HomeMy WebLinkAbout069-340-009069-340-009 PERMIT#97-040
WORTH, Robert
217 Lodgeview Dr., Orovill
Repair/Garage yl�'
069-340-009„,'PERMIT#97=0404
.,WORTH,', Robert; ” '
X217 LodgevDr �Oroville
Repair/Garagep�'V"- yrs fi`�
«t� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV!PtON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT '
ASSESSOR PARCEL NUMBER
069-340-009
ZONING
AR1
BUILDING PERMIT
OWNER
ROBERT WORTH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
800
OWNERS MAILING ADDRESS
217 DRIVE OROVILLE CA95966
CONTRACTORS
cG
OWNFR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
21.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
7 FV EW
Energy Plan Checking Fee $
PERMIT FEE S
41.00
LOTNO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
V
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 ❑X
Describe Work: REPAIR GARAGE (REPLACE SIDING, DRY ROT
REPAIR & REPLACE WINDOWS)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service z'OA 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:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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 �l .. t / y L Date t3
Signaturi� of Applicant - Ck Owner ❑ Contractor ❑ Agent
An OSMA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP. s0
OR ADONS.T. ( a ACC. BUDS. 3.50FT,
rNiOONN-RESID. MULTI.OUTLETI CUs 97,50
OWER APPARATUs
a SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES BA2L®I'0°
L 0 .SO
Ex. Occup. o, EDTs RE=.Dew
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE 41 00
TOTAL FEE $ •
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSU
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 haverbeen paid.
;
123/5/97
By yv?' .t;//� t Date
�` 3/5/98
PERMIT EXPIRES ON
pate
Receipt No. �tvr�ou
WHITE-D.D.S.-B.O. CANARY -ASSESSOR '. PINK -INSPECTOR GOLDENROD -APPLICANT
Al
COUNTY OF BUTTE -DEPARTMENT OIFDEVELOPMENT SERVICES-BUILDINGDIV[ N
7 County Center Drive - Oroville; Califorhia 95965 - Telephone (916) 538-7 1PERM T NO.
(Rev. 12/96) APPLICATION AND PERMIT �`
ASSESS RPARCELNUMBER
0�9-340-009
ZONING
AR1
BUIL ING PERMIT
OWNER
ROBERT WORTH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
o
800
OWNERS MAILING ADDRESS
217 LODGEVIEW DRIVE, OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee 7
$ 20.00
Permit Fee
$ 21.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
217 LODGEVIEW DR., OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 41.00
LOT NO.
SUBDIVISION'S 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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: REPAIR GARAGE (REPLACE SIDING, DRY ROT
REPAIR & REPLACE WINDOWS)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
oR s
Main Service zooseoov oR LELEsss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
--Jiir I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service To
46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BUDS.
SO
3.50 FT.
NON -R SLID? S. AULCH CIRCUT
97.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
209 1.00
BAL 9 .SO
Ex. Occup. OurEjETs gESIp,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
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.)
_. 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
forthw, comply wit thos rovisions.
f
X Date V — 97 _
Signatu of Applicant - )l( Owner ❑ Contractor ❑ Agent 7
An OSKA permit is required for excavations 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 $ 41.00
HAZ.
I D. FEES IMP
J FLOOD
CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated bove for which fees h v
By =ZavDate
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
3/5/97
_
3/5/98
Dale
Receipt No.210086
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 tc provide the major labor and materials for construction of the
proposed property improvement :YES[ Aq, NO[ J. '
.2. -1 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: -- 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: CTIY•
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:
NAIfE ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:�
DATE:
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
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 personalty
PC 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: I _
0 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.
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 tar 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
red to be signed by property owners unless they are performing their own
personally. Building permits are not requi
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. 95314.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are av-are of these matters. The building permit will not be issued until the verification is returned.
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
(Rev. 12/96)
n
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, ' California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS° EI�N„LIwBER y*s,,,
C�7Jf' • G/'y'
ZG"I"G�j�t
I'
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERSMAILING ADDRESS
1 1) l-nd A r 11, !'
1
Ci V/
CONTRACTOR'S NAME V /
r-., 14) r,r- r Y
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
AM k,l :
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS ) fJ)� }
�! � i'.►+•i� r,� l �_ �,•
Energy Plan Checking Fee
$
,I'-I��r-!(�
1
a +'� '�•^
$
PERMIT FEE
$`�
LOT NO. SU80NISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SI Duplex ❑ Mobilehome ❑ Other
SIX
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
1 23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
r
Describe (Work: �D Ji r f`? 61,✓Aal 0 f"
-�� (/`I i Vt /t r /! Y� ►/ Ire) "¢�� /,i ; tr , iF � ISI'('
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
CNN
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service loon oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
O 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if 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 - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUR s0
OR ADDNS. ( a ACC. BLos. 3.52Fr.
NEW CONST. MULTI.OUTLET @
NON-RESID. RAN I C.S @7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FOTTUREs BAL 9'.550
Ex. Occup. ouTLE-Drs AEs o.DERn 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP
FLoo �>COF
1^/j�
PARCEL pp
HD ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
1
the applicable provisions
Resolutions to do work
been paid.
Date
(pefe)
Receipt No.
WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Complainant:
Address: .
Phone Number:
Other Comments:
BUTTE COUNTY DErVELOPMENT SERVICES
ti ;;: ::z n t,:
'he::aba a �n ormatron s a aa�i�all'
Inspector must draw a plot plan with all building locations:
Additional comments from Inspector:
2
eE
COUNTY OF BUTTE " '�
��
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER - " ' PERMIT NO.
-Z ! 7 Z—o�c�/i e -LA)
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
r
� r'!/YI w + � � /^l.P �� /'�✓%�2 ti.l'C { �,�f2,rl .�C) rl c!1 S
kl--T 01 1/ CJ 4- �lil_
,--- n / / i
Date Inspector
REV 10/
"
15 - GL.EN®ALE'
""m "�"TIOK M, 8. 14 a "W
34Ap
sf
•
AWM
_ f � t ,�• __. roe4 w rz91..24{
X54 5495 .8498'•
4TI4N OF LOTS 14 a15- GLENDALE RIDGE TRACT m
UNIT Ns'1- M.O.R.-B'-PG
{' ~` Z ..T.2�. .i •�''_ 14�' ' , •, ; *- rr ` r-�S'l' +U'� �*'` t i� •t, \ , •r i ,i...�` ��'�i3y;,f [s r"i: 3'�' �,q.'1r_I i`
r - 1' MM1� w{t ! i - T t. , ,•' i?. t,{
,�. �, w�;e � . } �+" Y' t i_ - b.. �.:i .ti 3•.�,J" _ + ^v � ..i � �. L.���r: �L . . F e..• � � ;'v.
-t. ,.., .4 •t✓ fir' r ,.x ..'' ,: :i .:l ;.. :`, 3 ,
}# �. �h.:-.1� J: �fx���ro -a c• 4 •. i. '}1.Y� ,a _ny �; t( "t'� t :�y � t, J f. 'i �% •� yr f7'�� F..Y: _ . �� Zy �, �.
�'! �.. ° .:.� d- yx' °� •� T i,b a r._- �.tt ..:`,� ,,.r�r' i4�-;.•rt�;4'S �7 -- _-,y,� :: ►- i.'i'! '.��,-ra. s''.!"'.�,;r.�, e�' �•, -.
dX'.'x „f• r
•T `fes .'f .x ~F •T +i. _ 9 ,'b„ :4 �. ,•F" -�.. -ri .i .h
sl,•�.G_(r 7
- ,.G� .r• t •� ar.�' "s� i-� r .li.:+-- Y1: , t� r * �� r�,,�..�.
- r,, ..� Yvr y x=��. �. -�•`. <,£, � •af: n��, -'t ,!,`.:�•L�K.� �'-:r-�.�'t {• ;v�}• � - a-
aF
�w � eJ •i„f
-4 3 { s -z• t c .t
•}, •Gt.ii '�-/ .x'. i'� } i� t a • - -c. .lrs7 u•,a.. �..r �:e + 4 .! .-;. ..
'7 "ar i* ,. •✓c';1.' `'S,. a._.•J,'ef, n•� �`..y .wt''��jj••��.-c. '.,1� r --.,,• _
�.lC`tIIL _ .ar :'r', C .+V - - r4 :t�,:•1 "�I: ' Y � .��. io . 7 :Y
11
a: - Assessar's Map 'Na. 69 4 s
x'
a
Ia� .
L
�c
.'hd •1
e