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HomeMy WebLinkAbout042-100-003t AP 42-1U-U� �T.MER CRAWFORD 00.0 off-riw 32 `� r4 Y just W _ 0 .Tree reeze Motel, Chico ?ermit# 4466-74E (new elec . service E B0&2848 042-3`00-003`t � MISCELLANEOUS._ Re jR.6of- ..RE-ROOF (28 SQ) _)263 HWY 32 CRAWFORD, DORIS & ELMER. (7-k r i r L Fm ___ _tel ol�]� ��. a' 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 Site Address: 3263 HWY 32 APN: 042-100-003 Permit type: MISCELLANEOUS Subtype: Re -Roof Description: RE -ROOF (28 SQ) FOUR SEASONS ROOFING 11 COMMERCE CT. #1 CHICO, CA 95928 (530)895-0418 PROJECT INFORMATION Owner: CRAWFORD, DORIS & ELMER 3263 HWY 32 CHICO, CA 95973 (530)342-5498 FOUR SEASONS ROOFING 11 COMMERCE CT. #1 CHICO, CA 95928 (530)895-0418 FEE INFORMATION Re -Roofing $165.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires FOUR SEASONS ROOFING 659073 / C39 / 11/30/2008 I HEREBY AFFIWYNDER PENALTY JU Y that I am licensed under provisions of Chapter (commencinge action 7000) of v' of a iness and Professions Code, and my license is in full for a ffect. X /i� 12/14/2006 Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 Z nance of the work for which this permit is issued. E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: State Fund Policy Number: 1850644 Exp. Dale:07/01/2007 (This section need not be completed a the permitis oror onenund�ed 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensatiAprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those V 12/14/2006 Signttufe Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Permit No: B06-2848 Issued Date: 12/14/2006 By KCG Expiration Date: 12/14/2007 Occupancy: Zoning: U 00 Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). FI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 12/14/2006 Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Burne County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner or am author' d to acton the pr°� arty owners behalf. i'. r��S Irtr,lr,�A v_ye Y 12/14/2006 Owner 1:1 Contractor OR E]Agent for Owner aA ent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" ----- APPLICANT INFORMATION OWNER INFORMATION Last Name Address Y5/ -? irst ame Mailing Address c3 C.9-5 �� a City State CC. State`'Zi pg5973 Phone 3q2 - 5W�5 Fax E-mail Lic. # 6ft73 ----- APPLICANT INFORMATION CONTRACTOR Name Address Y5/ -? Address e- Sua¢� City G(ri✓�v Zip cls4(c State CC. Zips Phone,' :3 $��_Oyf� F 5 �!�-ej2o( E-mail Lic. # 6ft73 Cl s ----- APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Y5/ -? Address City %' A-�.� City Zip cls4(c State Zip Phone Name Fax E-mail State License Number ----- APPLICANT INFORMATION Name �►� kI (' Address Y5/ -? n nJZ City %' A-�.� StYa5t _ Zip cls4(c Phon r1W 9&5- —3Sy8 Fax E-mail Name APPLICAN-T&GAWTURE X For office use only: Zoning Flood Zone SRA I Yes No Occ.. Type Const.tl Subdivision Name Map Book Page Lot # Planner Date Approved: PERAHT NO. BIN # PROJECT LOCATION Pr��rty�Address 3z city Cross Street %�izc r WORKER'S COMPENSATION Policy Number Carrier Anwcd p e vt 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. 1 co Received by: 6 V Amount: U Bldg SRA Receipt #: 07 Sheriit Date: 12. OD Total -7Y 75- 1 f, COUNTY -)OF BUTTE = DEPARTMENT OF PUBLIG'WORKS 7 County Center Drive •= , Oroville, California 95965 ` ~ Telephone: 534-4541 APPLICATION AND PERMIT autnorize represeniaiives or me uouniy or tsuiie io enter upon me above-mentioned property for inspection purposes. /r l /-7 i(L s�,V, �v�— .'�„ Date Signature of Permitee or Agent/ Receipt No. A ) e,-,, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS Date%li Building permit expires Date...�..................�.... VJ i BUILDING OwnerZF� .F'c� 0— n �r F, t„ � 2 g w SQ. FT. OCC. BUILDING VALUATION Mailing Address �� F 1 y,-,- S 2/ 9., - ,Cog -AC Frua <' �ic Telephone No. Fireplace Contractor « NE Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 { , a S -r u 1 �• �_ -7^ �, t �%� c Gr Each Trap 1.50 % Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas V7/�� - Ca Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C' Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 5 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERV❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 /240 A C u c' Main service incl. 1 meter n n Ava �,� �� - � ��y �� Additional meters, each 1.00 Sub -panel (12 or less) (mare than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others Q Range, Cook -top or Oven 1.00 )05 Water Heater or Space Heater 100 Light fixtures bal X110 Receps., switches & fix outlets U20&31 / 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ElI am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ autnorize represeniaiives or me uouniy or tsuiie io enter upon me above-mentioned property for inspection purposes. /r l /-7 i(L s�,V, �v�— .'�„ Date Signature of Permitee or Agent/ Receipt No. A ) e,-,, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS Date%li Building permit expires Date...�..................�.... VJ i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0`roville, California 95965 TelephOne: 5344541 - </ / APPLICATION AND PERMIT dutnunce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. Xateonnl�Date /O /2 Signature of Permitee or Agentor Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS Bt�C e �^ Date 9zltb&ft permit expires Date.., .........? BUILDING OwnerCt= 2 w iry SQ. FT. OCC. BUILDING VALUATION Mailing Address G S Z rof-Ac u- Q Telephone No. O Fireplace Contractor Total Valuation Mailing Address Permit Fee P Ian Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 E' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �j Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �00 Ale —r -7 u t Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 o ess) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Range, Cook -top or Oven 1.00 f Water Heater or Space Heater 1.00 Light fixtures bal (410 Reas., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 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 $ $ S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 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 Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ S dutnunce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. Xateonnl�Date /O /2 Signature of Permitee or Agentor Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS Bt�C e �^ Date 9zltb&ft permit expires Date.., .........?