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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 f ;!,n..d..Yrtraz.{ .,:�• •'�;.,. •.szf•:cr^'he-4rn .�;t GY :.. �+�:"vY;Ke:-..u.;. a5?�;'i�:'Ss..:t$'+zr'c�•►•S�Yi,!,A^a,• �[r'T;i.S�?4%.3•;*R.ui�;Yii' ` 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