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Home My WebLink About040-660-020r 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 FEE INFORMATION DBMSC Fireplace Pre-fab/Metal $116.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires RELIANCE PROPANE SERVICE 734318 / B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with S 'on 7000) of Division 3 of he Business and Professions Code, and my license is in full force act. X �n //7 09/26/2007 Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 316-0000185 Exp. Date:10/0112007 (This section need not be completed n the permit is orOr on�und�ed dollars ($100) or less.) ❑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' compensation provisions of Section 3700 9J4he Labor Code, I shall forthwith comply with those X 09/26/2007 Signature `/ Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4782 OWNER / BUILDER DECLARATION 1 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: E1, 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 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). El1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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.). ❑ I AM EXEMPT under Section B. 8 P.C. for this X �% /, 09/26/2007 0v4er's Signature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 09/26/200' Owner ❑ Contractor OR: Agent for Owner Agent for FILE COPY PROJECT INFORMATION Site Address: 10010 JONES AVE Owner: Permit NO: B07-2033 APN: 040-660-020 VERCRUSE FAMILY TRUS, Permit type: MISCELLANEOUS 10010 JONES AVE Issued Date: 09/26/2007 By TMP Subtype: Fireplace/Wood Stove DURHAM, CA 95938 Expiration Date: 09/25/2008 Description: WOOD STOVE INSERT Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: RELIANCE PROPANE SERVICE INC RELIANCE PROPANE SERVI, Building Garage Remdl/Addn P0BOX 917 -POBOX917 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 872-7740 (530) 872-7740 FEE INFORMATION DBMSC Fireplace Pre-fab/Metal $116.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires RELIANCE PROPANE SERVICE 734318 / B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with S 'on 7000) of Division 3 of he Business and Professions Code, and my license is in full force act. X �n //7 09/26/2007 Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 316-0000185 Exp. Date:10/0112007 (This section need not be completed n the permit is orOr on�und�ed dollars ($100) or less.) ❑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' compensation provisions of Section 3700 9J4he Labor Code, I shall forthwith comply with those X 09/26/2007 Signature `/ Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4782 OWNER / BUILDER DECLARATION 1 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: E1, 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 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). El1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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.). ❑ I AM EXEMPT under Section B. 8 P.C. for this X �% /, 09/26/2007 0v4er's Signature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 09/26/200' Owner ❑ Contractor OR: Agent for Owner Agent for FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVII,LLE: (530) 538_7636'- CHICO: (530) 891-2834 OFFICE #:.(530) 538-75.41 A FEE WILL BE REQUIRED AT TIME OF APPLICATION PPLICANT�SIGNATURE Ix For ffice use only: CONTRACTOR OWNER Name X4 406 er cru 5c Address U p U Qne5 Au e City OJ�H, E-mail state,/,,, Zip ?-j"73 g Phone State Uoense Number Fax E-mail PPLICANT�SIGNATURE Ix For ffice use only: CONTRACTOR Name Address Same as Contractor City PARADISF, Same as Contractor State CA Zip Phone 875-9200 Zip Fax E-mail Fax Uc. # Class PPLICANT�SIGNATURE Ix For ffice use only: ARCHITECT/ENGINEER Name Same as Contractor Address Same as Contractor City Subdivision Name State Zip Phone lot # Fax E-mail Date Approved: State Uoense Number PPLICANT�SIGNATURE Ix For ffice use only: APPLICANT NAME Name Same as Contractor Address `City Subdivision Name State Zip Phone lot # Fax E-mail Date Approved: PPLICANT�SIGNATURE Ix For ffice use only: Zoning Flood Zone I SRA Yes I No Occ. I Type Const.. Subdivision Name Map Book I Page lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:TORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc PERAUT NO. eP � _� BIN # LOCATION Property Address (� Cross Street WORKER'S COMPENSATION Policy Number _ 1617722-02 Carrier-. State Fund If hiring anyone.other than license contractors, a certificate of worker's compensation mustbe shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits OProposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date: -Other " .Total REV 4-30-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0043 Issued: 01/09/2007 Address: 10010 JONES AVE DURHAM APN: 040-660-020 Permit Subtype: Re -Roof Owner: VERCRUSE, FAMILY TRUST Applicant: BAIRD ROOFING CO Description: REROOF W/COMP (75) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout .120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR FRO 113W.V111 ME COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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: 10010 JONES AVE Owner: permit No: B07-0043 APN: 040-660-020 VERCRUSE, FAMILY TRUST Issued Date: 01/09/2007 By KEJ Permit type: MISCELLANEOUS 10010 JONES AVE Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 01/09/2008 Description: REROOF W/COMP (75) (530) 228-8542 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: BAIRD ROOFING CO BAIRD ROOFING CO Building Garage Remdl/Addn 11025 MIDWAY 11025 MIDWAY CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)342-1631 (530)342-1631 FEE INFORMATION Re -Roofing $412.50 Total Charged: $412.50 Fees Paid: $412.50 Balance Due: $0.00 Receipt No: B1441 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 BAIRD ROOFING CO 631460 / C39 / 10/31/2007 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 I HEREBY AFFIRM UNDER PENALTY OF PER Y that I am lice s d under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the usiness and ofessions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force a 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 X01/09/2007 — — -11, - r III fly�y the applicant to a civil penalty of not more than five hundred dollars [$500]; Contrac SSI na fe Date . Please check one of the following: ❑ 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 AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). ' AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSEDCONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ❑HAVE 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 Carrier: State Fund Policy Number: 238,0020!Exp. Date:04/01/2007 Contractor's License Law.). (This section need not be comp Bled if the permit is or one hundre dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANC&OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in an manner so as to become subject to the Workers' Compensation laws of California, and agree th if I should become subject to the workers'X 01/09/2007 compensation provisions of Section 3700 of the bor Code, I shall forthwith conply with those Owner's Signature Date . provisi S. X 01/09/2007 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si a Date WARNING: URE TO SECURE WORKERS' COMPENSA N 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 LVAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or smato ewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ent the above mentioned property for in ctio purposes. I hereby certify that I am the Propertyororamauthorizedtoacton property sbehalf. 01/09/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of a Itt @ ] n Date ❑ Owner, � Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip NGT' i5�v�e� -' nod cavi-�q�� P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#:#L0) 53754636 • CHICO: (530) 891-2834 OFF CE (530) A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" Last NamerrA . / rm first Na , e Address O -eJ City Q State e44 zip Gym q3 Phone 22-2-9— F Fax E-mail APPLICANT NAME PE-mail State dip Yes Fax PZoning APPLICANT SIGNATURE X For office use only: Flood Zone _ SRA Yes No PZoning Type Const. ion Name Map Book Page Lot # Planner Date Approved: OVER FOR SU13MI I I AL It r-WUMCivICw 1 J v.�cnoe�c�ci w nihir_ CnRnACIRhin4nni.RuhRnmtR.rinc PERMIT NO. BP BIN # LOCATION rprfolperty DSD — %6OO — D a� Address Cdy /71 T ",WS �1tr2 __ Cross Street WORKER'S COMPENSATION Policy Number a 3f 3107 Carver 0�- 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 De�scri /ytion or Scope of Work: ✓�e M � Sq. Footage ❑ Structure Built withouf Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be reauired. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: Amount Bldg SRA Receipt #: Sheriff SMIP I Date: Paoe' 1 of 2 Other Total Kt:V o-io-uv MICHAEL BAIRD Butte County Building Dept. 6609 • Permits .► Washington Mutual 10010 Jones MICHAEL BAIRD Butte County Building Dept. 6609 • Permits Washington Mutual • �..o.n 1l/o l�yFl:V 10010 Jones 193.5 12/19/2006 412.50 412.50 1935 12/,19/2006 412.50 412:50 51 N312 (3/06) 532904 •