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Home My WebLink About065-530-008065-530-008- � ` 1'02 0892 ', t of 3 L -SALYER, Carl 1014-70BBAKER,'DEBBIE �?� ;r. r; 1 a __, 15-220 NORTHLA•KE- R - D., M'AGALIA '< a j .- 974=70E- CONT-TR[�FL'AME�'+-�'.�"""�-'""" � } O�3 • �'- -+ 53B' GAS PROPANE TANK INSTALLS "eY sNeal Rd..o . Coutolenc Rd.; -a a is 0'A 66-530-008 -Z-, �' 02,1060 '' (addition) g CUMMINGS, DONALD:"' ,15220 NORTH AKE RD MAGALIA.. , r REPLACEtWATERHEATERS'; � p�-• �"•"�---^---�•, t WIN DOWS;,DECKING=& MO-V--E.r .moi51 ENTRY..DOOR 4v I; • - i t } 1 i 1{ 1 I' _ 1 , Lr � 065-530-008- � ` 1'02 0892 ', t of 3 L -SALYER, Carl 1014-70BBAKER,'DEBBIE �?� ;r. r; 1 a __, 15-220 NORTHLA•KE- R - D., M'AGALIA '< a j .- 974=70E- CONT-TR[�FL'AME�'+-�'.�"""�-'""" � } O�3 • �'- -+ 53B' GAS PROPANE TANK INSTALLS "eY sNeal Rd..o . Coutolenc Rd.; -a a is 0'A 66-530-008 -Z-, �' 02,1060 '' (addition) g CUMMINGS, DONALD:"' ,15220 NORTH AKE RD MAGALIA.. , r REPLACEtWATERHEATERS'; � p�-• �"•"�---^---�•, t WIN DOWS;,DECKING=& MO-V--E.r .moi51 ENTRY..DOOR 4v I; • - i t } 1 W L 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0�_1P �6 0 ASSESSOR PARCEL NUMBER. O( /— / () J ZONING BUILDING PERMIT OWNER f �`J�q� ►� (A VVI I I T LEPHONE1L SO. FTOCC BUIL NG VALUATION, OWNER S MAI ES G— , CONTRACT 'S NAME 0 T HONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER FIleplflCe LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20• 0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ^ / L O Energy Plan Checking Fee $ $ p :s PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF yDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel k% Utilities ❑ Installation q Oth ❑ Describe Work: �r ! ' dA Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00OR FSS Main Service za.VA ORLESS 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: ❑ 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. DINIJNG Occup. so OR ADDNS. ( a ACC. BLDS. 3.50FT. NON-ROSID. MULT I.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OtmFr OR FIXTURES SAL p .50 PP Ex. Occup. oFluiLEeorsA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I 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 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.) C+( 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' on laws of Califor ia, and agree that if I should become subject to the cc sati p isions of section 3700 of the Labor Code, I shall I ith a rovisions. IJP Dat6a9t (/ �gg&ntureof Appli nt - ❑ Owner ❑ tractor ❑ An OSHA permit is required for excavation over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 2 0. 0 Heating Cooling Is -d Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ corr. TYPE o TAL FEE $ f-4�± FLOOD CDF PARCEL PD 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. f' By 1 Date �"° L v 1 PERMIT EXPIRES ON ! z / t v-7 Date Receipt No. WHITE-D.D.S.-B.D. CAN R -A OR- InNK-IMSPIMTUR GOLDENROD -APPLICANT +k.,• tfu 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 until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 13 NO O 2. I HAVE C3 HAVE NOT O signed an application for a building permit for the proposed work. 3. I hav ntracted with the following person (firm) to provide the proposed construction: NAME- \ C ---*--D ` �u ,n•` w` L w 0 �< ADDRESS: 1 22.<n %L9': P aJCC CITY: irk OL C:� p, L.� ✓�. PHONER`� ' CONTRACTOR'S LICENSE NO. 4. I 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. 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 SIGNED: PROPERTYOWNERA SOCIAL SECURITY NUMBER: DATE: -4A - 2 9 -<25 -2- NOTE. 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: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. ld be aware that For your protection, you shouas "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be sigried 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: ♦ ther than your immediate family, and the work (including materials If you employ or otherwise engage any persons o 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 cluding state and federal income tax withholding, federal social security taxes, subject to several obligations in d unemployment compensation con workers compensation insurance, disability insurance costs, antributions. ♦ 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 that the property owner is providing his or her own labor and material personally. Building permit, erroneously implying 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 communityor at 1030 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, Vi ira,C.B.O. uilding Inspection NOTE: T111s Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code. OVER ❑ B.I.N. .ocaaom 4Owner. REQUEST