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HomeMy WebLinkAbout066-250-016r 66-25-16 George Walser 15 Lucas Ct.,lot 389, CC#4, Magalia contr: Triple "S" Custom Homes, Para. '~ Permit #1577-77B,P,E,M(new single" family) 066-250-016 01-1912 BADER, MICHEL' I!` rig - 13605 LUCAS CT. MAGALIA CONT: O WNER ' R- 1 /0-0( PROP TNK, ASSC PLUMB & GENER -066=250-016—, q-'' Ol'2061-. BADER, MICHELFAGIAVV 13605 LUCAS CT. CONT: OWNER G}, HEATER STOVE g' p� / U I L d l 0 �?A� cc�Ycfli `c�Y Lo' 066-250-016, 01-2061 BADER, MICHEL 13605 LUCAS CT. MAGALIA CONT: OWNER HEATER STOVE t y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Tefephone (530) 538-754J/ a PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C'•, (p ASSESSOR PARCEL NUMB .w �y �O -o f\ ! C-••, `�••J) {f ZONING BUILDING PERMIT OWNER - •' E 1 TELEPHONE t SO. FT. OCC. BUILDING VALUATION OWNERS LI DRESS 6 !alm • 9� 1 CONTRACTOR'S 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 $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS V�Energy V Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME (� PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 E3 Describe Work: %� ,�,�,Fp J1 r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t, ELECTRICAL PERMIT Fling Fee 20.00 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: Poll, 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 46.00NEW CONST. DWELJNG OCCUP. OR ADONS. a ACC. BLDS. So 3.50FT. 1.10µR610 MULTI.OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFDCTURES 20@'•00 SAL O .SO Ex. Occup.ounFis PM °EE..a 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sectiorls need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) L] 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 Signature of Applicant - Q, -Owner ❑'Contractor ❑ Agent 6 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 $ c a� CONS TYPE TOTAL FEE $ • O� HAZ. I D. IMP FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatesabove for which fees have been paid. //�� V(4 By �l �i p�/� rr,,-) Date EXPIRES ON 61d� f 0 Pa to) Receipt No.� V IT 61 4116aPERMIT WHITE-D.D.S.-Tb. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rI I VA M COUNTY OF BUTTE - DEPARTMENT 4 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California' 95965 • Telephone530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �����/ ASSESSOR PARCEL NUMB 50 �(o ( ZONING BUILDINGPERMIT OWNER ELEPNOHE SNE I� SO. FT. OCC. BUILDING VALUATION .OWNER'S IORE l 1 9: CONTRACTOR'S 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 $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS/ ^ �� - c=J( Energy Plan Checking Fee $ % $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME U PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFX 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 1 15.00 5,0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS FKW* 1@ 20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Cp/f, 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. I7 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. OR BLDS ( ACC. s 3.50FT.' cors. n& NEW OUTLET OC. NON•RESID. @7.50 POWER APPARATUS 8 SINGIE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 O 1.00 BAS o .50 Ex. Occup.. oirTLEEDTSA pa D,DEEn1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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.) 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 0 Acpa _ Signature of Applicant - C kOwner ❑"Contractor ❑ Agent a An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ �c cG`ry� TOTAL FEE $ 6. CYD :H!AZ.O 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 indicatd above for which fees have been paid. By &WJ Date PERMIT EXPIRES ON e b ® a Receipt No. 3314270L &3671 WHITE-D.D.S.-B.D. CA ARY-ASSE OR PINK -INSPECTOR ' GOLDENROD-APPLICANT/(Date) OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature Pleaw complete and return this information at your earliest opportunity to avoid unnecessary dela; 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°r labor and materials for construction of the proposed property �Ifft[AVE ent : YES e' . NO 13 HAVE N 0 signed an application for building .t for the sed 2 I HA NOT gtied app �g Pew proposed work. 3. I have contracted with the following pemon.(Srm) to.provi0.the,proposed conistructiow. . 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. S. I will provide some of the workbut I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: J SOCIAI. SECURITY NUMBER ;SATE: 0/ NOTE: This Owner -Builder Verifcation is required by Section 198.11 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our o,Q?ce before we are permitted to Issue the permit. OVER Y' 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. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply.c If yod pini to ddif6tir own'woik with the wb6i on of various trades that you plan to subcontracE you should be aware of the following Information for your bewfit and protection: ' ♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the workme i (' hrding�maoerials and other costs) is 5300 or mon 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 ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specif c information about your oblip.mons 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. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building lnspection NOTE: This Owner -Builder Information is required by Section 19830 of the CaWornla Health and Safety Code, OVER i' 066-250-016 01-1912 BADER, MICHEL ,13605.LUCAS CT. MAGALIA CONT: OWNER PROP TNK, ASSC PLUMB & GENER 1 - OFFICE COPY t Address GAS Meter B //��} ELEC Date Meter B Date 1 " f 066-250-016 01-1912 BADER, MICHEL ,13605.LUCAS CT. MAGALIA CONT: OWNER PROP TNK, ASSC PLUMB & GENER 1 - OFFICE COPY t Address GAS Meter B //��} ELEC Date Meter B Date 1 " COUNTY OF BUTTE - DEPARTMENT SOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C�%"���* ASSESSOR PARCEL NUMBER ZONING - BUILDING PERMIT OWNER Mt C. g"c. &"R TELEPHONE 977-04//& SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS %4 4 -- CONTRACTOR'S NAME 0 ss$.i TELEPHONE ELEPHONE©s CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: / M.S1Fe d rep* o e, k el I- IV&_7h��+20e4 a fa�Ot^ Gas piping system 1 - 5 outlets 15.00 � Building sewer 15.00 Mobile Home S I G W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IKI, 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 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. OR ADDNS. ( 6 ACC. BLDS. SO 3.50FT. Np CONST. SIDMULTI-OUTLET BRANCH CIRCUITS @a 7,50 OWER APPARATUS 8 SINGLE OUTLET C IR. Ex. Occup.ounFr OR FaTUREs 20 ° 1.00 BAL p .50 Ex. Occup.o xuntTs A� O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00to 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. ❑ I 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 (rhe above sections need not be completed if the permit is for work of a valuation IVof one hundred dollars ($100) or less.) IY 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 . /,/ 'oe Date a A, D! Signature of Applicant - ❑ Owne�ir O Contractor ❑ Agent V An OSHA permit is required for excavations over 5'0" 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ g� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE 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. �r ` /� CJ " -3 `4%/ fay �� /i//bi'! Date PERMIT EXPIRES ON Date ReceiptNo. 3 %%�%-r2/� 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) 538-75410/--/9/ �-/ PERMIT NO. r-' V/— (Rev. 12/96) APPLICATION AND PERMIT �/ ASSESSOR PARCEL NUMBER 066_13"O—O!<- ZONING BUILDING PERMIT OWNER M/c14E-,L TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEWS MAILING ADDRESS ax s/,* AIA" C1?5-9C-Al CONTRACTOR'S NAME Q �t1T.r TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 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 $ BUILDING ADDRESS 1-23 C V Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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: IhSfGtII Orc�tx�� 7`'¢,�/� assoei�Te,� b 61inbi-7" Q,1kd ae'De-C&I-Or Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W QG 20.00 PERMIT FEE S �r ELECTRICAL PERMIT I Filing Fee 20.00 600V OR LE Main Service 2o.OR IESS 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.PSING 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: V'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 /000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. s0 3.5¢FT. T. NON WRE ID MULTI.OUTLET @7,50 a E 0llTLET OWERLAPPARATUS CR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup.DFlxuTLEE°,sA Aa J E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3 PERMIT FEE S 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 eof one hundred dollars ($100) or less.) l 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 .3 Signature of Applicant = ❑ Ownerl ❑ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HAZ. D. FEES IMP I FLOOD I CDF PARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or dicated above for which fees have By / PERMIT EXPI STE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. �p (�D�ate pa t9) rReceiptNo.3,3 1 0 % CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ✓� J, } 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. _ �I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES V' NO ❑ 2. I HAVE 2' HAVE NOT ❑ 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: 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 GNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: �TE: 3 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: C 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 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 maybe 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. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 198.0 ofdie California Health and Safety Code OVER 11 7,0 - PERMIT NO. 1577-77BP,E,M PERMIT EXPIRES OWNER George Walser CONTR. Triple "S" Custom Homes, Paradise LOCATION (A.P. 66-25-16 15 Luca s Ct., lot 389, C04, Magalia ti Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB IoFINA L ED (Date) (Signature) COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ^ BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footin s Windows 3rd Floor StemwaII fSiding To out Slab Roof Sheathing Water Pipingr Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab J Carport Po Footings Prov. for physically handicaped Conformance of ex. structure ge A liances Gas Piping &Test Temp. Gas Slab Final 6 '"`f -7 W Sanitation , Patio FIREPL C Final Footings Footinq ELECTRICA Masonry Walls Throat Rough "- Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing _ Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Q • / Final A6 —/Y` 7 % MOBILEHOME UTILITIES ----------•---- - -- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS y27,A (NOTE: An entry must be made on this form each time you visit the job site.) 1 Fiber Glass Insulatl®n ' - BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This Insulation has been installed in conformance with the above recom- mendations to provide a value of Ri using ags of insula- tion to cow square feet of area. Insulation Contractor (Sign) Builder (Sign) Company N BATTS AND BLANKET Date R INSULATION R INSULATION VALUE �THICKNESSVALUE i THICKNESS R-22 I 6th" R-13 3%" Meets f=ederal R-19J� 6" R-11 31/2" Specification i•01I-521E Fiber glass batis or rol{s have been inotal!ed in accordance with the manufacturer's recommendation to provide an R -Value of /!7_ --in the ceiling, in the exterior walls, �� _in the floor.or crawl space perimeter. Insulation Contracior (Sign) ;opr (Si - Company Name CSG -32-R', -C C,,-n;pany Name Date CE9T\w-TEED PRGDI.,i C-5 CORPORATION P.U, 9JX 860, VALLEY (U9GE, PA. 19482 111110 COUNTY OF BUTTa- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '-= Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �a7 X77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �_d Signature of Permitee or Ajgeent Receipt No. 01. v White-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 OF PId1$LIC WORKS BY Date ,6—/G ' 7: Bui ding permit expires Date e—! G - -7 BUILDING Owner 0 �� i.S'�'�'' SQ. FT. OCC. BUILDING VALUATION Silo , 2 o Mailing Address a � Telephone No. -25-2— �', C� O Fireplace 7S0% Contractor i L II� �i 4 i D� 0`y.� g Total Valuation % 2 -- —Mailing Mailing Address ko SK PA! Permit Fee IIS— Plan Checking Fee &/or Penalty eleeh�No. 7� Permit Fee $ — 11 Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 �a 4 C Q S C Each Trap 1,50 2 07-- 3S e e wv Repair drainage or vent piping 1.50 Water piping 1.50 l 4 Zoning Verificaf ion Only Each gas water heater or vent 1.50 A. P. No. —a (p /Zon Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. C. S AT, on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. P Recd arcel Approval s Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE ` PERMIT FILING FEE $3.00. 3' Main service 100 AMP OR111 OR SLESS 5.00 Main service EA. ADO'L too AMP 2.50 -% Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100_AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDG9if P'l &) 2¢syft G NEW CONSTR. MULTI -OU ET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTPOWER APPARATUS & R. D. (SINGLE OUTLET CIR. NON-RES, 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 St 0 I( Ir� x(11 • Ex. Occup(OUTLETS OR FIXTURES)@2`# BAL�1 Ex. OCCU FI OR P• OUXED APPLNS. TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -9 !0 76—Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ yo,$ WORKMEN'S COMPENSATION INSURANCE 1 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 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. @ I FEE PERMIT FILING FEE $3.00 3 Heating Cooling 79r— Ventilation —Zpermit Hood 2.00 Permit Feenn $ $ 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 A -A0 U- Ater Z TOTAL PERMIT FEE $ 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �_d Signature of Permitee or Ajgeent Receipt No. 01. v White-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 OF PId1$LIC WORKS BY Date ,6—/G ' 7: Bui ding permit expires Date e—! G - -7 RESIDENTIAL PLAN CHECKING GUIDE (S.$., DUPLEX, & .MISC. ONLY) ^ Bldg. Permit # 7 — 7 �.c. 1A, -AJ S P A.P. # V A. GENERAL 1. Zoning requirements (sideyards and parking). y ^J 2. Valuation.-- 3,�igrwttrre- i R.C.E. or Architect (if required).VzNriL.* rwa— C,�fWOauf.3 T *�uxcL tJ �1M B. PLO N,. plete parcel size and dimensions. Setbackq, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. Complete to scale plan with d' � ,'s. U Uw� . 2. equired windows for light an ventilation (Se 1405). u �^ �� 1l Required windows for second exit e F%r arm _ ��� X 2U /o :�c.J V -Allowable glazing for energy requirements (20% ma �erASta�e law). an in ac glass (Sec. 5406) .St . Or. & Lets 3- �— 2 1 04 Re uired room sizes, ceiling heights (Sec. 1407). is in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, rece tacles, and exterior receptacles for maintenance of mechanical equipment. Com, `ocations of water heater, eating & cooling equipment other electrical or gas quipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(4)). l - 3'0" exterior exit door (Sec. 3303d). fireplace location. P3. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS undation plan complete enough to construct building. 602— F construction details complete enough to construct building. Ele tions and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. sufficient data and details to satisfy energy insulation requirements (State law). E. 4L§Agj4NEOUS ITEMS TO LOOK OUT FOR 1 plywood on exposed locations and overhangs. e r apter 30). p scree s4`7OV"& 4708) . Proper roof pitch for roof covering (Chapter 32) . �i-//2 7. Raf-ga ies or bearing ridge beam. . Garage door or porch header sizes. Adequate bracing. coiffpt—e.M-t--'Iro-ur separation required including supporting ge- (Sec. 3302) . �i �' � 11 i;� i ?i it � ' f �� � � a � i� i � � i � ,i i' � i I :� 1, i i ' � �� i i i ���� :. i 4 iii q ��� i .;i i � �� i �. li i � � � �� � i �i j� � � i i �1 I i i„ i i i � ill i i i t ���I, ',f i.;, li.� i r I ii ii i ,_ i � Vii. �„ �� � � i I I I �� �� u I I i i ' I I I I. i i i ��d � i i i i i �� � �� "� i 1 � -�. 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