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HomeMy WebLinkAbout042-080-005E 42-08-5 HOWARD PAUL NOVAK, Robert 1049-68B 2119 & 2121 Kennedy Ave, Chico Per 't#2051 PB rerog.�,/�uplex) Y 10-69P D } • �� - , - 53-69E B08-0672 042-080-00 ss1s Kennedy 300 E. of Hwy. ,32, ico. —„ MISCELLANEOUS Re -Roof ( newt duplex) • REROOF COMP OVERLAY 31 SQ.'S ' 2119 KENNEDY AVE SHELTON, FRANCES r 1 n \] t ® C] C7 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: 2119 KENNEDY AVE Owner: Permit No: B08-0672 APN: 042-080-005 SHELTON, FRANCES Issued Date: 04/14/2008 By TMP Permit type: MISCELLANEOUS 2674 CRAMER LN Subtype: Re -Roof CHICO, CA 95928 Expiration Date: 04/14/2009 Description: REROOF COMP OVERLAY 31 SQ.' (530) 342-5026 Occupancy: Zoning: C2 Contractor Applicant: Square Footage: G & R ROOFING G & R ROOFING Building Garage RemdUAddn 2587 NORD AVENUE 2587 NORD AVENUE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 894-6537 (530) 894-6537 FEE INFORMATION DBMSC Re -Roofing $204.50 Total Charged: $204.50 Fees Paid: $204.50 Balance Due: $0.00 Receipt No: B6998 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 G & R ROOFING 877008 / C39 / 04/30/2008 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 PENAL OF PERJURY that I am licensed under provisions of Chapter 9 (co -Ing with Section 70 of ivision 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 i full f ce 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 X 04/14/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Con C Ignature 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: 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 nanceof the work for which this permit is issued. improve for the purpose of sale.). r,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 Professions Code: tion 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.713-0004266 Exp. Date:10/01/2008 Contractor's License Law.). (This section nee not a completed if the permit is or on-7un rllars ($100) or ess. ❑ 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 04/14/2008 ensation provision o S cti n 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date rov ions. X 04/14/2008 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig IIIai: t, IDate WA G: FAILURE TOS URE 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. 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 u or ccupancy of Aside alk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. oun toe the ov m boned prope r inspection rposes. I hereby certify that I am the ro w ora tori d to act on t e prop rty own b If CONSTRUCTION LENDING AGENCY 1 04/14/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ipblibMelmi [ 1 Prin ate the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor Oji. E]Agent for Owner (Agent for Contractor FILE COPY /jam" 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 OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION City Last Name Zip �S 7 I First Name Fax l Mailing Addres Lic. #r'61-1 1"1 Class C 3 Phone C City 1 State p T n PhoneD14- Fax E-mail CONTRACTOR Name G Address City StateCA Zip �S 7 I Phone � --��c31 Fax l E-mail Lic. #r'61-1 1"1 Class C 3 03 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City n e"1(� w_ Address Zip Lq `0 "I.�J City Fax State Zip Phone Fax E-mail State License Number 03 APPLICANT INFORMATION Name /y �jl am v, c� Address I f a!/` l City n e"1(� w_ State Zip Lq `0 "I.�J Phone C% I „-7 Fax Occ. E-mail 91 PERMIT NO. E7 BIN # PROJECT LOCATION (/ �S Property Addressein Carrier sfaA�.� City ` WORKER'S COMPENSATION Policy Number /� ,1 I 2) - �U4 Z(40 (P Carrier sfaA�.� ftyA 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): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. - ,-w_ ten... --r• -�, ,.;:.s �D sly/ar 0� t { �D sly/ar 0� t �D sly/ar 0� 'COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. , ASSESSOR PARCEL NUMBER ZO NG BUILDING PERMIT OWNER v�ri TELEPHONE 50.FT. OCC. BUILDING VALUATION �(j1/�r�� S~ 1r�7 o OWNER' , AI LINGFADDRESS '- A0 o �- ��,� �rr.�,�� 4 CONTRACTOR'S NAME ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 41'r UNKNOWN I Total Valuation $ 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS „ Permit Fee $ ARCHITECT OR ENGINEER A//-) A/ /-- LICENSE NO. I Plan Checking Fee Ov/p- $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex Q�'Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition0) Remodel ❑ Utilities ❑ Installation❑ Others❑- i Describe work: �J /���, ��� 56 1-110,1414 — Y/SJ/ / Y / r / , Nil. i� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 i Main service EA. ADD'L too AMP 2.50 ONEW CONST.DWELING R ADDNS. L ACCLBLDGS.CCUP.&) 21/20sgft CONTRACTORS LICENSE LAW I declare under 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. Classification Q 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 NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. Ex. Occu 20050t p�OUTLETS OR FIXTURES 9AL®3o FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have 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. Q 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. Heating Cooling Hood 3.00 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 Countyot 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 County in consequence of the granting of this permit. X r � ' / Date 7 / /e/A- Signature of Applicant — OwnerQ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Date? OF PUBLIC WORKS F By �� PERMIT EXPIRES 'Date J Receipt No. j , • s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZON,INCI- -� (� — BUILDING PERMIT O WN ERV TELEPHONE � � / SO. FT. OCC.1 BUILDING VALUATIO OWN 'S AAILIN DDRESS a / �/ �/ f1��4✓C/ CONTRAC O 'S NA Em'ss cN� TELEPHONE CONTR OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT _5725 FiIingFee 10.00 ' / £ 45,1t1 Each Trap 2.00 Solar Water Heater 20.00 ' Water piping 5.00 LOT NO. SUBDIVISION NAME P RCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex obi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ U H. ies ❑ Installation ❑ Other-fa—Contractor Describ work: — P rmit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business ness and Professions Code and my license is in full force and effect. License No. Classification 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 NEW CO STD.R BRANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. zo®aoe Ex. Occup(o XOR FIXTURES SAL030t A FIXEEDD APP LNSOR Ex. Occup. OUTLETS (RESI,D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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 liabilities, judgments, costs, and expenses which may in any way accrueJ against said County in consequence of the granting of this permit. X/fir Date7 Signature of Applicant — Owner [M Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE of CONST. PARCEL PD ND 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicat d above for which DIRE TOR OF PUBLIC BY PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. WORKS Date�� Receipt NO. S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT