HomeMy WebLinkAbout079-060-0780
Ny�,
8 3'� 6r oAl'� t
�o
ZSF' Ii
0
6
SkTH', Leland 326-70B
283 Mt. View Dr., Oroville
CbNTR:, Foothills Cons t. , 1052 LaMesa Dr. Ch
(reroof)
78
A ■
---
�-�
�- _ - _ _ Y
*036-�420478' PERMIT
#97-1772
PAUL, Errest
P
2 M t�V
83 Mt-Niew, Oroville
r 00 f SI
.Reroof/SF
A%
COUNTY OF BUTTE —DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT
(Rev. 12/96) ^7 - 1 -7 M-2
APPLICATION AND PERMIT 41
ASSESSOR PARCEL NUMBER 036-420-78
ZONING
BUWDINGPERMIT
OWNER
ERNEST D,PAUL
TELEPHONE
533-7199
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
42 GRE011WIX AVE OROVILLE, 95966
__7HONE
CONTRACTOR'S NAME OW NU
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
44
Total Valuation $ o(own.
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 23, 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 283 MT. VIEW
Energy Plan Checking Fee $
OROVILIE, 95966
PERMIT FEE $ 41. M
LOT NO., 7`�
N'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOF�TRUCTURE
SF 0 XDuplex 0 Mobilehome 0 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 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: RERMF
Gas piping system I - 5 outlets 15.00
Building sewer 115.00
Home ISI GI W1 1 920.00
-Mobile
1
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
600V OR UE:S,
Main Service �OOA OR . S 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing Nkith 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
Law for the following reason:
E9 *� 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO tOOOA 46.00
NEW CONST. DW so.
.E�ING OCCUP.
OR ADONS. C. S. 3.5(tFT*
N' oE'� icoN, D T =0,u,,TLETT, @7.50
0 ELR APPARATTU
PSINW E E C SIR.
. 0',
20 @ 1.00
Ex. Occu OUTLET OR FOCTURES BAL @ .50
Occup. ou"TxLEErS(g.,6.)0ER., 5.00
—Ex.
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:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis 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.)
19' 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, abd agree that if I should become subject to the
workers' compensation provisions 6f section 3700 of the Labor Code, I shall
forthwith comply with those, provisions.
�7 vl f / /9 -
X Date
Signature of Applicant D -Owner 0 Contractor 0 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 $43.00
FEES
IMP
I FLOOD
COF
I PARCEL PID
HE)
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.
By Date
PERMIT EXPIRES ON
(Doti?)
ReceiptNo. '-7,P -.2 Z/,z !F'�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County'Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 17-7 _ V77a
ASSESSOR PARCEL NUMBER 036-420-78
ZONING
BuwbINGPERMIT
OWNER
ERNEST D PAUL
TELEPHONE
533-7199
SO. FT. OCC. BUILDING VALUATION
15 S COM 900.00
OWNERS MAILING ADDRESS 42 GREENBANK AVE OROVILLE, 95966
CONTRACTOR'S NAME OW NER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
I
Total Valuation $ 900.)o
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$9,i -nn
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 283 MT. VIEW
Energy Plan Checking Fee
$
OROVILLE, 95966
___Fi��NS
PERMIT FEE
$43.00
UOTNO.,
NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 XDuplex 0 Mobilehome 0 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 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: REROOF
piping system I - 5 outlets
15.00
—Gas
Bui ing sewer
15.00
Mobile Home I S I G I W
@?20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
000 R UE:9
Main Service .VA OR LE S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing v�ith 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
La��f 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST DW:U_IN0.0CCUP.
ADDNS. ACC LOS.
so.
3.50FT.
—OR
.g- CIONS _ULTI-OUTLET
.:SID.T BRANCH CIRCUITS
g7.50
OWFR APPARATU
PSIN.LE . rLE T CSR.
Ex. Occu OUTLET OR FIXTURES
21 @ 1.00
BAL @ .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
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:
0 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.
0 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 FEiE
$
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.)
Pr 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
fort wi comply with thos provisions.
X Date
Signature of Applicant - &-Owner 0 Contractor 0 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 $ 43. 00
FEES IMP
I FLOOD
I CDF
I PARCEL
PC)
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
ERMIT E/PIR S'
P ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
;01
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
O.B.- I
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.
I . I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESS�k NO 0
2. 1 HAVEtV,_ HAVE NOT C3 signed an application for a building permit for the proposed work.
3. -1 have contracted with the following person (firm) to provide the proposed consitruction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 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. 1 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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: ,>`
DATE: Fz �2o /�77
1 .
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
O.B.-
I OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of properry
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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise: engag*e any persons other than your immediate family, and the work (including materials
and other costs) is $300 o:mcre -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,
0
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 contractors may be obtained by contracting the Contractors State License Board in your
community or at 1026 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.
+I rely,
Mic el C. Vidira, C.B.O.
2 a snecl
Mage'rC,BZi1diirng Inspection
NOTE. This 0opner-BuilderInformation is required by Section 19830ofthe California Health andSafety Code -
OVER