPARTMENT OF&4t �IPMENT SERVICES -BUILDING DIVISION ' TCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 4 Y OWNER: JU lu ASSESSOR PARCEL NUMBER: le Proposed Buildin se: Building Inspector: Date: At time of permit applicatiq , I was advised the following data must be submitted prior to permi processing and/or issuance: # Date Received By ❑ 1. All items have been submitted .--------------------------- ---- • ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans._ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation.------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ---- El8. Hazardous Material Form.--------------------------'=-------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ----------------------------------------------------------- ------- 11. Impact fees as shown on the attached schedule. ---=----------------------------------'z -------------------------- ❑ 12. California Department of Forestry plan approval/fees.------------------------------} --------------=-------- ❑ 13. Flood elevation certificate.------------------------------------------------------------,-------------------------- ❑ 14. Sanitation and plot plan approval ❑ 15 City of Chico lumbin emit -- Health`Department. • P gP R ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------= -------------------------- 1117. ----------------------- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. ncroachment Permit for drivewayconstruction approval prior to occupancy) 7------------------------------ . Pre -inspection for r° / e G�- 6 e/ V i c t 0evv e 4quired. Request to Building Inspector on 1:12 1. Contractor's license information. (Number, Name Style, Classification). ------ °'----------------------------- ❑22. Workers' Compensation carrier and policy number. -------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------- --------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ---- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- -------------- Letter of intent on building use. -------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------=-------;,�; ❑28. Existing violations and/or expired permits.------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .Jr (Date) ❑ 3 0.Other: e, e L �r e e-rcQ1,v------ z 1263 Wh ou issue the permit, process follows ❑ tor Mail to owner, ❑Mail to contractor.. ►Telephone :0 !s and hold for pickup at D(- . ❑ Delver w in ector. Applicant: Date: Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air ollutionDate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter,`by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division', 7 d 7 • � w OWNER: �� U� LOCATION: L« CONTRACTORk�e —L.-�f �e-- AA-! DATE: ZONING: /4 / PRE-INSPECTION FOR DATE TO INSPECTOR pERM1T' HISTORY: [NONE [ ]AS FOLLOWS: A, TYPE OF OCCUPANCY: 1:1111M�i 9S REPORT tg Description: Commercial/Usage: [ ]Mobile Home: Yes[ ] No[ ] [ ] Residential/9 of Units: ( ] Currently Occupied. [ ] Abandoned/Vacant. c: es [ ] No [ ectric is currently : [ ] On [ ]Off Condition of electrical? Jas' ne[ ] Natural [ ] Propan Obvious problems: D �' Sanitation: Plumbing working Yes[ of ] Currently Ont[j Offl ] `7 Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: Recommended: [ ]Issue [old for: ecto r: e 0 Dv Date: Judy Delaby 4572 Olive Hwy. Oroville,CA 95966 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 25, 1997 RE: Code Violations A.P. #062-18-0-036 252 Lakeside Way, Lake Madrone Dear Ms. Delaby: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the -required permits, inspections and approvals from. this office for plumbing, mechanical and electrical wiring. Since permits and inspections are required for the above work, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms +'Manger, C. Vieira, C.B.O. BuildingInspection cc: Assessor r