Loading...
HomeMy WebLinkAbout073-220-01273-22-12 ER.E. ECKERrysv�-Laporte -Rd, ap- of Binet Rd, Clipper,,)„�#5810-77E (ele ser t� os � N N OI�I� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11894 LA PORTE RD Owner: Permit NO: B08-2048 APN: 073-220-012 HECKER ROBERT & ROSE, Issued Date: 10/6/2008 By GLB Permit type: MISCELLANEOUS P O BOX 26 Subtype: Wall Furnace CLIPPER MILLS, CA 95930 Expiration Date: 10/6/2009 Description: propane line and heat stove (530) 675-2643 Occupancy: Zoning: U Contractor Applicant: Square Footage: Cliff Sasselli Building Garage Remdl/Addn 11889 La Porte Rd Clipper Mills, CA 95930 Other Porch/Patio Total (530)675-2074 FEE INFORMATION DBM Heater (Wall) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8775 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 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 Contractors 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 10/6/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 Contractors 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation 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 competed if the permit is oror on�llars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not emplcy 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 10/6/2008 alA&46g�L compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner ignature Date provisions. rX r / 10/6/2008 1 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 Signa ure Date WARNING: AILURE 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. I hereby authorize representatives of Butte ATTORNEY'S FEES. ov County to enter the abe tioned property for inspection purposes. I hereby certify that I am the property o era t " ed to act on the p yo wners behalf. CONSTRUCTION LENDING AGENCY 10/6/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of P Ittee IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. gent for Owner DAgent for Contractor FILE COPY Lenders 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 X68 aoa� PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name % First Namem Mailing Address Address 9 City City� Gte Zi �� 3d Phone Phone G O Fax E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name City Address 6 Address 9 oz City� Zip Std A Zip�� Phone G O E-mail Fax E-mail Lic. # T Class C o APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Sq FT- Living Garage Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLI T SIGNATURE X PROJECT LOCATION AP# 6� -'� . Z ZO , U 12 Property Address c /4,4/ocze2s- kA City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. Zoning Flood Zone SRA Yes I No Occ. Type Const. 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 I No Occ. Type Const. 4 TO; BUTTE CO. building dept. FROM . ROSE BECKER owner of record of parcel no. 073-220-012-000 This letter shall convey my permission for CLIFF SASSELLI .to install a gas heater and the related propane supply system and assist me in obtaining the nessasery permits Sincerly ---Z� A6 -----12—k- ----- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -N UroviIle, California 95965 Telephone: 534-4541 jf APPLICATION AND PERMIT - BUILDING C Owner l-1 P,AkP - SQ. FT. OCC. BUILDING VALUATION Mailing Address (e) CTelephone �, No. Fireplace Contractor\ \ l A I N PIN- Total Valuation Mailing Address _ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �% \ .{jt ,' ��, — �4 p PLUMBING No. @ FEE P PERMIT FILING FEE $3.00 t� �1 --;40—o C'1a 1C �Q teii �i� I F^� aR� Each Trap 1.50 1C Repair drainage or vent piping 1.50 Water piping 1.50 /� 1 f�q y /V► r �.0 Each gas water heater or vent 1.50 ,� ^ A. P. No. p� , Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W:C� SaniFtari=on" Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 ,tBl:d:giPtdnsjRecxd° I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE rQ� PERMIT FILING FEE $3.000V e � e, IC. S CW V tet `w 0y e OR Main service 100 AMP ORSLESS 5.00 stoo V Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ACCLBLDGS.CCUP° &) 2¢sgft NEWCONSTR. MULTI.OUTLET NON .RESID• ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BA@L @25Q1 FIXED APPLNS° OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 r I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aumuritu representatives of the t,ounty of tsutte to enter upon ine above-mentioned property for inspection purposes. X niP ItC�YI // •x Date Signature of Permitee or rr}Agent Receipt No. White-D.P..W. — YAiow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �-DIRECT/OWOF,,PUBLIC WORKS By G'l '�-._._ Date Z1— 1 i Building permit expires Date ��"" -5 S d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orov( le, California 95965 ��D-? 7 Telephone: 534-4541 APPLICATION AND PERMIT in (,� ....vva, nicn uvna.0 I+i „�,c„y ivi n�aNc�.uun NuiNuaca. X Date 7 Signature of Permitee or Agent Receipt No. 172o 2-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR/OF'\PUBLIC WORKS By Qate ,ZZ—I-- 7 2 Building permit expires Date l�'�i �-7 BUILDING Owner , !etUe,a— SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address � \ Telephone N I Fireplace Contractor�Q� Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address S S S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (�Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 1 -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 99M49tirnf Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 'ELECTRICAL No.1 @ FEE - PERMIT FILING FEE $3.00 d Main service 100 AMP ORSLESS 5.00 SOS Main service EA. ADD'L foo AMP 2.50 1157) Main service 1 OEAMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L foo AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGSCCUP. &) 22sgft NEWCONSTR. MULTI.OUTLET NON .RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON- ( RESID, l SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. OCCUp(OUTLETS OW FIXTURES) 50 BAL2fa Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ZhSb $ /Q WORKMEN'S COMPENSATION INSURANCE ^� I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. (41 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00, Hood Permit Fee $ $ . I.certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon theI TOTAL PERMIT FEE $ (� This permit is herebv issued under the applicable provisions of ....vva, nicn uvna.0 I+i „�,c„y ivi n�aNc�.uun NuiNuaca. X Date 7 Signature of Permitee or Agent Receipt No. 172o 2-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR/OF'\PUBLIC WORKS By Qate ,ZZ—I-- 7 2 Building permit expires Date l�'�i �-7