HomeMy WebLinkAbout040-110-04404
\ A.P. L�0-11-44
1 Charles W. Hancock
wls of Esquon Rd. app. 5bo""so: of �.
Mesa Rd.� Durham
Permit 1712-73B.,P.,E�M IF,na'- ►-I�-�S
(new single family)
1
` [COMCAST
0-110-044 04-0783
CABLEARIOUS DURHAM LOCATIONSont:•'WESTCOAST COMMACE CATV POWER SUPPLY
B06-2680 040-110-044
MISCELLANEOUS Re-Roof `
RE-ROOF (34 SQ)
9715 ESQUON RD
WILLADSEN, FAMILY TRUST
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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: 9715 ES UON RD
Q
Owner:
Permit No: B06-2680
APN: 040-110-044
WILLADSEN, FAMILY TRUST
Issued Date: 11/20/2006 By KCG
Permit type: MISCELLANEOUS
9784 LOTT ROAD
Subtype: Re -Roof
DURHAM, CA 95938
Expiration Date: 11/20/2007
Description: RE -ROOF (34 SQ)
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
FOUR SEASONS ROOFING
FOUR SEASONS ROOFING
Building Garage Remdl/Addn
11 COMMERCE CT. #1
11 COMMERCE CT. #1
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(530)895-0418
(530)895-0418
FEE INFORMATION
Re -Roofing $192.50
Total Charged: $192.50 Fees Paid: $192.50
Balance Due: $0.00 Receipt No: B911
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
FOUR SEASONS ROOFING CSLB-659073 / C39 / 11/30/2006
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 S p 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)
is in full force a ffect.
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
X 11/20/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Contractor's Signature Date
Please check one of the following:
❑ 1, 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 Contractor's 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.).
2,1`11A.ctyE 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
STATE FUND 1850644 07/01/2007
Carrier: Policy Number: Exp. Date:
Contractors License Law.).
(This section need not be completed if the permit is for one hundred ollars ($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 11/20/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 11/20/2006
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
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. 1 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
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 that issuance of this permit does not authorize the
t is a riz
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
propert orized to on the prope owners behalf.
11/20/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Nirme of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
1
FlOwner 7 Contractor OR ElAgent for Owner Agent for Contractor
FILE COPY
Lenders Address City I State Zip
BUTTE COUNTY RECEIPT Printed: 11/20/2006
7 County Center Drive 8:44 am
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Receipt Number: B911
Permit Number: 1106-2680
Job Address: 9715 ESQUON RD
Contractor: FOUR SEASONS ROOFING
11 COMMERCE CT. #1 CHICO, CA 95928
Fee Description Account Number Fee Amount
Re -Roofing
0010-440001-4210500-1010 $192.50
Total Fees Paid: $192.50
Date Paid: 11/20/2006
Paid By: FOUR SEASONS ROOFING
Pay Method: Check 12198
Received By: KCG
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE 4:(530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.neVdds
"PLEASE PRINT CLEARLY"
---
OWNER INFORMATION
Lastam -
t
ki
irst Name
r G_ P_
Mailing Address
lei
City
State
State
Zip
Stat
Fax
A
Phone
Pho
6 5.8'
Fax
E-mail
---
CONTRACTOR
Name
Name 4 -/-
Address
6 l@c-6 Grt
Address
Type Const.
State
City CWC -0
Stat
Fax
Zipq 5
Phone
State License Number
Fax
E-mail
Lic.#
6
Class
Tc-'sq
---
ARCHITECT/ENGINEER
Name
b S /' r
Address
6 l@c-6 Grt
City
Type Const.
State
Zip
Phone
6 S ��
Fax
E-mail
State License Number
---
APPLICANT INFORMATION
Name41
b S /' r
Address
6 l@c-6 Grt
CityCA
Type Const.
State,
Zip
Phone
6 S ��
Fax
E-mail
1 APPLICANT SIGNATURE
X
For office use only:
AP# og 0 V I 10 'l4
Zoning
City
Flood Zone SRA I Yes No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# og 0 V I 10 'l4
Pro erty Address
City
Cross Street
WORKER'S COMPENSATION
Policy�lu ber MT -E �
Carrier
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.
I I Received by: 1 -o . Amount: I i q 2.5n Bldg Ij
Receipt #: g� q l 1
�
SRA
Sheriff
_SMTP
I I Date: 11-20 j Other I I
v Y 2 . 5 Total
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-3 NO.
(Rev. 12/96) 1 APPLICATION AND PERMIT -�
ASSESSOR PARCEL NUMBER
X SEE ATTACHEL
ZONING
BUILDING PERMIT
OWNER
COMCAST 'TONS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CA 95838
CONTRACTOR'S NAME
CATIONS VCI
TELEPHONE
343-2473
CONTRACTORS MAILING ADDRESS
CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHfTECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
7 DURHAM TIONS SEE ATTACHED
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLF.CE CATV P01, -M SUPPLIES
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
LL
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos oA LEss
23.00 161 OC
LICENSED CONTRACTOR'S DECLARATION
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 is in full f rce and effect. p'-/ `'
License Class - 2 �OLic. No. / & � (W
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' coj��p ation insu(ance carrier and policy number ar
Carrier Ol p 1 �il e �'y1$ Y7?l�l,n _ - Pi
Policy r1A ql f7 Q15'SCL pQ
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
worker ' compensation visions of section 3700 of the Labor Code, I shall
fo It c ply w' K o provisions.
X Date /D F Z —
Signature o A li nt - ❑ OwnerContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructiona
of structures over 3 stories in hei
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP.s0
OR ADDNS. a ACC. BUDS. 3.5¢FT,
NEW CONS. IUTLtT @7,50
NON•RESIDT B=O
POWER APPARATUS
S SINGLE OUTLET CS..
2 @ 1.00
Ex. Occup.OUTLET OR FIXTURES sAL @ .50
ED AI
Ex. Occup. ouXT ESID.oEn
R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
-i
CONST. TYPE
TAL FEE $ 184.00
HAZ.
D. F IMP
FLo00
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B Date
Uf
PERMIT EXPIRES ON O�
Def
Receipt No. 11P
WHITE-D.D.S.-B.D. CANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
DURHAM POWER SUPPLY LOCATIONS
uol-
AP 040-214-005
9 9 sdspeed St.
DU01-PO4
APN: 040-230-013
9315 Goodspeed St.
DU02-PO 1
APN: 040-260-030
1957 Durham Dayton Hwy
DU02-PO2
APN: 040-550-012
Opposite 9357 Stanford Ln.
DU02-PO4
APN: 040-140-058
9351 Esquon Rd.
DU03-PO 1
APN: 040-080-033
10086 Lott Rd.
DU03-PO2
APN: 040-390-015
263 Oroville-Chico Hwy
DU03-P03
APN: 040-110-044
9715 Esquon Rd.
;9751`
9749
9731
97-15—
FIELD
N
V
U
N
V
MESA RD
333
FIELD
LOCATION
DU03-P03
APN:040-110- 44
9715 ESQUON D
9690
\9575
BUTTE COUNTY
BUILDING DIVISION
APPROVED
NONE
/+ PROPOSED CATV °"
Coom C a s`} communications 5-1 6-03
R:�m..-� POLE MOUNTED POWER SUPPLY ''°�°�
REVISION:
DU03-P03 0
PERMIT NUMBER - B 1712-73B,F,E,M
P
n
z
E
PERMIT EXPIRES -�
OWNER Charles W. Hancock
CONTR: , owner
LOCATION (A.P. 4.0-11741.
{
w/s of Esquon Rd. app. 500' so. of Mesa Rd.,
Durham
COUNTY OF BUTTE
%DepartmenC- of Public Works ;
,BUILDING •INSPECTION - RECORD:
7 �.
Zoning Setback )" 2 " 17 _ �` , Forms
Foundation , .� �G y�' �% Piers & Girders Z "' '�� 0 — 7 3 Firepl'ac a/T //-
Rgh. Plumbing 1 �" 7--(v'=Z Bond Beam —� Lath & Plaster 54ce__ .zc,-f- x'8-7¢
Rein: Steel - Gas Piping & Test °A^ ' 3-/-� Found. Vents / _/4-7S
Framing —74 Plmg. Topout �� Rough Elec. /—ho 7
Wtr. Htr.—
�— Furnace p Kitchen Vent — %
Firewall Garage Vents Sanitation &Water
ELECTRIC GAS BUILDING
Temporary _ Temporary "� '�Q Cert. of Occup. ��_��
Final % Final "�^� ��'� Final —r L14 %.S
DATE REMARKS OR CORRECTIONS 1
Cru Ic/Cc cr-&xtea-c aj e -a
IN�
141 A111
b° fj t i'; i-.,,( r- C
i h 5 /� L/ Ca ✓� r c� �
COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORK x%//7,_73
7 County Center Drive — Orovile, California 95965 7X;2—
O�
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County,, Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property forinspectio purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
te —� '.�/ DIRECTOR PUBLIC WORKS
Signature of Permitee or Agent 01
i^
/,Q 7/G 2 BY Date c3o? Z
Receipt No. _�� 3 —7
Building permit expires Date.—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
J_360(_1 _X7 /
Mailing Address
s oC-
Telephone No.
Fireplace r�
Contractor
Total Valuation U
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee21/
$
l
$
Building Address ��/
PLUMBING
No. @
FEE
PERMIT FILING FEE — $2.00
Each Trap 1.50
J"
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ®� _ C/
Zoning & Planning
Gas piping system 1 - 5 outlets
- 1.50
s*�
Each additional outlet .30
F
WCanitati Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQAParking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
v
Bldg. Plans Recd
Parcel pproval
Plans Approval
Permit Fee
$
Q 0
$ U
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE 3.00
Main service incl. 1 meter
A
Additional meters, each
1.00
.
Sub -panel (12t�e s) (morethanl2)
O'd
Single Famil Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or.Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesZJ_allb0Palio
R e&8., swi ' s & fix o,4ms
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hggd, Ex. an or F. A. Furn. Motor
1.00
Evap. cooler, gar 'sp. or D4W: 1.00
it conditioner r heat pumps
Water pump l
Mobil Home Faeilitiee 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
'I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
p
$ .3d z�
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
7 _e�—
Ventilation
Hood 2.00
Z ^'
Permit Fee $
$
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
TOTAL PERMIT FEE
$
-7 775
authorize representatives of the County,, Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property forinspectio purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
te —� '.�/ DIRECTOR PUBLIC WORKS
Signature of Permitee or Agent 01
i^
/,Q 7/G 2 BY Date c3o? Z
Receipt No. _�� 3 —7
Building permit expires Date.—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
LOCATION SKETCH
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