HomeMy WebLinkAbout007-250-067COMPLAINT GIVEN TO INSPECTOR
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007-250-067 02-163
BUDGET -y, CHERY'L INALE
926 EATON RD., CHICO
CONT: ARTIC AIR
HVAC C/O
13U8- 141 1 007-250-067 _
MISELLANEOUS Electric Panel
ELECTRICAL SERVICE PANEL UP GI
926 E EATON RD
DANK OF NEW YORK,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 926 E EATON RD
Owner:
Permit NO: 1§08-1411
APN: 00.7-250-067
BANK OF NEW YORK,
Issued Date: 07/23/2008 By TMP
Permit type: MISCELLANEOUS
5898 CONDOR DR MP88
Subtype: Electric Panel
MOORPARK, CA 93021.Expiration
Date: 07/23/2009 • '
Description: ELECTRICAL SERVICE PANEL UI
Occupancy: Zoning: SR
Contractor
Applicant:
Square Footage:
HAMBLETON WILLIAM ELECTRIC
HAMBLETON WILLIAM ELE
Building Garage Remdl/Adds
P O BOX 189
P O BOX 189
STIRLING CITY, CA 95978
STIRLING CITY, CA 95978
Other Porch/Patio Total
(530)873=6039
(530)873=6039
„FEE INFORMATION
DBE Single Phase Service-Resid $59.00
. t
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
HAMBLETON WILLIAM ELECTI 869626 / C10 / 12/31/2009
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in II force effect.
07/23/2008
Contractor's Signature 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;
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permitis or once Hundred dollars ($100) or est
I CERTIFY THAT IN THE PERFORMANCE OF,THE WORK FOR WHICH THIS PERMIT IS
SUED, 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
provisions. h
X 07/23/2008
Signature �' Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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,
DAMAGES AS PROVIDED FOR INS_ ECTION 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)
Lender's Address
City 'State Zip
I otal Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: 138065
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.). a
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ,
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's 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
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this
07/23/2008
Owner's 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, rules, 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
prgP owne or am autho ' to act on the property owner's behalf.
J 1. %11'�C-9 •,Uc,,,/,JaW.,,07/23/2008
Owner 0 Contractor OR. DAgent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
c�U Nty PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All
PERMIT
NO.
TV 1.111t
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
First NampA i
Mailing Address
City �� L
State l_ CA-
Zip
Phone
r
Fax
E-mail
CONTRACTOR
Name Lill'
-;covt 14
Address ,11 -71,5 -7 Mutt Zk,K
city %v- l i Cl
l
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENG/NEER
Name r—
Address
Address (J,
t A 4 aVA
/"�-�t�iKtJ'T
City
State G+ �
State .—
Zig:
Phone
E-maild b� �(RPA j A 44b kS &At
oY✓aair.eC��n ,
Fax
E-mail /
State License Number ,
APPLICANT INFORMATION
Name
a 1
Address (J,
t A 4 aVA
/"�-�t�iKtJ'T
City34- -N c
State G+ �
Zip 9 Sq -79
Phonels`�30 3_(o0�
Fax
E-maild b� �(RPA j A 44b kS &At
oY✓aair.eC��n ,
/� /� APPLICANT SIGNATURE
X W
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BW #
PROJECT LOCATION
AN 00-7-250-0(o,7
Property Address Z , `64v R a A 1
Ci)c k'► G O G+
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.
Ta. .. t;( c kat~ e (oo+ 40
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
RA Yes No
Zoning Flood Zon�Ty`peCon`st
Occ.
I
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the
DO NOT COPY FOR THE PUBLIC OR THE FIELD'INSPEC'TOR!!
The following information is required for Housing {Com laints � r
• g p and the
Complainant MUST BE the p'erso'n living afilie'complaint address!
Complainant:
Address:
4 431.
The above information is not available/.to the public!!!!!!!
(2)
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-754 IT NO.
(Rev. 12/96) APPLICATION AND PERMIT C-
NUMcB
ASSESSOR PARCEL �
zo ING
BU I LD I NG P ERM IT
OWNER !
