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HomeMy WebLinkAbout068-341-01668-34,1-.-/b 1391-90B HAMILTON, Ralph 4087 Hildale Ave, Oroville (reroof/SF) HAMILTON, RG 4087 HILDALE AVE, OROVILLE Cont: GREENE ROOFING C/O WATER HEATER 068-341-016 04-2256 HAMILTON, RG 4087 HILDALE AVE, OROVILLE Cont: OWNER RE -ROOF HAMILTON R. G., Jr. 818 No. side Hilldale 14 mi East of Mt. Vie- Oroville toD I �� ! ` �v' � � � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042255 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/29/2004 APN: 068-341-016-000 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. Site Address: 4087 HILDALE AVE ORO License Class: License Number: Map Index: Date: Contractor. Description: CHANGE OUT WATER HEATER (NAT GAS) 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: HAMILTON R G JR & LAVERA A permit to construct, alter, Improve, demolish, or repair any structure, prior 4087 HILLDALE AVE to its Issuance, also requires the applicant for such permit to file a 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 95966 7000) of Division 3 of the Business and Professions Code) or that he or 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).): 21 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: HAMILTON R G JR & LAVERA A 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.). ❑ I, 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 229 _ 0/Own Date: License #: 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 self4nsure 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: ❑ I 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: Carrier. Total Square Ft: 0 S. F. Valuation: $0.00 Policy #• Census Code: 18 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 those provisions. Date' �d'� y Applicarf /1��/«,r, 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 s provided for in Section 3706 of the Labor code, interest, and attorney's fees. 11 L �l L 6's !//�J ',Ti✓� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Buffe.Crunty.Co&-anry r Resolutions t c indica ed above for which fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) -,P-9Name: BY Date: —7, Address: PERMIT EXPIRES 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 County to enter upon the above mentioned property for Inspection purposes. w /- 0M / / /7 Signalurer� d l —PJz ti Print Name: a VP >^ a �-//O '7 — _ Date: i Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY 0o DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 0 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name irst Name y - Address City a1N _'n U Stat Phon Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zap City Fax State Zip Phone Book Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zap City Fax State Zap Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name 3 V 1 ` r n Address limz.e, City State Zap Phone Fax E-mail APPLICANT SIGNATURE X r office use only: Zoning Prope Flood Zone Cross Street SRA I Yes I No Occ. Type Const Subdivision Name Map Book PageT705-1 Planner Date Approved: PERMIT NO. 4�_4 9-0135 BIN # }} �Q LOCATION f Prope Addres� City 1 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refimds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt #: ILw/? Dater) Amount: ✓� v-_ Bldg SRA Sheriff SMTP Other Total REV 6-16-04 P. SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16.04 O.B.-1 OWNER -BUILDER VERMICATION Attention Property Owner: An "owner-buildee' 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 0 2.2. I HAVE :�1 HAVE NOtZ signed an application for a building pemnit for the proposed work I have contracted with the following person (firm) to provide the proposed consirncdon: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. 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 N.O. the work indicated:- NAME ndicated:NAME ADDRESS PHONE TYPE OR WORK PROPERTYOWNEE� DATE:_ NOTE: This Owner-Bteilder Yerocation is required by Section 19831 and 19832 of the California Health and Safety Code. This veykation nwt be completed and returned to our of "ice before we are permitted to issue the permit s OWNER BUILDER LDER IlNFORMA d IrON Dear Property Owner. OB -I improvements a aPPUcabed for a bolding p� has been submitted in your name �g yourself as flee binder of property sp For your protection, You should be aware fl>af as "owner bm'Idei" you are tip responsible party ofrecord on such a pew Building pennift are not req *ed to fie signed by ProPmlY owners unless they are ers own work- rmeY P orally performing heir If your work is being perfoed by someone other than yonrsel4 you may Protect Yourself from possible liability if that person applies for the proper pemut is his or her name. Contractors are requited by law to be licensed and bonded by $ie State of Caiifomia and to have a business license from the city or county. They are also required by Irv, to put their license number on all permits for which they apply. Ifyou plan to do your own wo*, with the exception of varions trades that