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Home My WebLink About069-430-003BUTTE 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: 33 OROPOND LN APN: 069-430-003 Owner: TAYLOR DALE S & VERO, Permit NO: B07-1929 Issued Date: 9/12/2007 By MAK Expiration Date: 9/11/2008 Permit type: MISCELLANEOUS Subtype: HVAC Change Out 33 OROPOND LN OROVILLE, CA 95966 Description: HVAC UNIT Occupancy: Zoning:AR1 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &, Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 (530) 384-2444 _ LOS MOLINOS, CA 96055 (530) 384-2444 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4586 ,,LICENSED CONTRACTOR'S DECLARATION . OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 4/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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, 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with ction 000) of D,visi n3 6,of the Business and Professions Code, and my license full force ancil� ct. 9/12/2007 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 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]; Please check one of the following: CO actor's SignYdA 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 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 Carrier: State Fund Policy Number: 713-00N855Exp. Date:SN/2008 (This section need not be competed if the permit is oror on�dreddoollars ($100) or ess. Contractor's License Law.). IAM EXEMPT under Section B. 8 P.C. for this reason: F-1 FI 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' X 9/12/2007 compensation provisions of Sec 'on 3700 of the Labor Code, I shall forthwith comply with those rovisions. Owner's Signature Date c 9/12/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all t of, o and liability for personal injury,hisincluding death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to me the above entioned pr perty�f,.rins action purposes. I hereby certify that I am the perty ne am aut orize t n he p owne behalf. s (SIure Date W NTNG: FAI RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, ( ) DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY /12/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) N Per lttee [SIGN] Print Date "for Owner 1:1 Contractor OR Agent for Owner Agent Contractor FILE COPY Lender's Address City State Zip �TPF BUTTE COUNTY Q/ ^��i � ° DEI ARTMEN'r OF DEVELOPMENT SERVICES ,)�' 1Z� O �- o BUILDING PERMIT APPLICATION NO. °_—�G_`r` ° AND SUBMITTAL REQUIREMENTS CouNTY ° '" ° 24 HOUR INSPECTIONti: OROVILLE: (530) 538-7636 • CHICO: (V9 _ ° ° 13I _ OFFICE #: (530) 538-7541 'An;,7 cOU N1 FEE 6VILL ISE REQUIRED AT TIME OFAPPLICAJJ% b � 2v�i/ Website: wNvw.buttecounty.net/dds ELeip I3ln !t **PLEASE PRINT CLEARLY** SERVICES N' ANt'LIGAN I INFORMATION H K(;Hf t L C T/ENGINEER Name Type Const. Stale�� Zi ,hone �I L� L Fax Stale Zip ''one Fax :email Slate license Number ANt'LIGAN I INFORMATION i Va:�e r `> H VA C Address Type Const. Stale�� Zi ,hone �I L� L Fax mail APPLICANT SIGNATURE F -or office use only: Zoning Flood Zone SRA Yes No Type Const. i Subdivision name t Wrap Book Page Lot # i- cnne: Dale Approved: U V CM r -UK �)U!JlVll I I AL NEQUIREMENTS K.'FORMS`,BUILDING FORtv1S\8ldgApplSubRgmts.doc rage 1 of 2 PROJECT LOCATION 00— MPI, Ad ss Cross Sir eel WORKER'S COMPENSATION Policy Number ,.. Ii Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Name LENDING AGENCY —� Address17. —� 1n 1 — I, Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will eNpire olIC year after the date of application. In order to renew ;tc11011 un an application after expiration, a new application. plan~ and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the I,cl.soll ,rho paid the fee. The request must be. made prior to the expiration of the permit and no construction work- has been done, filing Ices. plat; check fees for work plan checked and other depaittncnl costs are not refundable. Received by: Amount: I I Receipt #: Dale: —---------0!her ---- _----- -----Total _J 0 V0 tL.&[V 8-12-05 A s 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 ` PROJECT INFORMATION , Site Address: 33 OROPOND LN Owner: OwTAYLOR Permit No: B07-1763 APN: 069-430-003 DALES & VERO, Issued Date: 08/17/2007 By KEJ Permit type: MISCELLANEOUS 33 OROPOND LN Subtype: Gas Reconnect OROVILLE, CA 95966 Expiration Date: 08/16/2008 Description: NEW PROPANE TANK AND LINES (530) 586-1107 Occupancy: Zoning: ARI Contractor Applicant: Square Footage: TAYLOR DALE S & VERO, TAYLOR DALE S & VERO, Building Garage Remdl/Addn 33 OROPOND LN 33 OROPOND LN OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)586-1107 (530)586-1107 ^ FEE INFORMATION DBP Gas System (enter outlets) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4268 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 TAYLOR DALE S & VERO, OL:CRW_00413120 / / 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 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 08/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date )Q I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, 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 the work himself or herself or through his or her own employees, provided that such improvements I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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.). Cartier: Policy Number: Exp. Date: (This section nee not a competed if the permit is tor on�dollars ($100) or ess. ❑IAM EXEMPT under Section B. & P.C. for this reason: THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �CERTIFY 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' X 08/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/17/2007 - I hereby certify that I have read this application and state 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned propert for inspection purpos s. I hereby certify that I am the pro rty owner or am authorized to act a rope owner' be ill -6 TA L b e. t 8/17/2007 CONSTRUCTION LENDING 'AGENCY Name of Permittee[SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buffecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.(ES R NO) r•^ 2. 1 VE/ VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW PROPANE TANK AND LINES FOR HVAC Reference Number: B07-1763 Applicant Name: TAYLOR DALE S & VERO, Owner's Name: TAYLOR DAS & V O, AP # : 069-430-003 Signature of Property Owner: Date: <69- 0— �� 07TF BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION, OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c ' � � - ea-•� o A FEE WILL BE REQUIRED AT TWE OF APPLICATION �: .� Website: w. 1w.buttecounty.net/dds 0(�N� **PLEASE PRINT CLEARLY** . OWNER INFORMATION Last Name ,A Y `O� First Name DAW 1L Mailing Address 3.3 0� O PO AJ U jj N Lc City 0IR01/1 L v� t Statece Zip 9 Sy (_6 Phone 5 0'? Fax E-mail 05T -2_5(4y APPLICANT SIGNATURE Day TX PROJECT LOCATION AP# ®C f L R_ Property Address (� City' BIN # 1 lCe 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 ZA Address DESCRIPTION OR SCOPE OF WORK: /V 6z w Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name N 4 V\J A Address . City No State Zip Phone Fax E-mail tic. # Class APPLICANT SIGNATURE Day TX PROJECT LOCATION AP# ®C f L R_ Property Address (� City' BIN # 1 lCe 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 ZA Address DESCRIPTION OR SCOPE OF WORK: /V 6z w Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITE T/ENGINEER Name fn rl f� v �T Address . City No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE Day TX PROJECT LOCATION AP# ®C f L R_ Property Address (� City' BIN # 1 lCe 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 ZA Address DESCRIPTION OR SCOPE OF WORK: /V 6z w Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' Flood Zone Address SRA City No State Zip Phone Fax E-mail APPLICANT SIGNATURE Day TX PROJECT LOCATION AP# ®C f L R_ Property Address (� City' BIN # 1 lCe 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 ZA Address DESCRIPTION OR SCOPE OF WORK: /V 6z w Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. BRAWLEY, Greg `X91, 7B. 7Tf-67E nn --Iasi"- 34-45-3" V 57 TaMirada Ave., Oroville — ,CONTR: Lloyd Kurtze, 5384 Libby m Paraq (add bedroom) /O -.30 -67 1 I r -- � � � � ,�,.