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HomeMy WebLinkAbout073-180-166G'073=1-80=166PERMIT#96-05 k ,y 08 LYNDS" Charles,&•Marilyn- c ; 1 T19133 ,t e ,-York Flat �Rd`` Forbestown t mn10.r z: Remodel{ Bathroom/SF ,073--180=166 PERMIT#97=0458 LYNDS;` Charles & 'Marilyn 19133'New'York Flat'.Rd,Forbestown 1st Renewal BP#96-0508 r . 0+73-18-0-166 98-0185B CHARLES AND"MARILYN LYNDS 19133 New York Flat Rd, Forbes (2nd renewal/96-508 -- ---- - - j { S i t t i G'073=1-80=166PERMIT#96-05 k ,y 08 LYNDS" Charles,&•Marilyn- c ; 1 T19133 ,t e ,-York Flat �Rd`` Forbestown t mn10.r z: Remodel{ Bathroom/SF ,073--180=166 PERMIT#97=0458 LYNDS;` Charles & 'Marilyn 19133'New'York Flat'.Rd,Forbestown 1st Renewal BP#96-0508 r . 0+73-18-0-166 98-0185B CHARLES AND"MARILYN LYNDS 19133 New York Flat Rd, Forbes (2nd renewal/96-508 +00 �. He un u o L A N D O F N A T U R A L W E A L T H A N D B E A U T Y JANUARY 21, 1999 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538- 2140 CHARLES AND MARILYN LYNDS RE: Building Permit #. 98-0185 222 SYCAMORE AVENUE Expiration Date: 3/11/99 MODESTO CA 95354 A . P . # 073-17-0-16,6 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XX]XX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, ill - Mich el C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 P, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 2y- a/ ASsEi�Op`�pN�l1MQ b� V P ZONING IN 1 BUILDINGPERMIT OWNER r.S An MART7-YN I.YNM MART - 209 TELEPHONE 527--0428 SO. FT. OCC. BUILDING- VALUATION OWNER'S MAILING ADDRESS 222 SWANORR '140DEM, CA95i CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1-0-1-3-3 eta YMY MAT ROAD, FORRESSTOWN Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBONISION'S NRME' = 14;� "i:� --- s PARCELWMAP, , -- r ; PLUMBINGPERMIT tY Filing_Fee 20.00 Each Trap 7.00 ' USEOF9TRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RENEWAL 2ND) 96-0508 Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home. S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 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. y1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: L 1946 Ias 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. ❑,'tl, as owner•of the property; am exclusively contracting with licensed contractors 4 to construct the, project. ❑ 1 am exempt uner, §ec.. ' Business and Professions Code for this reason, s , �. } t _ tWORKERS' COMPENSATION DECLARATION I hese» y affirm under penalty of perjury one of the following declarations: ❑ I Jhave and will maintain al certificate of consent to self -insure for workers' 4e'lcompensation, as provided for by section 3700 of the Labor Code, for the VAperformance`of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Laboi 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 .S. 3.5g! .•, ( ADDNS. COUTDLET MUIOR NEW CONST. NON•RESID. BRANCH cl cEITs @7.50 OWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR RES BAL@':50 NS Ex. Occup. ourEitDrs RES D.OEII 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t pERMiTtFEE S MECHANICAL PERMIT Filing 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.) JEl I certify. that in the performance of the work for which this permit is issued, I shall riot employ any person in any manner soy 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_ 1_ Signature of Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $^ )5 60 T HAZ. D. FEES IMP 'FLOOD CDF 'pggQEL 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. ` By /r G / �` l_� (./Date PERMIT EXPIRES ONO.S.-6.O'_ (Da te tReceiptNo.,.��� �C/ CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JANUARY 21, 1999 CHARLES AND MARILYN LYNDS 222 SYCAMORE AVENUE MODESTO CA 95354 6utte (0 L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: (916) 538-2140 RE: Building Permit # 98-0185 Expiration Date: 3/11/99 A.P. # 073-17-0-166 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XX]XX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior, to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Yours very truly, Mich el C.1 Vieira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751 :. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�S�/ PER rT (Rev.12/96) APPLICATION AND PERMIT AssE61YAR��{.f{j'��J M6 , ZO 1M 1 BUILDING PERMIT OWN�EJR/ 209 CHARTRS ANT) MARILYN LYIiDSOWNERS TELEPHONE 527-0428 SO. FT. OCC. BUILDING VALUATION MAILING ADDRESS 54 CONTRACTOR'S NAME MFR TELEPHONE ' CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 19133 NE4 YORK FT -AT ROAD, FORBESTOWN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP - - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 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 ❑Remodell❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:-. .NEWAL�(-2ND-)M!96--05-08.., Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 7 f ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.AORLEss 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: ❑ 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 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 Mein Service ( To l000A 46.00so W:L200A NEW CONST. DWELLING OCCUP. ,� 5aS0. OR ( S. F• coNsr. MULTc. NON•RESID. ANC cu Ts @7.50 APPARATUS 8 SINGLE 011rLET CIR. 21 Ex. Occup. OUTLET OR FIXTURES Bpi @':50 PPLNS Ex. Occup. ouTELETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 n�q,temploy 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. G X C"✓ _ Date —✓y—L� _ Signature of Applicant -Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HA2. I D. FEES IMP I FLOOD I CDF PARCEL I 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. 1 B4Da9*te PERMIT EXPIRES ON 3_11_c�C� Date Receipt No. WHITE-D.D.S.•B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,:,, f, ,. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signattu+e. 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. 171 personally- plan..to.provide.the- major labor andmaterials for construction of the proposed property ' rovement :YES% NO ❑ 2. I HAVEK HAVE NOT ❑ signed an application for a building permit for the proposed wo'& 3. I have contracted with the following person (firm) to provide the proposed construction:..:.:; . A�lcr: 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: 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 SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 4 Owner -Builder Verification is required by Section 19831 and _19U2_iVW— California Health and Safety Code. This verification must be completed Md returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I 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 parry 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: ti - ! If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs 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. +irely, Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OFDEVEIsOPMENTSERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 ER T. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING RMIT , OWN� TE HONE O, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDREySe VIC V' CONTRAC OR'S NAM ` —{ \ `l TELEPHONE CONTRACTOR'S MAILING ADD ES CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESSr+ Energy Plan Checking Fee $ 0 1z tl tF PERMIT FEE $ a� LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT -Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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 ❑ R odel ❑ Utilities ❑ Installation Ott _q Describe Work: C N ew-/�`` L/j�1 t=�l�'1 tom = 14/-? 7Z00 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 Fling Fee 20.00 Main Service 200AORLEN' 23.00 - LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 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 a 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 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 f hwith comply with those provisions. Xate_ Signature of ApplicaOwner Contractor ElAgent I An OSHA permit is require& for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00Si CCU000A NEW CONST. DWELLING OCCUP. Siy. WE OR ( s Acc. sLos. 3.5QFT; CNS. NEW CONST. MULTI -OUTLET 7.50 NON-RESID. .= c cu �° APPARATUS 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES 64l I,SO Ex. Occup. ourtiEeors R IESIEs o.oea 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 S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $�©� HAZ. D. FEES IMP FLOOD CDF PARCEL Po 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 ave been paid. B Date /Jq7 PERMIT EXPIRES O g hl 110 Date Receipt No. WHITE-D.D.S.-B.D. ANAR •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 personallyplan to provide the major labor and materials for construction of the proposed.property i hprovemen` t . YES] NO[ ]. 2,I_HAVE] HAVE NOT[ J signed an application for a building permit for the proposed ork. 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: NAivfE 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: • Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. Foryour protection, you should be aware that as "owner -builder" you are the responsible party of record rusts are not required to be signed by property owners unless they are personally on such a permit Building pe f you may protect performing their own work. If your work is being performed by someone other than Yourself, 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 emp!oyer• - 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 "ownerbuildet" t the property is providing his or her own labor and material building permit, erroneously implying tha red to be signed by property owners unless they are performing their own personally. Building permits are not requi work personally. tors may be obtained by contracting the Contractors State License Information about licensed contrac Beard 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. Snce rel ` ✓� c..�Lc..�'t-/lam �--�� 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) COUNTY OF BUTTE- DEPARTMENT OF:rDEVE6OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCELNUMBEA ZONING BUILDING PERMIT OWNER TELEPHONE ISO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS �a S c�-mere I've_�ef© �1535L CONTRACTOR'S NAME (�% 2 J- TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Film Fee $ 20.00 Permit Fee $ 6_r) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS eco ar�_ F(—* Energy Plein Checking Fee $ of b,-9, _,Ay "� PERMIT FEE $ LOT NO. - SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing ee 20:00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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 Work: p ti�G Gtr-( / 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 iooaoa.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner cf 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. ❑ I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (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' 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 ❑ 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. DWELLINGOCCUP. s0 OR ADONS. ( a ACC. BLOS. 3.50x. NEW CONS. MULTI.OUTLET NON•I ESID.TBRANCH CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FDRURES Bpi @ I.50 Ex. Occup. o, LEE -OTs REus o.) EA. 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 FL000 CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date _ (Dere) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT 6_Oso ZONING TM -1 B LDING PERMITASX131916-166 OWCHARLES AND MARILYN LYNDS 20 527.0428 SO. FT. OCC. BUILDING VALUATION CONT- 1,000 OWNERS MAILING ADDRESS 222 SYCAMORE AVENUE MODESTO CA 95354 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is 1,000 Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 19133 BNEW YORK FLAT ROAD PERMITFEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 7.00 28.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑X)buplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 ggTYY�PE OF WORK New ❑ Addition ❑ Remodel ❑ " Utilities ❑ Installation ❑ Other ❑ Describe Work: REI`10DEL BATHROOM Mobile Home S G W @20.00 PERMITFEE $ 78.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 a OR LESS Main Service \ ( 200A OR LESS J 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 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. (OUTLETSIXAPPLN O.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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 9 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.) ❑ 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 _ P' Q % _ Signature of Applicant - O er ❑ Co tractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PO I HD I 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. BY Date PERMITEXPIRES 3-"" /l ­ ? 7 I (Date) Receipt No. 194753 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t 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 pro erty improvement: YESV+ NO[ ]. 2. I HAVE[A HAVE NOT[ ] sigifed 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: 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 PH0NNE TYPE OF WORK SIGNED: (� PROPERTY OWNER: Y A n, 6 \?_Ll 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 i O.B.- I 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 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 Fedefal 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, «:thout a licensed contractor or subcontractor, only under limited conditions. A frequent practice of uaiicensed persons professing to be contractors is to secure an "ownerbuiider" 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. 