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HomeMy WebLinkAbout068-342-005o5 68-342-5 — WAYNE MEFFORD EFFORD!, Wayne 4135 Hilldale, Oroville 2529F Permit#495-88B(reroof/SF) k.\ 3 Nlt-2L62- > WA YNE FFO RD 68-342 5 4 1 35 H I dal e ' Orovj_11e (reroof/SF �5 PE I � F�ffi 1 PermIt 495_88B 06�;7342-0 4135 Hilldale near Mt. View,.oroville 8 OOb 5 PERMIT#95-26,13 L 0 4 �IEFFORD W- ICONTR: Layton Homes, Rt. 2, Box 2789,Orovil Wayne 4135, H'i 1) d a 1 e"' 1(new, single family) e A vew. "':0r6vi I le� "Ele...Se��.-' Ch/S'F 7i>; A4 T06U�4 068-342-005 02-204i M M � I - EFFOkD, 4 -- ---- - — -- I ---- WAYNE 4135 HILDALE AVE., OROVILLE 6 -7 COVER OVER EX PATIO Lj� A'� �' � Y� �' 1 MOTES RESI®ENTiAL PERMIT NO. _ 668-342-005 -02-20,141 MEFFORD, WAYNE� 4135 HILDALE AVET OROVILLE COVER OVER EX PATIO V = OK 0 _,kNot OK = Not Applicable MOBILE HOMES Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch). 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date ---Card-B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements 9. 2. Footings; Size -Spacing -Marriage Line , Roof; Shthg-Roofing 3. Gas; MH Test -Demand -Valve -Connector 12. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date D C S C VERS ARPORTS GARAGES (Plans) OK except #'s y Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. DeqW Girders and/or Joists -Decking -Bracing -Stairs -Rails _2 Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. , Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3.Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test M 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT- O. (Rev. 12/96) APPLICATION AND PERMIT b-2- �© `�. ASSESSOR PARCEL NUMBER 068-342-005 ZONING AR BUILDING PERMIT OWNER WAYNE IEFFORD TELEPHONE 533-7759 SO. FT. OCC. BUILDING VALUATION co `"'� . OWNERS MAILING ADDRESS 4135 HIT -DALE AVENUE OROVILLE CA 95966 480 62240. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 4135 HIT -DALE AVE., OROVILLE Plan Checking Fee $ 58 50 Ibbod BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 168.5ft LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 1K 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 XK Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVER OVER EXISTING PATIO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service *.'.A. RR 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.PSING 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, army 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 I000A 46.00 NEW CONST. DW %NG OCCUP. OR ADONS. ( a ACc. erns. s0 3.5¢FT; =.ESIpT' MULTI -OUTLET 97,50 a E OUTLET OWERLAPPARATUS CIR. Ex. Occu OUTLET OR FocruREs zo p 1.00 BAL @ .50 PA Ex. Occup. O.S A ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) x�JL 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 compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X Date �� Signature Applicant - er ❑ Contractor ❑ Agent An OSHA permit is required fo cavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL —_workers' PD H IS E This permit is hereby issued under of the Butte County Code and/or indi ov for ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 7/7� G1� Dale I d.3 Date ReceiptNo. (Q? . , WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR I GOLDENROD -APPLICANT ONVNER-BUILDER VERIFICATION. Attention Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your sig a Please complete and return this informati= at. your earliest opportunity to avoid uoDaxsaari► dehy in processing and issuing your building permit. No building permit will be issued until anis 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 E3 signed an application for a building permit for the proposed w�odc 3. I have contracted with the following person (firm) to provide the proposed COnS![�Ctlol: NAy1E• 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: ` N -01E: `3 ADDRESS: CM: 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 WORX SIGNED: P RO PERTYOWNER: DATE: -sa o 7 . iti`OTE: This Owner -Builder Verification is required by Section 19831 and 19832 04e. California Health and Safety Code. This verification mast be comp/etad pd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION Den: ?roper -, Ow-" An application for a building permit has been submitted in Your name listing yourself as the builder of property improvements specified- For pecifiedFor your protection, you should be aware that as "owner -builder" you aro the responsible parry ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally pe1formi4&ir own work. If your work is being performed by someone other than yourself, you may protect yourself from posable liability if chat 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 respea,c 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 Sate Law, cer.cact he Department of Benefit Payments and the Division of Industrial Accidents. If the strucnze is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or chroug,`t 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 SQeet, 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 [ra, C.B.O. Nit ger, Building inspection NOTE: Tilir Owner -Builder Infor.mation is required by Section 198Jo of the California Health and Safety CO& OVER TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.N. USE ONLY Ptas Pian Anachad Floaa Flan Anachad Sans to ®.D. Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other yue-\ _N12 Qf Q(L(Xj1 Cahcre�e' Ocrri c)o Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specia st . 4� 8/96 7-2 6 0 2 Date :,nC ro I 7] O q o ® to /06 t . �' � , � ' `` < m m (n m > en \ ( 'rte �' „a • (7 � � '*Q r� ♦�a °� r rr: Z O O o o un <'i w �Z PH CA ca m ' �. Kn i� < j, �n� . • .. . 1 �' � .., V � Gta- � c,r".,ti� Y�3"*f; lip 4 � r '�'� ' ��.i �� X31 x � •-•s ��< �. i � 3 r' � � .tfr( �,R..�..,,,�, r� '�'�l :t' !�'^w.�,i.r .. i �L.;i,.,,, '.1,t ,,O { 's �� •t}'i .i f' ,� b 4 r s}t' ' Ij a`.7a"•; .d! 'y+ +wt-;'..ve Yl. :i, ' ,i r" .1 ! .1 .7� .,IC zi Enviro menWHeab s - • i Y.1 t £ � f ,fir t a� r # �;t I � :-�}'C� �i' .: •� � rte.. �'MV v...{!hfy( +'3• �+/{ >Gc•W ;...:r 'Cl.""7r) +.tw .'s . un� , TOO 0 ovine, Ca � � � ��� r��;t Y`r ' �Tr �N ' & • «i� li (,t 7�>v �jyr�t,� 1�./ Kr ijw7`' r- � `� �' � �'. _.. ` (y�1• i � .•' .T / i i" :ii`A^I'Sit*�J ^� r. , " . • Vit. _ , x '- y r''rZ . k 'Rig 5 xib deep 3 -Prom BUILDING DEPARTNEW a 3w 1 7 a ,a •,,.�i, ��•a +,t.ry n ;vc�:tm �g2`�i�,'�7?3'� ;10Z�,N'T^ "'W'J � ` •"7�,�'�spra�r ,tea }ssl-'•F �.:}adr"T�i:..,.: .z -z r t'c•..a,�.'aS.T:..:r��.�i,�`..,.,.x.�,Q,w;i�,1,�,nY^R.r�:et+r�1R1PaF�lD..a+.vo� , ;y. 068-342=005 „� • . PERMIT#95 26.73 , ItFFORD, Wayne 4135;,Hildale Ave., Oroville -- Ele' Ser''-Ch/SF • . i :ao 1 v�• n4- tR���-�T �►. �.�-r�P'.'PM�iwx:�. Y1+!"+ti�•�..'+�i;?t xdCt1-�2�.''�i.ii""y��"'A'l'.''+�<�'�'t�i5'f(et`�1ti.�;4„�i;�.?':�;;�K1' ��Y'4^'; "�s`::j�'=�'�"•'1 • t COUNTY OF BUTTE- DEPARTMENT OFIDEVELOPMENT SERVICES -BUILDING DMS N 7 County Center Drive - Oroville, California 95965 ; Telephone (916) 538.71; p� PERMIT NO. APPLICATION AND PERMIT - 7 ASSESSOR PARCELNUMBER 068-342-005 ZONING BUILDING PERMIT OWNEi'aVnC tie£ford TELEPHOON„-7759 53 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4135 Hildale Ave. Oroville CA 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWNTotal Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER 1 LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 4135 RXIM91. -HildalO, • PERMITFEE $ PLUMBINGPERMIT -` filing -Fee -20.00 Each Trap 7.00 LOT No. SUBDNIS ION'S NAME PARC `L MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ifi; Duplex ❑ Mobilehome ❑ Other i SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK + Yi. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [3 Describe Work: Electrical Service Change ) Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 LE Main Service ( Zp-A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 DECLARATI[� J -, '' +�� I herebyaffirm unde�enal of perjury that I am exempt from theiContractors License P tY P 1 rY p Law for the following reason: f/ O I, as owner of the property, or my employees with wages as their sole compensation, will do the work,,and the structure isnot 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 NEW CONST. DWELLING OCCUP. So. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 @ t.0 BAL 550 Occup. FIXED APPWS. OR p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor --X 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) , >,d I certify that in the performance of the work for which this permit is issued, I shall r 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. ` / 9 If Date 1O ��1_:5. Signature of '*Plicant - Owner it Contractor ❑ Agent An OSHA perfnit is required f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B �.h r'Il Y / �/ Date PERMITEXPIRESON M (Date) Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFpEVELOPMENTSERVICES-BUILDINGDIVI N 7 .County Center Drive - Orovill% California 95965 - Telephone (916) 538-7 /-4,01— PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-342-005 ZONING BUIL19ING PERMIT OWNER Wayne Plefford TELEPHONE 533-7759 SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4135 Hildale Ave. Oroville CA 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4135 v Ave.T PERMITFEE $ PLUMBING.PERMIT Filing Fee 20.00 Each Trap 7.00 , LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ZK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheriz Describe Work: Electrical Service Change Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( e000A OR LESv OR LEsSs ) 20 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 DECLARATIO I hereby affirm unde�enalty 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SD. 3.5Q FT. NEW CONST. MULTI -OUTLET TLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 / OWER APPARATUS ) 8 PSINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 30 Ex. Occup. OUTLETS (AESID.)EV- ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor ORKERS' COMPENSATION DECLARATIO 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 !o gnature o pplicant - e Contractor O Agent An OSHA p it is requir d f r e avations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have beer, paid. BY A Date �Q PERMITEXPIRESON (Date) Receipt No. l �l I I .:� WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT !MAM u r'?:•':':'Y}.....:r........r........:.........v......;.....:::Y.....