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HomeMy WebLinkAbout061-580-022(C 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.netWds PERMIT NO. BP040905,J LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/02/2004 APN: 061-580-022-000 the Business and Professions Code, and my license is in full force and effect. I Site Address: License Class: C —/ � License Number: �.S "- 4 ENCINA GRANDE RD BCK Date: y , Contractor:'5gn L, Map Index: OWNER -BUILDER DECLARATION - Description: ELECTRIC POLE CHANGE OUT I hereby affirm under penally of perjury that. I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires aRHINEHART MERLIN VERNS &EVELYN E permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 P O BOX 146 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA she is exempt therefrom and the basis for the alleged exemption. Any 95916 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): 1. ❑ 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: RHINEHART MERLIN VERNS 8r EVELYN E owner of property who builds or improves thereon, and who does PP such 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 improvements are sold within one year of completion, the owner -builder will have the burden of I - proving that he or she did not build or improve for the purpose of sale.). ❑ 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: RAWLAND B STRANG ❑ I am Exempt under Article 3 of the Business and Professions Code 3577 HILLDALE AVE Date: Owner: OROVILLE, CA 959661 530-533-2585 v WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: V ❑ 1 have and will maintain a certificate of consent to self -insure for License #: J/$5C)5r — — — — workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit OFFICE COPY is issued. ❑ I have and will maintain workers' compensation insurance, as / Architect: required by Section 3700 the Labor Code, for the performance of Address the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: ELECTRIC Total Square Ft: 0 S• Meter By Date Policy #:1 I certify that in the performance of the work for which this permit is I Valuation: $0.00' issued, I shall not employ any person in any manner so as to -- become subject to the workers' compensation laws of California, Census Code: 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.�� Date: — — 4-/ AjrYlwt4 ecetofd Applica : ' WARNING: Failure 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, end attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso/Pion o do work indicat a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 �jnn„�, Z, / BY ` / (((�C'//// l/� Date: Name: PERMIT EXPIRES ON:� Address: (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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fors. 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 purposes. Print Name: 1 a W / ?, �C� ll.. �/? Ea ✓✓� �- — Signature`E- Date: Z.- ?- `^ ❑ Owner W Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE C> OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. ompleted. If you have any questions pertaining to this matter, or need additional explanation, nlpa,-;A rontart this nffirp immarlintaiv 41 f' Date Inspector -� REV 10/92 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 PERMIT NO. BP040905 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/02/2004 APN: 061-580-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : CI —% J License Number: �S� Site Address: 764 ENCINA GRANDE RD BCK Date:I(Contractor. Map Index: Description: ELECTRIC POLE CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires aRHINEHART Owner: MERLIN VERNS &EVELYN E 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 p O BOX 146 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA she is exempt therefrom and the basis for the alleged exemption. Any 95916 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).): ❑ 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: RHINEHART MERLIN VERNS &EVELYN E owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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: RAWLAND B STRANG ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3577 HILLDALE AVE Date: Owner: OROVILLE, CA 95966 530-533-2585 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure forLicense #.- workers' compensation, as provided for by Section 3700 of the �SS� 8 Labor Code, for the performance of the work for which this permit is issued. ❑ 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 number are: Carrier: Total Square Ft: 0 S. F. Policy #: I 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 become subject to the workers' compensation laws of California, Census Code: 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. �f7 l Fee pl ^/lJ J1— j q ZS Date: ` `v 1L DO Applica e WARNING: Failure 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. , CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso utionyto do work indica► a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 _ Name: BY / G� Date: - ' L�`G PERMIT EXPIRES ON:� Address: 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety 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. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:- w �� 11i �J/i ✓✓� r-- Signature. Dater ❑ Owner lam' Contractor 0 Agent for Owner ❑ Agent for Contractor r� .. . ,� .� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP C)4aqOS NEAREST CROSS STREET: TRACTILOT g APPLICANT NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME ' PHON .