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Home My WebLink About062-350-002`,, + NN 4 . P NES, INC. ' 1855B # � n^ r PONDEROSA PI **4692B 35558 062=350-002 s . , 2732E NEIDEFFER DIANA` `» 2162P -14PSAN CREEK DR=BERRY CREEK Y OSF ZEREP DEM Drive, 1501 north of ld Rd . , Lot 2 t *Renewal of '1855 # ddition — /a - a 8 - 6 _c.I a f • 4 _ n 1 min• i r= �� N M ��I �� r�--� i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75��// ¢'�� - ^ -,/ TPOI- (Rev.12/90) APPLICATION AND PERMIT �1 ASSESSOR PARCEL NUMBER 062-350-002 ZONING BUILDING PERMIT OWNER NEIDEFFER D TELEPHONE _8242 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 926 SAN MIGUEL 'ROAD CONCURD, CA 94918 CONTRACTORS NAME �'�` TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 14 SAN CREEK DRIVE BERRY CREEK CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other I Describe Work: DEMO SINGLE FAMILY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service zDOA 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lor 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. ❑ I 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: 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 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 *orkers' compensation provisions of section 3700 of the Labor Code, I shall fowith comply with thoBePprovisions. X e A9 Z^ i��.� _ ' nature of Applicant - IkOwner Contractor Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in h 'ght. Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. sLnS. 3.5¢F: pEOSIpT. MULTI.OUTLET CG 7.50 OUTLET OWER AP= a CIRS . zo p I.00 Ex. Occup. OUTLET OR FDMRES BAL p .50 FIXED APPLNS. OR Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I Po 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. ,} PERMIT EXPIRES ON pg ReceiptNo.� �' WHITE-D.D.S.-B.D. CANA •AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ^ PERMITiN�. Rev. 12/96) APPLICATION AND PERMIT nc;) 3 a o�vNEIR _ Ct ^� _ BUILDINGPERMIT SO. Fr. OCC. BUILDING VALUATION Temporary Service 23.00 OwNNERS 20.00 coNraAcro�rs NMAe 0.d•NgNe /L 23.00 CONTRACTORS WUUNO ADC 01 CONSTRUCTION LENDER Fireplace LENOER'! MMUNG ADOFEas Total Valuation = AACNITECT OR ENO/NEER Mesa NO' Filing Fee 5 20.00 Permit Fee t. I C) 3 AACWECT OR E+or+EMe LOUN O AfloaIvs Plan Checking Fee S -UIDMIOA00 s if Energy Plan Checking Fee S S PERMIT FEE $ 7j - c3 � LOT NO. sU1110"10"WUE PARCEL MLI PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF* Duplex ❑ Mobilehome ❑ Other svEcsv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O inshliffbon ❑ Other Describe Work: AIY7i C) Gas piping Rstem 1 - 5 outlets 15.00 Building sower 15.00 Mobile Home IS I G I W 020.00 .PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo=ooRL= 23.00 Main Service ( zo" To io=A ) 46.00 .�►� d 3 mr� SA h row, %I Mellon V1+, �h�d @7.50 Ex. Occu . amFT Oe wnuRm ew ' :eo Ex. Occup. ,04 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE I t I I (MECHANICAL PERMIT I Fling Fee 1 20.00 Hood I 1 6.50 PERMIT FEI: ! Moble Home Inst Nation Fee = Energy Inspection Fee i «c CONST. TYPEI C, TOTAL FEES r3 to NAZ 10.:® I NI I PL000 I COI I /ARCS. PC I NC GSUE This permit is hereby bsued under the apple able 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 Adm,► OWNER -BUILDER VERIFICATION � Aaencion Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing your siPa~UM Please complete and return this information at your earliest opportunity to avoid a 1�q►dsigr in processing and issuing your building permit. No building permit will be issued ueutl this verification is received. 1. personally plan to provide the major labor and materials for construction of the proposed property improvement: YEs� NO13 �2 HAVE 0 HAVE NO%ollol%g id an application for a building permit for the 9 ap a sed have contracted with then firm to vide the posed eonstCdI perso C ) Pm Pm , NAME: ADDRESS: CITY:_ PHONE: \ COir MACTOR'S LICENSE 4. I plan to provide supervise, and provide the NAME: f this work, but I have hired the following person to coordinate, aior work: ADDRESS: PHONE: COi`1M4CTOR'S LICENSE NO. 5. I will provide some of the work but�I-1 ave c ntzacted (hired) the following persons to provide the work indicated: / NAME / "'DRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNERI ` S OCIAL SECURTI'Y/NUM BER:`�___- —� DATE: -If-) 0 ROTE: This Owner -Builder Verification is required by Section 19831 and 19U2 *Fit California Health and Safety Code This verification must be tootplsW Avl returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORM ATION y A.i application for a building permit has been submitted in your name listing yourself as the builder ofpropercy improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsibleparty of recoird on ankh a permit. Building permits are not required to be signed by property owners unless they are personally perfoetoiii 16eir own work. If your work is being performed by someone other than yourself, you may protect yourself from posiible 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 subeonttack 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 toss) is S300 or more for the entire project, and such persons are not licensed as contractors or subcorcractors. then you may be an employer. ♦ I f you are an employer, you must register with the State and Federal Governments as an employer and you are SL to several obligations including *stare and federal income tax withholding, federal social security taxes, workers compensation insurance, disabiliry insurance costs, and unemployment compensation eoatt*utions. ♦ 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 mere scccitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, it You wish, the U.S. Small Business Administration). For more specific information about your obligations under Scare Law. contact he Department of Benefit Payments and the Division of Industrial Accidents. Ii rhe strucrure 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 10=0 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. 1 rely. otic el C. Vi ira, C.B.O. hl ger, Building Inspection NOTE: Thar Owner -Builder Information is required by Section !9830 oJthe California Health arid Sajery Ca& OVER