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 _--",�,