HomeMy WebLinkAbout030-350-046MELVIN RUDD 30-35-46
-1550 Keko Strelit, Oroville
R BUILT.-GARAGE/STORAGE-WITHOUT PERMITS"
5/20/82
030-350-046 04-3488
DIXON, LAVANCHE
1550 KEKO ST, OROVILLE
CONT: GEORGE ROOFING
RE-ROOF 23 SQ`' .,,l
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP043488
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 12/10/2004 APN: 030-350-046-000
the Business and Professions Code, and my license is in full force and
effect. / /�/
License Class: (2 �- 3 9 License Number:To�:Z (p CJ
Site Address: 1550 KEKO ST ORO
c
Date:/;�- D-'0 Contractor.
Map Index:
Description•' RE -ROOF (23 SQ)
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: DIXON LAVANCHE J REV LIVING TRUST
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
DIXON LAVANCHE J TRUSTEE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
1550 KEKO ST
she is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE, CA 95965-4231
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).):
O 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
owner of property who builds or improves thereon, and who does
Applicant: GEORGE ROOFING
pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
6810 LINCOLN BLVD
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
(530) 533-6393
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,
and who contracts for such projects with a contractor(s) licensed
Contractor: GEORGE ROOFING
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
6810 LINCOLN BLVD
OROVILLE, CA 95966
Date: Owner:
(530) 533-6393.
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pejury one of the following declarations:
License #: 452266
❑ 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.
I have insurance,
Architect:
and will maintain workers' compensation 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 and policy number are:
'carder
Carrie,;ljde-�
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #: 99 2al r 6-Y&J "� cam.
❑ 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:_12.
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.
4(SSzx 7, so (�• lo• a4
CONSTRUCTION LENDING AGENCY
This permit' hereby issued under the applicable provisions of the Butte County Codp ?nrl/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
C� ( D. • 1 O 04-
Name:
By: —� Date:
PER IT PIRES ON:
Address:
Date
❑ 1 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 upon the above mentioned property for inspection purpose .
Print Name: 19WI &C Signature
IF
Date:
O Owner ❑ Contractor Agent for Owner Cl Agent for Contractor
f
R
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT SIGNATURE
X Shirley Trew - Agent for George Roofing
For office use only:
OWNER
Name
Whittney Jones —
DfkOtJ LAvA me He
Address
P.O. Box 611
LI VIMC. -rrzus-r
City
Pleasant Grove
State CA
ZIP 95668
Phone
682-1306
Fax
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X Shirley Trew - Agent for George Roofing
For office use only:
CONTRACTOR
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Ztp
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
Lic.#
Class
dan@abcgc.com
452266
C39
APPLICANT SIGNATURE
X Shirley Trew - Agent for George Roofing
For office use only:
ARCHITECT/ENGINEER
Name
N/A
Address
6810 Linocln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax
E-mail
dan@abcgc.com
State License Number
APPLICANT SIGNATURE
X Shirley Trew - Agent for George Roofing
For office use only:
APPLICANT NAME
Name
GEORGE ROOFING
Address
6810 Linocln Blvd
City
Oroville
State CA ZIP 95966
Phone
(530) 533-6393
Fax (530) 533-0287
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X Shirley Trew - Agent for George Roofing
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
LOCATION
AP# p3o coq
Property Address 1550 Keko
Oroville, Ca. 95965
Cross Street
PERMIT NO.
NO.
BP ®434$
BIN #
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE 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
Reroof - House - Comp
Sq. Footage 23 Squares
❑ 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 required.
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: 137, S0 Bldg
I SRA
Receipt #: 4 Ig g
Date: Is.to•o4
Sheriff
SMIP
Other
137 50 Total
REV: George Roofing
,h I A.
LAND OF NAT URAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
H. W. MCDONALD
Deputy Director
May 20, 1982
Melvin Rudd RE: Building Permit
1550 Keko:Street A.P. # 30-35-46
Oroville, CA 95965
Dear Mr.. Rudd: -
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits,.and inspections from
this office for the work you are doing.as follows:
Constructed a garage/storage building on your property located at
1550 Keko .Street, Oroville.
Since permits and inspections are require& by both State and County laws, please
contact this office within ten (10) days'of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees., includingti penalties.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved..
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
JFG:dd
cc: Building Inspector, Oroville
Assessor
J.F. Glander
Chief Building Inspector
4 `}
File No.
BUTTE COUNTY (For Ac^on 1, 2,3)
Public Works Dept. (For Information �)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. as.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. 1.
Sub. & Pcl. Maps
Permits
E. Other ,
I . Maintenance and repair#:
2. Fire hazards:
3., Safety hazards:
4. Weatl!er protection:
5. Underfloor and attic ventilation:
6. Comxse.nts:
F. Commercial Buildings
1. Rcof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Rest"oom floors and :galls:
5. Exits:
6. Improvements:
7. Zoning:_.
8. Comment:-
G. Field Problrns or_Viclatioras_
1.�Proh1 m er riolatiori { ive complete d �cc:riptic ;�)
2. W a tion taken gave complete desc �t=
3. W? acP inn r.acommended:
s
%% A. lnfonaatio:x only - fi','
77 B. Hold for ten (10) days, then write letter.
r Write letter.
/% D. Other.• k
--/s-T'z
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:
V l ►��
A.P.
Address: ,i�r)� ��
Date of InsueetUn
Tenant: L'oKo-,r
Inspector La/
ORBuildiing Location:
. Type of Inspection requested:
1. Housing 2. Financing 3. Change
.
of Occupancy to
L( 4. Other (specify)
. .
Present use. of building:
Sanitation (Housinl�)
1. Water closets..
2. Lavatory:
' 3. Bathtub or shower:
' 4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating' facilities:
7. Natural light and. ventilation:
8. Room and space requirements:
9.. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connectior..to,sewage disposal:
12. Connection to water -.supply:
13. Rubbish and garbage facilities:
14. C omanent s
' B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
.4. Ceiling and -roof construction:
5. Fireplaces:.'
6. . C osmnent s
C. Electrical.
1.. Service and 'ground:
2. Receptac"es• '
3. Fusing:
4. Comments:
D. Plumb ing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments • '
c
f&nntinued on back)