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HomeMy WebLinkAbout078-230-039GOY KISSEE k.P.-36---3 _?6 _ _7 5367 Crest Ridge Dr., Oroville Permit 3684-73B (Franklin Stove) ('WYNOKA HOMES INC. jq'8-7lB N 458-?iP (vent D63 -71P -ava-569-Q-34- 01-3104 36 - E PERKINS JOHN 5367 Crestridge Dr.i Oroville (Lot 99 a- 5367 CRSSRIDGE(new single family) , OROVILLE 10 7 rAll 21 REROOF,6,0R,- ZIP, 01 I .9906dimilk �m 036-560-039 01-3104 PERKINS, JOHN 5367 CRESTRIDGE; OROVILLE REROOF .- -... :.,.,......_ .:..,rt.....,�, .... i.-.. � x -a —:y, 3n 3'��c !�s �=.'x �i,.,_._., q..: �. s...- .�. �:"i.r-�:.�..,-.•..._�.y- - .. _ r . _. �, � � _ _ . .. _... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT a)' _ ASSESSOR PARCEL NUMBER ­�V ZONING171 BUILDING PERMIT OWNER `. i ,. r .,1. TELEPHONE = 1 , SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS '�J� _LL�� CONTRACTORS NAME - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 PermFee $it �' � "•' • ARCHITECT OR ENGINEER'SMAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Check-ing Fee $ $ PERMIT FEE $ • • ` LDT NO. IUBDfVISIONS NAME . ' ,y, '� PAR,SE.i MAP _...�,.pLtIMI�iNti_PE'AMIT ...�_ C� . • .;; �jling:3 @Q- ....2�: 1)l1 USEOFSTRUCTURE SF CJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tr 7.00 Solar or he ump water heater 23.00 Water piping N., 15.00 Each gas water hent r vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other til Describe Work Gas piping system 1 - 5 OD&k 15.00 Building sewer 15.00 Mobile Home I S I GI W 00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR LE S Main Service zo.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 Lawlor the following reason: *Id^ 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 �t to construct the project. 11 am exempt under Sec. Business and Professions Code for this reason j,1A1f?'tYCt"1tTjj•• ` 'WORKERS' COMPENSATION, DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wrk�s' compglisa'tton provisions of section 3700 of the Labor Code, I shall ,16rrth ith comply with Rose provisions. r X__-_,�..j .�` Date >t; _ Signature of Applicant - OwnVT^° ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Servl 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. & ACC. BLDS. `�•5¢Fr. N.NpµRES,D NSTMULTI-OUTLET @7.50 Pow APPARATUS a sING cIR. EX. Occup. ourLET OR RES RAL ®t.00 .50 Ex. Occup. ., l Aa O 5.00 Temporary Service 23.00 Mobile Home Facilities 0.00 Misc. Wirina 237130. PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEt$ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES HAZ.2DES IMP FLOOD COF PARCEL Po Ho 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. s Date ' Date ReceiptNo. t ' •._ :.. 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 9596E • Telephone (530) 538-754®�I ��QPERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-560-039 ZONING R 1 - BUILDING PERMIT OWNER PERKINS JOHN 510 TELEPHONE 305-2715 SO. FT. OCC. BUILDING VALUATION 23 SQ 1 380.00 OWNERS MAILING ADDRESS 29596 DIXON ST. #60 HAYWARD CA 94544 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,380.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5367 CP.ESTRIDGE OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE S 53,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tr 7.00 Solar or he ump water heater 23.00 Water piping 15.00 Each gas water hea1btgr vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Kl Describe work: RE ROOF WITH COMP OVERLAY Gas piping stem 1 - 5 ou 15.00 Building sewer 15.00 Mobile Home ISI GI W 00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 s 600V OR LESS Main Service 200A 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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❑ 1, as owner of the property, am exclusively contracting with licensed contractors construct the project. exempt under Sec. Business and Professions Code for this *1tm ason Main Serv%1@ 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. OR ADONS. a ACC. BLDs. sD 3.5¢Fr: NNjpµgESID.T. MULTI- OUTLET @7.50 Pow APPARATUTLS & SING UEr CSR. Ex. Occup. OUTLET OR RFs 2@'•00 BAL' .SO FIX1 Ex. Occup..OUTLETS RESIDI 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23. PERMIT FEE $ WORKERS' COMfFENSATION 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'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the o p so provisions of section 3700 of the Labor Code, I shall jithr�ompl with se provisions. T_ _ X_ I�QJ Date� -Signature of Applicant - Owne 1 ❑ 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 Fling Fee 20.00 Heatin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code or indicated above for which ees h ve By PERMIT EXPIRES ON .,�g=j1 the applicable provisions Resolutions to do work been paid. Date r,/�L ate Receipt No. - 04L1 WHITE-D.D.S.-S.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. 1. I_ personally = plan to provide the maj_. or labor and materials for construction of the proposed_- -r— I HAI I have NAME: ADDRESS: PHONE: HAVE NOT 13 signed an a the following person (firm) to provide the proposed CITY: 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: VI I IDT* PHONE: CITY: CONTRACTOR'S LICENSE NO. 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 SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831. and 19831 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 OWNER BUILDER INFORiti1ATION 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: ♦ 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 Payment 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 contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramentb, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Micel Vi iia, C.B.Ouilding Inspection NOTE: Tris Owner -Builder Information is required by Section 19810 of the California Health and Safety Code - OVER OWNER CONTR:.- LOCATION (A.P PERMIT NUMBER - B 3684-73B P E PERMIT EXPIRES 7L ' Coy Kissee Owner 36-56-39 5367 Crest Ridge Dr., Orovil-le COUNTY OF BUTTE Department of Public Works BUILDING INSPECTi RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath &•Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elect. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 / Tel ephofie: 534-4541 APPLICATION AND PERMIT BUILDING Owner O SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address elephone N �^ �� Fireplace ,� U Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ 3„ Building Address— D PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ioJ i� 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. �— J — 3 Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fpef Wlt_ I _6eni*0+ieM FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel' Declaration Parcel Ma P 60R/W Im P Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S /'—D �/,� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family [a"' Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 25 pal ai0 Receps., switches & fix outlets —bal i@10 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. FanorF.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 Lice se No. Classification Misc. wiring En'l am exempt from the Contractors License Laws of the State of California. Permit 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. LJ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 $ •- • i UQ VVUIIIY VI DUtLV W CIIICI uNun Lilt!abovmta.o+n�prnoea fo inspection purposes. X r Date Si ature of ermitee or Agents Receipt No. 133 &O White-D.P.W. – Yello—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 OE PUBLIC WORKS By Date Building permit expires Dafe /o _--",�,