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Home My WebLink About040-170-150T 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: 2030 DURHAM DAYTON HWY Owner: Permit No: B07-0696 APN: 040-1707150 HUNTER, WILLIAM L & AUDRI Issued Date: 04/04/2007 By KEJ Permit type: MISCELLANEOUS P O BOX 206 Subtype: Electric Panel DURHAM, CA 95938 Expiration Date: 04/03/2008 Description: REPLACE EX 100 AMP SERVICE Occupancy: Zoning: Contractor Applicant: Square Footage: BEN'S ELECTRIC BEN'S ELECTRIC Building Garage Remdl/Addn P O BOX 1027 P O BOX 1027 DURHAM, CA 95938 DURHAM, CA 95938 Other Porch/Patio Total (530)521-0299 (530)521-0299 - FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2490 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 BEN'S ELECTRIC 627804 / CIO / 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 Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 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 yy,� 04/04/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C ctors 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.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 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 Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100)—or-Te—ss.) ❑IAM EXEMPT under Section B. & P.C. for this reason: ERTIFY 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'. 04/04/2007 X compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X04/04/2007 04/04/2007 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 Slate laws relating to building Sig re Date - construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Butte County,g employees y ry personal its officers, agents and em to ees from and all claims and liability forcted AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with y, 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 representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro a owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY _ ism•. .&S • E: , . .Q4/04/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Perm itte IGN] 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 Lenders Address City State Zip �-1 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 NameFirst MA.N4c,vi Name Name Mailingg Address d03o 17cavt�.Aw. %EaY{ov F{wY City mac. Fax State CA. Z• 5435' Phone Fax E-mail APPLICANT INFORMA ION CONTRACTOR Name City Addres O, -13oX Z027 Ci Fax State e A Zi 15938 PhonIal_oa9� Fax E-mail Lic. # a 80 Class _ r o APPLICANT INFORMA ION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMA ION Name Ct Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# 046-i7v—tSv-a o0 Property Address Cit u#24A(,, CA- q59 3 9 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: i/3 CC ljd i9 S'E,ev rte& Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const.