you plan to subcontract, you should be aware of the following h&Nmudon for your benefit and protection: ? If you employ or otherwise engage any persons other than your mediate may, and the work (Including materials and other costs) is $300 or more for the entire Proj and sur then You may bs an employer; h persons are not licensed as condors ar subnran, ♦ If you are an employer, you must register wi& the State and Federal Go subject to several obligations including state and federales wttbho employer and you are wditrers coraP ldimg, federal social s=diy taxes, mon ice, disability msuramae costs, and unemployment campeasatioa coafrbutions, + There may be financial risks far you ifyou do not carry out these obligations, with respect to workees compensation ice. and these risks are especially serious ♦ For more specific mfomiation about your obligations under Federal Law, contract tin Interna 1 REve�e if yon wish, the U.S. S1110 Business Service (and, Siete L aw, contact the D ). Far mare sP'�c mf�atioa about your obligations under epmtnent ofBenefit payments and the Division of industrial Aociden. If the strvctate is intended for sale, property owners who are not licensed work personally or through their own employees. whhOut a licensed contractor icon allowed am conditions. , limited only under ' A frequent practice of tmlicensed persons prong to be oozes actors is to secure an ¢owner builder'+ b pemuit; =am neousIy impl»ag $tat the ProPMtY own$t is providbg her own �g pernniis are nut required to be signed by Property owners unless � or labor rad material personalty, Bui]ding 7non about licensed �y be obtained b �Y are Pig their own work personally. Wmmonity cur at 1020 N S mA S Y State Ligase Board in your PIS � � �e�to, CA. 95814. Owners Verification" on the reverse side of this fore so burr we can confirm that you are aware of these matters. The building P� will not be issued unl?l the veri$0ation is returned. -Ir 1 -Ill :� � 11 • 11 I • � , , I l VOT 1Tiir Owner -B IRforrrtatwn is required by Section 1383D of flue CaF 'ornia HeafBi mzd Safety Codes nXrc,,0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042256 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issue Date: 07/29/2004 APN: 068-341-016-000 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. Site Address: 4087 HILDALE AVE ORO License Class: License Number: Map Index: Date: Contractor. Description: REROOF W/COMP (20) 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: HAMILTON R G JR & LAVERA A ;-i;rmit to construct, alter, Improve, demolish, or repair any structure, prior 4087 HILLDALE AVE to its Issuance, also requires the applicant for such permit to file a 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 95966 7000) of Division 3 of the Business and Professions Code) or that he or 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).): 41 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: HAMILTON R G JR & LAVERA A 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.). ❑ 1, 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.). O 1 am Exempt under Article 3 of the Busi ass and Professions Code Date: ' 2 `a Owner• License #: 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 self4nsure 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: ❑ I 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: Cartier. Tote s�Na�� �� Q s•F• J �t 4a ua>tio'n: $0.00 Policy #: Census Code: 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 those provisions. Date: Applican� WARNIIIG. 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. �� O CONSTRUCTION LENDING AGENCY This perm' ' reby' sued under the applicable provisions of the Butte Cnunly CodA anm r y fees have been I hereby affirm that there is a construction lending agency for the Resoluti s to 0 ork indicated above for which paid. Q 1, performance of the work for which this permit is issued (Sec 3097 Civ.) 1 By: Date - Name: AN 0-5 Address: PERMIT EXPIRES / Date ❑ 1 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 County to enter upon theabovementioned property for Inspection purposes. Print Name: 1. a Ve r a / /�,7 M I/ ! r) Signatu 7 — a y D Date: 0 Owner 0 Contractor 13 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Namefirst a Name v^ Address IVD. City�D Stat Z�p��y� . Phon Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zp City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Cl V 1 � V' i7 Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X Kr office use only: Zoning Prope Flood Zone Cross Street SRA I Yes No Occ• Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 6t BP BIN # LOCATION p Q Prope Addres L C� c— I Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance. LENDING AGENCY Name Address Descinl3tion or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an -- application -after- expiration, --a new application, plans -and -fee -will be OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BIdaADDISubRamts.doc Pana 1 of 9 REQUEST FOR REFUNDS ReSmds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 1.0 O Bldg '��v SRA Receipt #: Q Sheriff 4b-1 6� ---SMIP Date:I I -)a I ] Other l Total OWNER -BUILDER VERIFICATION' Attention Property Owner: An "owner-builderf " building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to' unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. (ZI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9 NO ❑ I HAVE M' 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 constV tion: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. 