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HomeMy WebLinkAbout040-260-0881 040-260-058 05-1767 GORE; GUS 1779 DURHAM DAYTON HWYN, CHICO Cont: BAIRD ROOFING CO RE ROOF (34 SQ) 88 40-26---'t8 _ GUS GORE �� ._Ap.plication. for--Determiration__ 11/7/90 GORE, ' Gus 180-67B,. - - -- - - - __-- - - 421-67P 132-6'"E 0-26- s/sl Durham-Oroville Hwy. 2351 east of Lott t x: Durham ( new duplex) t F 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS 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 force and effect. / j /� License Class: License Numbe % (Q��%// Date:? a Contractor:/VA 1r%/_i o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuaride;'also requires the applicant for such permit to file a signed statement, that he or she is licensed, pursuanttorthe`.Provisions Of' the Contractor's Siate`bcense Law (Chapter 9 commencing with Section 7000) of Division 3 of tF a Business and Professions Code) or that hefor. ` she is exempt therefrom'and the 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).): ❑ 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 proffered,for. sale(Sec, 70.44 —13usinegs and,erofessions„ Code: The-Contractors"State License Law does not apply to an owner of. property who: builds or, improves thereon,- and,who does ,.,,..,such work himself or, hetself or through his.or-her own employees, provided.that,such improvements are not.intended or.offered.for. sale. If However; tfie building or, improvements are -sold within one year of completion, the owner -builder will have the burden of " proving that -he -or -she did not build or improve for the purpose of sale.). ❑,-.1;. as owner,.,of,the, property„ -am -exclusively contracting -with.. licensed conteactors-td.'const?uct'.the:project'(Sec. 7044, Business and Professions Code, , The Contractors' State License Law does not apply to an owner of property -who builds or improves thereon, and who contracts for -such projects with a contractor(s) licensed pursuant to the.Contractors' State License Law.). ❑ I am Exempt under Article 3'of the.Budinoso-and,Professions Cbde'- Date: Owner' '' WORKERS'. COMPENSATION DECLARATION _ I hereby alrm 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._ I have and, will maintain Pworkers” compensation insurance, as required by.Section 3700 the Labor Code, for the performance of .the work for which this.permit is issued. My workers' compensation ::,insurance carrier,anddppolicy, number are:,-, Canner: Policy ft:�) .. `62 � ❑ , I certify that in the-p'erformance of {he 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date. Applicant: WARNING: Fail to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attomey's.fees... - �_.... . . CONSTRUCTION LENDING AGENCY I hereby affirm, that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BPO51767 Issued Date: 07/06/2005 APN: 040-260-088-000 Site Address: 1779 DURHAM DAYTON HWY CHI Map Index: Description: re roof 34 sq Owner: GORE, GUS>. ,.......,.,...,,,.�...,.-.., n.> t, .3Q: •'� 1779 DURHAM DAYTON HWY "-: = i',._`.` �d.r.• �Y.:fti,DURHAM',.CA'.;'w 95938 ".. - .,..... .! E. 11025 MIDWAY CHICO, CA 95928 530-342-1631 Contractor: BAIRD ROOFING CO 11025 MIDWAY CHICO, CA 95928 ;::',`• �..._iJi="''€r, �:- `530-342-1631" u °License4:631460 :} i Architect: .._.Engineer:,,_... Total Square Ft: Valuation: Census Code: 0 S,F. $0.00 tj 1 1337, This permit is herebyfssued prideehe applicab e p visions of the Butte County Code and/or Resolutions to do ork in ' ted bove for wh' h s have been paid. �{ By: °Date: PERMIT EXPIRES ON: / �d ❑ 1 hereby certify that=the use.of this'facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies.of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct," and that I am the owner or the 5yly authorized agent of the owner. -1 agree t comply with all county and state laws relating to building construction: .I acknow dge it is unlawful to alter the substance of any icial form or document of Butte County. I e by authorize representativesof Butte County to enter upon the abov entioned property for inspection purposes. Print Name: A%,L. LiA.% Signature: x IZRI� Date: ❑ Owner ❑ Contractor ❑ Agent for Owner t4Agent for Contractor L . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name First Name Address 7 City Slate Zip c�. Phone Fax E-mail WON'/ 00-7,30 1 W141.w' P. I W. -M fm For office use only: CONTRACTOR Name Name J �. Address I No State City , Phone State Zip Q Phone Planner Fax 7/ O E-mail Lic. # CI WON'/ 00-7,30 1 W141.w' P. I W. -M fm For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA • I City I No State Zip Phone Map Bookj Fax E-mail Planner State License Number WON'/ 00-7,30 1 W141.w' P. I W. -M fm For office use only: APPLICANT NAME Name Flood Zone Address SRA • I City I No State Zip Phone Map Bookj Fax E-mail Planner WON'/ 00-7,30 1 W141.w' P. I W. -M fm For office use only: Zoning Property Address Flood Zone Cross Street SRA • I Yes I No Occ. Type Const. Subdivision Name Map Bookj Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. o -S 17G BIN # LOCATION AP#�U�r 7-6 Property Address City Cross Street Sheriff SMIP WORKER'S COMPENSATION Policy Number 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. Footage ❑ Structure Built withoOt 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: _ G Bldg SRA Receipt #: �?/ 01 / Sheriff SMIP Date: ib� Other `� Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 F� LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY November 7, 1990 Deputy Director Gus Gore RE:- AP�40=2b=49, 51 & 52 -combined as one P. 0. Box 360 App, for Determination Durham, CA 95938 Dear Mr. Gore: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on November 7, 1990, the committee granted a Certificate of Compliance for the above -referenced property. There are no conditions. There is a fifteen -day appeal period before this Certificate'can be recorded but since you have already signed the waiver waiving your right to appeal the committee's decision, we will go ahead and record the Certificate of Compliance. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works John Mendonsa Assistant Director JM/ds attachment cc: Planning Department Environmental Health -Department Building Department-'..'-