95314. 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. Sin " rely, ' Micha4l C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT GF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .` _ ZONl ,, l BUILDING PERMIT OWNER TELEPHONE o� `t SO. FT. OCC. BUILDING VALUATION �^/�i D OWNER'S MAILING ADDRESS rr ;2-.-2- s G°L I _ e mod e5 -(-o 5q CONTRACTOR'S NAME Q q 6WA/,er TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �v D Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESSPERMITFEE r9T-1,c [C_ 2 $ PLUMBING PERMIT Fling Fee 20.00 F-0, zf , 4-0 LAA Each Trap 7.00 2O0'0 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 /5 0-- USEOFSTRUCTURE SF 0' Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 /:5-- TYPE OF WORK New ❑ Addition ❑ Remodel L9' Utilities ❑ Installation ❑ Other ❑ Q Describe Work: � �,-, a YQ e_ & D d /h'7 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000V OR LESS M ( 200A OR LESS ) 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 DECLARATION 1 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. ❑ 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 OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.52 Fr. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 0° 1'00 BAL FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 — PERMITFEE $ y3, Contractor 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.) ❑ 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 ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stori�e/s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE i TOTAL FEE $ . -- HAZ. 1 0, FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. J / % 5 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT #1 l0 SUMMARY SHEET FOR LAND DIVISIONS FIS C BuNO Op std APPLICANT CHARLES & MARILYN LYNDS oFPr `� vG 0 6 1993 ADDRESS 222 Svcamore Ave.. Modesto. CA 95354 OWNER Same PROJECT DESCRIPTION TENTATIVE PARCEL MAP LOCATION 2 parcels located on the west side of New York Flat Road. avorox. 750 ft. south from its intersection with Forbestown Road. Forbestown area. ASSESSOR'S PARCEL NUMBERS) 73-18-164 & 165 ZONING TM -1 GENERAL PLAN Ag.-Resi. PROJECT CONSISTENT? YES GENERAL PLAN CONFORMANCE REPORT Anril 15. 1993 LAND CONSERVATION ACT CONTRACTS? NO DATE APPLICATION RECEIVED Apr--il 19. 1993 AGENT/SURVEYOR/CIVIL ENGINEER Land Mark Engineering ADDRESS 222 B Street. Marvsville. CA 95901 DATE PLANNING DIRECTOR'S REPORT PREPARED ENV.I RONMENTAL CATEGORICAL EXEMPTION - DATE FILED DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DA APPEALED BOARD ACTION APPEAL HEARING DATE COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMB LD 1005 (11/92) DISK !W COUNTY OF BUTTE -DEPARTMENT OF DEIIELOPMENT SERVICES -Q'UILD.ING.!D1VISION I 7 County CenterlDrive— Oroville, California 95965 - Te4pc�no (91 6),Z38- 4; PERMIT,NO. �1�1 - 0502;t T APPLICATION AND PERMIT P'A ZONINGBUTill, -DINOPERMIT 0 ju F 'MMLF,S- AND '"'A al - = N 20S TELE, HONE 'YT -0 429 SQ. 4FT' oce VALUATION t w1up P1 000 ., OWNER' MAILING ADDRESS S 222 SYCAMORE AVENMVhbDMT6-C9,953Y4 CONTRACTOR'S NAME OWNER ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 ow Filing Fee $ 20.00 LENDER'S MAJUNG ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MA I MAILING ADDRESS i - Penalty $ BUILDING ADDRESS 19133. AER FLAT ROAD. FORBESTMN PERMITFEE $ 45.00'. PLUMBING PERMIT Filing Fee 20.00 Each.Trap 4 7-00 28.W 'LOTNO. SUBDIVIS ION'S NAME J'PAI ;CEL; MAP Solar 6r heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF OXYDuplex 0 Mobilehome 0 Oth6r SPECIFY - Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer _r9T_dT_WT 15.00 15.00 TYPE OF WORK New 0 A�Cldition 0 Remodel 0 Xlities'E , I - Installation 0 Other 0 MODEL BATHROOM Describe Work: Mobile Home C@20.00 PERMITFEE $ 78.00 Contract6r ELECTRICAL PERMIT20.00 Filinq Fee Main Service OOV OR LESS OOA OR LESS 23.00 Main Service 200A TO 1000A 1 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 3of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION ." ,-1:. _ 1.� . I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the followi66 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. , -II. I 11 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. occup' ) (-.-- &-ACC. BUDS. so' 3.50 FT. NEW CONST.LTI-OUTLET _NON-RESID. BRANCH CIRCUITS ) @7.50 E R APPARATUS & SINGLE OUTLET CIH. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 Q SAL50 ED APPLNS. ORR Ex. Occup. OUTLETSFIX(RESID.) EA - 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations.. 0 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. .. 6g. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of theLaborCode, for the performance of work for which this per i mit 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 1 (The above sections need not be completed if the permit is for work of a valuation 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 become7subject to the workers' compensation provisions of section 3700 of the Laborj(%de, I shall forthwith comply with those provisions. 4 X JA A Date �>, 1, , - / Signature of Applicant - YO_wlrfer 'd Contractor DI Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 - HAZ. I D. FEES I IMP FLOOD I CDF I PARCEL J,PO I HID I 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. By Date -3- 1�-94. PERMITEXPIRESON 7 (Date) 7 Receipt No. 19053 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P'A ! 073-180-166 '?FRMIT# ? LYNDS, Charles &Marilyn 19133 New York Flat Rd., Forbestown Remodel Bathroom/SF OW r " 0 0 .4 b&. i CONT-YOF BUTTE -DEPARTMENT OF DEVELOPMENT SERV CEtBUILDING DIVISION ­ UI 400; is. 7 County 'Center Drive - Oroville, Calif6r'nia 95665 - TeIepfibine 016)1538-7541 PERMIT NG. (Rev. 12/96)/ APPLICATION AND PERMIT AA.E.&A PAJibEL NUMBER ZONING r bUILDINGPIf. RMIT OWNER, TELEPHONE e-ym Fr. ocd: BUILDING VALUATION OWNERS MAILING ADDRESS r -N V IF CONTRA 0 R'S NAME TELEP50NE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 'Fireplace LENDERS MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO: Filing Fee $ 20.00 Permit Fee $ oen� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD RESSEnergy' "Plan Checking Fee T ­ ti sm�w 1-4 PERMIT'FtE S. 3 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 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 0 'Addition 0 Remodel 0 Utilities 0 Installation 0 OthewO Describe? 'Work: -6 WA %1 vv*, Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home, I S]'GI W 1 .00 PERMIT FEE. ELECTRICAL, PERMIT Filing Fee 20.06 OV OR OR LELE:9 S Main S �0..A 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 4th Section 7000) of Division 3 of the Business and Professions Code,CIRCUITS and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION "I hereby affirm under penally'61I perjury that I am exempt from the Contractors' License Law forA,e.Jcllowing reason: Ll-< 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. 0 1, as owner of the property, am exclusively contracting with licensed. contractors i,to. constructti 0 1 am exempt under Sec. Business and Professions Code for'this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR 3.50so OR ADDNS. & ACC. BLDS. FT.. NEW CONST. MULTI -OUTLET NON R.,D . @7.50 ELR APPARATUS OW OUTLET &PSIN E TM C'R. OUTLET OR FIXTURES 20 1.00 Ex. Occup. ( BAL @ .50 LNI OR Ex. Occup. ( .=P(R.,6.) EA_ 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 perjury7pne of the following declarations: 0 1 have and will maintain a certificate of consent to self-insuref6r workers' Compensation, as provided for by section 3700 of.the Labor Code, for`'Ahe performance of the,Mork for which this permit is issued. 0 1 havi'ancl 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 yforkers' compensation insurance carrier and policy number are: Cavi er ,Policy Number (The above sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) 0irtify 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 . d workers' compensation provisions of section,3700 of the Labor Code,J, shall, forthwith comply with those provisions. Signature 0 Applicant -NM Owner Contractor ❑ Agent An OSHA permit is required excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 6.50 —Hood Ventilation PERMIT FEE Mobile Home Installation Fee Energy Inspection Fee OCC : CONST. TYPE TOTAL HAZ., 6, FEES IMP FL000 CDF PARCEL PO' HD ISSUE. This permit is' ereby issued under the applicable provisions - of..theButte County Code and/or Resolutions to do work indicated above for which fees have,,been, paid. By// Date IhISVI A? PERMIT EXPIRES ON -311 k"C' I I (Date) ReceiptNo._,9 0.11 .2, ^1 WHITE -D.D.S.-B.o.1, I cAN­ARYXASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 073-180-166 PERMIT#97-0458 �S LYNDS, Charles & Marilyn 19133 New York Flat Rd,Forbestown lst Renewal BP#96-0508