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. T —_11 tbz work indicate& NANM ADDRESS PHONE TYPE OF WORK DATE:_ NOTA: This O�lner-Builder ler ficadon is required by ,Section 19831 and 19831 of the California Health and Safely Code. Mis vazfxation must be completed and returned to our office before we are permitted to irsue the verrnit. ti OWNER SU LDER INFORMATION Dear Property Owner. O.B.— L An aPPlication imProvements specified.�r a bm'Iding pew has been sabnuitted in your name listing yourself as the builder of property For yourprote 604 You should be aware that as "owner-bm'Idee you are the responsible pally ofrecord on such a Pew Buffift pemaits are not regaued to be signed by property owners one unless they are personally p rfo own wort- If your work is being performed by someother than you may Protect yourself from their liability if that person applies for the Proper permit m his or her name. Contactors are required by law to be licensed and bonded by the Slate of California. and to have a business license from the city or county. They ate also mqaimd by law to put their license number on all permits for which they apply. WYou plan to do your own work, with the exception of various trades that you plan to sobcontract you should be aware of the following iaformaifon for your benefit and protection; i a If yon employ or otherwise engage any p== other than your immediate tam fiy, and the work and other costs) is $300 or more for the entire Prajec% and such persons are nong ma rias t licensed as c (including or sub then. en yon may be an employer. ♦ If you are an employer. You mast reguster wi& the State and Federal Go vernments as an subject to sevei-A obligations iaclndmg s � =tax wi8�ho employer and you are mnsmance, disabmliiy insiaamce co Idmg, feral social s workers cou�easation ' ecunity taxes, + There may be financial risks for �' � umenzpl compensaiioa eons. with to worm's You mfyou do not canq otmf these obligations, and these risks are especially serious P' compensation ice. ♦ Fon more specific mon about your obligations under Federal Law if yon wish; tame U.S. Small Business • conttart the Intem�al Re;venne Service (and. Stale Law, contact the D ). For mare specific inmation about your obligations under eP of Benefit Payments and the Division of iadnstrial Accidents. If the StrUCture is intended for sale, property openers who are not licensed conftwtors are allowed to work personally or through their own employees, WhhOut a licensed contraciar or subcontractor, p�o� their conditions. , only under limited A frequent practice of unlicensed persons professing to be contactors is to secure an now= builder" building PMM% eaaneausly hE pbbg $at the property owner is providing his or her oven labor and permits are not required to be signed Penally. Building Ic on about licensed by ProP�Y oR'ners unless �Y am Pig them own wofic c�mmrmity or at 1020 N �Y be obtained by the yrs State Liceasep personally. your PIe� � � �� S�� CA. 95814. P Bm7der Verification" on tame reverse side of this fi= so that we can cont= that you are aware of Breese matters, The bmldmg Permit will not be issued Dahl the veafficatioa is returned. VOTE 2115 0Wn17 ar7d�Inforntafon is r . Begtzfred by Seaiarr 1383D oftfie California HeahSit mzd Safety Codes n,xrrr"0 r a' 77775�7'-7. w 68-342-11 1391-90B HAMILTON, Ralph 4087 Hildale Ave, Oroville (reroof/SF) ' CO�U�' Y'OF BUTTE - DEPARTMENT OF PUBLIKS County "Center Dhv'e' Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT ASSESS0,%:. (�C fL1t�UMBER : t J, 3[j(' j ZONING - BUILDING PERM OWNER Ralph Hamilton - Tj .=�$7jg SO. FT. OCC. BUILDING VALUATION 60 1 ffl OWNER'4,111,/t'Jf fJaRRaT4 _ Oroville 9596620 ff,,����JJ�� j�,�, J,Q J� i CONTROwnerS NAME r TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Vok Filing Fee ._ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $200-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI Zb8J�D �lldale ��:llJJa/ Permit fee $ 30.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other_RfP—ROOF SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TSTG W 10.004 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other g Describe work: Re—Roof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , 2/z¢sgft NEW CONRES, RANC.UTLET NO N•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUStr OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 2AL@50C30 .200030 Ex. Occup. OUED PIRESID.IREJ OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 A Misc. �Virin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agasaid County in consequence f the granting of this permit. X f Date S.3 ' 1D Signature o Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCHE 3(?