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HomeMy WebLinkAbout007-250-060Raymond - -B. - Krumv e da 80 off n%s: F�a.ton Rd., 1901 W. of Burnap Ave:, Chico 3d/y_y� CONTR: Michael & C .. Orland Permit 1065-71B new single family) 007=250-060 05-°1878 'DEAN LEROY Z MICHAEL WY, .CHICO.- CONT FOUR COUNTIES ROOFIN; REROOF 4 - V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR IN #: OFFICE 8-7636 ( ROVI 41E) (530) 891.2834 (CHICO) PERIVIII NU. BPO51878 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/15/2005 APN: 007-250-060-000 provisions the Business and Professions Code, and my license is in full force and effect C_ 3_9 License Number 774554 Site Address: 2 MICHAEL WAY CHI License Class: Date:I'N &) ContractorZg2 C[)ua±i _s R Lo ing Map Index: OWNER -BUILDER DECLARATION that I am exempt from the Description: REROOF W/COMP (35) I hereby affirm under penalty of perjury • Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any city or county which requires a repair any structure, prior to construct alter, Improve, demolish, Owner: DEAN FAMILY TRUST permit for such permit to file a ro its Issuance, also requires the applicantt to to the provisions of licensed DEAN LEROY D & NAOMA F TRS signed statement that he or she Is pursuant the Contractor's State License Law (Chapter 9 commencing with Section 2 MICHAEL WAY 7000) of Division 3 of the Business and Professions Code) or that he or basis for the alleged exemption. Any CHICO, CA 95973 she Is exempt therefrom and the of Section 7031.5 by any applicant for a permit subjects the violation applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their do the work, and the structure is not sole compensation, will intended or offered for sale (Sec. 7044, Business and Professions License Law does not apply to an Applicant: FOUR COUNTIES ROOFING Code: The Contractors' State owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, are not Intended or offered for 3 CRUSADER COURT provided that such improvements sale. If however, the building or improvements aro sold,within one CHICO, CA 95973 year of completion• the owner -builder will have lite burden of build or improve for the purpose of () 530 343-1446 proving that he or she did not sale.). O 1, 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 COUNTIES ROOFING and who contracts for such projects with a. contractor(s) licensed pursuant to the Contractors' State License Law.). 3 CRUSADER COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 343-1416 Date: Owner. • WORKERS' COMPENSATION DECLARATION License #: 774554 1 hereby affirm under penalty of perjury one of the following declarations. O 1 have and will maintain a certificate of consent to self -Insure for as for by Section 3700 of the workers' compensation, provided Labor Code, for the performance of the work for which this permit Architect: is issued. CKI have and will maintain workers' compensation Insurance, as 3700 the Labor Code, for the performance of Engineer: required by Section the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. State Comp. Ins. Fund0 Total Square Ft: S. F. Policy 573-2003 Valuation: $0.00 O I 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. `7 —O� Date: Applicant: I ­secure WARNING; NING: Fallure to orkers' 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 �1 t „ • v, code, Interest and attorney's fees. S Tis pe itis her by Issued under the applicable provisions of the Butte County Coda and/or . CONSTRUCTION LENDING AGENCY there Is a construction lending agency for the R U0, o work Ind' ted above for which fees have been paid. C )� - � hereby affirm that r J performance of the work for which this permit Is Issued (Sec 3097 Civ.) By. Date, Name: - PERMIT EX RES N: Date Address: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. 19827.5 of California Health 8 Safety Code Is not applicable to the scheduled construction of this project. O Notification In accordance with Section O 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 tat form or document of Butte County. I hereby ' all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any a the above mentioned property for Inspection purposes. authorize representatives of Butte County to enter upon �-• Eo jj A2 0 x Signature: Print Name: % 13 — 0,5' Date: ' Contractor ❑ Agent for Owner O Agent for Contractor 9 O Owner B. C. Building Permit 01.18-04 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 OF APPLICATION CONTRACTOR OWNER Name 1 Address -__;i` City C - rCv State Zip Phone [ f !�S- Fax E-mail Map Book CONTRACTOR Name Four. Counties Roofing Address 3 Crusader Court City Chico State CA ZIp95973 Phone 343-1416 Fax 343-5274 E-mail Uc.# 774554 Clasg'C3 APPLICANT NAME ARCHITECT/ENGINEER Name Address.3-Crusader Address Ci city - .Chico City State .. CA._.._...,_...._9.59.7_.3_.. State Zip Phone Fax 343=5274 Fax E-mail Map Book State Ucense Number APPLICANT NAME Name _ Zoning Address.3-Crusader Court Ci city - .Chico SRA State .. CA._.._...,_...._9.59.7_.3_.. Zip Phone 343=141.6 Fax 343=5274 E-mail. PPLICANT SIGNATURE X i For office use onl Zoning Received by: Amount: Flood Zone Bldg SRA Yes No Occ, Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # LOCATION AP# Property Address / 3 ✓YI �Vl rss treet WORKER'S COMPENSATION Policy Numb%73-2003 Carrier b State Comp. Ins. Fund 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: Sq. Footage 3S_ O Structure Built without Permits D . 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 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. Page 1 of 2 REV 4-30-04 Received by: Amount: S-0 Bldg SRA RecelDt M. � Sheriff 41�14 � SMTP 1 � ,...� Date: 6.- _nA_Total Other Page 1 of 2 REV 4-30-04 PERMIT NUMBER- B 1065-71 r E r• PERMIT EXPIRES owNER Raymond B. Krumvieda �3. Michael & Co., Orland �CONTR• •'�1' OCATION (A.P. 41'-45-3 I 80, off n/s Eaton Rd. 1901 w, of Burnap t Ave., Chico -�--/:71- r s; g ;5 A r*e t F Zoning`r FoundationG01 /, W,,- 3, �7 Rgh. Plumbing® --.2/ Rein. Steel Framing J Wtr. Htr. Firewall ELECTRIC % Temporary�� Final DATE COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION„ RECORD Setback 401-dG-e / 6 —/Z `7 Piers & Girders Bond Beam Gas Piping & Test -71 Plmg. Topout Furnace Garage Vents GAS Temporary/-':;) ' /—%-- Final Formspm.; — t�tJ1ll�L� Lath & Plaster Found. Vents Rough Elec. Kitchen Vent �a�[�7 Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS i,Z- -71 be,7P A� lvd ,fir` ^ y COUNTY OF BUTTE ��^ DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive'- 0iov,�lle, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING PERMIT Permittee Owner Pal c./ [D A f' `- !s /21 /,, _a 1 �/' A.P. No.44 Mailing Address //// Contractor all Mailing Address BLDG. Address DESCRIPTION OF WORK NEW r�&• ADDITION 0 REPAIRS OTHERS: Remarks: PERMIT FILING FEE No, @ Fee 0 �_ / U $2.00 Each fixture or trap or set of fixtures on one trap 1.50 Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 Each gas water heater or gas heater vent 1.50 USE OF STRUCTURE Single Multi RESIDENTIAL Family/] Duplex ED Dwelling r OTHERS: Remarks: Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE $ CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the—provisions of Chapter 9,,/Div. 3, of the State of California Business & Professions Code under the name style of .......... 2�n. /-" t...�"':......:........................................................................................................� -� License No.a�o,�,u�F % Classification ....... A2„y,,,:n A,,n .............. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS'COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and, do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.............................................................................:..................................................................................., WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with 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. \77::..� /,,`^ .................. Date .............................. SIGNATURE OF PERMITTEE OR AGENT Receipt No. ......... ..... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY.r.............. �...�::..........0�,..............Date ...,,.:�......�........ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center DrivB , O;roville, California 95965 Phone: 533-1230; Ext. 259 f APPLICATION AND BUILDING PE R M I T Permittee Owner l/`' "� s c 11 [ • ' f . , f , l `/ .`: ,.� , �► Mailing Address % A. P. No. •i 4t « °+ Fire Zone Zoning Contractor .1 f + ,; Mailing Address / Sinitation Plannin Plans ' Fees `r W.C. BLDG. Address, "/ t / / 'f `� , "� ` R W Encroac e t NEW ADDITION 0 REPAIRS E3 OTHER Q Others Single Multi USE OF STRUCTURE Family Duplex 0 Dwelling 0 Others F 0 U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders r joists - 1st Floor + Joists- 2nd Floor Fireplace s ^ ` J S-�► Joists - Ceiling , I Total Valuation > Exterior Sttlds Permit Fee + 91; (� — Interior Studs Plan Checking Fee &/ or Penalty Roof Rafters Total Permit Fee ¢ Bearing Walls _T UUN I IIAUTURS LIUENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provi/sions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of........................k ;.. t f h m , .............................................