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Home My WebLink About078-350-012V 19,=0480'p Y WYMAN; , Howard H.= 556 NIETO".' F, rands Elaine *� ; rY50 EdgemontDri.. y (ga`s� pipin SF r ve,OroviTle Edgemont`Drive I/4 miT frcan Oro -Bangor ;� 1� �. 3 / . Road 0roville •1 4 r F a . ' 1 S r - T ....� � � .. -_+... ..�.. .. e.. .. ........ .. •-.v +-• .,..v.._ . a' ' y - � +. ..r .., ,�. -. r.�. .�_ v. •7 «.. r yr rMcr � t y .--w F.w • Y' ' y • ` (iib 1 _ r v��(q/fJ�//� /1 V e. ri . • /fes /{�A(.' 3 ( ?1��/ ! Z 3 v��(q/fJ�//� /1 V e. ri . • /fes /{�A(.' 3 ( ?1��/ 4, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `�I IV 11J ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER hT TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 150 EDGE1401M DRIVE, ORROVIII-IR 95066 CONTRACTOR'S NAME - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS F Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 0 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: GAS PIPING Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z000 i oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. 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 To I000A 46.00so NEW CONST. DWELLMIG OCCUP. WE OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NON-p61D. ' MULTRANCI.OUTLETU. 97,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTURES j 200 00 BAS @ I 0 FIXEDAPOR Ex. Occup.5,00 ouTLErs RES, Eslo. A. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [31 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ' .r ia•rs %6� ?-1f F�_l Date k 77 7 Signature of Applicant - ,i' 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 35.00 TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL Po I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By e_ee-r'w PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date pale Receipt No. �G7 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 (530) 538-7541 PER�IIT (Rev. 12/96) APPLICATION -AND PERMIT 412 � ASSESSOR PARCEL NUMBER 036-47-0-019 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 150 FT)r.FMnNT DRIVE, DROVILLF 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING 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 ❑ 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 0 Describe Work: GAS PIPING Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 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 To 46. 00 WEE200A CC so NEW coNsr. DWELLING Occup. 3.5¢F°; OR ACC. c Nur. ( uBLDSr EW M NON-AESID, @7.50 POWER APPARATUS a SINGLE OVILET CIR. 20°'�0° Ex. Occup.ounEroRFocruREs BAL @ .so Ex. Occup. oFlxuTLEEDiSA RRES, OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' r^ � Q. �' C�`'`'� Date CJ �V�'/ p 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 $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES' IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' h fees have been paid. 3/ 16/99 By Date PERMIT EXPIRES ON 3/16/2000 Date Receipt No. 258553 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r-- OWNER-BUILIDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signMM. 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. �l. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES NO D 2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed wprc; 3. I have contracted with the following person (firm) to provide the proposed construction::�r: NAy. 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: X' PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE•99 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed wd returned to our office before we are permitted to issue the permit. OVER 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 -builder" you are the responsible parry ofjecord on such a permit. -Building permits are not required to be signed by property owners unless they are personally performing their own work. [f 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 shduld'.. be aware of the following information for your benefit and protection: ♦ Ifyou.,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 contn'butions:; . ♦ 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 contracprs 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" bn 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. t rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner-Builder,lnformation is required by Section 19830 of the California Health and Safety Coda OVER