•50 HAz CUA PARK PAR HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ated above or whic fees � Dip OF P PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. � p WORKS :10.nC ,OLf pt No.66201D., W.. YELLOW -055 CS BO R, PINK -INSPECTOR, GOLDENROD -APPLICANT I J -- — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.� ASSESS06�P, 4CtLl1t�UMBER ZQ�J.ING BUILDING PERM OWNER Ralph Hamilton TfilPIM SO. FT. OCC. BUILDING VALUATION 90 60 i,gnn OWN ER *46ft 1i11 11�aae Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI`4b0DMil ldale Permit fee $ 30.50 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Re—RQQEBuilding 5 PECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S TGTW1 0.00e TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation[:] Other Describe work: Re—Roof _ Permit Fee $ct Contraor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license IS In full force and effect. License No. Classification 1, as the owner, or my employees with Wages as their sole compen- sation, will .do the work,and the structure is not intended or offered for sale. (Sec: 7044) i, as the owner, am exclusively contracting with licensed contract- ontract ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.tr OR ADONS. ( ACC. BLDGS. /20sgit NEW CONSTR ULTI-OUTLET NO N•R ESID BRANCH CIRCUS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALO 30 BL@ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' said County in consequence f the granting of this permit. - %� Date S �3 -9B Signature of Applicant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL $ AL FEE E 30.50 F{qZ CUA PARK E PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work ated above or &PWORKS OI OFion PER IT EXPIRES Date the applicable provi- resolutions to do s have been paid. ate Receipt No. 66201 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATmN ANn PFRUIT PERMIT NO. ASSESSOR PARCEL NUMBERZO'N —/ 0 I NG BUILDING PERMIT OWNER A , ,/V TELEP O 3i` J ,v , S0. FT. OCC. BUILDING VALUATION OWNER'S ILING ADDRESS O 7 14/ L� CONTRACTOR'S NAME, )) C/wL TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total VaIUaIIOh Is ' LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fees 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S Penalty $ BUILDING 17 ESS� I^,^D IC//1,L/l � � �'�✓_ Permit tee I $ 3O ,5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 1 20.00,1— - LOT NO.SUBDIVISION NAME P4RC EL MAP Water piping 5.00 Each Das water heater or ven 5,00 USE OF STRUCTURE /� SF ❑ Duplex❑ Mobilehomel� Other �� SPECIFY Gas piping system 1 - utlets 5.00 Building sewer 5.00 Mobile Ho I S I G VJ 10.00 eat' TYPE OF WORK New ❑ Addition ❑ Remodel.LL, Utili s ❑ Installation E! Other Describe work:�f�_ t ^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800 VAMP OR01 SLESS 10.00 _ CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): J am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for safe. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUP.p OR ADONS. A.CC. SLOGS. sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRC I 2.50 ea (POWER APPA US s� SINGLE Du ET CIR. Ex. OCCU OUTL OR FIXTURES p� 20'Ot I*50 1. 1* FI D APP LNS. OR EX. OAup. TLETS IRESIO.I EA.) t.5'3 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit Is for 5100.00 (valuation) or less. I—, I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: 11 after making this statement, should you become subject TO the W. C. provisions of the Labor Code, you must forthwith comply with Such or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee _10:00 Heating I :I Cooling d HEPermit 300 lation Fee /provisions aGt•or 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 authorize representatives of the Countyoi Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save. Indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner I 9 PP ComroctoriJ Agent [J An OSHA Dermlt ;s required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stones in neiant. Mobile Home Installation Fee $ Energy Inspection Fee "occ' '6" ,E --- ___S g — — TOTAL FEE S -AZ CUA PARI( SCHL I FLP I aAR P' i HD ISSUE i Tn;s permit Is nereoy Issued uraer sions or the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ��E•D.�.w.. CLLr-ASSESSOW- >.- '-S-EC,o-. GOLDE"000-Ao-LIC—T COUNTY OF BUTTE - Department of Public Works 7 County Center Driva.;,Orovil,le, CA 95965 Phone: 916-538-7541 t 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 or no) 2. 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 Contractors 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 I 1 11 City Phone Contractors 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: Property Owner Social Security Number Date g �3--?%) NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.