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HomeMy WebLinkAbout007-200-0357FLOYDLINVILLE 7-20-35, Chico, Ha rd e (new siding/SF)�� 3 007-200-035 •06-1288 . THOMAS, JAMES' , g MAYFAIR DR, CHICO' --r- -K Cont: FOUR SEASONS ROOFING RE ROOF 35 O cc=3 ! BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061288 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/31/2006 APN: 007-200-035-000 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. License Class: e .3z License Number: Site Address: 8 MAYFAIR. DR CHI Map Index: Date: Contractor: Description: RE -ROOF COMP (TEAR -OFF) 29 SQ.S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THOMAS JAMES W & ROSE M 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 8 MAYFAIR DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0707 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).): ❑ 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' State License Law does not apply to an Applicant: FOUR SEASONS ROOFING owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for #11 COMMERCE COURT sale. If however, the building or improvements are sold within one SUITE #1 95928 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-895-0418 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: FOUR SEASONS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). #11 COMMERCE COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 ' Date: Owner: 530-895-0418 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 659073 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 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 T r v oyif 1q_1 Total Square Ft: 0 S. F. ,�i Policy #: % 7' �V �2 Valuation: $0.00 ui-1—certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor �...,, code, interest, and attorney's fees. Com{ 71\/7 - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the pli able provisions of the Butte County Code and/or I'hereby affirm that there is a construction lending agency for the Resolutions to d work indicated abo a for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �_ :3 Date: Name: BY PERMIT EXPIRES ON: Address: Date El hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upontheabove mentioned property for inspection purposes. Print Name:�i��5 /—/ ir'/ �/i/i�G s Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES' BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name,�, r4 irst N e �D .� E Address 6' ` r City d Slate,.:,, Zip Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name / Address o sic: - J - d City C,� Co r State Zip S-" -2 Phone Fax E-mailc y'0 t7 ass APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address I No City Type Const. State Zip Phone +,,F Fax E-mail E-mail State License Number APPLICANT INFORMATION Name Pro e0 Addr s // Address £ I No City �i Type Const. teQ Map Book Phone -53o- +,,F Planner Date Approved: E-mail APPLICANT SIGNATURE. X For office use only: Zoning Flood Zone Pro e0 Addr s // SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 0 BP BIN # PROJECT LOCATION AP# 6 01 r . �5 O�CJ Pro e0 Addr s // Cross Street. 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 Page 1 of 2 escription or Scope of Work: Sq FT- Livng 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 expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by7p' Amount: /&L5, GU Bldg SRA Receipt #: wi % Sheriff SMIP Date: Other CIO Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! `- ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ ' 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ .3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 May 31 06 09:58a Reception 530-895-9201 P.1 R ROOFING 11 COMMERCE CT., #1 CHICO, CA 95928 (530) 895-0418 - (530) 895-9201 FAX FAX TRANSMITTAL COVER SHEET NUMBER OF PAGES INCLUDING COVER: 1 DATE: 05-31-06 TO: BUTTE COUNTY ATTN: PLANNING DEPT. FAX: (530) 538-2140 PHONE: (530) 538-7601 FROM: LISA TAYLOR MESSAGE: PER YOUR REQUEST I AM SENDING THIS LETTER AS AUTHORIZATION FOR OUR EMPLOYEE: GABRIEL BALLEJOS TO ACT ON OUR BEHALF FOR REROOF PERMIT APPLICATION. OUR CONTRACTOR LICENSE NUMBER IS: #659073, CLASS C-39 WORKERS' COMPENSATION COVERAGE: AMERICAN HOME ASSURANCE POLICY NUMBER: 1242444 // EFFECTIVE:' 04-30-06 THROUGH 04-30-07 THANK YOU VERY MUCH. HAV 6R DAY 1 O 1 CLAIMANT: AMRE &U"d* Of J13uft OROVILLE, CALIFORNIA GENERAL CLAIM ADDRESS: 1260 San Luis Obispo Ave. CITY & STATE: Hayward, CA 94544 IMPORTANT: Aug ust 19, 1987 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 4 DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) SUB. OBJ. AMOUNT INV. NO. Owner has decided not to do work. .(Bldg Permit Appin. #2652-87B, Receipt #89736, dated 8/10/87, A.P. #7=20-35). Owner: Floyd Linville./ ENCUMB. GROSS AMT. Total building permit fees paid ---------------=-$78.50 Retain filing fee------------------------------- 10.00 Refund due ----------------------------------------------- $68.50 $68.50 TOTAL $68.50 I, the undersigned, declare under penalty of perjury that the services or articles claimed hav�ben performed or delle red, and that this Xclaim le true and correct as stated./ecTT�/ptyT1 1Dated this ......`./............... day o[ �l.��d.I..19et(.!!!�J/..Y.�%�•'.1Cali(...................... Signature of Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have be performed or de- livered and that there Is a Budget Appropriation❑ or Specific Board //��Approval •t❑ (Check one) for th me. Dated this ..............27th.......... day of .....August....... 19..87 at ...Omo.Ka.l.7..e..... . Calif. ......... . ..... ./........ ........ ................... ............... partment Head or Authorized Dep Dept. Code 0. nn PAYABLE FROM CO St . Permits Code ........44�-I��2............... 4.2� ^.S.^.^...................................................................... F UND ............................ DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. 8 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER f7— o2o.— ZONING BUILDING PERMIT 0 E `a TELEPHONE -,pig SQ, FT. OCC, BUIL-DING VALUATI N O�N1,E ILIN D SS �[jJ( 1 CONTRACT R ME TELEPHONE ,CONTRACTOR*S MAI ING ADD SS O Fireplace CONSTRUCTION LENDER UN NOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF * Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: /_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (Check•One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.A! OR ADDNS. \ ACC. SLOGS. , /20sgft NEW CONSTF ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20®30e Occup(OUTLETS OR FIXTURES aALO 30 Ex. Occup. OUTLETS FIXED PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I de ar under penalty of perjury (check one): 14 T e permit is for $100.00 (valuation) or less. c I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrue agai id County in copse. u e of the granting of this permi . X 4 Date Signature Of Applicant — caner ❑ Contractor ❑ Agent ff An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE I IFLOODIPARCrL.1 P11 I ND 1330 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above r which v DIRECTO O UBLIC /p e vAir PERMIT EXPIR Date the applicable provi- resolutions to do fees have been paid. WORKS /Data g l() 47 Receipt No.e WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT M