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HomeMy WebLinkAbout068-350-015BUTTE 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: 3948 HILDALE AVE Owner: Permit No: B07-1856 APN: 068-350-015 GONZALEZ, ARNO Issued Date: 8/29/2007 By GLB Permit type: MISCELLANEOUS 5 HAMPSHIRE WAY Subtype: Electric Panel NOVATO, CA 94945 Expiration Date: 8/28/2008 Description: ELECTRICAL PANEL C/O (415) 457-2485 Occupancy: Zoning: AR Contractor Applicant: Square Footage: GOODMAN SERVICES GOODMAN SERVICES Building Garage Remdl/Addn P O BOX 4070 P O BOX 4070 YANKEE HILL, CA 95966 YANKEE HILL, CA 95966 Other Porch/Patio Total (530) 538-9350 (530) 538-9350 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4444 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 GOODMAN SERVICES 673423 / C20 C10 B C36 / 6/30/2007 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 N OF P JU at I am licensed under provisions of Chapter 9 I HEREBY AFFIRroDivisio (commencing wito t siness 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 forcean 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 8/29/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's gnature k 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 WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE 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 ❑ ❑ 1, 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 Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundreddollars ($100) or less. ❑ I AM EXEMPT u er Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall n employ any p7sonin any manner so as to become subject to the Workers' Compens nI sofCali ominagree that if I should become subject to the workers' X 8/29/2007 oompen t' n vision f i 3700 of the Labor Code, I shall forthwith comply with those ers Signature Date provisiOw X 8/29/2007 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 Signal re 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 by, arising out of, or 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 that issuance of this permit 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. 1 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 or am authorized to act on the property owners behalf. 8/29/2007 CONSTRUCTION LENDING AGENCY 1 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 1:1 Contractor OR; Agent for Owner 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 OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 670 ^// First Nam� epR / Mailing Address rl (� �'7v1.�% 010AV fuI J D City OnKbVl7 State a Zip Phone /, �� - 45-� . al�� "l Fax E-mail APPLICANT INFORMATION CONTRACTOR Name oo omfl✓ 56-9V(665 Address C�01 �(d�10 City U I CLC State ZIP O �A G_5 l Phone , (,`o Fax E-mail E-mail Lic. # p-�� �'� Class G APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PPLqICANTSIGNATURE X PROJECT LOCATION Property Address City PERMIT NO. b'1.1 S5 BIN # 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: Sq FT- Living Garage Open Cov 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. f-- ` NOTES RESIDENTIAL PERMIT NO. 03 3 Cosi n,-\ m C GcIZ-f - va V E Cbc c..S OroV l lC c.A7 v 'primo' S vp;-)l y D&5 - 3SO-oi5 3q q S l+i l (c a l e, A v -c, 11 SPECIAL CONDITIONS -11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D - G� Signature �' 1� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT --�- ASSESSOP§ff l� LP � JJ 011(-1 ZONING BUILDIiVG PERMIT OWNER COMCAST TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS Md"' >JI .I . DR SACRAMENTO Ca -95838 c�M��WEST OAST Wn,,UNICATIONS T343 2473 CONTRAC 1 C;'W Ss STREET CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MNUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS hWUNG ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 9 OROVILLE LOCATIONS/ SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBMISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLY Gas piping stem i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service eoov OR LESS 9 23.00 207.00 200A OR LESS LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license6n in full force and effect — r� License Class — LIC. No. rTi{/+,� 5 / f [p OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P KY P 1 rY P Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00so WEU200A CCU000A NEW CONST. OWEWNG OCCUP. SO OR ADDNS. ( a ACC, BLDS. 3.5¢x: NON -R SID MULCTI OUTLET 97,50 POWER ApppRAT� a SINGLE ourLEr CIR. Ex. OCCU OUTLET OR FDCTURES B20 g 1.00 Ex. Occup. FIxED APPLNS.OR oLmers REslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 227.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall P p not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that f I should become subject to the workers' compensation pro 'ions of section 3700 of the Labor Code, I shall forthwit c ply ' tho a isions. X Date ' i Z Signature of Applicant - ❑ Owner Conactor ❑ Agent tr An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 227.00 D. FEES IMP FL000 CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. yJ By �1D to V PERMIT EXPIRES O 1 QS I Ito Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSESSPR —PIW-INSFIECTOR GOLDENROD -APPLICANT f/�� • �� OROVILLE POWER SUPPLY STATUS1 =7 12003 N A if %cm— \ — I 1OF1 tYl N PC L_ I PJ x r-1-- 11 u VJ :.J PiCKV,-T 1 S IV I t)f, v LC,, . .......... .. wobIE ....... . . NufmtA,.* ....... .. ... ..... .. . . . ...... . .... .... .... . ....... . .... . . . ...... 13 OROVILLE OR07 Pol NO PG&E 036310-170 LOU -LR WYANDOTTE RD 2 POLES WEST OF PANO 14 OROVILLE OR13 Pol NO _AER_ AER —COUNTY COUNTY PG&E 'ADJ 2621 OROVILLE GARDEN RANCH RD 25 OROVILLE OR13 P02 NO AER COUNTY PG&E 036.""47 4461 SEACREST OR 28 OROVILLE OR14 Pol NO AER COUNTY PG&E 036-630-009 46 FAIRHILL DR 27 OROVILLE OR14 P02 YES AER COUNTY PG&E 036-620-034 61 FAIRHILLL DR C,)T AV11.1 T-16 28 OROVILLE OR15 P01 NO AER COUNTY PG&E 036430-032 109 GREENBANK AVE 29 OROVILLE OR15 P02 NO AER COUNTY PG&E 036340-013 2840 OROVILLE GARDEN RANCH RD _f 30 OROVILLE OR17 Pol NO AER COUNTY PG&E 06&350-015 3948 HILLDALE AVE 33 OROVILLE OR17 P02 No AER COUNTY PG&E 06834MI5 5742 HILUDALE AVE