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HomeMy WebLinkAbout078-220-057i C v AP JAMES SCURLOCKe 'cl 8 Rosita Wa-y, Oroville Permi 3395-75B(additior PERMIT #97-2421B ALEXANDER, Dorothy & Larry 8 Rosita Way, Oroville Pr�j- 11'ZS97 Reroof/SF 11 57 i f r 1�6 ;m Z o �_ _ _ • ..t.- rc:•rrn.:p�y �•.��et•�•va-g"Ih�`;!"�J�` ;.'�r'R":a:•,�'•.p�-�-.?"°•^u7G �-a.,..e:p�rpg;i,l,.rw.,� a,......,�.-. r i 036,-550-057 PERMIT #97-2421B ALEXANDER, Dorothy & Larry 8,Rosita Way, Oroville Reroof/SF }` { 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) W APPLICATION AND PERMIT 92 - 04a t! ASSESSOR PARCEL NUMBER 036— 550--057 ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q Q CONTRACTOR'S NAME WER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS T Energy Plan Checking Fee $ 19 Rrl F PERMIT FEE i • LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF C( 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 © Describe Work: prp - ni m 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 EOOv OR LES9 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thai 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 w 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.52 FT. CON MULTI-OUTLET1. 'RC97.50 rNi APPARATUS 6 SINGLE OIfiLET CIR. Ex. OCCU OUTLET OR FIXTURES BAs@ l.50 Ex. Occup. ouT T PPLN 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 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.) O 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. -, �J X �/ 1/ irie ,� 11 .5r ` "�_—_ Date �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. 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 $ 55.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I 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 have been paid. 1 y A Date � (� PERMIT EXPIRES ON CG 1//1t7��X -T ate Receipt No. �l-{ (' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEV6LOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 Telephone (916) 538-7541i� - PERMIT NJ. (Rev. 12/96) APPLICATION AND PERMIT Qq 0g ASSESSOR PARCEL NUMBER 036-550-057 ` ZONING BUILDING PERMIT OWNER DOROTHY & LARRY ALEXANDER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1,500.00 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑X 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 Describe Work:--RLRE)OF 25 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 zoo, oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000) of Division 3 of the Business and Professions Code, 9 (commencing w and my license is in full force and effect.PowEPPARATUS License Class Llc. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: will do the work, and the structure is not intended or offered for sale. 1711\I, as owner of the property, or my employees with wages as their sole compensation, ❑ 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. ( a ACC. BUDS. SO 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. B qNCCIRCUITS @7.50 d SINGLR AE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES P• 219 1.00 BAL @ .sa Ex. Occup. OUTLEETS RES D.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 (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 visions. 4pwith comply 7�XA _ 90 `'_�—_ Date / gnature of Appli 'nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit' 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 $ 55.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD 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. oX/_ _1? y fildw Dat /� 1 PERMIT EXPIRES ON I ob,fe) Receipt No. WHITE-D.D.S.-B.D. CANARY -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 ASSESSOR PARCEL NUMBER-'-') �V��� ;6 (0 `. j ` l ZONING BUILDINGPERMIT OWNERTELEPHONE '( L t�v- ,Q. 1, SO. FT. OCC. BUILDING VALUATION OWNER'S IUNG DRESS L�J COMRA NnnAMELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER n LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ aUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k 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 ❑ Util"es ❑ Installation ❑ Other _y Describe Work: 0-6-n Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service iooAoaLEss 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 Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. S. SO 3.5¢x. rNi .ES.MULTI-OUTLET 97,50 APPARATUS a SINGLE AP= CIR. Ex. OCCU OUTLET OR FIXTURES B20 O 1.00 Ex. Occup.OUTLETSREESID.DEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE $ 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 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.) not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the ❑ 1 certify that in the performance of the work for which this permit is issued, I shallFT�hispermit 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 5'0' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ p, PEES IMP FLOOD CpF PARCEL Po HD ISSUE is hereby issued under the applicable provisions oeutte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. -23// � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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. DI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES. NO ❑ 0 I HAVE lf?,. HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (fum) 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 SIGNED: _1. PROPERTYOWNER: SOCIAL SECURITY 1 DATE: //-- %Q —Z 7 NOTE: This Owner -Builder Ver f cation is required by S ction 19831 and 11832 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. �� i I 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-buildee' 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: ♦ 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. f , ♦ 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 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 "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 contracgrs 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 /VOTE. This Owner-Builder.Informadon is required by Section 198.10 of the California Health and Safety Code OVER t 'PERMIT NO. 3395-75B a P as E i' 4� M MH UTIL. PERMIT NO. PERMIT EXPIRES -76 u OWNER James Scurlock f4 ;CON TR. "-LOCATION (A.P. 36-55-57 ) 8 Rosita Way, Oroville i� , f r{ i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB -7-5 / 7-5 FINALED (Date) (Signa ure r - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor FootingsAP7 Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing — — —� Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR�9� 7 County Center Drive 4 Orovirjle, California 95965 Tel eplIone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X, SC:&� Date � � 10 R)Signature of Permmitee or Agent cept No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR Of PUBLIC WORKS By;�� ,ter>��pate7f r)'- �I ina permit expires Date —� ?- 7 J' BUILDI G Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addres , C� (O Telephone No. Fireplace sus! -o osS5 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee •p(J Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NO. Zoning 8 Planning g g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 6*ni-la+ien FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. ns Recd Parce pproval Pla-s Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethonl2) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bg d2 Receps., switches & fix outlets2u (01 2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 7-::] - 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ _77L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X, SC:&� Date � � 10 R)Signature of Permmitee or Agent cept No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR Of PUBLIC WORKS By;�� ,ter>��pate7f r)'- �I ina permit expires Date —� ?- 7 J'