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Home My WebLink About042-350-03535-i RILEY, C.oR: 879-67B* g7.g-67B,11 - PILUSO _ s - 2 s r` _ r1_4.2_4_6_7P3� 874-671; I259 GLENN HAVEN DR, CHICO - =67OT--16-d- 737 8=6' ° Cont: GAL 2- -'-' LAGHER S HEATING C'"� I fl HVAC C/O x 1259Glenn Haven Dr., hito, w new swimming pool)-� /02-l�- 68. '.° (anew single family} -.0 f f -a� -6-'7 -- - t r � • � i f n I1f I 1 1' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO BPOS3215 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 12/07/2005 APN: 042-350-035-000 the Business and Professions Code, and my license is in full force and effect./� /! ^ � L License Clas9 i V �30 License Number: / Site Address: 1259 GLENN HAVEN DR CHI Date: 05- Contractor: A Map Index: Description: HVAC, CHANGE OUT 13 SEER GAS UNIT, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the GROUND MOUNT 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 to its issuance, also requires the applicant for such permit to file a Owner: PILUSO JAMES P & LOMA L signed statement that he or she is licensed pursuant to the provisions of 1259 GLENN HAVEN DR the Contractor's State License Law (Chapter 9 commencing with Section IBusiness CHICO, CA 7000) of Division 3 of the and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95926 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).): O 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 Contractors' State License Law does not apply to an Applicant: GALLAGHER'S HEATING & AIR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 35 provided that such improvements are not intended or offered for LOS MOLINAS, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of ALL ABOUT PERMITS JENNIFER GRUBER proving that he or she did not build or improve for the purpose of 96055 sale.). 800-892-3556 ❑ 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 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.). Contractor: GALLAGHER'S HEATING & AIR PO BOX 35 EII am Exempt under Article 3 of the Business and Professions Code Date: Owner: LOS MOLINAS, CA 96055 800-892-3556 - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -Insure for License #: 777334 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit s issued. G� I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy Carrier. S4t./l�/'�Q_ t rs 1713 DO ( S/9 5— Policy #: .) Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to Census Code: 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. 0 , Date: Applican . WARNIN• Fallure to secure 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. / cc) �L CONSTRUCTION LENDING AGENCY This permit i hereby issued unde a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res fution o do work indicat d� a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Dater y 7-61 Name: By / PERMIT EXPIRES ON: — / / /0 Address: T Date ❑ 1 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. Cl Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ 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 oses. i J -?—In V7 t �1 Print Name:y t/1�►—"v Signature: c.e 1 v s Date: D -Owner 0 Contractor ❑ Agent for Owner k -Agent for Contractor BU'T'TE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONN: OROVILLE: (530) 538-7536 - CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLrC'ATION Website: www.buttecounty.nettdds **PLEASE PRINT CLEARLY" CONTRACTOR , OWNER Lsst Name I S first Name )lQA Address Glenn Htw r CityCh i O State CA Zip Phone Q C U �� 13X E-mail E-mail CONTRACTOR Name Gcdlaclhers ' Address PO y 3C) ��J City LOS j DS State (�A Zi os Phone 39 2_4 L4 4 Fax E-mail Lic. # 1 -7 3 Q' AQP LICANT SIGNATURE x / J W/I I I r office use nt : ARCHITECT/ENGINEER Name s Nvac Address s City i State Zip' _ Phone Phone N 4 L44 Fax E-mail E-mail State License Number AQP LICANT SIGNATURE x / J W/I I I r office use nt : APPLICANT NAME Name G__ la s Nvac Address n 7 s City Lt i scA State Tip Phone N 4 L44 4 FaX E-mail Total AQP LICANT SIGNATURE x / J W/I I I r office use nt : AP# 0 f- Zoning Flood Zone SRA ves No Occ. SRA Type Const. Subdivision Name Carrier S -I a+e Map Book Page Lot # Planner Other at Approved: nvt=R FnR SUBMITTAL REQUIREMENTS PERMIT NO. +j 0S -3a is BP BIN 4 LOCATION AP# 0 f- Property Address t ' Cross Street SRA WORKER'S COMPENSATION Policy Number 113 00 13 8 S S Carrier S -I a+e if hiring anyone other than license contractors, a certlftcate of worker's compensation must be shown at the time 2/permit lssuance. LENDING AGENCY Name Address Description or Scope of Work: Sq, Footage - O Structure Built without Permits 0 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 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 refundable. by:�f - Amount: 65-' G� Bldg Received SRA Receipt #: �fSherif SWAP Other Date: %;;� - /7 QS Total plelcl5e-" b