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HomeMy WebLinkAbout024-170-050024-17L 0050 00-1576 GAAY GLEN 522EE, GRL fir 74COE & SON ROOFING°/ RE BOB-0711 024.170-050 MISCELLANEOUS REPAIRSTO MAIN Electric Panel t ELECT. SERI VCE 522 COWEE AVE GALLAWAY GLEN l� k' ' 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: 522 COWEE AVE Owner: Permit No: B08-0711 APN: 024-170-050 GALLAWAY, GLEN Issued Date: 04/17/2008 By TMP Permit type: MISCELLANEOUS 524 COWEE AVE Subtype: Electric Panel GRIDLEY, CA 95948 Expiration Date: 04/17/2009 Description: REPAIRS TO MAIN ELECT., SERIV (530) 846-5080 Occupancy: Zoning: A40 0 Contractor Applicant: Square Footage: WATERBURY ELECTRIC INC WATERBURY ELECTRIC IN( Building Garage Remdl/Addn P0BOX 911 P0BOX 911 GRIDLEY, CA 95948 GRIDLEY, CA 95948 (530)846-2081 (530)846-2081 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7058 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License WATERBURY ELECTRIC INC 686693 / CIO / 04/30/2008 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 Section 7000) of Division 3 of thqss and Professions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full fo and act. 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 of not more than five hundred dollars 04/17/2008 penalty [$500]; Cont cto s Signature V Date 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). 1-3XAAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by L—I I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: 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; The Contractor's License Law down 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 Carrier: ENDURANCE REINSpolicy Number: 1872115 Exp. Date.08/09/2008 Contractor's License Law.). (This section nee not be completed if the permit is or or onehundred dollars ($100) or ass. ❑ 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 04/17/2008 compensation provisions of Section 3700 of thelabopCode, I shall forthwith comply with those Owner's Signature Date provisio XitdtL, 04/17/2008 1 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 Si 6na urs WDate 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 to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am uthorized to a on the props owners behalf. � pv, (Jr' 04/17/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Pri t Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip 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 PLEASE PRINT CLEARLY PERMIT BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information 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 ga-I /�, w ll First Mailing Address City State Zip Phone J2�'p� Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name v. (% e V i� e/ M e - Address l7 © // / a �aIT 4) 9C'& City ,e Pr State IQ Zip I /y Phone 530 Fax 530 / 3727 !C E-mail E-mail Lic. # Class C All f)" 0 Fdo /eo, Mr/,/, Effl.L PROJECT LOCATION ARCHITECT/ENGINEER Name City 'fin l�A Address SRA City ellState State Zip Phone / 3727 !C Fax E-mail State License Number All f)" 0 Fdo /eo, Mr/,/, Effl.L PROJECT LOCATION AP LICA INF MA 1O Name City 'fin l�A Addres SRA CityI ellState p2 �✓ Zip Phone 53, J / 3727 !C Fax E-mail All f)" 0 Fdo /eo, Mr/,/, Effl.L PROJECT LOCATION AN d%W r o Off C9 0 o Property Address .e e Ale City 'fin l�A Ile 071 WORKER'S COMPENSATION Policy Number Carrier X_ At d U raHC e if hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WOR HEaZre_ev' /41/ ze a0 ocd P Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZ�Type SRA Yes No Occ. st. � s9.0o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 77 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER T . '' ZONING BUILDING PERMIT)7V-vJ�v/ OWNER TEI.EPHO E © SO. FT. OCC. BUILDING VALUATION 140 D OWNERS MAILING ADDRESS Co W L- ' ija( �fA"Al 357 CONTRA R'S NAME 1 TELEPHONE CONT TORS=15RESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADD Total Valuation $ ARCHITECT OR EN777 6. Filing Fee $ 20.00 Permit Fee $ zbw ARCHITECT OR EN_GINEEWSS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRE -n 2 12 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF�I Duplex 11Mobilehome ❑ Other ,, `` BIS 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 ❑ Instal ❑ Other J? � Describe Work: _- d/ D a 9r --' -7—l%1'�G� nip O Jl �/ P. � I _5Q Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service 200. 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 II force and effect./�j License Class 3 Lic. No. 2 / 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. NpN.po,pT' MULTI-OUTLETFICUT. @7.50 POWER APPARATUS 8 SINGLE OUfLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. oFlxuT trs ALNS ORE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc..Wiring 23.00 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. Cter nave 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' co ensati n insure a carrier and policy number are: Carrier Policy Number (The above sections 454d 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 co ly with those provisions. X Date / �(/ �G _ Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excav Ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ q1, 00 HA2. D. FEES IMP FLOOD CDF PARCEL I PD HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ,- By PERMIT EXPIRES O the applicable provisions Resolutions to do work a been paid. Date ReceiptNo. C� WHITE-D.D.S.- .D. CANA Y-ASSESSO P K -INSPECTOR GOLDENROD -APPLICANT i 024-17-"50 00-1576 GALLOWAY, GLEN 522 COWEE, GRIDLEY CONTR: GREENE & SON ROOFING ,. , , .4 •�•.<,. tr-. � ,.-ter COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :' County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1C ASSESSOR PARCEL NUMBER —?Y- /70- 05 -4) ZONING BUILDING PERMIT OWNER -, TELEPHONE SO. FT. OCC. BUILDING VALUATION / OWNERS MAILM RESS CONTRACTOR'S NAME TEUEPNONE - COM T MAILING AD RESS 1 J J CONSTRUCTION LENDER J Fireplace LENDER'S MAIUNG ADDRESS Total: Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , L•.J ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ , 411,(I LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee '20.00 • USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPEc�v Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK _ New ❑ Addition ❑ Remodel 1:3Ubliitiees/❑ Installation ❑ Other �Cld0P Describe Work:� �i!'' Y - a,�r� ,��p� /� 'IMobile 4%fi A! (1J,G)i -!fin /'37a d) i�it e J Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.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. ^ ��� License Class i — LIC. NO. ,L OWNER -BUILDER DECLARATION 1 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 TO Main Service To ,000A 46.00 NEW CONST. DWOCCUP. SO W OR ADONS. ( 8 ACC. BLDS. 3.5¢FT. NOµRalp.. MuLTI.OUTIET @7,50 POWERAPPARATUS a SINGLE oLITLET CIR. ZO Ex. Occup. OUTLET OR FD(TURES BAL®'.00 @ .50 Ex. Occup. oFlXurELE°Ts(RRAPPE�sID)FRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. c] 1 have and will maintain workers' compensation Insurance, as required by Section I3700 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 Q �s1:� F �/ Policy Number /a/ 6!_ 1 Z 0 !2 (The above sectiones not be completed 'rf thip-ernriff 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 Date Signature of Applicant - ❑ Owner g/Contractor ❑ Agent An OSHA permit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating L Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ q1, GD HAZ. D. FEES IMP FLooD CDF I PARCEL I PO I HD I IS UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees hale been paid. / _ <<1_ 1 By 1 �� Date PERMIT EXPIRES ON Date Receipt No.'i Of r ]� / U WHITE-D.D.S :D. CANARWASSESSOR 7 PINK -INSPECTOR GOLDENROD -APPLICANT r