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Home My WebLink About026-111-017• 26-111;17„ j f, ,3063-89B` j ,.,: TOMPKINS; Mary:' • y -a/ •1992 Baldwin'Ave; Palermo ;` ' Contr ''Clanton Const " t F B06 2613U26=111=017 y 1- MISCELLANEOUS '' Wall Furna e REPLAGE.WALL FURNACE S � ,Ao h 19921B LDWlN;AVE''�',o-.� TOMPKINS;MARY* ETALpx'"x` 1 ' i Y 1 ' i 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: 1992 BALDWIN AVE Owner: permit No: B06-2613 APN: 026-111-017 TOMPKINS, MARY* ETAL Issued Date: 11/07/2006 BY KCG Permit type: MISCELLANEOUS 1992 BALDWIN AVE Subtype: Wall Furnace PALERMO, CA 95968 Expiration Date: 11/07/2007 Description: REPLACE WALL FURNACE (530) 533-5540 Occupancy: Zoning: U Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING & . Building ` Garage RemdUAddn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530) 384-2444 (530) 384-2444 FEE INFORMATION Heater (Wall) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B790 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 GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 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 S ctio 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) full force 30d cl. 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 11/07/2006 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: C aCtOr S Sig ufe Date ElI, 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 WORKERS' COMPENSATION DECLARATION 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 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 ElI 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 YORKERS' 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 erformance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, Z-1,ection ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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 State Fund 713-0013855 05/01/2007 Carrier: Policy Number: Exp. Date: Contractor's License Law.). (This section need not be competed if the permit is or once i�undred dollars ($100) or less.) ❑ 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, 1 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 11/07/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisiogs. 11/07/2006 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 S� n ure Date NTNG: 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 udi injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ter he above mentioned property for insp ction purposes. I hereby certify that I am the pr e o r r m aut orized to act the props o rS hatf. /07/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for *he f r? riot ate the performance of the work for which this permit is issued. (3097 civ, code) Owner Contractor OR.Agent for OwnerAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name" to _ • �, ILEI I" L i e Address /•l q n ' 8 � n Ary I 1� City State Zip Phone �� J Fax E-mail APPLICANT SIGNATURE itX Fr office use only: CONTRACTOR Name H Vnt-i C Addres On ZO City IStat State zipG Phonal `f" a4 LA i tt '- Fax E-mail Date Approved: Lic. # Class APPLICANT SIGNATURE itX Fr office use only: ARCHITECT/ENGINEER Name H Vnt-i C Address On ZO City ' State Zip Phone 2 Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE itX Fr office use only: APPLICANT INFORMATION Name Gattanheis H Vnt-i C Address To On ZO City ' State CA Zi Phone 2 Fax E-mail Date Approved: APPLICANT SIGNATURE itX Fr office use only: AP# C -I I I - 011 Zoning Flood Zone ISRAI Yes • No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING• FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# C -I I I - 011 Pro ert Address I ALQt City Cross Street WORKER'S COMPENSATION Policy Number !3 s� 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: Sq FT- Living Garage Open Cov O Structure Built without Permit O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by.G , Amount: CJS Bldg , SRA Receipt #: F3 r790 Sheriff a e *lvI / SMIP Date: 11-7-6 W Total REV 8-12-05 ... _ .�+w.a+xsrc•: •• __ r.� .. z•,,.�•`--y "mac" �•--...<;;�, F`T6 1-17 `t a 3063-89B' INS, MaryBaldwin Ave, Palermo ` Consr: Clanton Const , ' ,7 (siding/SF). , f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA REL U'BEF3 (J ZONIN BUILDING PERMIT OWNER! i TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILpING AD -RESS r^` �^ I7 , ;) V) I i i ONTR DR'S NAME j j / T LEPHON CONTRACTOR'S MAJLING ADDRESS ,j -^ 1t_47>1t- �Z 1 ,� r 9S 7 Fireplace CONSTRUCTION LENDIR UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ^ Each Trap 2.00 Q eo /Mo Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utti liti s ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. iofs, C Classification l3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM , OR ADONS. ACC. BLDGS. / /20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS tr1 SINGLE OUTLET CIR. I 200 Ex. Occup( OUTLETS OR FIXTURES 8AL93 t ALO 30 FIXED APPLNS. EX. Occup. OUTLETS IRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ell/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep,harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence f the granting of this permi . /r7 X _--f��lfl: -/lk.- ��-- Date 7 Si nature of Applicant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ V) HAz CUA PARK SCHL EE PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i dicated above for -,which fees have been aid. , ff p f I DIRECsTORF PUBLIQ(WORKS �! B 6144, � f ��/Date 9/ `��f � Y� PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. •ELLO -Ase Es3OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAfft AND PERMIT PERMIT NO. / ASS S R P+ARC,E,L UMBEq /// ZONIN BUILDING PERMIT OWN �( t OM AQ TELEPHONE SQ. T. OCC. BUILDING VALUA I N S'S'e f /fit OW R'S MAI N E"ITW I V 1 O A_11 -R'S A / T LEPHON :7,E7 NT_A TOR'S ING ADD ESS n s 1Q0LVr\n v] 1:L6 t/1 7S Fireplace CONSTRUCTION LEND17R UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent ..5.00 USE OF STRUCTURE SF �] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition❑ Remodel❑ tiliti S[:1 In Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty Of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. � License No. _ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADONS. ACC. BLDGS. / /20sgft NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 61 (SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES p� 20®50Q BAL@30 Ex. OCCUp. OUTLETS (RESID )FIXED APPLINIS REA.) -2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. II shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County i onsepue e f the granting of this permi %� Date Signa re of Applicant — . Owner ❑ Contractor Re Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S HAz CUA PARK SCHL FLo PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work i ted above for hich fees DIRE PUBLI B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. RKS ate LReceiptNo. D.P.W., YELLOW-ASSCSSOR, tP INK -INSPECTOR, GOLDENROD -APPLICANT