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Home My WebLink About031-253-039• 2 S • CLARY, James J. -� 21L,4B 2136E 1-253_ .1095 Grand Ave., Thermalito (new, single family)__`` B07-1206 031=253-039 MISCELLANEOUS:.,,:, r _ F" Re -Roof RE -ROOF (56 SQLY% '�`---k—_ °� I 1095 GRAND AVE�,�}y. HOPPER, SCOTT & ANNA �z•zi o7; B07-1893 031-253-039' MISCELLANEOUS, Remodel • MISC REPAIRS TO GARAGE WALL- F 1095 GRAND AVE -b HOPPER, SCOTT 07 i. rni S..• 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: 1095 GRAND AVE Owner: Permit NO: B07-1893 APN: 031-253-039 HOPPER, SCOTT Issued Date: 9/5/2007 By GLB Permit type: MISCELLANEOUS 1095 GRAND AVE Subtype: Remodel OROVILLE, CA 95965 Expiration Date: 9/4/2008 Description: MISC REPAIRS TO GARAGE WAL Occupancy: Zoning: AR Contractor Applicant: Square Footage: BUILDRITE CONSTRUCTION & RESTO BUILDRITE CONSTRUCTIOr Building Garage Remdl/Addn 1200 W EAST AVENUE 1200 W EAST AVENUE CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530) 891-0333 (530) 891-0333 FEE INFORMATION DBMSC Remodel -Residential $379.93 Total Charged: $379.93 Fees Paid: $379.93 Balance Due: $0.00 Receipt No: B4519 LICENSED CONTRACTOR'S DECLARATION OWNER I 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 BUILDRITE CONSTRUCTION & 689238 / B C15 / 5/31/2008 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 Section 7004offision 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 in f d 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 subjects X 9/5/2007 the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: Co tractor Signatuf 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 WORKS ' 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, 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 Cartier: GRANITE STATE IN:policy Number: WC7967449 Exp. Date.3/1/2007 Contractor's License Law.). (This section nee not be completed if the permit is or once hundred dollars ($100) or ess. IAM 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' Compensation laws of California, and agree that if I should become subject to the workers' X 9/55/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provi X 9/5/2007 I hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Date SignabG:: WARN(LURETOS CU ORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal ANDSUBJECT 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 m d property for inspection purposes. I hereby certify that I am the pr eroramauth i perty owner's behalf. 9/5/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ermittee SIGN Print Date the performance of the work for which this permit is issued. (3097 civ. code) Z2er ❑ on ractor OR; E]Agent for Owner Agent 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Firs�a Mailing Address 2 L r City ' tate (J J Zip c—y b Phone S33 - 010 6 ax [!F E-mail CONTRACTOR Name 16 ix; np a It Address 2-00 L46AS A'tAi City Ca (4tC_o Stat Zip��Z6 Phone 811-0733. Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open ov �]^ ,✓ State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail AP /ANT SIGNATURE X PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number 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: �. rL 0► - fb 62aa-a- t,' w'eb de yk cc r Sq FT- Living Garage ❑ Structure Built without Permits ❑ Proposed Change of Occupao (Note previous use): Open ov �]^ ,✓ For office use li Zoning I ANX I Flood Zone SRA I Yes INo Occ. Type Const. 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: 1095 GRAND AVE Owner: Permit No: B07-1206 APN: 031-253-039 HOPPER, SCOTT & ANNA Issued Date: 06/04/2007 By KCG Permit type: MISCELLANEOUS 1095 GRAND AVE Subtype: Re -Roof OROVILLE, CA 95965 Expiration Date: 06/03/2008 Description: RE -ROOF (56 SQ) (530) 533-0106 Occupancy: Zoning: AR Contractor Applicant: Square Footage: HOPPER, SCOTT & ANNA Building Garage Remdl/Addn 1095 GRAND AVE OROVILLE, CA 95965 Other Porch/Patio Total (530)533-0106 FEE INFORMATION DBMSC Re -Roofing $344.00 Total Charged: $344.00 Fees Paid: $344.00 Balance Due: $0.00 Receipt No: B3337 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 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 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 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 subjects X 06/04/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; PI sechof eck one the following: Contractors 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 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 the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 ❑ Section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less.) MIM 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' peensat,on laws of Cali ornia, and agree that if I should become subject to the workers' 06/04/2007 pensation provisio Section 3700 of the Labor Code, I shall forthwith comply with those visions. \ comers Signet re Date 06/04/2007 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 S atUfe 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, including death, and property damage caused by, arising out of, or in anyway connected with 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 ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte C unty to a ter the above mentioned property for inspection purposes. I hereby certify that I am the e o er or am authoi ed to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY �f o � 06/04/2007 -Re I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na of Permittee [SI N] Pri t Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; Agent for Owner QAgent for Contractor FILE COPY Lender's Address City State Zip 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) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from 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 for your benefit and protection: ° If you employ 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. ° 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 federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ' If the structure 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 license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure 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 telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED 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 BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMiNOR NO) 2. 4S/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: RE -ROOF (56 SQ) Reference Number: B07-1206 Applicant Name: HOPPER, SCOTT & ANNA Owner's Name: HOPPER OTT NA AP # : 0311-253-039 Signature of Property Owner- Date: -/-Z-L+\ (� 7 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BERE_OUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY-"---- OWNER LEARLY** OWNER INFORMATION Last Name' First Nam Mailing Address B 5 City0— fox i i' State �p Zip q�5? r� Phone 5.30_ g33_ O` O(, Fax tilA E-mail N A CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # .r Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Cityfw; Addtess / Zip ,/596 7 City WA State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name I^ Address 1095 Gr v2 uR Cityfw; State ^ t`J / Zip ,/596 7 PhoneFax _3r.33_ 3 .. — 1 L WA E-mail /V A 4PPLICA NT SIGNATURE & ��- PROJECT LOCATION AP# _ 5 Property Address / 0 C/5 mU City 1� 1 WORKER'S COMPENSATION Policy Number 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 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use).- For se): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Cons[. Butte County Department ofPevelopment Services Building Division 7 County Center Drive Oroville, CA 95965 L sz- "Jc : (530) 538-7541 REFUND REQUEST APPLICATION - REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return CLAIMANT'S NAME: AN�SCIOS MAILING ADDRESS: - r, Aver 2 5" 3 3 _ -01 v . PHONE: ASSESSOR'S PARCEL NO.: _ _ _ [Please use one claim form per permit.] BLDG PERMIT NO.: Q 7 ` 1 -g o � Receipt No. 1 Receipt No. 2 Receipt No. 3 _3 RECEIPT NO.: O p RECEIPT DATE: RECEIPT AMOUNT: REASON FOR REFUND REQUEST: (J{ est) ,t-k-c.d Flo Sou res. ,, Tooke Ow roof Wes 10v-((�, SqL ta-e s v e wo,,_t� ite Vt fz ;r _-'>O Squ4feSl Check those fees which you wish to have considered for refund: Building Permit Fees OSheriff Fees OSRA Fees (CDF Fire Planning) DOther (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. ignature Date K:/Forms/Refund Application 082203