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Home My WebLink About069-430-066GENE HEPBURN 6t? -4 3 -&6 76 Skyline Blvd, 0 ovil e �J PURVIS, C. M. H.Vent-3524P 354 Contr : Wa ibel AC �G / / p �/ Permit #4000-.79E (inst . he t ump r �O Ci l 34-45-12 & 200 amp ser)SF 76 Skyline Blvd.,Oroville. L CONTR:. Harmony. Builders, P.O. Bx 578,Oro� UGENE 04-0761 BLVD, OROVILLE�ew �e amilyIN ROOFING, _ _ /J, N�tw�4 F7 BUTTE COUNTY DEPARTMENT OF DEVr',.=LOPMENT SERVICES BUILDING' PERMIT 24 HOUR INSPECTION M (530) 53Aao�-293.4-(.CHICO) OFFICEM (530)53f 069-430-066 04-076-1-'� WEBSITE: ww Et[PBURN, EUGENE 76 SKYLINE BLVD, OROVILLE CO'1t: ALLADIN ROOFING RE ROOF 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, - -3 6 dP 3 License Class: � License Numb�erj� Date:3--f2-6- 1S Contractor: 12 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 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 State 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).): ❑ 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm 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 workers' 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 and policy number are: Cartier. S��fiewti n% ) Policy M 7[ e�=�� 7 7– 0 ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure 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 attorney'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. BP040761 Issued Date: 03/18/2004 APN: 069-430-066-000 Site Address: 76 SKYLINE BLVD ORO Map Index: Description: RE -ROOF (24 SQ) Owner: HEPBURN EUGENE W & LOIS E JT 1 76 SKYLINE BLVD OROVILLE, CA 95966 Applicant: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 Contractor: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 License M 532834 Architect: Engineer: Total Square Ft: 0 S.F Valuation: $0.00 Census Code: 395.7.23 $ l 31. So 3/►e/o4 its permit is hereby issued under the applicable provisions of t ''to''doeewort i dicat bo for which fees have been paid. � / / Date: t g oj1 PERMIT EXPIRES ❑ 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 fortes. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official lorm or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu oses. Print Name: 0 Signature: Date: Z 0 Owner ❑ I ontractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040761 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 Issued Date: 03/18/2004 APN: 069-430-066-000 the Business and Professions Code, and my license is in full force and effect..� q S�3o�3 License Class :--i►-j�-�— License Number: Site Address: 76 SKYLINE BLVD ORO �,,c� Date: d Contractor: ' //G7/D "Jl� P/YI Map Index: 24 SQi Description: RE -ROOF Descr( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the p 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 Owner: HEPBURN EUGENE W & LOIS E JT 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 State License Law (Chapter 9 commencing with Section 76 SKYLINE BLVD 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 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 or offered for sale (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 does Applicant: ALLADIN ROOFING such 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 improvements are sold within one P O BOX 4262 year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of (530) 533-2934 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 Contractor: ALLADIN ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P O BOX 4262 OROVILLE, CA 95965 Date: Owner: (530) 533-2934 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License M 532834 ❑ 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. Architect: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: -,. Carrier. at" d Total Square Ft: 0 S. F. Policy #: 7 13 - 7 7-0 1 119 Valuation: $0.00 ❑ 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 Census Code: 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: Failure 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 attorney's fees. 3 q 5 .23 X13'7.50 3/le/04 _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti n to do wo i dicat bo for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 3 g v Name: By. Date: I OY Address: PERMIT EXPIRES ON: D e Cl I 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. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu oses. Print Name: >0 Signature: Date: t—�"'-- Z 0 Owner ❑ �G�ontractor 0 Agent for Owner ❑ Agent for Contractor I Oro COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or tette to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. '�4 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 By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address I Fireplace Total Valuation Telephone Na. Permit Fee _ Building Address Plan Checking Fee&/or Penalty Permit Fee 9- �` PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. r _ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fess W.C. '.Serlitatton Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Pleas Redd Parcel Ap royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•QD Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. !� 20sgft OR ADDNS. ACC. BLDGS. 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: NEW RESID. BRANCOUTL T NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON -RES,D. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES g L@j FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 't; autnorize representatives or the county or tette to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. '�4 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 By Date Building permit expires Date J t Owner Co — r, e Mailing Address Z1k/u Otou', 1,ke. Contractor �.i P,*% Mailing Address / Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT < BUILDING n4... SQ. FT. I OCC. I BUILDING VALFL14TION k.t I Telephone No. ZR- ION A. P. No. — 4 5– r'Zoning & Planning F In FireDept.1 Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration P p Bldg, -Wear Redd Parcel_Approvol Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 Single Family 59 Duplex ❑ Mobil Home ❑ Others ❑ Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST- / DWELLING OCCUP. 4 $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE L• 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: ` -, n �� ,� w ,� ��/' W, W,K7 NEW NON-RESIESID, MULTI-OUTL T � BRANCH CIRCUITS 12.50ea NEWCONSTR. POWER APPARATUS 9 NON .�( RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 5BOgL0; FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA) 2•00 i.G7 Temporary service 10.00 Mobile Home Facilities 15.00 �t License No. ais� 74'3 Classification <2 -Q0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 4 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor C A h' h I t b ' d ' t I' b'I't MECHANICAL @FEE JNo.J PERMIT FILING FEE $3.00 3 po Heating 45.000 fifC(c�0 0 e w IC requires ( every -F oyer O e "sure alnS laI( V. y for Workmen's Compensation. � I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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. I certify that 1 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. XDate 742/22 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling M Ventilation Hood 1 1 2.00 Permit Fee $ $ /1100 Land Development Fee $ TOTAL PERMIT FEE is aN s 0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above forwhich fees have been pai DIR R LIC WORKS By � 1 Date Building permit expires Date 7-a "N.i,-COUNTY OF BUTTE — DEPARTMENT -O, -F -PUBLIC WORKS — BUILDING DIVISION ,r'T '� 7�Coun•ty Center Drive — 0roville, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A.P. No.C-�-- Proposed Building Use Permit fee based upon:_ Complete Coc►tract Price, DPW Valuation ther (explain) Building Inspector Date At time of permitopplk:ation, I was advised.,Xhe'following data must be submitted riore o permit processing and/or issuance: rr' DATE RECEIVED APPROVED 1. All items have been submitted ............ ::......... ........................................... 2. Plot plans in duplicate/triplicate...............................:::.:::".....3::....:::.... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. K� Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to (date) bldg. -inspector 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone 5_ 23.3 - `d/2 R and hold for pick-up at ^,6e4p, G[..= office. Deliver w/inspection. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail 'e Other By Date Plans checked by Date Plans approved by Date OTHER: CODv/DPW