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Home My WebLink About078-260-021FM RICHARD ADAMS _2L - 76 3229 oro Bangor Hwy, Orov�l7 Permit #4836-7 (enlarge ele ser) SF Contr: Ford Electric .-PERMIT#9620099.- THOMAS , , R. K " ' . I., . A _.. - 3229 Oro -Bangor Hwy, Oroville Replace Htr & Wt'r'Hti/S_F 2 05-2229 -THOMAS, RK 1,3229 ORO BANGOR HWY, OROVILLE CONT: OWNER RE ROOF f � h • � `s- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any gity or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or sti_e did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:J Owner: l WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: 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 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 provision Date: Applicant: / C,✓ `� s' WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO52229 Issued Date: 08/19/2005 APN: 036-083-009-000 Site Address: 3229 ORO BANGOR HWY ORO Map Index: Description: REROOF W/COMP (13) Owner: THOMAS R K 50 OAKCREST DR OROVILLE, CA 95966-9420 Applicant: THOMAS R K 50 OAKCREST DR OROVILLE, CA 95966-9420 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: This permit is hereby i Resolutions to-d4'wetJ PERMIT EXPIRES 0 S. F. $0.00 11 11ti under the applicable provisions of the Butt ated-above for which fees have been paid. 1R ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes,,. --.Z- Print Name: ��c/,9��O/�/yf Signature Date: / J' -6 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor n n o..:1.J:.... D..., a fti _1 r-nA — 7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 535-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last NameFirst AJ e Address r -D KerL n� City o v C Stat Zip ZV Jf G 6 Phone Fax E-mail E-mail Lic. # APPLICANT SIGNATURE X /Z/"� For office use only: CONTRACTOR Name AJ Address SRA City No State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X /Z/"� For office use only: ARCHITECT/ENGINEER Name p, A,/4- Address SRA City No State Zip Phone Book Fax E mail Planner State License Number APPLICANT SIGNATURE X /Z/"� For office use only: APPLICANT NAME Name p, A,/4- Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X /Z/"� For office use only: Zoning Property Aress j2 7i Q� j &Q Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION pp,� AP# b z� Ud V ZS Property Aress j2 7i Q� j &Q City QiOU r U Cross Street ❑ Proposed Change of Occupancy WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. C.'` Q� LENDING AGENCY Name Address Description o�r\SSco 00 a of Work: 7y: Sq. Footage ) 3 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: l O —� Bldg 7y: SRA i#: Sheriff SMIP rDate.t Other C.'` Q� f ��./ I Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design andsupporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K TORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 �!: t .i;..:C:i.%i;'lk:a:.3.; i.k� ,?Ci ;tY:;t;y:A'a;!`+ _ :.• � 't:5,>; ,•�: , ,, i L'�8�' 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 n¢ajor labor and material for construction of this proposed property improvement: YES [ �(] NO [ ]. 2. I HAVE [ X] HAVE NOT [ ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the 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: PROPERTY OWNER: . DATE: CF -- 1,9 — O 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING ° GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious. with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. It MicVael C. Vieir4 C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0 0 i 036-083-009"PERMIT#96-0099 THOMAS, R.K., 3229 , Oro -Bangor Hwy, Orov.ille Replace Htr & Wtr Htr/SF I II t 6 � t OFFICE COPY Address I GAS Meter BY _� Date ELECT FkIC Meter BY '. COUNTY OF BUTTE- DEPARTMENT OF{DEVEhOPMENT SERVICES -BUILDING DIVISIOjV 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 036-083-009 ZGNI"G BUILDINdPERMIT OWNERR.K. ,HSS .• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 50 OARCREST DR . i OROVILLE, 95966 CONTRACTOR'S NAME MN �. NER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE - UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS 1 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 3229 ORO BANGOR MY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCf EL MAP Solar Or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑x Describe Work: REPLACE HTR & WATER IiTR — Mobile Home I S I GI W 1 @20.00 PERMITFEE $ . Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceCOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IoODA ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Lawjor 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 OCCUP. OR ADDNS. ( d ACC. BLDS. ) SO. 3.5d' FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 @'00 B . 50 FIXED APPWS, OR Ex. Occup. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating LWALL Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 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.) 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 I orth comply with those provisions. _ X - ` Date r-- -- Sig lure of Applicant - ❑ Owne(� ❑ 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 $ 85.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I 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. B �A/�/ A J�I�,/Lrt! Date // // / 7 y i V I/II I7 / PERMITEXPIRESON I (Date) Receipt No. 190665 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Orovi4d, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-083-009 ZONING BUILDI PERMIT OWNER R.K. THOMASTELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 50 OAKCREST DR OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3229 ORO BANGOR H1,4Y PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF fX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 1 nn Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REPLACE HTR & WATER HTR — Mobile Home S G W 920.00 PERMITFEE g 50.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 2ooA 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 Lawjor 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. OWELLING OCCUR DR ADON ( a ACC. BLOB. ) SO. 3.50 Fr. NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (ouTIFT OR FIXTURES ) 20 Q 50 BAIL.00 Ex. Occup. (OUTLETSFIXEDOR APP. LNIoR. 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: ❑ 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 g Heating LWALL 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 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.) 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 forth comply with those provisions. X � Date �� f o —_ -- Sig ature f Applicant - ❑ Ownef—❑ 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 Is Occ CONST. TYPE I TOTAL FEE $ 85.00 HAZ. 1 D. FEES I IMP I FLOOD I COF PARCEL I PD I HO I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ve for which feesyhaavb BY PERMITEXPIRESON I applicable provisions Resolutions to do work n paid. Date J� � (Date) Receipt No. 190665 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return . this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor- and materials for construction of the proposed property improvement :YES NO[ ]. 2.. I HAVE[] HAVE NOT[ . J signed an application fora 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 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. OVER 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. e�ftception of various If you plan to do your own work, with the 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income 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, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of uniicensed persons professing to be contractors is to secure an "owmerbuildef' 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. 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. Sin'Serel ' Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ��^.% Ir'��'•'�-•=s .7>r��tn,.�y,� rr.;. .� -. �� F-�:.��'' *,�4Y.,`3'��'�r,�N_' � vf' z�' , d Ala e +s•VL+`s .x�• ....... _ . .,�. .�.. � a �, i;•j ri �'". 5,r..7rg,:#t.•r ::3' t� .: '�`�?F .:�."�.yt..a,� rr. stAF` i'-. .. �:,s. COiJNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - oroville, California 95965 - Tel epVne: 534-4541C. APPLICATION AND PERMIT autnonze representatives of the uounty of Butte to enter upon the above-mentioned property for inspection purposes. �I X pate.� Signature of Permitee or Agent f r_ ;� u Receipt No. 1 1 1 �.1 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 `_' �.. r., . ,•, Date ' L Building• permit expires Date ' BUILDING Owner I �I� r l (� AT-)ICIMs SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor U E L T r` I Total Valuation Mai l i ng Address j V i,lt 1`—I C U L lei '�' Lt/ C Permit Fee Plan Checking Fee &/or Penalty ff Telephone o. Ir permit Fee Building Address 'Z, _L9 0 -l.) - ; Ak.1 604L PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 V v L Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 r�Cl7 _ A. P. No. -56- vJ CC77 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ft/1V.X619 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 andr.-Nenr-RL Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 h 1 C' i C G, r Main service 100 AMP OOR RSISESS 5.00 S. t>0 Main service EA. ADO'L 100 AMP 2.50 Single Family ®. Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER a O 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBL GS.CCUP. &) 20sgft NEW CONSTR. MULTI-OUTL T NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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:�'e` / ! r Ex. Occup(OUTLETS OR FIXTURES) �01 104 EX. Occup. (FIXED APP LNS. OR ) OUTLETS (RESID.) EA 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,'` �� r Classification - s Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N0.1 @ FEEPERMIT 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. c� 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. FILING FEE $3.00 Heating Cooling Ventilation Hood 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 $ autnonze representatives of the uounty of Butte to enter upon the above-mentioned property for inspection purposes. �I X pate.� Signature of Permitee or Agent f r_ ;� u Receipt No. 1 1 1 �.1 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 `_' �.. r., . ,•, Date ' L Building• permit expires Date ' COUNTY OF BUTTE DERARTMENT OF PUBLIC WORKS 7 County Center Dries —* (3roviIle, California 95965 Telephone: 53 X541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date OE 4ignoture-of Permitee o Agent Receipt No. t ✓`' 01!67 Whi to -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 Date 8 6 Buildig. permit expires Date si 77 BUILDING Owner iC�AAI;b A'�Ams SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 0 P—fl Total Valuation Mailing Address ( C) L_V#_ ICO 13LoC) Permit Fee Plan Checking Fee &/or Penalty c%( P-0 Ci I., S-1 :5Telephone _ Permit Fee $ Building Address -6 012-0 — BAS &Oe— PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Vim/ Each Trap 1.50 R-0 LL v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 PP A. P. No. 31p" �" Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e trrrC;. I SWITHe4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BH9. Plan. c Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �F,Qo ' Main service 100V OR LE 00 AMP ORSLESS 5.00 S. OC) Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 CONST.NEW ( DWELLING BLDGOCCUP. &\ OR ADDNSACC2¢sgft / NEW CONSTR. MULTI.OUTL -T NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTP- POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pro essions Cod under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50 25104 Ex. Occup.(OUTLETSFIXED P(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ <7O $ � 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date OE 4ignoture-of Permitee o Agent Receipt No. t ✓`' 01!67 Whi to -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 Date 8 6 Buildig. permit expires Date si 77