HomeMy WebLinkAbout039-370-048MISCELLANEOUS'
—
039-370-048 039-370048
MISCELLANEOUS" Rc-Roof PEfLHIT#94-2020
Re -roof with comp (30 squares) ROSS, MARSHALL
1 148 STANLEY AVE 1148 STANLEY AVE., CHICO �2
ROSS, B MARSHALL & GLORIA CONT: M & D PLUMBING
SEPARATE WATER LINE FOR (JELL IRRIGATION
9
D
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: 1148 STANLEY AVE
Owner:
Permit No: B06-2856
APN: 039-370-048
ROSS, B MARSHALL & GLORIA
.
Issued Date: 12/18/2006 By GLB
Permit type: MISCELLANEOUS
1148 STANLEY AVE
Subtype: Re -Roof
CHICO, CA 95928
Expiration Date: 12/18/2007
Description: Re -roof with comp (30 squares)
(530) 342-1132
Occupancy: Zoning: SRI
Contractor
Applicant:
Square Footage:
AFFORDABLE J C ROOFING
AFFORDABLE J C ROOFING
Building . Garage RemdUAddn
288 PANAMA AVENUE
288 PANAMA AVENUE
CHICO, CA 95973
CHICO, CA 95973
(530) 680-9471
(530) 680-9471
Other Porch/Patio Total
FEE INFORMATION
Re -Roofing $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B1229
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 Contractor's License
AFFORDABLE J C ROOFING 868569 / C39 / 12/31/2007
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 Contractor's License Law [Chapter 9 (commencing with Section 7000)
s in full for and effect.
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
12/18/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
C factors Signature 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
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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.).
I 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 Contractor's 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
Cartier: State Fund Policy Number: 285-0002582 Exp, Dale:01/06/2007
Contractors License Law.).
(This section need not be completed if the permit is or one hum red dollars ($100) or ess.
DI AM EXEMPT under Section B. 8 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 1 should become subject to the workers'
X 12/18/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
12/18/2006
-
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
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
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
injury, including death, and property damage caused arising out of, in any way connected with
the issuance of this permit. 1 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
pro arty owner or am authorized to act on the property owner's behalf.
-t S 11,0 12/18/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Pe ee [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
BU'T'TE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS / +
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 �p
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.neVdds BW #
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name ,irst
Name
Address v2g
O
Mailing Address , 3 __r
,.9
City
o
State C -Pr
Zip `�59 3
Phone
�7 � c3L{2—ttr -Z
Fax
E-mail
Class
CONTRACTOR
Name
CJ C
f7 T_
T' \ �o Y a
Address v2g
RJC ;.
City
Stated
Zip
Phone _
Fax " Pow —.5 `0 `73
E-mail
STC 5•�✓� Z
Uc. #�
Class
- -- .-
ARCHITECT/ENGINEER
Name
O
Address
Address.2
City
Q n�
State
Zip
Phone
State
Fax
E-mail
State License Number
- -- .-
APPLICANT INFORMATION
Name
O
S 0
Address.2
a o
Q n�
City
^ (_ C�
Lot #
State
Zip Tlzm
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address I I �Q
(�
Flood Zone
SRA I Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
bit
PROJECT LOCATION
Property Address I I �Q
(�
City Cq '
co
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
I
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 FT- Living Garage Open Cov
❑ 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
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: 1(0—
l0— Bldg
SRA
Receipt #: Sheriff
Date: �y _Other
Total
y,.s... ... ..,•v.r;. ^•+.e.+n�' .�n..yay.--•. , +;,a�'�'„�'+S•u"ir
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039-370-048 `PERMIT�#94=2020'
rte.. ROSS,. MARSHALL = Gs.
•' s. a M 1148..
STANLEY AVE., CHICO
CONT.: M & Df PLUMBING
SEPARATE. WATER LINE FOR"WELL IRRIGATION,;;+
r
- a
UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 495965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT o27)
ASSESSOR PARCEL NUMSER
039-370-048
ZONING
SR1
BUILDING PERMIT
OWNER
MARSHALL ROSS
TELEPHONE
342-1132
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1148 STANLEY AVE UX9X CHICO 95928
CONTRACTOR'S NAME
M & D PLUMBING
TELEPHONE
1345-7456
CONTRACTOR'S MAILING ADDRESS
PO BOX 7661. CHICO 95927-7661
"Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS CHICO
1 H STANLEY
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00 15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE {
SF Xl Duplex ❑ Mobilehome ❑ OtherBuilding
SPECIFY
Gas piping system 1 5 outlets
15.00
sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
+
Utilities O Installation O Other O '35.00
New O Addition 1:1 Remodel C3 Utilities
Describework: SERARATE WATER LINE FOR WELL IRRIGATION l
FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBOOv OR LESS
I 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
So,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one) 1
dam a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m license is in full force and effect', / I
License No. Classification J
;,,5 (J
❑.11, as the owner, or my employees with wages as their sole compensation, will do
t ,e work, and the structure is not intended or offered for sale. (Sec 7044)
I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
ElI am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
I & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
DAL. .60
APPLNS. OR
OF
EX. Occup. ( OUTLETS IflESID.I EA. )
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County -of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
certificate of Consent to Self -insure.
{tJ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. %
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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
Cou 'ty in cgnsequence of -e`granting of this p�er-it. !�
X �� i Date �i "�
Signature of Applicant Owner Vcontiractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee$
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
'D. FEES
.IMP
FLOOD
I CDF
PARCEL PD
HD
I ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate' above for which fees have been paid.
,n
BY � .Date
to
PERMIT EXPIRES ON 7 �1V%
7Derel '
/�' �}
Receipt No. 66 ! &
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATILM AND PERMIT G%q -CP0C0.
ASSESSOR PARCEL NUMBER
039-370-048
ZONING
SRI
BUILDING PERMIT
OWNER
MARSHALL ROSS
TELEPHONE
342-1132
SQ. FT, OCC. BUILDING VALUA ION
OWNER'S MAILING ADDRESS
1148 STANLEY AVE NUIRX CHICO 95928
CONTRACTOR'S NAME
M & D PLUMBING
TELEPHONE
1345-7456
ADDRESS
PO BOX 76 _7661
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
1148 STANTEY AVE, CHICO
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Water piping
15.00 15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Xl Duplex O Mobilehome ❑ Other
SPEcIFv
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition 1:1Remodel ❑ Utilities ❑ Installation O Other ❑
Describework: SERARATE WATER LINE FOR WELL IRRIGATION
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( "v ORLESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I d c1a under penalty of perjury (check one)
� �e
4T I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m license is in full force an effec
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
work, and the structure is not intended or offered for sale. (Sec 7044)
I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
FIXEDAPPLNS. OR
Ex. Occup. (OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
EII have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
[notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
gments, coexpenses which may in any way accrue against said
li042ar
Canting ofthis permit.Xa e
Sigr. tura of Applicant - er Contractor ❑Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
35.00
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PO
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic a ab ve fo which fees have been paid.
It - o
By Dat �a
PERMIT EXPIRES Ohl
/Date
Receipt No. ,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
w
'.."rrr ��ya..-i.iw•n*w.:•i�t•+�.•-r..t w'oi;... N-•., rn^,air,ya„ert,�.1M�^+��Y;�rA'i'W"4.=i�'�'"ii+.:'Y'^`{�F:.lriMt�?ww'rs�Y7'i�"'.•.'°•r.ry .,..,�...r�.,.,,.,_,,,. ^^-�-ay.�.nn'i.r,..,,t-�'y"--r ..,....:r r-,�rn.r +„
COUNTYOF BUTTE - DEPARTMENT OFLOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 f(
/�
PERMIT APPLICATION DATA SHEET
NLR 1%eLS4ell C> 5-S, A. P. No.
Proposed Building Use Building Inspector U Date / y/moi'
At time of permi pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ....................................... .
2.
Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans.
f ` 4.
Engineered plans'and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation.
{' 7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
it 8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
l 9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule. ... J ..........................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit. ........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . .........
18.E
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19.
.
Driveway permit (construction approval required prior to occupancy). ...PR��
20.
a o� � uest
Pre -inspection for required. . to Building Inspector. (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
- 24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........... :............................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . ..................:•._ .....................
28.
Mobilehome utility clearance . .....................::.................. .
29.
30.
Documentation of legal access . .......................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
.33_
34.
When you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephoners, . and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreages
"` N;► q
Applicant a e
Copy of Haz-Mat form sent Health Dept. Firebept.:-._ ... Air Pollution Date
Copy of plans sent
Health Dept. Fire Dept. Other •'"-`"~•;•Date..... By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit
for above items No.
2. Additional items
required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Worics