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Home My WebLink AboutMERGE DOCUMENTB07-1561 038-170-044 MISCE,I-LANEOUS I-VAC Change Out i 15':1C CHANGE OUT 8791 STANFORD LN SHMSEN, DELBERT & MARGARET A B07-2150 038-170-044 MISCELLANEOUS Re-Roof RE-ROCF SF (37 SQ) 8791 STANFORD LN SIEMSEN, DELBERT & MARGARETnn s,. V f b r 5rt� - lit !t '�Il tt 13.• i-. !'� ;il 11r T � li. .. 13 `t . `F j }�,p�"j+� 2: i �7! — t"� f i �,,, i'y♦1' 1. ry t Yi. • ` 'fr i F `iFr ri a3j C y .� .. � tf ix.rtayo -1 n u �w3yt _. y � •i,f ��y ..Isl� r��4��t7�" ','t_2 a, t r-�j - _ '. � S rn yY t `' '2��}17� t�� jjf �� it'� � r.44 -r�jlfil 1,. �1 to ,�' s r i'; 1 ( r♦�t 3�a� .. 1 . I t { {fit: Tu4y;�,��",�� .. E`=.o>• - -fi i', r J: T! _ lTp`Y -. Kt.. t,-,;,0: ! � Til t � �� ; ," I * is s f'..! � i}t� i��i�'r��. - .�lY t�•.� R 1 3 s is �5,ry u+r ,� r , ' '�; s i t , ,. v A.d , t�1�tr �� 'i� t�,�` 1 � a: - � �t -. � r�'f i�T. i ,• 1 � I t ::x � _ xb ! t. t}a tt #�js}� '• � ♦c )- s- a } � k i �-t � i72�� .i �� y _ � , i1 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: 8791 STANFORD LN Owner: Permit No: B07-2150 APN: 038-170-044 SIEMSEN, DELBERT & MARGA Issued Date: 10/16/2007 By KCG Permit type: MISCELLANEOUS 8791 STANFORD LN Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 10/15/2008 Description: RE -ROOF SF (37 SQ) (530) 345-4527 Occupancy: Zoning: Contractor Applicant: Square Footage: BAIRD ROOFING CO BAIRD ROOFING CO Building Garage Remdl/Addn 11025 MIDWAY 11025 MIDWAY CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 342-1631 (530) 342-1631 FEE INFORMATION DBMSC Re -Roofing $230.00 Total Charged: $230.00 Fees Paid: $230.00 Balance Due: $0.00 Receipt No: B5004 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 BAIRD ROOFING CO ' 631460 / C39 / 10/31/2007 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 pursuant to the provisions of the Contractors 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 B iness an rofessions Code, and my license is in full forcZ 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 10/16/2007 the applicant to a civil penalty of not more than five hundred dollars ($5001; n Please check one of the following: Contra-&Wgn tU-re' Date -11. 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 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.). t%l 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: action 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: 238-0000367 Exp. Date:04/01/2008 Contractor's License Law.). (This section need not be competed if the permit is or on a hundred ($100) or ess. ❑ I 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 ecome subject to the workers' the X 10/16/2007 compensation provisions of Section 3700 of the Labor Code, .hal orthwilh with those Owner's Signature Date provisions. X 0/16/2007 I hereby certify that I have read this application and state that the above information is correct. I agree SignaL4— to to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILU O 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 arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is 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 authcrize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro any owner or am authoriz to on t e property owner's behalf. 10/16/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for e O Permitte SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ity ❑ Owner 1:1 Contractor OR Agent for Owner�Agent for Contractor FILE COPY '-{' Lenders Address city State Zip BUTTE COUNTY o��TTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o =," �'�' o A FEE WILL BE REQUIRED AT T11PIE OF APPLICATION Website: www.buttecounty.net/dds OUN **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name City First Namel Mailing Address J V City I `1 State Zip Phone Phone Fax E-mail E-mail CONTRACTOR Name' ` Address City State�� . Zip Phone / Fax E-mail Lic. # '� D Class AR 1TECT/ENGINEER Name Address City State Zip Phone n �/ Y E-mail State ick se Number APPLICANT SIGNATUR X V PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier r1fohiring any e o her than license contractors, a certificate ofmpensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: O�. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: APPLICANT INFORMATION Name l/ j Address L n �/ Y City ` State ' Zi Phone � L �L�/ / '�/• t� Fax E-mail APPLICANT SIGNATUR X V PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier r1fohiring any e o her than license contractors, a certificate ofmpensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: O�. 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 I Yes I No Occ. Type Const. 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: 8791 STANFORD LN Owner: Permit No: B07-1561 APN: 038-170-044 SEIMSEN, DELBERT & MARGA Permit type: MISCELLANEOUS 8791 STANFORD LN Issued Date: 7/18/2007 By MAK Subtype: HVAC Change Out DURHAM, CA 95938-9799 Expiration Date: 7/17/2008 Description: HVAC CHANGE OUT Occupancy: Zoning: Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR ALL ABOUT PERMITS: J GR Building Garage Remdl/Addn PO BOX 35 3083 WHISTLER WAY LOS MOLINOS, CA 96055 CHICO, CA 95973-4958 (530) 384-2444 Other PorchrPatio Total FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S 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 licensed under provisions of Chapter (commencing with Section11 000) of Division 3 of the Business and Professions Code, and my license is/ ttl force andoffect. 7/18/2007 Date .WORKERS' COMPENSATION DECLARATION 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0013855 Exp. Date:5/1/2008 (This section need not be completed if the permit is tor one hundred dollars ($100) or ass. ❑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' ,,,m pensation provisioQs of Section 3700 of the Labor Code, I shall forthwith comply with those 7/18/2007 INA'RNING: FAILURE 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 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) Lender's Address City State Zip Balance Due: $0.00 Receiat No: OWNER / BUILDER DEC 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 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: ❑ 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 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 are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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 Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: 7/18/2007 Owner's Signature Date I 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, indemnify, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or 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 ante he above mentioned property for inspection purposes. I hereby certify that I am the arty ner a auth rized to act on Pe property o ef�s Behalf. / , c l�%lY1% .I7�t'7�CY11/18/2007 V Owner ElContractor OR; ElAgent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS gO��s�) 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 BP A FEF_ WILL_ BE REQUIRED AT TIME OFAPPL ICA TION Website: www.buttecounty.net/dds BIN N "PLEASE PRINT CLEARLY— OWNER INFORMATION Last Name First Name Address -7011 -7 01 I r City Uy_ STIaUIeY L. -o Phone r7 Fax E-mail Zip APPLICANT SIGNATURE , 1 jj For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name to Book Page Lot # i Pianner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:'TORMSWILDINO FORtv1S\BldgApplSubRgmts.doc Page 1 of 2 PROJECT—LOCATION TIN AP#02>97- 44 V Aroperty Addwss ross WORKER'S COMPENSATIO Policy Number .I.r if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDIN nGENC r FNme Address Description or Scope tv of Work: —� rf (-'�C (.A IA �1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICA'T'ION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action application after expiration, a new application, plans and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the persnn \\ho paid the fee. The request Must be made prior to the expiration of the permit and no construction ,pork has been done. Filing I•ecs, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: --Bldg SR4 Receipt #: --�------_ • _ --_ --Sherif f -- _SMIP Date: O(her Total P,Ev 8-12-05 HI- UH1I LCT/ENGINEER Name hei5 H VAC Address 1 City Stale Zip Phone Fax Fax E-mail Slate license Number APPLICANT SIGNATURE , 1 jj For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name to Book Page Lot # i Pianner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:'TORMSWILDINO FORtv1S\BldgApplSubRgmts.doc Page 1 of 2 PROJECT—LOCATION TIN AP#02>97- 44 V Aroperty Addwss ross WORKER'S COMPENSATIO Policy Number .I.r if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDIN nGENC r FNme Address Description or Scope tv of Work: —� rf (-'�C (.A IA �1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICA'T'ION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action application after expiration, a new application, plans and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the persnn \\ho paid the fee. The request Must be made prior to the expiration of the permit and no construction ,pork has been done. Filing I•ecs, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: --Bldg SR4 Receipt #: --�------_ • _ --_ --Sherif f -- _SMIP Date: O(her Total P,Ev 8-12-05 APPLICANT INFORMATION Name al i hei5 H VAC Address icilyIl Slale�� Zi Phone Fax E-mail APPLICANT SIGNATURE , 1 jj For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name to Book Page Lot # i Pianner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:'TORMSWILDINO FORtv1S\BldgApplSubRgmts.doc Page 1 of 2 PROJECT—LOCATION TIN AP#02>97- 44 V Aroperty Addwss ross WORKER'S COMPENSATIO Policy Number .I.r if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDIN nGENC r FNme Address Description or Scope tv of Work: —� rf (-'�C (.A IA �1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICA'T'ION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action application after expiration, a new application, plans and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the persnn \\ho paid the fee. The request Must be made prior to the expiration of the permit and no construction ,pork has been done. Filing I•ecs, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: --Bldg SR4 Receipt #: --�------_ • _ --_ --Sherif f -- _SMIP Date: O(her Total P,Ev 8-12-05 J AS0900JNQ033: Main Assessor Inryuiry Jul 18,'2007 02:10 pn File Edit View Help Asmt Feeparcel: 038-170-044-000 Owner_ SIEMSEN DELBERT >t MARGARET A SitusAddress _ --- NameAddress SIEMSEN DELBERT & MARGARET AValues 'x�ni i f r iQec-�'-'�`.;oo r,t,TE' T Y� 0791 STANFORD LN DURHAM CA 95938.9799 Status j Date ACTIVE _.......... ............ J 08'0612003 Taxability Code I Descr 001 BUSINESS TRA I Base Date 070-002 ! 10,"'1!2004 Creating Docq Date 20038005 Current Doc# Date ...... 1977R2212240 _.._ ...........................___. 102/06,12004 Terminating Doc# � Date - i Neighborhood Code I Supl Cnt 038 12 Asmt Description 6791 STANFORD LN Land Use 1 jLandUse2....__._.._.__....... Zoning 1 j Dwell 1 .... f Acres j SgFt 19.96 �0 l] Parcel Desc: Section i TownShip j Range Description TPZ j Ag Pres ' Etal (Bonds ❑ ❑ ❑ j Multi Situsj 910 MH ( Flag 1 ( Flag 2 ❑ ❑ { ❑ ! n Asmt PP ( Tax PP Appeal j Split ❑ G ❑ ❑ Comments 1A'AS PTN 038.170.020 & PTN 038.190.049 BLM BY DEEDS 20038005245112 Fuick Search (Click here to Clear Values) !Asmt Begins with IFeep ra cel Begins with Owner Begins with Situs Contains Main Notes ! Ownership Detail ' Ownership History Exemptions Mfg Homes I Attributes , Value History I Situs l Sales --�— --� �— - M 4 ► *1 SIE Update Physical Char. Taxroll Inq. Appraisal Ctrl Roll Corrections Work Sheets Images - _ t . 1 D `� Wm a