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HomeMy WebLinkAbout030-360-05530-36-55 E, L. WRIGHT 4 -16.16 -A-lmn -St, -Orovi•Yle - Contr: Rick Mauldin Plumbing Permit#1120-86P(replmce wtr htr)SF 030-360-055 06-1351 GRIDER, EILEEN 1616 ALMA ST, OROVILLE Cont: GEORGE ROOFING RE ROOF. I a C� , M Csal BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT,,, 24 HOUR INSPECTION #: OFF) 538- #-7636 ( ROVI 41Ej (530) 891-2834 (CHICO) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF I LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under 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. �Sa�lo�o License Class: license Number: Date: �� Contractor: 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 permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of 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 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).): 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 such 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 improvements are sold within one 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 sale.). O 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 pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: p 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. XI have and will maintain workers' compensation insurance, as 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. PERMIT NO. BP061351 OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 06/07/2006 APN: 030-360-055-000 Site Address: 1616 ALMA ST ORO Map Index: Description: REROOF W/COMP (26) Owner: GRIDER EILEEN S 1616 ALMA ST OROVILLE, CA 95965-4111 Applicant: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 f. Contractor: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 License #: 452266 Architect: Engineer: Policy #: m2?—!S910 Notal Square Ft: O 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 it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date:"6� Applicant: , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Valuation: Census Code: 0 S. F. $0.00 permit is PERMIT EXPIRES ar the applicable above for which sions of the Butte County Code and/or have been paid. PP\\ Date Address: - 0 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. O , Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 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 all county and stale 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 8ulhorize representatives of Butte County to enter upon the above mentioned property for inspection purposep. SA r r n i n / g E Gt! — Signature: Print Name: �� ^'� ��- Date: 6 2 --�� O Owner O Contractor XAgent for Owner 4 ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION - OWNER Name EILEEN GRIDER Address 1626 ALMA ST. City OROVILLE State CA Zip 95965 Phone 533-9075 Fax E-mail Lic.#Class APPLICANT SIGNATURE X ` For office use only: CONTRACTOR. Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530) 533-0287 E-mail dan@abcgc.com ; Lic.#Class dan@abcgc.com 452266 C39 APPLICANT SIGNATURE X ` For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com ; State License Number APPLICANT SIGNATURE X ` For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com ; APPLICANT SIGNATURE X ` For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. Co• I��� BP 1.110 .. LOCATION AP# 63L),a Property Address 1616 ALMA ST. OROVILLE, CA. 95965 Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work REROOF-HOUSE-COMP Sq. Footage 26- ❑ 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. ?UEST FOR REFUNDS rods can only be made upon written request by the person who paid the The request must be made prior to the expiration of the permit and no Inaction work has been done. Filing fees, plan check fees for work plan ked and other department costs are not refundable. REV: George Roofing Received by: Amount: 16 Bldg SRA Receipt M Sheriff SMIP Other Dater I_l �10�1 ' �P Total REV: George Roofing I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali*,)rnt1`1t965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 � ZONING BUILDING PERMIT OWNER <h TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS + l..� // t •- [ L (. / t '•� /(/t' / C tri Fireplace CONSTRUCTION LENDER ♦ADDRESS` UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSr yr* r.._- /e / 6 /l t /- / • f 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 J C -U USE OF STRUCTURE SF 2 Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ©J Describe work: rrE "Lf'CE 6� / _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. / r i License No.�.I/�- � Classification � � r -� ❑ 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.& /22sgft OR ADDNS. ACC. BLDGS. , NEWCONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EO x. Occup( S eALO0OUTLETS OR FIXTURE3 \ EX. OCCUp. OUTLETS IIRESID )FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department T a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner to 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 against said Courity`in.consequence of the granting of this permit. X ,,l��,w /,ij�r���-- �� Date ' $ignatu a of Applicant — Owner ❑ Contractor �n Vii, Agent ❑ 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 $ 1 ,v OCCUP. CONST.TYPEJ I IFLOODIPARCELI PC ND 59UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ncve or which have been work indicated Jated abofhih fhbaid. P ` �r;',DIRECTOR OF PUBLIC WORKS ,/7, / j -!i!✓ 'Date By - PERMIT EXPIRES Date r: �� Ac.. ( • d(J Receipt No. WNITC-D.P.W., YELLOW'ASeF730R, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive Orobille, California 95965 - Telephone 916/534-4541 a APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 30-3� - 55 ZONING BUILDING PERMIT OWNER AZ WR14d TELEPHONE S0. FT. OCC. BUILDING VALU TION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME RO10-1, 4 16,01 LUMr31A[ TELEPHON 5 -G4s/ CON `!$roR'�t/A�%G ,(�1 s f""� /A Fireplace CONSTRUCTION LENO�®A)C UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINIVEIR LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /( /T1 I Penult 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 JSFG W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utili I ss❑ Installation❑ Other Describe work: — _ �� of * _ Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ,�I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Code and my license is in full 2force 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.y OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUT LET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES eAL@30 eALe FIXED PK Ex. OCCUp. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department {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. Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sav indemnify and keep harmless the County of Butte against all liab' I m nts, costs, and expenses which may in any way accrue again s ty ' onseque of the granting of this per it. %� Date `�� Si na re of pplicant — Owner ❑ Contractor Agent An OSHA ermit 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 $ 5 W OCCUP. CONST.TYPEJ FLOOD= PD HD 59UE This it is here4y issued under sion of a Butte ounty Code and/or wor in at ab Ab\for which TOR OF PUBLIC By 111` 01 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS a e ��/� -/ — /���"�/��ll'' Receipt No. 58/90 WNITC-D.P.W.. YELLOW-ASSE330", PINK -INSPECTOR, GOLDENROD -APPLICANT