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HomeMy WebLinkAbout039-090-020r�_ 39-09-20 CARLTON WRIGHT Lone'pine Ave. & Little Chico Creek, Chico 4Fire-Report) B07-2006 039-090-020 MISCELLANEOUS Re -Roof REROOF W/C(); P'.(25) . 10944 LONE:PIN} AVE CINQUINI FAMILY TRUS, KNUDSEN, Robert C. 1252-71B ` 1216-71P 157-72E 1166= lE;,3 9-09-20 i3 1 e/s Lone Pine at end of Chico Ave., co CONTR.: Hoyt Lauderdale, .Rt. 1, Box 388-L, Durnscz (addition)'Q(j } P 7 f ( eYa j ani o a�� P 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: 10944 LONE PINE AVE Owner: Permit NO: B07-2006 APN: 039-090-020 CINQUINI FAMILY TRUS, Issued Date: 09/24/2007 By KEJ Permit type: MISCELLANEOUS 11053 LONE PINE AVE Subtype: Re -Roof CHICO, CA 95928 Expiration Date: 09/23/2008 Description: REROOF W/COMP (25) (530) 342-1892 Occupancy: Zoning: A10 Contractor Applicant: Square Footage: CINQUINI FAMILY TRUS, CINQUINI FAMILY TRUS, Building Garage Remdl/Addn 11053 LONE PINE AVE 11053 LONE PINE AVE CHICO, CA 95928 CHICO, CA 95928 (530)342-1892 (530)342-1892 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $144.50 Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B4724 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 CINQUINI FAMILY TRUS, OL:CRW_00371197 / / 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 X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not than five hundred dollars 09/24/2007 penalty more [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE MPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the 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 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 E] Section 3700 the Labor ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves 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 a competed if the permit is or on�llars ($100) or less. ❑ I AM MPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS AI SUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, a greethat if I should become subject to the workers' /24/2007 compens X i n provisions of Section 3 of the Labor Code, I shall forthwith comply with those Own s Signatur Date provisio ., X (��L.LkJU 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 Signeta Date WARN I G: FAILURE 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro owner ram thorized to act on the property own fs behalf. CONSTRUCTION LENDING AGENCY - 09/24/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me ermittee [SI ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; E]Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip Sep 24 07 11:07a Cinquini 5303451818 p.1 i Butte bounty Department of Development Services ®s�T��.