�................ Q.............................................................................................................................. , Classification and certify that the aforesaid license is in -full force and effect. License No.r.....O.�...a. ? ................................ Y B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). Q I am the owner of ,the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption,, WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. X .......;e .............. ....:.................�:�..... Date �........ ...... ..,..... . ....... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo..................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS w BY ................ ter. ,� ................... ................... .................... Dote ................................ Permit Expires Date,„_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Dtive't, Oroyjlle, California 95965 Phone: 533-1230, Ext. 259 PPLICATION AN.,O PLUMBING PERMIT, Permittee Owner Mailing Address -+ Contractor �` Mailing Address C/ 1 BLDG. Address DESCRIPTION OF WORK NEW FL,_J� ADDITION F_� REPAIRS OTHERS: Remark s: USE OF STRUCTURE Single Multi RESIDENTIAL Family R�r Duplex O Dwelling 0 OTHERS: Remarks: A.P. No. d PERMIT FILING FEE No. @ Fee x2.00 C n Each fixture or trap or set ofr- fixtures on one trap -7 1.50 Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 / • �J 1 Each gas water heater or gas heater vent 1.50 �, ,. J Gas piping system 1 - 5 outlets / 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE I $ 17'a i , A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions,of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of ......11.tea.r .. ........... ,� ...................................................................................................... License No. , '? �—>�� Classification,,,,,,,, �,,,,,,, . .............. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption................................................................................................................................................................., ........................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. r , r+.Q / �........ "s Date �J ��,✓ r SIGNATURE OF PERMITTEE OR AGENT Pr-?Receipt No . ..... ..............�—/.,.4...................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR—OF PUBLIC WORKS /J r , . J By.`........................................... ..........Date .............................. c� 7 1 13 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 r PHONE` 533-1230, Ext. 259 APPLICATION /AND ELIECTRIC/AL PERMIT Permittee Owner �`� !1 �! ,:f r) v l f l i / 1 /'+! !rt r-1 ,A * �'/ en A. P. No. Mailing Address Contractor Mailing Address %R BLDG. Address ��� JL �tii %� �� n , 1 ' i �> t /.t 1, r) 7C 13 t, / -,4-11—, L C" DESCRIPTION OF WORK NEW FT-1ADDITION F__j METER SERVICE F-1 OTHERS: Remarks: USE OF STRUCTURE Single Multi Family ® Duplex Ej Dwelling 0 OTHERS: R em ark s: PERMIT FILING FEE Fee o No. Fee $2.00' 1.00 Sub -panel ress)� (more than Each f� L./ Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each :..50 Light Fixtures g �b First 20 .20 Each Additional . 10 ,,,,j � / q AD Receptacles., Switches & Fixture Outlets First 20 .20 Each Additional . 10 r U Hood, Exhaust Fan or F.A. Furn. Motor 1 Each .50 (1 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pump H _Oo i4- Water Pum 3;4- Misc. Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAMA A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensedsunder the provisions df Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.i....:.....:"'!.._......................................................................................................._._........................................:......__ License No.2 7�a 0 ?.. Classification ..� ..................... . and certify that the afore said.license is in full force and effect. ..................... ........................ B. OWNER -BUILDER & OTHERS COMPLETE -THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). �] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for,other statutory exemption....................................................................................................._.._....»......_....._ »........»._» »._. �» .WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposess. X ;-'�-�^/mss-w>r► f4� �' / DIRECTOR OF PUBLIC WORKS Date.........:........r............................................................. By Date ». SIGNATURE OF PERMITTEE OR AGENT Receipt No. '