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HomeMy WebLinkAbout073-040-0078 I • 4 I a f .rlis 8 I • 4 I f .rlis F . f1 x 8 I • 4 I c . P ra f - s.- y, ►W..... , _ . y- ?3�040-007 t } PERMIT#97=0998„ CHRISTENSON; Rudolph -- _69E i� 1r a L f W ,NNETT;Ref:. %3— �r } 30 Milol`Featther.xFalls v tv �mn'��SF:ShedCarport+"&Woodshed; ^�t a� Feath'er Falls u a ,,, , F.jar,I�• x= r (I'wire existing dwelling) 3072562 ',` 'f;073 0401007. vIISCEL-LANEOUSDemolitton 4. )EMO 2 SF `SHED CARPORT (PE }R E' 780 MILL'RD '#'.i >'� Se ?; i•�.1 >x.0 SF X171'.. ��'�- FENNETT, +i k•Y �`e!!`_Q�f :Jbiw"§'Sr�,-�b'�.�tL�- 51::_ '��7�.`3K,�.G-:.> �, /-..�_."' - ILL i f • _ _i j • y • • y • • 'C c -Y-3 J � --- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, � aliforriia 95965 - Telephone (916) 538-75 P RMIT 'V0. (Rev. 12/96) APPLICATION AND PERMIT �_ ASSESSOR PARCEL NUMBER 073-04-0-007 ZONING tml60 BUILG PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1180 MIDDIF14OFF LANE. DROVILLF 9596151 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 780 MILL ROAD, FEATHER FALLS Energy Plan Checking Fee $ $ PERMIT FEE S 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: DEMO 2 DWELLINGS, SHED, CARPORT, WOOD— SHED 1082 SQ. FT LIVING AREA PER ASSESSOR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioono.�sS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION affirm under penalty of perjury that I am exempt from the Contractors License Lathe following reason: I h;�I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BIDS. So 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RES'.D c @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ouTIfTOR FIXTURES 20 p 1.00 BAL Q .50 FIXED APPWS. OR Ex. Occup. ourizT. RESID. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number e 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 com tion laws of California, and agree that if I should become subject to the rkers' om 'on provision of section 3700 of the Labor Code, I shall forthwit c ply with hose ns. Date _S'/ f —�_ i a ica ner ❑Contractor ❑ Agent An OSHA per It is re ired for excavations over 60" deep and demolition or construction of structures o stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ qr� nn HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ..UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do wolik indicated above for which fees have been paid. /1 By rDaJe ' PERMIT EXPIRES ON Date Receipt No. 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. Q . I personally plan to provide the major la r and materials for construction of the proposed prope improvement : YES[ V1 NO[ ]. ' (29..-1 HAVE[ -V- 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: CTI'Y• PHONE: . CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide•the work indicated: _ NAIN E. ADDRESS PHOYE TYPE OF WORK IGNED: PROPERTY .OWNER: SOCIAL SECURITY NUMBER: DATE: 2: 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. 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 perits they are not required to be signed by property owners unless are pe mrsonally 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 required by law to put their license number on all permits business license from the city or county. They are also 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 employe -,s, without a licensed. contractor or subcontractor, only undef 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 he: o�vn 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 tray be obtained by contracting the Contractors State License Board in your communiry 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 ay. -are of these matters. The building permit will not be issued until the verification is returned. Sin � rely, ? ' Michael C..Vieii-a, C.B.O. . Manager, Building Inspection NOTE: This 0%%aer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits Asbestos Notification Statement Date f AP# Pursuant to section 19827.5 of -the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency,,or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to -that part. The permit may be issued without'the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project: The permitting agency may. require the applicant to make the declaration in 'writing, or it may incorporate the applicant's response on.the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant. OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not. applicab to s demolition proje 1 Signature o pplica May 1995 3.27 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califorhia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMeER 9 I O ^� l/ ZONING / BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORESS ' CONTRACTOR'S NAME #V TELEPMONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ (J . &o ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS O rrl� I Energy Plan Checking Fee $ $ PERMIT FEE $ ,20.00 LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe d� 21 1 t1 �/,'� C�� , o® !. t�a`r'r �IVIYIQGLl9A_. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S K ipQf aSSeScny ELECTRICAL PERMIT Fling Fee 20.00 00. OR LESB Main Service tow oa 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.PO 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: ❑ 1. 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. ❑ 1, 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.) ❑ 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 - ❑ Owner ❑ Contractor Cl Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ZDOA TO 1000A 46.00 NEW CONST. %WELLING OCCUP. s0 OR ADONS. ( d ACC. BLDS. 3.50T.. NO"ON.gESID. MUITI.OUTLET @7.50 APPARATUS 8 SINGLE OVTLET C.R. p. OUTLET OR FDTTURes Ex. Occup. BAL I.w FUCED AFPLNS. OR Ex. Occu . ouTLETs RESID. EA 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 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE �� TOTAL FEE $ Z. 10. FEES IMP I ROOD I COF PARCEL I P% I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Dsta) ReceiptNo. WHITE-D.D.S.-B.D. CANAR •ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT = -ZQ`7-06ze,—s; ASSESSOR PARCEL NUMBER OWNER 4 MIR ZONING t ,l An BUILD a G PERMIT TELEPHONE SQ. FT. OCC. BUILDING VALUATION _ —M OWNERS MAILING ADDRESS rH0 pmr F o-50-1;5 r CO CTO R'S -NAM - -E --.TELEPHONE COWm ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER �I �,, iiW OW, UCENSE'NO. Filing Fee $ 20.00 Permit Fee $ 15.W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 780 MILL ROAD, FEATHER FALLS Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um 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 O. Describe Work: DR10 2 DTA MINGS, SHED, CARPORT, ',',TWD— SHED 1082 SO. FT LIVING AREA PER ASSESSOR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ` Main Service CO'v OR LESS 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law �6r the following reason: Wo I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. d ACC. BLOS. 3.5QSO s. N N'( NON-RESIDT MNLCTI CUTLET UIS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 8AL Q .SO Ex. Occup. oUrELEDTSAPREs U.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ` Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation p p �of one hundred dollars ($100) or less.) 0 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 "e �� .. !%= _ Date _-S'- /•o( -`�� _ Signature'of Applicant 11`❑�'Ow`rier ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction)lilt--iI of structures over,3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ .� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ASSUE n This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By v - w r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date fDele 1 Receipt No. 1/t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 073-040-007 PERMIT#97-0998 , F JENNETT , Rene . " r ! : 780 Mill Rd.,,Feather Falls r Demo 2 SF,Shed,Car'port & Woodshed t A. N i 3 :1 ql�g PO r Y