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