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HomeMy WebLinkAbout035-213-02235-213-22 ALAN F. COOPER 4555 Lincoln Blvd., Oroville Contr: Nielsen Bldg Co, Oroville ` r4555 it# 722-80B( eroo & re ai "' 299 035-213-022 wzyz ELLANEOUS Re -Roo OOF (15 SQ) LINCOLN BLVDT, PAUL N 13 -.1 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: 4555 LINCOLN BLVD Owner: Permit No: B07-0299 APN: 035-213-022 CHAIT, PAUL N Issued Date: 02/16/2007 By KCG Permit type: MISCELLANEOUS 24 JOSEPH CT Subtype: Re -Roof SAN RAFAEL, CA 94903 Expiration Date: 02/16/2008 Description: RE -ROOF (15 SQ) Occupancy: Zoning: RN Contractor Applicant: Square Footage: KNOX ROOFING KNOX ROOFING Building Garage RemdVAddn 7640 PALERMO HONCUT HWY 7640 PALERMO HONCUT HV OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-9669 (530) 534-9669 FEE INFORMATION DBMSC Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1868 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License KNOX ROOFING 872006 / C39 / 02/29/2008 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 I HEREBY AFFIRM UNDER PENALTY 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X) 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); 02/16/2007 Please check one of the following: COntiaCtof S Signfe� 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one 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.). ZI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 76 06/01/2007 STATE FUND 713-00162Exp. Dat Policy olicy Number: e: Contractors License Law.). (This section need not a competed if the permit is tor on'hudollars ($100) or less. I AM EXEMPT under Section B. & P.C. for this reason: ❑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'X 02/16/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 02/16/2007 / 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 State laws relating to building -�� SI nature Date �- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner o m authorized to on the property owners behalf. CONSTRUCTION LENDING AGENCY c 44i'o�¢ K 02/16/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee -[SIGN] --Print Date 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 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" APPLICANT INFORMATION OWNER INFORMATION Last me/ h First arae v Mailing Address y 5oS PPS C City 57,En Zip 5 66 Stated ,4 Zip Phone Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name Address Address CityOro l)'lle City Stat7, Zip 5 66 Phone S �G Fax E-mail /�tiuyc _ d F,`ti 093 ,,ha ea, Lic. # 72 OU i, State License Number Class C- 37 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip S City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name I Address z yU /� %P�s�-ro 1-/C),,) 6,1 City St Zip S Phone Q / U C� Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# o3 .;_ \3 Property Address f!% City /l PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier l �C- /SCI/ 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: / ee Sq FT- Living Garage Open Cov 0 . Structure Built without Permits El Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. 4,166°� 0 tai i PERMIT NO. 472-80B r , PERMIT EXPIRES 9/15/81 OWNER ALAN F. COOPER 1 CONTR. Nielsen Bldg Co, Oroville `LOCATION (A.P.. 35-213-22 ) "4555 Lincoln Blvd, Oroville t e Temp. Power Pol Called PG&l? Temp. ry CalE Temp.,/.. v CaE FINALED Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECbRD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Igo Sewer Fdn. Vents - Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. s _ e _ / / _ Appliances Gas Piping & T Temp. Gas G FIJfEPLACE I Final Final I Fixtures FIRE SPRINKLERS I Motors PLUMBING ELECTRICAL Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES •-------------=---- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTA'ION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE t t REMARKS OR CORRECTIONS ' (NOTE: An entry must be made on this form each time you visit the job site.) RI , Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95966%* Telephone 916/534-4541 d APPLICATION AND PERMIT - I AS R �laj P RFFEL NUMBER .• — ZONING j'IL BUILDING PERMIT 0- OW ER /`'i � / F Of O0Q�� /T t/pp�EEJr/r/ TELEPHONE SO. FT. OCC. BUILDING VALUATION ��%l/�/J Q'On . 0/0� LuT�v 'r /� ��4 // OvJINC, AD�rDWV I✓��✓. CO &&5 NA('+M ��V , 60a TELEP�OAllN� J !/ C OOTRACTO�E,31,`a, ADDRESS�� �J / w y+�✓d 6_00 CONSTRUCTION LENDE � UNKNOWN Fireplace Total Valuation $ OOr� LENDER'S MAILING PADCrRESS Permit Fee $ l ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR EN IN E 'S MAILING ADDRESS Permit fee $ BUILJDING ADDRESS I ) ' CJ'.�C_ (9�.'j ,A`// PLUMBING PERMIT Fi ling Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel ❑ tl litie Installation❑ �0 her —/`l/1/ Describe work:—��% 1161,0//7-&& /f/6dd P11W d1KT 9,277V" Permit Fee $ -Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 7-/--3 VA }� �"jj/J + 5/,0/ '/`J Q Main service ADD'L 100 AMP 2.50 (EA. NEW CONSOR ADDNST `ACCLB DGS.DWELING CCUPM 20sgft CONTRACTORS CICENSE LAW I declare er 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.�!��_,T Classification 15 ❑ 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID.R BRANCH ciRcUITS 2.50 ea NEW CONSTR POWER APPARATUS .&) NON.RESID. SINGLE OUTLET CIR. Ex. Occu / OR FIXTURES P\o 50@ BAL@102 (FIXED A Ex. Occup. (0UTLETSP(RESID )PEA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 'h❑ e permit is for $100.00 (valuation) or less. ave 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 against said C nt co equ ce of t e granting of this per t. �( e Signature of pplic.nl — Owner tractorVe" Agent An OSHA permit is required for excavations over 5'0" deep and Zmolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Y 6� OCCUP. GROUP I TYPE OF CONST. PARCEL PD XD 59UE This permit is hereby issued under the applicable provi- sions the Butte County Code and/or resolutions to do wor . i icatI a ove for which fees have been paid. 1 CTOR OF PUBLIC WORKS % - �l ^ /S e PERMIT EXPIRES Date Receipt No. � WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD-AR►L I CANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS a SPECIAL INSPECTICIN R"r'.PORT Owner. A.P. V��� —02> Address: � .�� - Date of.Inspection' Ins ection' :gd Tenant • Inspector"�&.�=Ce; Building Location: .Type of Inspection requested: z 1. Housing LI 2. Financing TI 3. Change of Occupancy to 4. Other (specify) 'Present use, of building: A. Sanitation (Houslri&) r 1. Water closet::. = 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: ll. Connecti.or': to. sewage disposal: 12. Connection to, water -.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural ' 1. Piers and footings: 2. Floor construction: 3: Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces• 6. Comments' C. Electrical. 1. Service and ground: 2. Receptacles: ' 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.., Comments: (rnntinvaA nn hn�lrl. E. Other I. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic.ventilation: 6. Comments, F.` C(mmercial Buildings 1. Reef covering: 2'. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning,:_ _ 8. Comment G. Field Problemis or Violations 1. Problem or -b'olation (give complete description): J w 2, 'khat act'on taken (give cplete description): 3 I Wit �acfon�rec�enctP� A. informiatlon only. - file.. B. Hold for tea. (10) days, then write letter. Write letter. D. Other: �_.