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Home My WebLink About041-620-034f B07-1423 041-620-034 MISCELLANEOUS Electric Panel � POWER FOR LOT LANDSCAPING I 4501 SIERRA DEL SOL JEFF AND TAMELA GIESE 6� I i n .R jt 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 I WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION k Site Address: 4501 SIERRA DEL SOL Owner: No: B07-1423 APN: 041-620-034 JEFF AND TAMELA GIESE Permit issued Date: 06/29/2007 By KEJ Permit type: MISCELLANEOUS 4413 SIERRA DEL SOL Subtype: Electric Panel PARADISE, CA 95969 Expiration Date: 06/28/2008 Description: POWER FOR LOT LANDSCAPING (530) 876-0505 Occupancy: Zoning: Contractor Applicant: I Square Footage: DAN D ELECTRIC JEFF AND TAMELA GIESE Building Garage Remdl/Addn 2179 TEHAMA AVE 4413 SIERRA DEL SOL OROVILLE, CA 95966 PARADISE, CA 95969 (530)534-3844 (530)876-0505 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 IFees Paid: $58.00 Balance Due: $0.00 Receipt No: B3715 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 DAN D ELECTRIC 784128 / C10 / 09/30/2008 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 filela 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 X 06/29/2007 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: Contractor's 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: ❑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 notintended 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 Section 3700 of the Labor Code, for the of the work for this is issued. I AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance which permit The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation 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: 229,0027268 Exp. Date:05/01/2007 Contractor's License Law.). (This section need not be completed if the permit is or one nun red dollars ($100) or less.) ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Alcompensation SSUED, I shall not employ any person in any manner so as to become subject to the Workers' ] laws of California, and agree that if I should become subject to the workers' 06/29/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 06/29/2007 I i \Z I hereby certify that I have read this application anis state that the above information is correct. l agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature 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 injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 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 eroram thorizedtoactonthepropertyowner• behalf. otv`4`o.45� 06/29/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print I Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR; Agent for Owner 1:1 Agent for Contractor FILE COPY Lender's 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 OF APPLICATION Website: w. w.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 6vs a Mailing Address%\-� 5V;sice, DSti� Sb� City C StateCZip �S61b Phone -, Fax E-mail APPLICANT SI nGN�ATU,R'E X PERMIT NO. O� I qq 3 BIN # PROJECT LOCATION AP# ®u� ctv'N 63L Pro y Address city WORKER'S COMPENSATION Policy Number Carrier i If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. DESCRIPTION OR SCOPE OF WORK: CONTRACTOR Name cj L CsS \ OJ�D Address City 4� State A Zip Phone Open Cov Fax E-mail Lic. # Class APPLICANT SI nGN�ATU,R'E X PERMIT NO. O� I qq 3 BIN # PROJECT LOCATION AP# ®u� ctv'N 63L Pro y Address city WORKER'S COMPENSATION Policy Number Carrier i If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. DESCRIPTION OR SCOPE OF WORK: ARCHITECT/ENGINEER Name cj L CsS \ OJ�D Address City SRA State Zip Phone Open Cov Fax E-mail State License Number APPLICANT SI nGN�ATU,R'E X PERMIT NO. O� I qq 3 BIN # PROJECT LOCATION AP# ®u� ctv'N 63L Pro y Address city WORKER'S COMPENSATION Policy Number Carrier i If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name cj L CsS \ OJ�D Address City SRA State Zip Phone Open Cov Fax E-mail APPLICANT SI nGN�ATU,R'E X PERMIT NO. O� I qq 3 BIN # PROJECT LOCATION AP# ®u� ctv'N 63L Pro y Address city WORKER'S COMPENSATION Policy Number Carrier i If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. DESCRIPTION OR SCOPE OF WORK: .I Zoning i �I I SRA I Yes No 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 No Occ. i Type Const.