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HomeMy WebLinkAbout007-250-067COMPLAINT GIVEN TO INSPECTOR DATE: / -. _ � r a r ®Z®�� 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 a( /r i 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) ;..ia�it�:T:•Y.�rvv'^.-=r�r .,��.a�.ly!;tab�F;� Vim: T3���F7im�'�L'��it'': �ttvY:+�?ts�+rYis,Rr?is."Vy'b++Wr�3�crr�^y�i�"�c"`�: . ,�.:�c+ .-'- � �wrs�nr:.:ii /tl _..� �� �V�• 3 ' a 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