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Home My WebLink About005-404-002BUTTE 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 PROJECT INFORMATION Site Address: 1346 BOUCHER ST Owner: Permit No: B07-1337 APN: 005-404-002 EDGERTON, EDWARD F & PAU Issued Date: 06/19/2007 By KCG Permit type: MISCELLANEOUS 2725 ESPLANADE Subtype: Electrical CHICO, CA 95973 Expiration Date: 06/18/2008 Description: REPLACE ELECT SERVICE RISER Occupancy: Zoning: AR Contractor Applicant: Square Footage: WOLFE ELECTRIC INC WOLFE ELECTRIC INC Building Garage Remdl/Addn 1300 PARK AVENUE 1300 PARK AVENUE CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 345-2800 (530) 345-2800 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3570 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License WOLFE ELECTRIC INC 844427 / C10 / 08/31/2008 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 I HEREBY AFF UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing i h Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for d effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the t , basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 06/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500j; Please check one of the following: Contras ors Sign re__ _—) Date ❑ 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: �J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractors) licensed pursuant to the Carrier: California Ir1SUranCepolicy Number: 460302770103 Exp. Date:0711112007 Contractor's License Law.). (This section need not a completed if the permit is or one hundred dollars ($100) or ess. RI AM EXEMPT under Section B. & P.C. for this reason: ❑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'X 06/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisio . X� 06/19/2007 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, rules, regulations, and State laws relating to building "Signatu a-------` Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 ATTORNEY'S FEES. County t nter the above mentioned property for inspection purposes. I hereby certify that I am the props ner or am hid to act on the property owners behalf. ft— 06/19/2007 i ^ CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for d ee IS Prirlt Date 't- the performance of the work for which this permit is issued. (3097 civ. code) - Owner 19VI�Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY o�uTr�0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 00 o 0 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds �U N'"PLEASE PRINT CLEARLY" Cdtaw-bn , I OWNER INFOz6f_ Last Name Address` Do pariz n P st Name Mailing Address/3,f4, ddress ? � % �u Zi CityG� L Stat Zip Phone Fax E-mail Fax CONTRACTOR Nameynq f Address` Do pariz n P City St!? _ Zi Phone Fax E-mail Lic. # c� _ Class �t APPLICANT SIGNATURE X C PERMIT NO. BIN # PROJECT LOCATION AP# O _ -nor), �. Property Address 3 c f City 2 "115 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: cJc ' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name C - Address SRA City No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X C PERMIT NO. BIN # PROJECT LOCATION AP# O _ -nor), �. Property Address 3 c f City 2 "115 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: cJc ' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION — Name C - Address SRA City No State Zip Phone Fax E-mail APPLICANT SIGNATURE X C PERMIT NO. BIN # PROJECT LOCATION AP# O _ -nor), �. Property Address 3 c f City 2 "115 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: cJc ' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const.