\::vv....v....v.?v.,v...................:........:v.:..O.�A���'�'\�tiL::vti:�'�}.�i:::'.:i•Y}4 :..v?C;.v �^v .....:::.... •. k. lr •YYYY:•Y:i4iii}Yiii:it:v:w:Y:�YY:L:+4Y}YY:Li.Y:vYY:iCvY:viY.i:•.�.�:::YY:•YY:•Yi:•Y:i•YY:0:4:4Y:4:LY:•.�Y:JiiY:j:v?i^:P:•:i:•Y:G:^:?J:•:{:::::::•i:•}YYY:4:•i:4:•Y:uio:•Y: �: h................vv........\ :w:.+.w:;; i:ivi•'.�'riiiY�t::vY: A•:4v Attention Property Owner: , . ., • I . An "owner -builder" building permit has been applied for in your name and bearing your_ signature. I - . _... 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[l\� ] - HAVE NOT[ ' j signed an'application for a -building permit for the proposed wdrk. 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 ,L: PROPERTY OWNER: SOCIAL SECURITY. 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. e 4 OVER .4 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. Sinccrel Michail 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. OVER "� `,tvr""-�''"'^7:�Zr5."�+i:.`.:,..-•�-�t�e���':'rs:�,�-•'t�""�-.,�rvL:�.:�.v✓.F�-;-s„`--r`'r.:.f-;"'w.r,✓.tz,�..�+�"�;z-.....�'...,..�.'."r�-�ti�-.;-+,:-��-�-�..x-v`�..(:�>,-pi"` - :�. Permit#495-88B WAYNE MEFFORD _ 4135 Hilldale, ORoville g o J�� t FI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, California 95965 - Telephone:'916/538-7541 APPLICATION AND PERMIT PERMIT NO. ,. / ASSESSOR PARCEL NUMBER /!;-- ? y -,) . —` ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION WNE 'SMAILINDR' S5�, 7dd f- " Ore,,?r J ' //'CTOR'S+NAME- rCONTRA �`1ut nF TELEPHONE CONTRACTOR S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /� If 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 F] Duplex❑ Mobilehome❑ Other r SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remod,,//el EJ Utilities [I I%ta I,a//tion Other Describe work: L� l t^flco f�.J ! � nA �f. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI 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 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.Oi) ,h¢sgn OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCHCIRC ITS ( POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 5AOL30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID•\ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. I MECHANICAL PERMIT Fi ling Fee 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 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 against said County in consequence of the granting of this permit. t �J X 1A a'r, f � i l� / Date u Signature :of Applicant nor F-1 Contractor Agent An OSHA!permit is required for excavations over 5'0" deep and demolition or construct- ion of structurespover. 3 storie1s in height. \Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCHOOL PLOoo PARCEL PD ND 139UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I f� � OIRECT'O�'OF PUBLIC WORKS G Date {� o / ..-• �'17-/I t��1 PERMIT EXPIRES Date ? • Receipt No. /' a WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.- Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT • r P RMI1T 0. _S/vC ASS SSOR PARCEL NUMBER - ZONING BUILDINGPERMIT o Iv RFit ITELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWN 'S MAILING DR S . Nd Ile CON A OR'S ME n TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - was - Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1)0U 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 1`91 Duplex❑ Mobilehome❑ Other yy sPECI FYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remo c/� I ❑ U ' ities ❑ Inrto`I,a y)on Other Describe work: /�P re)o W / /IQ �ei Permit Fee $ Contractor 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 BuslneSS and Professions Code and my license is in full force. and effect. License No. Classification License 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.&) Ya¢sgft OR' AODNS. ACC. BLDGS. NEW CONSTR U 1.OUTLET 2,50 ea NON.RESID .BRA CH CIRCUITS POWER APPARATUS e (SINGLE OUTLET CIR. 1.20050* Ex. OCCUp(OUTLETS OR FIXTURES 2ALO 30 FI.XEO APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 against said County in consequence of the granting of this permit. X Date ff9This Signature yApplicant— er❑ Contractor'❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition' or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 'occu P. CONST.TYPEJ ISCHOOLIFL0001PARCCLI P11 1 HD 1 ISSUE permit is hereby Issued under sions of the Butte County Code and/or work indi ted above for which DIR OF PU Y 2), RMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Q Date Receipt No. WNITE-O.P.W., YELLOW-ASe[SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT At r COUNTY OF BUTTE - Dapa•rtELent of Public.Works 7 County Center Drive,•Oroville, CA 95965 Phone: 916538 -7541 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) .iJ',4✓{ 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. e, 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 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 , NOTE: This Owner -Builder Verification is•sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. i This verification must be completed and returned,to our office before we are per- mitted to issue the permit.