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HomeMy WebLinkAbout028-120-030MIDDLETON; "HARRY C. 5259B,1, 1�136B- 44-67E> I AP ' ; <; � End of Drobish 11d., Bangor (remodel & construct fireplace) --- "change roof structure 44 36 is- e -e- la-ice=6 S as7B - Ji--�9-67 B07-2178 028-120-030 MISCELLANEOUS Electrical NEW ELECTRICAL SERVICE UP GRA 101 DROBISH RD BROWN BEVERLY A, -t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION#:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PR_ OJECT INFORMATION Site Address: 101 DROBISH RD Owner: Perinit N0: B07-217$ APN: 028-120-030 BROWN BEVERLY A, Issued Date: 10/19/2007 By TMP Permit type: MISCELLANEOUS P O BOX 514 Subtype: Electrical BANGOR, CA 95914 Expiration Date: 10/18/2008 Description: NEW ELECTRICAL SERVICE UP C (530) 679-0101 Occupancy: Zoning: Contractor Applicant: Square Footage: MARAZZO JIM ELECTRIC MARAZZO JIM ELECTRIC Building . Garage Remdl/Addn 299 PLUMAS DRIVE 299 PLUMAS DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-5567 (530) 589-5567 FEE INFORMATION DBE Single Phase Service-Resid $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MARAZZO JIM ELECTRIC C669681 / /Cs10 Y -30—.41 IHEREBY 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. X Contractors Signature 10/19/2007 Date 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred ollars ($100) or 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 X %.. 10/19/2007 signature ( Date WARNIN AILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHAUL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip $58.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this X 10/19/2007 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, riles, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. Z:Tin,k Mil kA'?2 0 10/19/2007 Owner 9contractor OR. Agent for Owner ElAgent for Contractor FILE COPY k V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecountynet/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 0 � First Name Mailing Address City State Zip '7, e Fax E-mail CONTRACTOR Name 3il�vt, Address ! W /� I ` /T Stat% Zi5 57 pciity©/� `�e v'C �`I S� Fax E-mail Lic. # 96 0 Class C _ ld CANT SIGNATURE ®�MARVA10110�.,.t� I PERMIT NO. 1$47- 2/ BIN # I PROJECT LOCATION I AP# 0212$1- 1'z0 — ova-� Property Address City 1'33 ._ 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. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name ! W /� I ` /T Address SRA City Zip State Zip Phone E-mail Fax E-mail State License Number CANT SIGNATURE ®�MARVA10110�.,.t� I PERMIT NO. 1$47- 2/ BIN # I PROJECT LOCATION I AP# 0212$1- 1'z0 — ova-� Property Address City 1'33 ._ 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. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Address ! W /� I ` /T City SRA State Zip Phone Type Const. Fax E-mail CANT SIGNATURE ®�MARVA10110�.,.t� I PERMIT NO. 1$47- 2/ BIN # I PROJECT LOCATION I AP# 0212$1- 1'z0 — ova-� Property Address City 1'33 ._ 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. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const.