- STREET ADDRESS: FAX CITY, ZIP: / E-MAIL C G LICENSE NU R LICENSE TYPE ARCH ITECTIENGIN EER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP; LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: r - ❑ Structure Built without permit ❑ 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 fees will be required. 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. For office use only: Notes: Q T Application Received by: Date: Amount Received: �� Receipt number: 36151-17 6/1C " g i 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.netldds RMIT NO. BP040954 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 04/07/2004 APN: 061-580-022-000 the Business and Professions Code, and my license is in full force and /� effect. License Class :C—%U License Number: 'i ��5��'S� Site Address:- ENCINA GRANDE RD BCK Date: C/ 7 Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State 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).): ❑ 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 owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O 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.). O 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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. Policy #: 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 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Map Index: Description: MISC WIRING ' Owner: RHINEHART MERLIN VERNS & EVELYN E P O BOX 146 BERRY CREEK, CA 95916 Applicant. RHINEHART MERLIN VERNS & EVELYN E Contractor: STRANG ELECTRIC 250 CANYON HIGHLANDS DR OROVILLE, CA 95966 530-533-4214 License #: 455231 Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bub I hereby affirm that there is a construction lending agency for the�work ndicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date Address: PERMIT •G ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici I form or document of Butte County. I hereby authorize representatives of Butte County to enter upon theab ve mentioned prop y for inspection purpp i Print Name: 1 { the/ 2 Pi— Signature: i/ -' Date: — ❑ Owner AContractor ❑ Agent for Owner ❑ Agent for Contractor :.., � ... �. �r . _ , Y ,. 1 . � �. �,. COUNTY OF BUTTE \© BUILDING DIVISION «2 DEPRTMENT OF DEVELOPMENT SERVICES � . . 411 Main Street -Chic$ CA -(53)891-2751 7County Ceme Drive * Oroville, CA -(53)538-7541 $ , . CORRECTION NOTICE K/L4'hf�. � �/ — '� � OWNER PERMIT NO. A routine inspection indicates �htth following violations of kG county Ordinances exist kph above address and should be corrected. Please notice this offewhen correction @ work & completed. If Aube any questions pertaining to this matter, « need kdkw* explanation, m9_ 2ntac thsoffice¥_d«e¥ . , r7//-/—. ,,I1A01/M _ 4-'_1 3 -0-% e!:;I— /_ ¥0 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.netldds PERMIT NO. BP040954 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/07/2004 APN: 061-580-022-000 the Business and Professions Code, and my license is in full force and effecLicense Class: /(> License Number: %0J Site Address: 764 ENCINA GRANDE RD BCK Date: Contractor. Map Index: Description: MISC WIRING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RHINEHART MERLIN VERNS &EVELYN E 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 p O BOX 146 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA she is exempt therefrom and the basis for the alleged exemption. Any 95916 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).): ❑ 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 owner of property who builds or improves thereon, and who does Applicant: RHINEHART MERLIN VERNS &EVELYN E such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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: STRANG ELECTRIC ❑ 1 am Exempt under Article 3 of the Business and Professions Code 250 CANYON HIGHLANDS DR Date: owner: OROVILLE, CA 95966 530-533-4214 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 455231 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I 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 become subject to the workers' compensation laws of California, Census Code: 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is 11 .q unlawful, and shall subject an employer to criminal penalties and one �G w ; hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor p code, interest, and attorney's fees. ��-eby CONSTRUCTION LENDING AGENCY' This permit is hshh Tissued under the applicable provisions of the Butte County Code and/or issued 1 hereby affirm that there is a construction lending agency for the F s o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ,. G ? L/ Name: By: Date: ` Address: PERMIT PI ES ON: 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. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety 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 offici I form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the aabbC'gve mentioned prop y for inspection purp or Print Name: l.1 J % d/ .O4_! Signature: Date: -- ❑ Owner' Contractor ❑ Agent for Owner ❑ Agent for Contractor 13UTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP o� 09 DATE: APN: Cqo VJ ZONING: OWN R'S LAS NAME: OWNER'S FIRST PHONE STREET ADDRESS: FAX CITY. ZIP: E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAMES:�7 PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL �e LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINE R NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER E NWL DESCRIPTION OR SCOPE OF WORK: C2 o(2 ❑ Structure Built without 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 fees will be required. 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. For office use only: Notes: Application Received by: Date: �/ w Receipt number: Amount Received: