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: �_.