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
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n
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® 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
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'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