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066-240-037
r M AP 66-24-37 J.W. Marler 4.e ZA 20 Janine Ct., Lot 244,PPCC#4,Magalia Permit 5762-77B,P,E,M (new SF) 066-240-037 00-0057 MOAKLEY, ERIN FILE 6300 JANINE, MAGALIA CONTR: OWNER NEW HVAC & WTR HEATER 37 3J . (i I M AP 66-24-37 J.W. Marler 4.e ZA 20 Janine Ct., Lot 244,PPCC#4,Magalia Permit 5762-77B,P,E,M (new SF) 066-240-037 00-0057 MOAKLEY, ERIN FILE 6300 JANINE, MAGALIA CONTR: OWNER NEW HVAC & WTR HEATER 37 3J COUNTY OF BUTTE — ' DEPi4�TMENT OF PUBLIC WORKS `0 7 County Center Driir*¢ "-' Noville, California 95965 Telephone: 534-4541 —77 APPLICATION AND PERMIT � y v. ua aw w cnaca uPv uic above-mentioned property for inspection purposes. /Q X I Date ! ! 77 gnature of Permitee or Agent R pt No. b q W ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O"UBLIC WORKS BY Date // -10 - T Building permit expires Date //—/4 —7 BUILDING OwnerSQ. • u � FT. OCC. UILDING VALUATION � i O j77e Mailing Address 1172,00 JTelephone No. Fireplace Contract Total Valuation Mailing Address Permit Fee 00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �b PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50-av, l(a. Repair drainage or vent piping 1.50 Water piping 1.50 LCCS ot 'Zontng Vert )cation Only Lot Each gas water heater or vent 1.50 A. P. No. 6 �'Z �- /e Zai g Gas piping system 1 - 5 -outlets 1.50 Each additional outlet .30 F Sa n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkingParcel Plans Declaration Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PI ec'd Parce pproval Plans Approval Permit Fee $ I gsn s NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OIER 600 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00NEW OR ADDNS. / DC L CUP. &) 22sgft NEW CONSTRI M L I -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name s tyle of: ; Ex. Occup(OUTLETS OR FIXTURES)50 @254� BAL@1 ( FIXED APPLNS. OR Occup.( Ex. OccuRESID.) EA) 2.00 ( Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ IR1. © $ 3 160 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against Liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3L00 Heating o (� 0 b Cooling SU Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby v -19- i C TOTAL PERMI FEE - 3 y v. ua aw w cnaca uPv uic above-mentioned property for inspection purposes. /Q X I Date ! ! 77 gnature of Permitee or Agent R pt No. b q W ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O"UBLIC WORKS BY Date // -10 - T Building permit expires Date //—/4 —7 CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a card certifying that the proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by the builder or insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IM CONFOM"a WT1M THE CURRENT. ENERGY REGULATIONS, CALIFORNIA AOHINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: ICr- Street Lot NumberTract . EXTERIOR WALLS � t Manufacturer/ Thickness/Type R Value_ c CEILINGS Batts: Manufacturer " ' , t Thickness (y R Value — Blain: Manufacturer Thickness.. No. Bags Sq. Ft. Covered R Value FLOORS . Manufacturer . v I L l Thickness'/Type Si R Value / r SLAB ON GRADE Manufacturer Thlekness/Type - R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thi kness/Type R Value GEN CCT �( LICENSE ►SER_ 23-0 �J 6 Yom_. • BY TITLE DATE IH N CONTRA LICENSE HUMBER 0 (�✓ :p TITLE DATE Fig. 13 8-14 RES IDENT IA.L . PLAN CHECKING GUIDE (S.F., DU, "LEX;�& MISC. ONLY) / Bldg. OWNER , a y e Y. A. P. A.'GENERAL Zoning requirements (sideyards and parking). FFaluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions... Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLO6*-ftAN Permit # # / T ,Y Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1405). uired windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per State law). an impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). , G.F.C.I.'s in baths and exterior outlets (Sec. 210-.8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. eater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). / 1 - 3'0" exterior exit -door (Sec. 3303d). Fireplace location. 1 Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Hkoft, construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. .Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,Y. CCX plywood on exposed locations and overhangs.' / Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster — weep screeds (Sec. 4706 & 4708). Proper roof pitch for'roof covering (Chapter 32). Rafter ties or bearing ridge beam. l? Garage door or porch header sizes. Adequate bracing building. (State law). fO Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 01 Two (2) exits on three-story dwellings (Sec. 3302). PERMIT NO. 5762-77 B,P,E,M PERMIT EXPIRES 14110 'OWNER J.W. Marler CONTR. owner LOCATION (A.P. 66-24-37 20 Janine Ct., Lot 244, PPCC#4, Magalia Temp. Power Pole— 2 Called PG&E 2 0/ Temp. Elec. Serv.— n Called PG&E Temp. Gas Serv. Called PG&E JOB j FCINALED (Date) (Signature))\j COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS BUILDING INSPECTION RECORD Interior Lath Ventilation Permanent Door Closer Final "Z.�, 4 Final MOBILEHOME UTILITIES ----- Elec. Service 401 Elec. Pedestal ' Water Piping Sewer Gas Piping OBIL.=ME INSTALLATItN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS g? 1 01 C2 A/ G� (NOTE: An entry must be made on this form each time you visit the job site.) BUI,LDI G.,. BUILDING (Cont'd) PLUMBING Setback ifs` Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows O 3rd Floor 1 StemwalI Siding To out Slab Roof Sheathing Water PI in Piers Roofing U Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r physically handicapped dde of ex. Conformance structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACe Final Footings Footing ELE TRICAL MasonryWalls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin 1"5 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. L" Yf' % V Scratch Heating Service Brown Cooling _11011 Temp. Pole Interior Lath Ventilation Permanent Door Closer Final "Z.�, 4 Final MOBILEHOME UTILITIES ----- Elec. Service 401 Elec. Pedestal ' Water Piping Sewer Gas Piping OBIL.=ME INSTALLATItN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS g? 1 01 C2 A/ G� (NOTE: An entry must be made on this form each time you visit the job site.) 066-240-037 ; PO -0057 MOAKLEY, ERIN { 6300 JANINE, MAGALIA CONTR: O WNER ', ; NEW HVAC &i s� HEATER. FILE t 1,01 107 OFFICE COPY Address GAS Meter B Q ELLE Meter 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 46K)" ASSESS RPARCEL UMBER i'jt�r,—c�'i— L �-037 ZONING l BUILDING PERMIT V OWNER 1 rxTr,o�..LF�r TELEPHONE ; i- 4k�2 SO. FT. OCC. BUILDING VALUATION OWNERC, 3'% fi'I,Ki 3*E`1 11% 11AGALIA 95954 CONTRAC-TOR'S, NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDWNGAPDRESS 1'��\•ALl • t, j� Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 S . Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other 13 Describe Work: Nnq 11VAC A VM AF,ATRR Gas piping system 1 - 5 outlets 15.00-1-5.11,4) Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S 50.01 ELECTRICAL PERMIT Fling Fee 20.00 Main Service z00A 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.POWER 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. il„ 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 TO tOooA 46.00 NEW CONST. DWELLMI(i OCCUP. IIEA OR ADDNS. ( 8 ACC. S. SO 3.50FT. L,G.R6ID MULTI.OU CUT 97,50 APPARATUS ITN. C1 R. SINGLE OUTLET EX. OCCu OUTLET OR FIXTURES .00 BAL @ I.50 Ex. Occup. DFlxuTiEDrsAPR GE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0 PERMIT FEE $ 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.) I 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. f X r-- '-"-- --. � i s -" 1; ;( ," , / Date r 1: ' ' I Signature of Applicant - R'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 15.(V Cooling 15.00 Hood 6.50 Ventilation PERMIT FEt $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 100.(Y) HAz.D FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISYE �{ 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 (Date) Receipt No. ��`t17/lt)LJ,IK.) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT — /w� ASSESSt9RP�tOR°1�+LI �MV 037 'OWI -1 BUILDING PERMIT ' OWNEFEERRIN MOAKLEY 1 E9/3NE4432 SO. FT. OCC. BUILDING VALUATION OWNei6GNE, MAGALIA 95954 CONTRA(Mt frME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDT_tLUSsJANINE, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ol Describe Work: NEW HVAC & WTR HEATER Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home s I G I WF @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 OOOV LESS Main Service zo AOR 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.POWEPPARATU 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 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 lOooA 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. BODS. FTO.. �•SQS t1OµgESID. MULTI.O RCUTUITS @7.50 8 SINGLER AOUTLET CIR. Ex. Occu OUTLET OR FDRURES 20 @ 1'00 BAL @ ,50 Ex. Occup. ouTiErs A�ID.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 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEt $ 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 provisions. X Date r� �� Sign r8t Ire 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 100.00 HAz. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON 61 the applicable provisions Resolutions to do work been paid. Pdte 1/12/2000 ate (Date) Receipt No. 25665/100.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NC (Rev.tM6) APPLICATION AND PERMIT AgCaSORPAW&HUMSER �& _Wd,.._D�-7 ZD1NOr BUILDING PERMIT °""ER Mnff& I "E SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S OONIMCTOR7 MAaJNG ADORESS CONBTRUCTIM umst EF.r,lace IZNDEWS Mµsq AWRESS Total Valuation S ARCHITECT OR ENGINEER uCENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGWEEA! MALJNG ADC WS I Permit Fee ti Plan CheckingFee S auaouGADoaEss Da Q Energy Plan Checking Fee i PERMIT FEE S LOT NO. a°1DNa tame PEI. MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex O Mobilehome O Other SPECIFY Each Tr 7.00 Soler or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF W9AK New O Addition ❑ Remodel O[� i'UiHeess I Installation Describe Work: A%��� // I/�(�, b f !ft//� (3 Othe�ry0 �+ r/�/u Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20 00 PERMIT FEE S'ftE r0 CTRICAL PERMIT Filing Fee 20.00 Mein"SQrvice °Dry oR Ixca zo-A OR arse 23.00 . / 8// ^ /nf2 (ry IWI J {V r%\ Main Sere Bow TO IOWA 48.00 NEw coNST. owELUNo OCCUP. 3.SCso OR ADONS. a ACC. BIDS. NEW NON•RE'SIO. CONST. ° T @7.50 VowEA AVP a srxal� 0 , T Ex. Occup. Oun.ET OR F9n mEs SO EX. OCCU FOCED APPI.NS OII OIJTIETsEA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating , Q'p hT100 Cooling , Hood 6.50 Ventilation PERMIT FEt f ar Mobile Home Installation Fee I s Energy Inspection Fee I E Occ CONST. TYPE TOTAL FEE $ /00, -Z. O. FEES IMP I f1.000 I COP PARCEL I PO NO I SUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON t16 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" NO[ ]. 2. I ' HAVE" HAVE NOT[ ] signed an application for a building permit for the l 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 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: x PROPERTY OWNER: / \ SOCIAL SECURITY NUMBER: DATE: 00 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. May 1995 2.26 r. 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 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: 0 If you employ or otherwise engage any* 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. 0 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. 0 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. 0 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 q !, I I � � . I I I ,. � I I I � � I . . � i I � , , I . I � .. I I I - I . � If , I ,�� I U- , � � . t t , �, . I � I I . I " " I I I , � I I � I I � � t . . I . I I ,� , ,: I � . I f ., q , TnicK 5,vii!u–",u,6,,, u —wit, z , , , : I , � " , ;S. A � I , j �, � I . I, I � I , 1 . I I ,V i : - i 11 ,� ; I I . , �.Ii ,� ! I :11 , I I 1� I � ''I I I � . I � I 1– � � ! : I I I "I I � �, , ��, : 1: i '� , I � � . . ,, I . I�J,P, � I . i :, � , i � . � � �, I I I I I I � t I . � I 'N'. I , , . 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