• TIM SNELLINGS. DIRECTOR 1 P$TE CALARCO. ASSISTANT DLPECrOR 7 Courtly Center Drive • • • • Orovitle, CA 95965 � (530)538-7601 Telephone d �p (530) 538-2140 Fax :buttecounty,net/dds OWNER-BUILDERUFOPMATIGN An application for a bailft permit has been Sttl Ued in your name listing yourself as doe builder of the proputy improvetneaLs specified. For your Protection you should be 4wwe that as ^owner-buildeP.you are tt rtsPtmsible partyof rc;xd tat such. 10trmit.. Building petm� are not required to be, signed• by property ility i s unless they ate personally proper permit in peioreiing theirh n wn oata� work ie barna Performed by snmeone other shag yeN_ir if you m� � y—sclf from Qossibte liability i(that.person appjigs-for the e. Contractors are required bylaw to be licensed and banded by the State of Califemia and !o have a busin-,,; iicedst libm the city -or coup lasr to Put•their Tiemut number on al) permits forwhie r&7- applycounty... They am, afro required by Nyack WithPro :(you Plan to do your oxer �srh Lhe exception ofveripus trades thnt you plan to subcontract, you should be aware of the following information for .yout benefr andatIfyorr employ or otherwise rngage any Petstms other than your immediate family, and the work Gndoding etxsetiah rai prem end such arsocs are sot Jit aised as contractors ofsubcontractom then you Maybe an employer. d o!jteq) is 5500 err more for the entire a Ifyou are an employer. you moat register WA the state and federal gOtrersascrr, n raoano tax withboldin& federal'soeiarsecmiry saxes, workcW compensation �d yatt are subjectm severaYobifgatioos incl no state raw federal Thcrt may fi_mrsiul ads to y;su if r disability irtsunnoc costs. arid uncmploymeni totnpen ari eolyvibatfon� o y� do not carryout these obligations, and that risks are cspcciallyseioas with respect to workers' compensation jwwaticu. AcFor more specific information about your ablip�tiorts ttndtt fkde ttl lav contaes the toteraaLga�ue Scrvice(anck if you wish, she U. Sm. busitlees ridenArffijort)• For more spaific infama>jon nbau your obligations tattler state taw, contact. the Department of Benefit Payments andlhc DMelon of Induslrial Accidrna. If the structure is intended for _ --It, pro. old' owners afro arz bBtiitxtued cwttrauots arc allowed to without a q en t aontica of err. �ccas trpe or. Daly under limited conditions. perform ljiejf work pasotlelly or through thin own mnPtoyecs, �d�A lre+itre+ss Practice of unlieeesed persons Professing to be contractor is to stare an ,owner -builder,, building prmsit ert4necyssly en�rging rintttr Pi ed bwner_u, dirthisx her mvn Jaber m d mato ia1 persoaatTy. Boisdtng pziibits are not required to be signed by PmPcaY owns unless they rrc perforating their own work lnM.32 o abatis licensed eoarraetars may w CSLEed by Contataittg the Contractors SLala Cacstsss Board's autotn se3epbistteinformttiton system gt-HOIk}2.1. 9 {2?52) cr>ry acosssirtg shier wtbsiie at www.CSJ$:cagoo: CCILIP ?LEASE AWARE F ANDREl-tit TERSE HE OSED 0 WNER-8UILDER VERIFICA770N FORM SO THAT WE CAN CONFIRM MAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT, , ILL PIOTBE WTJED l NTT-LTI E -VERIFICATION IS'REMRNFD. OWNER WJMDER VERIFICATION PLEASE COMPLETE ISOs FORM AS REQll[RED 1)Y THE STATE OF CAIJFORNIA (SENATE BILL NO. EFFEC71VEJULY 1, 1..980). NO BUII.*JI::O PERMT WILL BE ISSUED LMr1L THIS VERIFICATION IS RECEIVED. L/ I PERSONALLY PLAN To PROVIDE THE MAJOR TABOR AND MA7ERIALS FOR CONS37tUCftpN OF'fHE PROPOSED PROPERTY IMPKOVEMENT. fYFS ORNO) I (HAVE/HAVE NOT) SIGrit:D AN APPLICATION FORA' BUL:DINO PERMJTFOR THE PROPOSED WORK 3.1 IiAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO NAMEPROVEDE THE PROPOSED CONSTRUCTION; ADDRESS CITY PHONE CONTRACTORS LICENSE NO ,. I PIAN TO JOP WOR PORTIONS OF TI•IE EiORK, $E1 < 1 HAVE HIRES THE FOLLOWING PERSON TO COORDINATE. SUPERVISE, AND PROVIDE THE MAJOR WORK: )JAMS ADDRESS CRY PHONE CONTRACTORS.LICENSE NO S. i WILL PROVIDE SOME OF THE WORK BUT 1 HAVE C NAME APDAES$ ONTRACTED (141RED) THE FOLLOWING PERSONS TO gnOy>yDE.7yrt WORK NrJrCATED: pNON�. TYPE OF WORK Description: REROOF WICOmp (25) Reference Number: i;Q)7-2006 Applicant Name: C-jNQ Uq1 FAR IL- TRUS; 2vtmer's Mame' CINilNi FAMILY TRi3S, AP N: 039-090-020 Signature ofProperty Owner: ��+-�--i-'y� Date• `i ' y �/—��_.�_ I d -oc e T T L® +a des A �t�trxo _ L -d 9l9l9t?coc9 iuinbuio e7€:Ol /0 tr7 deq BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530)5')8-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name , A l-1 I I pr First, e Mailing Address/M J L 2 J P, I- f1, P City Fax 2 _ ) a / p 0 Stat zii g6'jCq Phone a_ ) 91761 I6, I Fax 3q6 - E-mail 1171 C� O) eryy-) • -A •- 1 pr n IF Address / City Fax 2 _ ) a / p 0 State Zip Phone Fax E-mail N APPLI NT INFORMATION ARCHITECT/ENGINEER Name City5i Gv Address / City Fax 2 _ ) a / p 0 State Zip Phone Fax E-mail State License Number APPLI NT INFORMATION Name' 1 Address City5i Gv State / Phoney _ / I q Fax 2 _ ) a / p 0 E-mail APPLICA SIGNATURE X OLL _,4,A,1,i,jAA 10 PERMIT NO. f co -c BIN # q PROJECT LOCATION API 0 3 ! `o D - dao Property Address t Y7 City 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: e Q Af� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits El Proposed Proposed Change of Occupancy 1..� (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. ORDER NU/.tiiiER RSG. REG. R.Y. 'INCIDENT N� I 7 START MO. t YEAR COUIyJY �- r ❑ WIIDLAN[ � ❑ NON-WILDLAND — 4 ❑ ASSIST OTHER AGENCY (Not City) 0 FIRE FC -18 (1 /80) LOCAL ZONE © � CDF LOCAL GOVT. CONTRACT FIRE NAME: ❑ B.L.M. L BA. ❑ B.I.A t LOCATION NO. �L thru MORIGIN NSHIP[FNRANGE L❑s �E O❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CITY, CONTRACT CO., MIL, I 1❑ (STARTS IN OR 0 ONLY) 5 CAUSE LIGHTNING ❑ DEBRIS DENTTYPE ❑ CAMPFIRE. ❑ ARSON OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT Fg�FIREI ❑ FALSE ALARM�,O TO BLOCK 10 8/OR CONTENTS ORDER NU/.tiiiER RSG. REG. R.Y. 'INCIDENT N� I 7 START MO. DATE YEAR COUIyJY �- r ❑ WIIDLAN[ � ❑ NON-WILDLAND — 4 ❑ ASSIST OTHER AGENCY (Not City) 0 FIRE NUMBER LOCAL ZONE © � CDF LOCAL GOVT. CONTRACT FIRE NAME: ❑ B.L.M. L BA. ❑ B.I.A t R.U/ NO. �L thru ❑ OTH D RAL ©FEDERAL ZONE ❑ ASSIST FED. AGENCY (Not Mil.) ❑ O E 1 O❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CITY, CONTRACT CO., MIL, FROM ❑ IN. NATIONAt�I FOREST, FIRE DIST., CITY , Z S � CKIGc� ETC. �ra,Cl-iA[. /•wE �. `•/11 MILES DIRECTION 4A STATE ZONE 4B STATUTORY O❑ WILDLAND BURNED OR THREATENED RESPONSIBILITY 2 5OR B ONLY) 4A STATE ZONE 4B STATUTORY O❑ WILDLAND BURNED OR THREATENED RESPONSIBILITY 030 ❑ CDF LOCAL GOVT. CONTRACT ❑ UNPROTECTED ❑ OTHEfINDUSTRY-COMRCL. �0 AT ORIGIN) ❑ WIIDLAN[ ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ STATE 4 ❑ ASSIST OTHER AGENCY (Not City) 0 ❑ S. / LOCAL ZONE © � CDF LOCAL GOVT. CONTRACT ❑ B.L.M. L BA. ❑ B.I.A t O ❑ ASSIST OTHER AGENCY (Not City) ❑ OTH D RAL ©FEDERAL ZONE ❑ ASSIST FED. AGENCY (Not Mil.) ❑ O E 1 O❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CITY, CONTRACT CO., MIL, %::%!,>ss'f/.:•:,:>;, OTHER (STARTS IN OR 0 ONLY) 5 CAUSE LIGHTNING ❑ DEBRIS ❑ MAY W/FIRE ❑ CAMPFIRE. ❑ ARSON OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT DWELLINGS USE (STARTS IN 2 5OR B ONLY) rLLAAND ESTICFOREST INDUSTRY H -FARM -a tliCREATION P ❑ OTHEfINDUSTRY-COMRCL. D ❑ WIIDLAN[ ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGE (n n � OR n ONLY1 7 S DAMAGE PROTECTION Number ort to W.ec 1100) 1 2 8/or $ 5 5 OTHER ,TM TIMBER &/OR YOUNG GR OWTH'x:f' WILDLAND VEGETATION Other than T & Y G iii:•%•r� j:: v.1 AGRICULTURAL PROD %::%!,>ss'f/.:•:,:>;, Other than T & Y G DWELLINGS 8/OR CONTENTS , coo OTHER STRUCTURES &/OR CONTENTS VEHICLES d CONTENTS OTHER >:::<;:w•.:.:..c ::: •: ! :{: is ii: ' TOTAL S �D� = :::: ACRES _OF VEGETATION BURNEDTOTAL DIRECT AGENCY SIZE CLASS �J ACRES BURNS VEG. TYPE 1 TIMBER WOOD -^ - LAND BRUSH GRASS AGRIC. , PROD. CDF • TOTAL -299 ACRES " ❑ E 300-999 ACRES ❑ f 1000-4999 ACRES ❑ G 5000 ACRES OR MORE RESPON.' Oj ACRES BURNED Of STATE U.S.f.S. B.L.M. � B.I.A. ❑ A .25 ACRE OR LESS . ❑ B .26-9 ACRES" ❑ C 10-99 ACRES } ❑ D 100 PROTECTION ACRES BURNED CDF O Y 5 OTHER ,TM '- •' ' SIZE CLASS �J ACRES BURNS VEG. TYPE 1 TIMBER WOOD -^ - LAND BRUSH GRASS AGRIC. , PROD. CDF • TOTAL -299 ACRES " ❑ E 300-999 ACRES ❑ f 1000-4999 ACRES ❑ G 5000 ACRES OR MORE RESPON.' Oj ACRES BURNED Of STATE U.S.f.S. B.L.M. � B.I.A. ❑ A .25 ACRE OR LESS . ❑ B .26-9 ACRES" ❑ C 10-99 ACRES } ❑ D 100 ` 0 B.O.R. 3•' OTHER • FED. - { OTHER >'• T ON ARRIVAL (O VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to head) WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) 10 OVER PLEASE CDF 7S40-1 30-01 18 P 1 O�Y•DSe G••ea 100>+ O!!t OR -DER NUMBER R.U. INCIDENT NO. YEAR nRIG. I PERSON HOURS AIRCRAFT FLT. HRS. FIRE RECORD OUTSIDE, FIRE STARTED Enter IS INSIDE C FIRE DISCOVERED 1 GO TO 1© Qf��A IOOKOIIT. (IF 7iT nr 7Nn —n-1 6 h.. 1e..1-41 FIRST REPORTSITE ORGAN- IZATION PERSON HOURS Ob CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. 1 ST. ATK , CDF CREW �. NAME: SECOND REPORT - SITE NAME: FIRST ATTACK BY CDF FIRE CONTAINED 2 /1 CREW /OVERHEAD RECORD IL CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. 1 ST. ATK , CDF CREW �. A 4 / - CDF OVERHEAD TOTAL ON FIRES, ENTER TOTALS BELOW ';:>:.r ..%i :.;:;y:I:$I< U.S.F.S. (Ind. Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL :>u...: '' "''`'?` FIRE DIST. b OTHER LOCAL TOTAL` PAID HOURLY (E.F.F.) TOTAL v•ATlvi }:J: VOLUNTEERS (Unpaid) TOTAL ❑ FC -188 (Additional crew activity) ATTACHED n ORIGINAL REPORT BY: ,e'\ COMMENTS Ise MAP IS: 29 ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED L r C'�Y. lqw 4+, APPROVFn BY. I IG AT RE TITLE DATE INTL. DATE I j rli v 1 .�.'