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HomeMy WebLinkAbout079-130-0240 30- DD-� COPLEY, E.G. 2873B i;J 2327 Lot 21, Copley Acres, Orovil e 19 CONTR: New Trend Copp., Rt. 3, Box 3804A,Oro. I,fQ (new, single family) Gtr. ,u r -y- (.:.MENZER, Wm. - �� p-1 2950B IJP 3169E J 0`10 fl �0/4ra e,. i 2571P Lot 21, Copley Acres, Oroville � CONTR: New Trend Corp., 2605 Foothil l Blvd., , (new, single family) j PREVIOUS OWNER _ E.G. Copley Oroville 2873P 3/4/64) �(Transferred K 2327P B07-2091 079-130-024 MISCELLANEOUS Electrical MISC - 5 NEW OUTLETS, 3 GFI UPGR 20 ANDORA CIRCLE LINK HELGA & KURT JT, B07-2234 079-130-024 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC UNIT 20 ANDORA CIR LINK, HELGA 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: 20 ANDORA CIR Owner: Permit No: B07-2234 APN: 079-130-024 LINK, HELGA ' Issued Date: 10/29/2007 By KCG Permit type: MISCELLANEOUS 20 ANDORA CIR Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 10/28/2008 Description: CHANGE OUT HVAC UNIT (530) 534-0670 Occupancy: Zoning: AR 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 LOS MOLINOS, CA 96055 (530)384-2444 (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: B5137 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 GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 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 70 0) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in force and ct. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/29/2007 penalty [$500); Please check one of the following: tractors Sf nature 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 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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, as required by MSection ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this peril is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: State Fund Policy Number.713-0013855 Exp. Date:05/01/2008 Contractors License Law.). (This section nee not a competed if the permit is or one hun re dollars ($100) or less.) ❑ 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 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 10/29/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X10/29/2007 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 Si re Date WARNING: FAI RE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this peril. I hereby acknowledge thatt is issuance of this pea ril does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ante the above mentioned property for inspection purposes. I hereby certify that I am the rty e m au orad to act n the gropeay own behalf CONSTRUCTION LENDING AGENCY >°hr1� UYU 10/29/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name f Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner ❑ Contractor OR ElAgent for Owner QAgent for Contractor FILE COPY Lenders Address City State Zip SUGdivision (dame j "icnllQr BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL RE 24 HOUR INSPECTIONu: OROVILLE: (530) 538- 6M-CIi1CCO: (530) 891 OFFICE #: (530) 538-7541 -2834 A FEE WILL BE REQUIRED AT TIME OFAPPLICATIOJ�, Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** 1ATION First Name �QJ�ECTLOCAT�10NAP# ��qi,n OVER FOR SUBMITTAL REQUIREMENTS K:TORMS?BUILDING FORtv1S\BldgApp1SubRgmts.doc Page 1 of 2 No. WORKER'S COMPENSATION --'— Policy Number r Carrier 00 ifhiring anyone other than license contractors, a cer•tificar compensation must be shown at the timworker's e e of of issuance. Name LENDING AGENCY Address Description or Scope -of Sq FT- Living Gara e g ❑ v Structure Built without Permits Open Co ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications rot• which a permit has not been issued Will r.�hirr Onc year after the date of application. In order to renew action application after expiration, a new application, plans an(I fee ,:ill he freuired.QUEST FOR REFUNDS Refunds can only be made upon written request by the I,cren!, ,rho paid the fee. The request njust be made prior to the cxpiratinn cel the permit and no construction \,,ork has been done. Filing (,ccs, check fees for w refundable. ork plan checked and Other depatln,en, coos are no, Received by: U I Amount: Receipt 0� Date: Total REV 8-12-05 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: 20 ANDORA CIRCLE Owner: Permit No: B07-2091 APN: 079-130-024 LINK HELGA & KURT JT, Issued Date: 10/8/2007 By GLB Permit type: MISCELLANEOUS 20 ANDORA CIR Subtype: Electrical OROVILLE, CA 95966 Expiration Date: 10/7/2008 Description: MISC - 5 NEW OUTLETS, 3 GFI UP. (530) 534-0670 Occupancy: Zoning: AR Contractor Applicant: Square Footage: SEARS HOME IMPROVEMENT PRODUCT CORINNE PAUL Building Garage Remdl/Addn 1200 DEL PASO RD # 100 4130 FRUITA COURT SACRAMENTO, CA 95834 SACRAMENTO, CA 95838 Other Porch/Patio Total (916) 419-7703 (716) 646-4548 FEE INFORMATION DBE Other Electrical Inspectio $115.98 Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B4899 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 SEARS HOME IMPROVEMENT 721379 / D41 C-6 C-61 C-20 / 4/30/2008 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 D' . ion 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fu ce 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 10/8/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature 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 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 WORKERS' COMPENSATION DECLARATION 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 notintended 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.). AVE 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: S ction 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 y Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carter: ACE AMERICAN INSpolicy Number: WLRC44477282 Exp. Date -81112008 Contractors License Law.). (This section need not be completed if the permit �s oroone undred dollars ($100) or less.) ❑ 1 AM EXEMPT under 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 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 10/8/2007 compensation provisions of Sect 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date Bions. X 10/8/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatufe 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. I hereby authorize representatives of Butte ATTORNEY'S FEES. &ty nter theab entioned property for inspection purposes. I hereby certify that I am the n mut rized cto theproperty-owner behalf. Nvri nne, (tau. ( 10/8/2007 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 E]Contractor OR. E]Agent for Owner gent 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 OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name t > First Na e Mailinga1 s oL City ; `1 _ WT -3y UG StatC im Phone6(L�o 0(' —1() Phone Fax E-mail CONTRACTOR Na Address SCG PA City Sta Zip, 063 Phone6(L�o 0(' —1() FaA l (_? g _,.0 g E m it Lic.#� �I 3-1 las C 11C)141 13 C, APPLICANT INFORMATION ARCHITECT/ENGINEER Name I30 C(P Address Stated City Ph,7`, State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address I30 C(P City Stated Zi Ph,7`, Fax E-mail e,V U APPL CAN /GNATURE X '..2 fla-tcp PERMIT NO. , 4 BIN # PROJECT LOCATION AP# of —5 00 Prop"ess e City QED VL WORKER'S COMPENSATION Policy Numb 4 Carr 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: IS rcu � Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupanc (Note previous use): n For office se nl : Zoning Flood ZTTLyp—eConst. SRA Yes No Occ. S, 1 q6�' 44 Pw�osc�. BUTTE COUNTS, BUILDING DIVISION' ... APpROVEn -. lso -02 y X09 -X3 5'