FOR INSSPECTION" Perrriit No. Complaint: ContractororTenant: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - Form.. Rough Rough INSPECTION Frame/Underfloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation Top Out Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Temp. Service Service Underground Well Circuit Light Niche Corrections Final - Housing Job Status Permit Renewal Verify Utilities OTHER Nailing Corrections Corrections Corrections READY FOR �J AM, Final Final - Final INSPEC.ON 19 0_— P.M. Date: Time: Note: ;0 +� 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 ASSESSOR PARCEL NUMBER/ Apt), ly G ' 0 zOMiNO BUILDING PERMIT OWNER /��(�/ /� c�73c"E3/� j/ SO. FT. OCC. BUILDING VALUATION O NEA MMU IRES; 01-e7 � /a)Ee vim-"` 0 l/� xll a UE CONTRACTOR' TEWPHOWE CONSTRUC AIDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ su Lol Es h � / j10 /C/�sC J Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PA.;EL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF yDuplex ❑ Mobilehome ❑ Other svECIFv 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 ❑ Addition ❑ Remodel ❑'' JJUtili/Aties 6o Ins�talllatti�ion ❑0 Other ❑ Describe Work: 1 V 7 -Au" /e-"O"1t/ C0pooX _ _t/! � C/ Gas piping stem t - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 C/ / v az � ' PERMIT FEE $ ELECTRICAL PERMIT Fling Fee1 20.00 Main Service 2�00� oa mss 23.00 LICENSED C TRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisic.is 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 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. l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under S Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. a ACC. BLDS. so 3.5¢Fr: NON.REOSID MULTI -OUTLET @a 7.50 P.0 APPAR/1Tus 8 SINGLE OUTLET Us IR OUTLET OR FDITUR Ex. Occup.SAL 20 @ 1.00 @ .50 FIXI Ex. Occup. 0.ED as O.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE _ PENSATI DECLARATION lly f pe ury one a following declarations: a1/ORRS' ancertifica f consent to self -insure for workers' ovided for by a on 3700ofthe Labor ,:ode, for the I hgave anof the k fo is p rmit is issued. nd will maintain workers' compens ion Insurance, as required by Section 3700 of the Labor Code, for the performanc 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.) ❑ 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'HAZ. 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 comply with thos provisiops. , 'i /S �� Data 7� Signature of Applicant Owner ❑ Contractor ❑ A t 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 Coolinsa Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ ACU Vi.rn D. FEES IMP FLOOD CDF PARCEL PD HD IS E it is hereby issued under utte my Code and/or indicated ov for which fees h , By 04 PERMIT EXPIRES ON the applicable provisions solutions to do work been paid. ate _ De e) ReceiptNo. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT l Lr2 Ln of t � Cd to f . I � C..) w�T I • Cd 04 cd Pq cd: R.. - rl { f14 4 • , ht ' sl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, 927O. (Rev. 12/96) APPLICATION AND PERMIT ,!� _4 ASSESSOR PARCEL NUMBEA/� y� G V J i (N U ZONING BUILDING PERMIT OWNERLEPHONE le_lGv/ 233/V/ SO. FT. OCC. BUILDING VALUATION O NER MAID RESS � /� / � _ w ^ &, /f`/x//• CONTRACTOR' ME. TELEPPHO WE COT 5 T CONSTRUCTION. NDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ 21) 19, PERMIT FEE $ LOT NO. SUBDNEIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF yDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑/'Utilities 6� Insttalllati,tion ❑ nnOther ❑ Describe Work: 1W TAtc, A%""1tl I /X `i� l� Ff=C��/ ICJ Gas piping stem 1 - 5 outlets 15.00 CQ Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 600VOR LESS Main Service 20.A OR LESS 23.00 LICENSED C TRACTOR'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. 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 1DOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3.5¢FT. NEW C NOEOSDMULTI. . OUTLET CIRCVITS @7,50 POWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. OUTLET OR FD(TURES BAL @' 0 Ex. Occup. .''U'EED R= -GEA 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: ❑ 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 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall compl _^�oftheButte 20�zd��Date LiLocx Signature of Applicant Owner ❑ Contractor ❑ A t An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 $ XcIr CZ/ HAZ. D. FEES IMP ROOD CDF PARCEL PD HD 6 E This permit is hereby issued under my Code and/or indicated ov for which fees h By&V LIX PERMIT EXPIRES ON the applicable provisions solutions to do work been paid. or ate Dee Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT z