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Home My WebLink About018-440-012- - i I r �S ji 011-10-0-012 99-0073 B IJAGNER, Dan (vinyl Wa Chico �I�� 'll (vinyl siding SF PF Reilly V B07-2467 018-440-012 MISCELLANEOUS Remodel REMODEL BATHROOM APPROX 50', 640 COYOTE WAY WAGNER, STEVEN 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 PROJECT INFORMATION Site Address: 640 COYOTE WAY Owner: Permit No: B07-2467 APN: 018-440-012 WAGNER, STEVEN Issued Date: 12/05/2007 By TMP Permit type: MISCELLANEOUS 640 COYOTE WAY Subtype: Remodel CHICO, CA 95928 Expiration Date: 12/04/2008 Description: REMODEL BATHROOM APPROX . Occupancy: Zoning: SRI Contractor Applicant: Square Footage: QUEVEDO CONSTRUCTION COMPANY QUEVEDO CONSTRUCTION Building Garage Remdl/Addn 12039 CENTERVILLE ROAD 12039 CENTERVILLE ROAD 50 CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 342-3472 (530) 342-3472 50 FEE INFORMATION DBMSC Remodel -Residential $379.93 Total Charged: $379.93 Fees Paid: $379.93 Balance Due: $0.00 Receipt No: B5520 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 QUEVEDO CONSTRUCTION C( 589377 / B C17 / 03/31/2008 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 AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Sed' 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 inn and of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X 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 12/05/2007 [$500); Please check one of the following: Contractors Signator 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 Contractor's 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: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL 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 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 7130017900 Exp, 0,100/0112008 Contractor's License Law.). (This section need not a competed if the permit is or one undred dollars ($100) or ess. ❑ I 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 12./05/2007 compensation provis' of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date X 12/05/2007 aia) 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 Signature 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 $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, inducting death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the rty er m authorized to act on the props er's behalf. CONSTRUCTION LENDING AGENCY 12/05/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ams of PUto2ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) OwnerContractor OR. E]Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip 4111 "W6111110M' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name / • M, - `fP_rst Name Mailing Address (D A ^ 01T_ l� City /� , , 1 State Zip q 5 Phonet Fax E-mail CONTRACTOR Name0'F_jf'D0 Address (Z'o.zL4_C- city L' l�hco State Zip �l 5'928 Phone 39,.I Z Fax E-mail Lic. #S.� Class APPL/ CANT. INFORMATION ARCHITECT/ENGINEER 11 Name A Address Zip City Fax State Zip Phone Fax E-mail State License Number APPL/ CANT. INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANTSIGNATURE X 'L� PERMIT NO. BIN # PROJECT LOCATION AP# —C/; Property Address O (_0'{O City Cil+l co CA 9 L$ WORKER'S COMPENSATION Policy Number 0�-01338 Carrier 6T -0-a' ' n1 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 nn DESCRIPTION OR SCOPE OF WORK: I_G.wt4511� L f �ClfrtoaW� 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. 59q.q?). 011-10-0-012 99-0073 ,B*� ' WAGNER, Dan 640 Coyote Way, Chico (vinyl, siding) SF PF Reilly /—/2-vd � 642 0 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ? ASSESSOR PARCEL NUMBER+ _ U I ZONINO(1 ` BUILDING PERMIT OWNER /: 1 M 1)"7 TELEPHONE '1 TEL?(l ryl SQ. FT. OCC. BUILDING VALUATION s C-1 OWNERS MAILING ADDRESS CONTRACTOR'S NAME Yn TELEPHONE CONTRACTORS MAILING ADDRESS F. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ oo ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS + f; Energy Pian Checking Fee $ $ PERMIT FEE $ Q )15 LOT LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 1 SF Cir Duplex ❑ Mobilehome ❑ Other a 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 ❑ }Utilities ❑ Installation 13 Other [ S�Jr' Describe Work: l i`{.ti, i — l J CSX J_ -(7 • 00 f Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRIC L PERMIT Fling Fee 20.00 OOOV OR LESS Main Service 2o.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 license is in full force and effect.aFSNWG�LEo License Class t�Z Lic. No. 1 D 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 performance of the work for which this permit is issued. .E11011 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 _1 At�r1 t-�._,r.3Lot_i- t�l.)kJC `kms}-- Policy Number % L x �r (The above sections need not be completed if the Oermit 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 shallre 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. � ` t 1 + Date { L l / 7 Signature oApplicant - nt ❑ Owner ❑ Contractor —QVk An OSHA permit is required for excavations over 5'0" deep and demolition or construction81-f of structures over 3 stories in height. Main Service zooA To 1000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5Q FT. NMRESID. ANCHOUTLET @7,50 "Tbla. Ex. QCCU OUTLET ORFDCTURES �0 ®', o Ex. Occup. p�LEtDTgR� .oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 3 CONST rPE TOTAL FEE $ r 3 OJ HA2. p. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ �, F 1, By b It F-fy✓►1_,� PERMIT EXPIRES ON - the applicable provisions Resolutions to do work been paid. Date III' ; :- — Date Receipt No, aZ S �! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N x COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-754 PE I-22 o (Rev. 12/96) j APPLICATION AND PERMIT y5 '- dal =. f ASSESSOR PARCEL NUMBE?D I ^ I Q I /7 ( Jr ZONIN!3 (Z_' BUILDING PERMIT OWNERcuyDI-, - TELEPHONE -q5gySO. FT. OCC. BUILDING VALUATIO . OWNERS MAI NG ADDRE S CONTRA QS NAME � TELEPHONE 1Wq8-0833 cON"TT a DR 3 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ q,3, V ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ , 0 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 �0 Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service .AORLESS 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 i in full force and effect. �a e� 1' 7 ` S� License Class Lic. No. L JJ :211(7)3:) 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. ❑ 1, 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 46.00so WEU200A CCU000A NEW CONST. DWEII.ING OCCUP. OR ADDNS. ( a ACC. BUDS. SO 3.50FT. NONNEW REOSIDT. MULTI.OUTLET 97,50 POWER APPARAT a SINGLE o dR. Ex. Occup. OUTLET OR FDCTURES 20Q , � BAL Q .50 Ex. Occup. ouri�is A�iLi'EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S 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 workrs' compensation insurance carrier a oI'cy number are: Carrier L, Na(O -iVl��- =C9%V— MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ j Policy Number N (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �� —�j Signature of Applicant Owner ❑ Contractor nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �Q_ � CONST TYPE TOTAL FEE $ �,db HAz. D PEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES 9N ! - I the applicable provisions Resolutions to do work been paid. Date / 2.- '� O 017 Date Receipt No, a7— 17 '? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT