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HomeMy WebLinkAbout029-220-07329-22-7- CAR OLL TARESH +, �_. -:� �/� -Hwy- 162, ap nMI. f ofl 99'z" i �_ � Oroville P�mit ##1515-78E (ele ser ch & e hoc�}c agric. pump) SF B07-2003 029-220-073 MISCELLANEOUS Remodel I +' REMODEL BA-! I f 198 H WY 162 1 AVAG INC,��, 7 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: 198 HWY 162 Owner: Permit NO: B07-2003 APN: 029-220-073 AVAG INC, Issued Date: 09/24/2007 By KEJ Permit type: MISCELLANEOUS P O BOX 156 Subtype: Remodel RICHVALE, CA 95974 Expiration Date: 09/23/2008 Description: REMODEL BA, 19 WINDOW+SLID] (530) 882-4286 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: JOHN BURRONE CONSTRUCTION JOHN BURRONE CONSTRUC Building Garage RemdUAddn PO BOX 1254 PO BOX 1254 100 DURHAM, CA 95938 DURHAM, CA 95938 Other Porch/Patio Total (530) 894-0992 (530) 894-0992 100 FEE INFORMATION DBMSC Remodel -Residential $759.87 Total Charged: $759,87 Fees Paid: $759.87 Balance Due: $0.00 Receipt No: B4721 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 JOHN BURRONE CONSTRUCT 768652 / B / 09/30/2007 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 AFF N ER PE OF PERJURY that I am licensed under provisions of Chapter 9 (commencin ith S ion 70 f Divi ' 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 in full fo and ac of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X /24/2007 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: Contra r s Signature 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 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 ❑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.). VISFAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ 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: ction 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:713-0005049 Exp. Date:10/01/2008 Contractors License Law.). (This section nee not be completed if the permit is or once undt} red dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 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' Compens n laws of C ornia, and agree that if I should become subject to the workers' X 09/24/2007 com satin provisi f Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date visions. X 09/24/2007 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 Sign a Date W NING: 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 injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) 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 use or pant of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cou o nt a above mentioned property for inspection purposes. I hereby certify that I am the P ert or thorized to act on the pro erty owners behalf. ,'I h 09/24/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a constriction lending agency for me Of Pe [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 11 Butte County Department of Development Services ' TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneraIplan.net REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007) TO: All Single Family Residential Remodel and Modification Permit Applicants FROM: Scott Rutherford Manager, Building Division RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006 California Health and Safety Code Section 115928 DATE: February 28, 2007 To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007, requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8. DECLARATION The property located at "IMAN ❑ a swimming pool ❑ a spa ❑ a wadingTtoddler pool (Check all that apply) does not have a swimming pool, spa, or wading/toddler pool If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive final inspection .3pproval without this certification. Icn le th have read and understand -�the /requirements of AB 2977 and that the above is true and `correct. gnature Print Name Date Relationship to Project (please check one): El Owner El Agent for Owner "Y Licensed Contractor ❑ Agent for Licensed Contractor ,,To4 : ���� ?A CO �L. Company Name Contractor's State License Number INSTALLATION CERTIFICATION For the property located at I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool Signature Print Name Relationship to Project (please check one): ❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Other: Date ❑ Agent for Licensed Contractor If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following: Company Name Contractor's State License Number K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment Updated: 9/24/2007 L 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** OWNER INFORMATION Last Name/`_ First Name r Mailing Address • ©• n I Uo City Stat Zi Phone g g , P � 0 Fax gQ J E-mail CONTRACTOR Name J04AA rte- C045 Address City State Zip Phone Fax E-mail Lic. # /_ Q � S� Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open Cov Slate License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail L/CANT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION AP# L Property Address Z City rjc�h VC, ` WORKER'S COMPENSATION Policy Number U� Carrier U 6 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 QR SCOPE OF WORK: Zoning Flood Zone SRA I Yes P11.6 AX M 0; Type Const. Sq FT- Living r S Garage 4 16j Open Cov O Structure Built without Permits O Proposed Change of Occupancy t_? (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aumonze represertauves or me t;ounry or tube ro enter upon the above-mentioned property for inspection purposes. `.l Signature of '3ermitee or Agent Date . l /- / Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 have been paid. DIRECTOR. OF PUBLIC WORKS By' / �! 1 . ; i J i. , +� Date' I ! l � '✓ -,� ., -- •' ,jam � - f , Building permit expires Date �� BUILDING Owner I r SQ. FT. OCC. BUILDING VALUATION Mai l ing Address r `' r' i 7 , Telephone No. Contractor ►1 r�� +/ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee -, Building Address /� l�,� !. i ',+/f Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �„ '7 A. P. No. ' ! `- 1. 73 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W;C. .Sanitction Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Ceclaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. .Plons-Rec'-d Parcel A royal Plans Approval 0,Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑r Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 _, , A � Main service 100 AMP OROR LE SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 %, [-O Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBLDGS,LING CCUP. !) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CILET NON-RESID ( BRANCH CI 12.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI-RES B @L t FIXED ALNS Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1~ I am exempt fron the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is cor-ect. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ Is TOTAL PERMIT FEE $ aumonze represertauves or me t;ounry or tube ro enter upon the above-mentioned property for inspection purposes. `.l Signature of '3ermitee or Agent Date . l /- / Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 have been paid. DIRECTOR. OF PUBLIC WORKS By' / �! 1 . ; i J i. , +� Date' I ! l � '✓ -,� ., -- •' ,jam � - f , Building permit expires Date �� J Owner Mailing Address DY e v1' Contractor Mailing Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^J� 7 County Center Drive — Oroville, California 95965 Telephone: -534-x541 / APPLICATION AND PERMIT .� Tele hone o Telephone No. d.¢ 2% R- 1 Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER C -f G— J �, e Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 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. X ,RDate -31- Signatu a of Perm�iteee/or Agent Receipt No. �/ 7 orO%z? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _ BUILDING SQ. FT.7 OCC. I BUILDING VALUATION Fireplace Total Valuation Ur01111/.e A A. P. No. 2-- @ 73 PERMIT FILING FEE Permit Fee 15.00 PLUMBING No.1 @ FEE PERMIT FILING FEE Zoning 8 Planning Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets FO Wil., .30 Building sewer Fire Dept. Fire Zone Use Permit EQAI Parking I Plans Parcel Declaration parcel Ma p 60' R/W I Im r p ovements d.¢ 2% R- 1 Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER C -f G— J �, e Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 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. X ,RDate -31- Signatu a of Perm�iteee/or Agent Receipt No. �/ 7 orO%z? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _ BUILDING SQ. FT.7 OCC. I BUILDING VALUATION Fireplace Total Valuation so@ BAL@1 Permit Fee @ Plan Checking Fee &/or Penalty PERMIT FILING FEE Permit Fee 15.00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ so@ BAL@1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00L�,�j 15.00 Main service 0 V OR LE 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST 1 ACCLBLOGS.WELING CCUP. 9) 22sgft NEW CONSTR. WON.RESID- MULTI.OUTL T BRANCH CIRCUITS) 2.50ea NON-RESID. \SINGLE OUTLET CIR. EX. OCCUp(OUTLETSOR FIXTURES so@ BAL@1 EX. OCCU FIXED APPLS. OR OUTLETS (RESID.) EA) p•�N 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. D ECT R OF PU IC WORKS By D of Building permit x'0ires Date iW,::�u 1-74