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HomeMy WebLinkAbout039-090-014HARRY C i.NQU IlV I AP 39-09- -r a y s Bre s7-auer Ave., 2-mia ELoene Av©,, chic0 Perit# 4218-75E(service change, feed well, & sub panel) 039-090-014 04-3461 CINQUINI, ENRICO 2380 BRESLAUSER AVE, CHICO Cont: OWNER ELEC SERV/UP GRADE' ' a C M Cil p C"l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP043461 LICENSED CONTRACTORS 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 Issued Date: 12/08/2004 APN: 039-090-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2380 BRESLAUER AVE CHI Date: Contractor. Map Index: Description: new electrical service/up grade OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CINQUINI FAMILY TRUST to its issuance, also requires the applicant for such permit to file a CINQUINI ENRICO & MARIE TRUSTEES signed statement that he or she is licensed pursuant to the provisions of 11053 LONE PINE AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 7cant to a civil penalty of not more than five hundred dollars ($500).): 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 Applicant•' CINQUINI FAMILY TRUST Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have ;he burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. Engineer: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: Total Square Ft: 0 S.F. #: Valuation: $0.00 Census Code: 7certify 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � Date:Dec, —'— Ii OU [I Applicant: 4 WARNING: Failure to secur workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.(a5 CONSTRUCTION LENDING AGENCY This permit is hereb issued under th p licable provisions of the Butte County Code and/or— — I hereby affirm that there is a construction lending agency for the Resolutions o do ork indicated ab e f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) zagwyDate: Name: ByW14,,,Av L/ PERMIT EXPIRES ON: K CJS Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ^ A c Print Name: Z n _ �11fes(_ 11 A Signature: � C� Date: U Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor a 7J /!��/l�icUrrn, /M& C/Wou IE V CZ 6,eoc-lAoo'6 A1,owF> -;5 Exalcc CA k FlAhq 4., A15 P6 77,0^1 ��..�� .1 a ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dive — Oroville, California 95965 Tel ephone:+534-454 APPLICATION AND PERMIT Owner Mai l ing Address r 0 r Telephone No., y BUILDING SQ. FT. OCC. I BUILDING VALUATION Contractor Fireplace Total Valuation Mailing Address — Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address1 �� ' �- ffr ' '�'� �' r �j - Tfrt_ 'lr ' PLUMBING No. @ FEE ,PERMIT FILING FEE $3.00 C` Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 f ,i tt Each gas water heater or vent 1.50 A. P. No. i i� -� �' - ��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation' FireDept. FireZone Use Permit Building sewer 5.00 Parking Parcel Lawn sprinkler system 2.00 EQA I Plans I Declaration I Parcel Map 1 60' R/W I Improvements Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑- Single Family 0 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 Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 oril4sss) (more tl-an 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump / / i � Mobil Home Facilities Temp. Power Pole Misc. wiring @ FEE $3.00 "` 0 1.00 1.00 1.00 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ / f'. , $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ElI have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ 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 t "Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $I/ . 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 / r r •- i Date By Building permit expires Date ��� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT !� BUILDING Owner + SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 7 G O i eie none o Z " - Fireplace Contractor CO CU Al- 42-7 Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty — Telephone No., Permit Fee Building Address S/ , e— 4DE y PLUMBING ERMIT FILING FEE 0) Each Trap ` m Repair drainage or vent piping Water piping l Each gas water heater or vent A. P. No. Q ..� Zoning 8 Planning Gas piping system 1 - 5 outlets Each additional outlet F W. S FireDept. FireZone Use Permit Building sewer EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL PERMIT FILING FEE r' ,45tA10 4f� b4— %�/' Main service incl. 1 meter Single Family,K Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Additional meters, eaetr Sub -panel 02 or ess) (morr/A1 an 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets . Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water/ 4!�K'� Mobil Home Facilities Temp. Power Pole @ FEE NMI =I 11 I Mai License No. Classification Misc. wiring p 0) I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4 is 16, MECHANICAL NO. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 17 I certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. $ $ Permit Fee - 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 ate Signature ,+ ermitee or Ag t Receipt No. �/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE1$/ 40111 10 This permit is hereby issued under the applicable provisions of the Butte County Code and/orresolutions to do work indicated a0ave for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ���`�'—�- Date ,mijI tg permit expires Datezf7G i — 'r f r License No. Classification Misc. wiring p 0) I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4 is 16, MECHANICAL NO. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 17 I certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. $ $ Permit Fee - 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 ate Signature ,+ ermitee or Ag t Receipt No. �/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE1$/ 40111 10 This permit is hereby issued under the applicable provisions of the Butte County Code and/orresolutions to do work indicated a0ave for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ���`�'—�- Date ,mijI tg permit expires Datezf7G i