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HomeMy WebLinkAbout042-100-030042-100-030 00-0546 RENTZ, Estelle 2965 Kennedy Ave., Cldco Cont: Universal Roofing Systems RerooUSF`��jJ B06-2484 042-100-030 MISCELLANEOUS Window/Glass Door 8 WINDOWS 3 GLASS DOORS, SHOW 2965 KENNEDY AVE RENT``Z,ESTELLE REV TRUST `^ 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: 2965 KENNEDY AVE Owner: Permit No: B06-2484 APN: 042-100-030 RENTZ, ESTELLE REV TRUST Issued Date: 10/20/2006 By TMP Permit type: MISCELLANEOUS 2965 KENNEDY AVE Subtype: Window/Glass Door CHICO, CA 95973 Expiration Date: 10/20/2007 Description: 8 WINDOWS 3 GLASS DOORS, SH( (530) 343-1057 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: RENTZ, ESTELLE REV TRUS Building Garage Remdl/Addn 2965 KENNEDY AVE CHICO, CA 95973 Other Porch/Patio Total (530)343-1057 FEE INFORMATION Window/Door - Replacement $330.00 r ' Total Charged: $330.00 Fees Paid: $330.00 Balance Due: $0.00 Receipt No: B601 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 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 Section 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 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 10/20/2006 the applicant to a civil penalty of not more than five hundred dollars ($5001; Please check one of the following: Contractors Signature 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 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 E]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.). ❑I 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 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 Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is oror on�llars ($100)-6r 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 10/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X ` 10/20/2006 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 Signature Date WARNING: FAILURE TO SECURE 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 injury, including death, and property damage caused arising out in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is is pe DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propeV owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY E — 10/20/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Perrnitte"SIGU Print Date the performance of the work for which this permit is issued. (3097 civ. code) rM Owner EJ Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip si BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last N ne ir$t ,Nae - V a CY7 C_ Address �h City „ ' ^ S ted Zip? 7 Phone 3 0 S7 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City C� Address Zi ,,r Z City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City C� Address Zi ,,r Z City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name �e Address a i; r City C� Stake _ Zi ,,r Z Phone S3 0 —,3-y3 -/ O Fax E-mail APPLICANT SIGNATURE X l/ For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO.'�� BIN # PROJECT LOCATION AP# Property Address City Cross Street 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. SMTP 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. Page 1 of 2 REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date: Other Total Page 1 of 2 REV 8-12-05 .,.•W-�Lsr r.-r..��<•�..�•.:-`"is :'�1„" J fr•: is ♦ • n? -1', '''7j: w Y. �` �`7 -`,tx '� .., .y. .?. h^ V . i :{'..rax. �k,.•i:-o.-al:ah.;n-��. ..;.xe "i s{:r,.v'l�:�r.r. n •►�t•,tiRs<�ti..�(...-a�`v 1 �!' y+!• w t 042-100=030 00-0546 t RENTZ, Estelle. 2965 Kennedy Ave., Chico stems t Cont: Universal Roofing Sy Reroof/SF .r . •'i •4 i 1 • r ii ' a f J • r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PER NO. (Rev. 12/96) APPLICATION AND PERMIT bo -o ` 0-(a ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER A" TELEPHONE SO. FT. OCC. BUILDING VALUATION ! .� OWNERS MAIUNG ADDRESS y /% e C A (10 Cd D CONTRACTOR'S NAME jj ! : 'A .0 -4 'A.0 Tt71rY S TEL�EPjHONE ,7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ , 0-0ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ v�'O ARCHITECT OR ENGINEERS "UNG. ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ e PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 01/ Describe Work: 12.0011"02 C V C- I L. „ - r s Al e r„Ir,J i i' Owi 1 -?6 e2:kj ✓f t Ca ra t 4, iy / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I SG W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 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 force and effect. License Class �� 7 Lic. No. G OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 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),fL%Lpale'. ❑ I, as owner of the property, am exclusively contracting w ILcensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason (,_�.,...3r'a'i��� Main Service TGLING 46.00 NEW CONST. DWELEE OCCUP. CU DW OR ADDNS. ( & ACC. BLDS. SO 3.50FT. t1TLET I, ,'I DT- MULT- _or @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 SAL o .50 Ex. Occup. OFlx� s R=.DREti 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 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 sectio6 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' compensation insurance carrier and policy number are: CarrierPERMIT MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEt $ m Policy Nuer (The above sections need not be com eted 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'HAZ 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 with4h'ose provisions. X ''� Date�-( Signatur6 of Applicant - ❑ Owner rContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 133, v --a . D� IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B Y -- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /� a Dat ReceiptNo. nl VS -799 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541®�®PERMIT �NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,� y O ZONING BUILDING PERMIT OWNER// N � �7 ONE SO. FT. OCC. BUILDING VALUATION �D OWNERS MAIUNG ADDRESS .9945 r pIf (o D CONTRACTOR'S NAME TELEPHONE Je12a ,,. Si4 54"C'iIV, CONTRACTORS MAIUNG ADDRESS 30411-5 %o" CONSTRUCTION LENDER Fireplace LENDER'S MMUNG ADDRESS Total Valuation $ , C� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ v—a ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS to/ K Energy Plan Checking Fee $ $ C c, PERMIT FEE $ e ao"a LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF VeeDuplex ❑ Mobilehome ❑ Other SPECIFY 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: 2.e/yYJ D V -C- cl `g iE G S 141) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ITI G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 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 force and effect. /""! License Class (�- 3) Lic. No. /��r OWNER -BUILDER DECLARATION 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Bu sinegs and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. SO 3.5¢FT: UTLET qNEW °�ID MULTI.ORcuTS @7,50 POWER APPARATUS 3 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I'� BAL @ .50 Ex. Occup. IxuETS PEES p GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 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 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' Com ensation insurance carrier and policy number are: Carrier d(.C>PERMIT Policy Number — 70C� a-& 111 _ 71 (The above sections need not be completed 0 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 workers' compensation rovisions of section 3700 of the Labor Code, I shall forthwith comply wi o provisions. X Date ��� Si a App' ant - ❑Owner Jr Contractor ❑Agent ffi OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ C. TY TOTAL FEE $ Q :.A]I:DFdEIMP FLOOD COF PARCEL PO HD SSUE This permitis hereby issued under of the Butte County Code and/or indicated above for which fees have By .'0=2Date PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. 3 3 � O k3da IDat ReceiptNo. r2 19 S7 cf WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT