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HomeMy WebLinkAbout056-350-017BUTTE 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: PINE WAY Owner: Permit No: B07-1844 APN: 056-350-017 PERRY, JOHN Issued Date: 09/20/2007 By KEJ Permit type: MISCELLANEOUS 1840 PARK AVE Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 09/19/2008 Description: ELECTRIC FOR LOT DEVELOPMI Occupancy: Zoning: TM -5 Contractor Applicant: Square Footage: BUTTE CREEK ELECTRIC MATT LUKE Building Garage Remdl/Addn 2226 HONEY RUN RD CHICO, CA 95928 , Other Porch/Patio Total (530) 892-9231 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4421 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 BUTTE CREEK ELECTRIC 804545 / C10 / 02/29/2008 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 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/20/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 1, 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 the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less.) ❑IAM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS V'NISSUED, 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' X 09/20/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 09/20/2007 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 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, 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 thatt is 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 property owner ora authorize to act on the property owner's behalf. 9/20/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 61T7* BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES 0 . o BUILDING PERMIT APPLICATION o. o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o-_ - o A FEE WILL BE REO UIRED AT TTWE OF APPLICATION % : 4 Website: w. lw.buttecounty.net/dds ouI **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name �� First Nam O� Mailing Address City State Zp Phone Fax E-mail APPLICANT INFORMATION APPLICANT CONTRACTOR Name City Address Address Z Z6 Fax City � State Zip�7� Phone E-mail Fax E-mail Lic. # G yS Class APPLICANT INFORMATION APPLICANT ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION APPLICANT Name 7-7— Z - Address City State Zip Phone Fax -mail -E-mail- APPLICANT SIGNATURE X 4 PERMIT BIN #• //PROJECT LOCATION AP# 62 Property Address City l . 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 ?_(:2'0,4- Sq (:2'0 Sq FT- Living Garage Open ov ❑ Structure Built without Permits (, ❑ Proposed Change of Occupancy Va(yy (Note previous use): For office use o Zoning Flood Zone SRA Yes No Occ. Type Const. to BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1844 Job Address: 0 PINE WAY Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: BUTTE CREEK ELECTRIC Fee Description 2226 HONEY RUN RD CHICO, CA 95928 Printed: 8/29/2007 9:05 am Account Number Fee Amount Paid Date Pmt Amt DBE Single Phase Service-Resid 0010-440001-4210500-1010 $58.00 8/29/2007 $58.00 Printed By: Gwyn Benedict 58.00 $58.00 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 8/29/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified.in Government Code Section 66020(a). Butte County Department of Development Services TIKI SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1844 Date: 8/29/2007 Location: 0 PINE WAY Parcel Number: 056-350-017 Owner Name: PERRY, JOHN Phone: Description: ELECTRIC FOR LOT DEVELOPMENT Signature of Property Owner: Date: 8/29/2007 FILE Butte County Department of Development Services •�VTTF• TIM SNELLINGS, DIRECTOR,I PETE CALARCO, ASSISTANT DIRECTOR • • 7 County Center Drive • • Oroville, CA 95965 • • e • (530) 538-7601 Telephone COV Nay (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1844 Date: 8/29/2007 Location: 0 PINE WAY By: GLB Parcel Number: 056-350-017 b Type: Electric Panel Owner Name: PERRY, JOHN Phone: Description: ELECTRIC FOR LOT DEVELOPMENT The above permit application has the following Clearances required prior to pe t issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit applic4fion. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95 65-(530)533-0740 E] E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-200 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895- 711 PARKS & RECREATION D STRICTS E] E] Chico Area Recreation District, 545 Vallombrosa, Chico A95926-(530)895-4711 1:1 E] Durham Park & Recreation District, 9447 Midway, D ham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 M ers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Para se CA 95969 - (530) 872-6393 Biggs Unified School District, 300 B Street, Bi gs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th treet, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Pu ey Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, idley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Str et, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washin on Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District 6696 Clark Road Paradise CA 95969 - (530) 872-6400 F-1 ❑ Other: Signature of Property Owner: OTHER Acknowledgment Statement- See Attached Instructions hent, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 FILE Date: 8/29/2007 Recorded copy of Agricub City of Biggs Planning De ❑ Other: ❑ Other: F-1 ❑ Other: Signature of Property Owner: OTHER Acknowledgment Statement- See Attached Instructions hent, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 FILE Date: 8/29/2007 Butte County Department of Public Works K41CHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C oo_:: Z i O • 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1844 Date: 8/29/2007 Location: 0 PINE WAY By: GLB Parcel Number: 056-350-017 Sub Type: Electric Panel Owner Name: PERRY, JOHN Phone: Description: ELECTRIC FOR LOT DEVELOPMENT By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title: ��cj G y --a f— FILE Date: 8/29/2007