TELEPHONE
-1
1354
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUN�a ADORES `' 7,15-Q6�
CONTRACTOR'S,TELEPHONE� O
733
S J(
(/`'S /L
CONT H,5 MgI,UNG ADDRESS �
G/�j�'^`'/� � 9: d•,9
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 ^
(_�) ;
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: r h GOAH M,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800V UE
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 licenseisin full force and effect.
License Class ` , - C77 i — Lic. No. ?_I4 �I I �
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 licensedt. contractors
to construct the project. F
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DV E] LJNO OCCUR
OR ADDNS. ( a ACC. S.
SO
3.5¢FT.
ppµgESID T. MULTI -OUTLET
97.50
POWER APPARATUS
a SINGLE OunET CIR.
EX. Occup. OUTLET OR FD=RES
.00
BAL @ I 0
.FIXED
APPLNS. OR
Ex. Occup. ouTLETs RESID. Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
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.
El -'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 carer and policy number are:
Carrier L_&A v0 )i) -r•y� r) n��� ►—
Policy Number ti ►-3A IZ 41 — of
(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.
X �r._ r� . i �r..,... Date Gi '
Signature of Applicant - ❑ Owner ❑ Contractor 0,1Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height
MECHANICAL PERMIT
Fling Fee 20.00
Heating I 466b 1'5,(Y)
Cooling 5' ,10
Hood 6.50
Ventilation
PERMIT FEE Si w
Mobile Home Installation Fee $
Energy Inspection Fee I $
C
A 3
CQMT TYPE
f TOTAL FEE $ SO. t�
HA2. D. FEES IMP
FLOOD
CDF
PARCEL
Po
HD
ISSUE
✓
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B f a��L .L.t.C.(f'
y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
& _ a 0 -U3
Det®
Receipt No. _. 1535'95 #6 50 •bo
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) 538-754 T NO.
(Rev. 12/96) APPLICATION AND PERMIT C ��/ /U
ASSESSOR PAR CEL NUMB .
ZO
BUILDING PERMIT
OWNER
TELEPHONE
f�- i3S
SO. FT. OCC. BUILDING VALUATION
.OWNERS ADDRESP,
r/
T
COM OR' E /'9 - TELEPHONE
109-5-3-336
CONT ADDRE 9,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS Qclulo Cd
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF X Duplex ❑ Mobilehome ❑ Other -
SPECIFY__
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Udlliiti�es ❑ Installation ❑ 'Other ❑
Describe Work: �q�C �V
V
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.AO.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 - CZ,o-C2 Lic. No. 'F-'340113
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
WORKERS' COMPENSATION DECLARATION
1 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
g'rformance of the work for which this permit is issued.
have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, fo'r the performance of work for which this permit is issued.
My workers' compensation insurance car ier and policy number are:
Carrier LAA % -1, m.., +nv
Policy Number J r3A tc,5 2V t - ca
(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.
` ,
X ��l�y : - Date 6-7-0
Signature of Applicant - ❑ Owner ❑ Contractor gent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO tOooA
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( a Acc. eLos.
SO
3.5¢x:
I,Gµp�IpT MULTI-OUTLETI. @7,50
APPARATUS
8 SINGLE OUTLET CIR.
20 @ I'50
Ex. Occup. OUTLET OR FWURES a4L @ .so
Ex. Occup. GFlxuTUEso�A R D OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating I ,0b IS, 00
Cooling,� SSI
Hood
6.50
Ventilation
PERMIT FEE $ S -0 -OND
Mobile Home Installation Fee $
Energy Inspection Fee $
�
/`c-3
TYPE
TOTAL FEE $ SO. Co
HAZ. D. FEES P
FLOOD
CDF
PARCEL
PO
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicate bove for which fees have
By �fJ
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
//^�
Date (O pcf�f�a
6-a D ,®3
Date
Receipt No.3.5'559L-,4575o -66
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT