HomeMy WebLinkAbout007-200-107BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION 4:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
Site Address:
2933 MORSEMAN AVE
APN:
007-200-107
Permit type:
MISCELLANEOUS
Subtype:
HVAC Change Out
Description:
REPLACE HVAC UNIT
AIR -ART HEATING & AIR CONDITIO
1407 ALMOND STREET
CHICO, CA 95928
(530)895-1470
PROJECT INFORMATION
Owner:
SCHULZ, FAMILY TRUST
2931 MORSEMAN AVE
CHICO, CA 95973
AIR -ART HEATING & AIR C(
1407 ALMOND STREET
CHICO, CA 95928
(530)895-1470
FEE INFORMATION
Heat Pump (Package Unit) $55.00
LICENSED_ CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
AIR -ART HEATING & AIR CONE CSLB-335302
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing Secyort�7� O)�f Division 3 of the Business and Professions Code, and my license
is in f o d elle'1A1��T//)
X 09/28/2006
Contractor's Signature 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.
X
I HAVE 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;
57r0E EuNI� z�2 0oo27-v i l0_�,o�
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is or one a hundred dollars ($100)—or-re—ss
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'
compensation Rrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
09/28/2006
Signature v Date
WARNING: 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 ($700,000), 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
Permit No: B06-2323
Issued Date: 09/28/2006 By KCG
Expiration Date: 09/23/2007
Occupancy: Zoning: R2 0(
Square Footage:
Building Garage Remdl/Addn
$55.00
Other Porch/Patio Total
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
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 Contractors 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.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
Owners Signature
09/28/2006
Date
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 Slate laws relating to building
construction, and with any and all conditions of peril. I agree to defend, indemnity, and hold harmless
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 enter the above mentioned property for inspection purposes. I hereby certify that I am the
"erj xrn authorized to act on the property owner's behalf.
UJl l L6CI L �ua `n 710. 09/28/2006
❑ Owner Contractor OR.Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
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 S C\,\IT
irst Name
r
Mailing Address 2 9 3 Wlo�e swt/�✓1
City
t �
State CA
Zip 1�n_7?
Phone
Fax
E-mail
CONTRACTOR
Name kq-_ ACS ► H�(G
Address HTT A l in ;ST -
r -
city
City J
State CA
�f
Zip951ZS
Phone fac(� lc{Zp
Fax
E-mail
Lic.# --
Class ab
Lj
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
ve u l�
Address
City
State
Zip
Phone
Fax
E-mail
A Ll ANT SIGNATURE
X U� A' f�
For office use only:
Zoning _2 Flood Zone
PropertAddress
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
/� �/
Al 0 I -n _0C) — 1 0q
V
PropertAddress
City(-4�
Cross Street
WORKER'S COMPENSATION
Policy Number
272 000r>7 05'
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
Description or Scope of Work:
(Ze Ise %A u,') t H\V,0 o
f_0o4
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 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 by:
Receipt #: e) I
OhQcrFgD6
0
Amount: e,� Bldg
SRA
Sheriff
SMIP
`��Other
Date: (x9 .1 5510-1
Total
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: 2933 MORSEMAN AVE
APN: 007-200-107
Owner:
SCHULZ, FAMILY TRUST
Permit NO: B06-2278
Issued Date: 09/25/2006 By KEJ
Permit type: MISCELLANEOUS
2931 MORSEMAN AVE
Subtype: Re -Roof
CHICO, CA 95973
Expiration Date: 09/20/2007
Description: REROOF W/COMP (50 SQ)
Occupancy: Zoning: R2 0(
Contractor
Applicant:
Square Footage:
SIERRA ROOFING
SIERRA ROOFING
Building Garage Remdl/Addn
P O BOX 252
P O BOX 252
CHICO, CA 95926
(530) 342-1863
CHICO, CA 95926
(530) 342-1863
Other Porch/Patio Total
FEE INFORMATION
Re -Roofing $275.00
Total Charged: $275.00 Fees Paid: $275.00
Balance Due: $0.00 Receipt No: B240
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
SIERRA ROOFING CSLB-688803 / C39 /
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 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing�S)45eti7000) of Divisio of the B Hess and Professions Code, and my license
s in full force
X09/25/2006
C tractors 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
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
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
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
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
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;
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors 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
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permitis or on�d dollars ($100) or ess.
I AM EXEMPT under Section B. & P.C. for this reason:
TIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 09/25/2006
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 provisi sof Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X 09/25/2006
-
I hereby certify that I have read this application and state that the above information is carred. I agree
to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building
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
injury, including death, and property damage caused arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
use or occupancy ofA sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County t�eWtovq d pro rtyfor inspection purposes. I hereby certify that I am the
propertya n the pr p owners ehalf.
�I ✓Q 09/25/2006
Signature Date
WARNING: 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
me of P rmi a SIG Print Date
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)
Owner Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name A ]
`1
Address Po d ?i7 �
7
Mailing Addressz—q
II
City ., ��Gv
Stat,
Zip ?5-173
Phone 3qz--17, (
Fax
E-mail
CONTRACTOR
Name
Address Po d ?i7 �
7
City Ck Irc,
State C
Zip�ft �e 7
Phone qL_y,;7&3
Fax
E-mail
Lic. #/_��.
Class`
APPLICANT I
ARCHITECT/ENGINEER
Name
e- ✓K _
Address
I No
City
Stater
State
Zip
Phone
�E_mail
Fax
5par
State License Number
APPLICANT I
FORMATION
Name ✓Gt
e- ✓K _
Addres*
I No
City
(Z�(/
Stater
Zip ft—fZ'7
Phone 3
/ I
Fax
�E_mail
Planner
APPLICANT, SIGU TURE
X
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
PageT�7
Name
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
U ' 01
Property Address .7
1 2-q 31
City
Cross Street
7-0 01
WORKER'S COMPENSATION
Policy Numbe
Carrier
r1fhiring anyone other than license contractors, a certificate of worker's
ensation must be shown at the time of permit issuance.
Other
LENDING AGENCY
Name
Address
Description or Scope of Work:
�0 wrdUt- V— fe r Or`l IK -10 41
�U
Sq FT- Living 5-0&age 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 by:
Amount: o�� ��- Bldg
SRA
Receipt #:
Sheriff
SMIP
Other
Date Q(,
f1:7 �— Total
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: ' B06-2278 Issued: 09/25/2006
Address: 2933 MORSEMAN AVE
APN:. 007-200-107 Permit Subtype: Re -Roof
Owner: SCHULZ, FAMILY TRUST
Applicant: SIERRA ROOFING
Description: REROOF W/COMP (50 SQ)
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVER BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Set acs
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
GasTest
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
But mg Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
P
813 �.
roject Final 801
PERMITS BECOME NULL AND VOID 1 YEAR
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy