HomeMy WebLinkAbout079-240-022RGARET WEBB�
044 Lower Wy ndotte Rd . , Orovi•l le '"7 V
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Permit-#4820-77P,M(gas ser for
all heater, stove & dryer)•SF.
t• i I 1
99-2834
HART,GARY
6044 LOWER WYANDOTTE RD.; ORO'
I ' CONTR: OWNER..
GAS PIPE CHANGE .TO NATURAL' r
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C:61 man .
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORA"'"
7 County Center Drive Uroville, California 95965
Tel hone- -4541 - C
/ � r
APPLICATION AND PERMIT
Quu—v u +Up.wovil; vaa UI ule _UUnIy UI IDUlle lU enter Upun ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
r. - --,7Receipt No. / i
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
I r
, 1 el
By ' � � Date
Building permit expires Date
W.
BUILDING
Owner} r U
. �� , i r h7 •1� ij ��
SO. FT. OCC. BUILDING VALUATION
Mailing Address /��,�� i�c; W n:
�j
• r r'::. / / t' 1 �, ,
Telephone No.
-4/" vm—v
Fireplace
r
Contractor f , r� n tr
Total Valuation
Mailing Address l --
Permit Fee
Plan Checkinb Fee &/or Penalty
Telephone No.
Permit Fee $
$
Building Address (� f,�l r i"
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 7.
Each Trap 1.50
f
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. -.-, u a
�' .J J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
Sanitation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd .
Parcel Approval
Plans Approval
Permit Fee $ _-
$ `J •_,�(
NEW,❑ ADDITION ❑ UTILITIES.[] OTHER 0
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
'
Maiseie 1SS
n service 100v OR LE
00 AMP OR LESS 5.00
' J 1•JI �.,�U )�(�(/ i •
w
Main service EA. ADD -L 100 AMP 2.50
/
Single Family ElDuplex❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST.
OR ADDNS. ( OWEACCLBLDGS.CCUP. &) 2¢syft
NEW CONSTR. MULTI -OUTLET
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:
Ex. Occup(OUTLETS OR FIXTURES) -BA L@1
Ex. Occu FIXED APP LNS. OR
P• OUTLETS (RESID.) EA) 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 $
$
WORKMEN'S COMPENSATION INSURANCE
I 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 beccme subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 '�,' 't
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $ "j �•,�
$
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
$ �/
Quu—v u +Up.wovil; vaa UI ule _UUnIy UI IDUlle lU enter Upun ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
r. - --,7Receipt No. / i
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
I r
, 1 el
By ' � � Date
Building permit expires Date
W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County 6enter Drive Uro � le, California 95965
Tele hone 34-4 A,1'y 7
APPLICATION AND PERMIT / � /
Signature4ffPermitee or Agent t✓ V /
/(P��3 BY �� Date — f2
Receipt No. ` ,yQ
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Be 444ag permit expires Date /69V
BUILDING
Owner
rWp L b,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address�o W
ov O 0 f-
:C ah �
Fireplace
Cont actor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address O
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
V (
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
r
A. P. No �'i 0 L J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50 Q
Each additional outlet .30
Fee
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
PlansParcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Approval
Plans Approval
Permit Fee $ o
L
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
-k0t4
Main service 100 AMP V OR SS
5.00
P IJ
Main service EA. ADD'L too AMP 2.50
Single Family Duple Mobil HomeFT Others ❑
OVER 60
Main service 1100 AMP oR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONSDWELING
OR ADDNST ( ACCLBLDGS.CCUP. &) 20 sq ft
.
'
NEWCONSTR.MULTI.OUTLET
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:
Ex. Occup(OUTLETS OR FIXTURES)@LzSc
BAL�1
Ex. Occu FIXED APPLNS. OR
p'(OUTLETS (RESID.) EA) 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 $
$
WORKMEN'S COMPENSATION INSURANCE
I 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. @. I FEEPERMIT
FILING FEE $3.00 r�
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
%� �� p/��� Date i
,� ` . ,,,,s• _(� � .� u � :: a;.. ;. n . , 9'''a { - _�, z LGASPIPE
�1t,t • . �+. f -.s N y _ ,_ _ a�
3G 99-2834
ARY
i ER WYANDOTTE RD., ORO
K WNER
HANGE TO NATURAL
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OFFICE COP.y
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t GAS
Meter By s p "
ELECTRIC
Meter BY t , } 4.r
' Date
1
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P FIMITN
(Rev. 12/96) APPLICATION AND PERMIT3�
ASSESSOR PARCEL NUMBER
036-280-0-36
ZONING
BUILDINGPERMIT
OWNER
GARY HART
TELEPHONE
533-43063
SO. FT. OCC. BUILDING VALUATION
�U MAILING SS
UJw�,it�WYAiVWITE
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
$
BUILDING ADDRESS
6044�
RD
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S 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 ❑ Udlifies ❑ Installation ❑ Other ❑
Describe Work: GAS PIPE CHANGE TO NAT
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
LESS
Main Service 200, 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
affirm under penalty of perjury that I am exempt from the Contractors License
I hFthe
Lfollowing reason:
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
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. (
SO
,
N. R61DT' MULTI.OU..ET
U.
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. oUTLETOR FomREs
BAS ®I:w
Ex. Occup. pFlxuTiE°r5A p pOFR.A.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
_
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
KI 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
fo h comply with o e ovisio
f f OJ ` 4} •�
X Date / oC Q(!/
Signature of Ap ant ner ❑ Contractor ❑ Agent
An OSHA permits Required for excavations over 60" deep and demolition or construction
of structures ove 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee $
OCC
CONST. TYPE c ��
TOTAL FEE $
HAZ.
p. FEES IMP
FLOOD
CFF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON Z
the applicable provisions
Resolutions to do work
been paid.
Date
aTe
Receipt No.
WHITE-D.D.S.- .D. CA SSES OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT Ola -DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 s Telephone (530) 538-7541��� ��3 p
(Rev. 12/96) _ APPLICATION AND PERMIT , y
ASSESSOR PARCEL NUMBER
036-980-036
ZONING
BUILDING PERMIT
OWNER
GARY HART
TELEPHONE
533-3063
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
6030 LOWER WYANDOTTE
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
S 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work: GAS PIPE CHANGE TO NAT
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S35.0
ELECTRICAL PERMIT
I Fling Feel 20.00
800VOR UE
Main Service zoOA 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law jref 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
CCU000A
W:L200A
NEW coNST. OwEUING occuP.
ADcoNST. (
3.525Fr°:
—OR
fNULTICou�OTLS.
NDN RESID. c
@7.50
APPARATUS
.11N..
SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
SAL O I.50
UNIS
Ex. Occup. oFlUXTrs R D.OEA
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:
❑ 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.)
certify that in the performance of the work for which this permit is issued, I shall
KI
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
work rs' compensation provisions of section 3700 of the Labor Code, I shall
fort ' h comply with ftw leovisionp.
^�of
X Date _7117indicated
Signature of Ap ant ner ❑ Contractor ❑ Agent
An OSHA permit s squired for excavations over 5'0" deep and demolition or construction
of structures ove 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD I
CDF
PARCEL
I PO
I HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
above for which fees have been paid.
L_
By Date �+
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S. .D.CASESISOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
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 or and materials for construction of the
proposed pro rty improvement: YESV] NO[ ].
2. I HAVE[r] HAVE NOT[ ] signed an applicatiori 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.
May 1995 2.26
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. '
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:
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 '
nd 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 unlicensed persons professing to be contractors is to secure an "ownerbuilder"
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.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Ovymer-Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27