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Home My WebLink About030-420-027ItY A Y �04 4� 'Ag- AV - Vi I V ".u-: , - , - —' `�,7� % 4 7,� X4 1p ire', I�V -j: i3- 4,4 li�; BUTTE COUNTY. .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) �91-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530),538-2140 WEBSITE: www.buttecounty.net\dds' PROJECT INFOkMATION" Site Address' 172,3 1'6TH,S,T Owner: 7 Pe rmit No: B07-0507' A�N:, 030420-027. FREIDEL, JAMES. A Issued Date: 03/16/1007 . By KEJ.� Perini . t type: MISCELLANEOUS' 1723 16TH ST Subtype: Re-Rooif OROVIILLE,.CA 9,5965 Expiration bate: 03/15/2008' Description. RE . ROOF, W/COMP (21,SQ) (530).533-8257 Occupancy: Zoning: AR Contractor Applicant: Square Footage: FREIDEL, JAMES A Building Gar e Remdl/Addn- .1723 16TH ST OROVILLE, CA 95965 - - Othef Porch/Patio Total (530) 533-8257 FEE INFORMATION DBMSC Re -Roofing $137.50 Total Charged: $137.50 Fees Paid: $137.50 Balance Due: 0.00 Receipt No: B2187 LICENSED CONfRACtOR'S DECLARATION" OWNER IF E§UILDER DECLARATION Contractor (Name) State Contractors License No. Class Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisionsof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and.effect. 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 iubjects X 03/16/2007 the applicant to. a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 1, As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AST41R SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS'COMPENSATIdN bECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code:' The Contractors 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.). . DI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by. E] I, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENS ED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: .section 3700 of the Labor Code, for the performance'af the woik 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 co r ntractor(s) licensed pursuant to the Contractors License Law.)., Carrier. Policy Number: Exp. Date: (ThisseFo-nneed notbecompleted if the permit isforone hundred dollars ($100)_0rT__s I AM EXEMPT, under Secti�n - 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 subje�t to the Workers' 00, Compensation laws of California, and agree that if I shou d become'subject to the workers' X 03/16/2007 �omAnsation p�ovisions,of. Section 3700 of the,Labor Code, I shall forthwith comply with those Owes Signature Pate P 03/16/2007 Z 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. buil ding SignA,t6re Date W�XING': FAILURE TO SECURE WORKERS' COMPENSATION * constructioni and with any and all conditions of permit. I agree to deferid, indemnify,' and hold harmless COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 an . y way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, - 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 r4prpsentatives of Butte ATTORNEYS' ES. - oem C ty t ter the above mentioned property for inspection purposes: I hereby certify that I am the - rly owner or am autho i dt act the property owners behalf. 19 Ea CONSTRUCTION LENDI?4 0 AdENCY 0 :rqA4,c3-A pgC;bL4-?311612007 , Mo Wo. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permdtee [SIGN] Print Date the perforrfianca'�f the work for which this permit is issued. (3097 av: code) V Owner Agent for Owner. Agent for Contractor El Contractor OR. FILE COPY Lenders Address ci� State Zip 0 0. 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES T, 0 BUILDING ' PERM IT APPLICATION*,. 0 5 .(530)538-21 0,-' 'OFFICE 4:-(530) 5.)8 7 4 1. FAX A,FEE,WILL BE REQUIRED AT TIME OFAPPLICATION 0 .. D -K Website: www'buttecount�.net/dds INA t "PLEASE PRINT CLEARLY��' OWNERINFORMATION,—.' La§L Name FirWN MailingAddress cit .1-04 0 State . .1 1 Z' -5�P&5 Phone 5 -92 33.' -57 Fax - E4nail COIVTRACTOR- PROJECT LOCATION* AP# Property Address -7,7 S7 I "'Y -j WORKER'S COMPENSATION. Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's corn . ensation Must be showdat the time of permit issuance. p LENDING AGENCY Name Address 8utte County Department of -Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR .0 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax U www.buffecounty.net/dds OWNER-BUILDERINFORMATION An application for a building permit, has been submitted -in your name listing yourself as the builder of the property lmprovenieht� 'specified. For your protectio ' n you, should be aware thatas "owner -builder" you are the responsible party of record on such a permit.. Buil-ding permits are not. required,to be signed by property owners unless they a�e personally performing their own work. If your work is being performed by someone other than'yourself,,you may protectyourselffrom possible liability if that person applies for the proper permit in'his or her name. Contractors -are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you.'plan to-do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information foryour benefit and . ,protection: If you empiloy or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. 13 If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and f6deral income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions, a There may be financial risks to you if you do not carry out these obligations, and these risks are especially seriouswith respect to workers' compensation insurance� 'For More s 'ecific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business p Administration). For more specific information,about your obligations under state law, contact the Department of Benefit Payments and the Division 6fIndustrial Accidents. if the s1truct.ure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a licensecontractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contract . or is to s ecure an "owner -builder" building permit, erroneously implying that the property owner is' providing his or'her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephon'e'information system at 1-800-321.,-' -CLSB (2752) or by,accessing thier website at www.CSLB.ca.gov., PLEASE COMPLETE. AND RETURN THE ENCLO. SED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUIL,DrNG PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PW TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT . JE OR NO) 2. 1 VE NOT) SIGNED AN APPLICATION FOR A BUILDING PlikMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTIO14: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO' .4. 1 PLAN TO PROVIDE PORTIONS OF. THE WORY, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJORWORK: NAME ADDRESS CITY PHONE -CONTRACTORS LICENSE NO 5. 1 WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDIC�TED:. NAME ADDRESS PHONE TYPE OF WORK Description: REROOF WCOMP (21 SQ) Reference Numbei' B07-0507 4 .Applicant Name: FkEIDEL, -JA-M. ESA 91-5 AP # 030-420-027 Owner's Namc�. FREIDEL,JAMES A: - Date: - Signature'of Property Owner: 7