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HomeMy WebLinkAbout072-200-00593-;1987 B a HWY, OROVILLE'7 =FF RFG/}, g t� 7 MISCELLANEOUS Re -Roof ( ` REROOF 16 SQ 5954 OLD OLIVE HWY DUNN MAUREEN DOLOR T, DUB Phillip - 509-68B 450-68E 451-68P off eIs Olive Hwy. this side of Orovi e- Forbestown Rd., Oroville CONTR: Yu-Max,:Builders. Inc. P.O. Box 137 (new)sl le family) Yuba City,-- - olY _ • i � c� c�1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530)533-6393 GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530)533-6393 FEE INFORMATION DBMSC Re -Roofing $119.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GEORGE ROOFING 452266 / C39 B C43 / 2/28/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is' full force d effect. l 'X 8/1/2008 -Contractor's Signage Date I 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 performance of the work for which this permit is issued. I`HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 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; Carrier: State Fund Policy Number: 272-0000596 Exp. Dater/1/2009 (This section need not be competed if the permitis or oncehundred dollars ($100) or less. ❑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 8/1/2008 SignMture' Date WARNING: FAILURE TO SE RE 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 Square Footage: Building , Garage Remdl/Addn Other Porch/Patio Total Total Charged: $119.00 • Fees Paid: $119. Balance Due: $0.00 Receipt No: B81 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: . ❑1, 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 (Seca 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.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: X 8/1/2008 Owner's Signature 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 Butte 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. 1 hereby certify that I am the property eQor am uthorized to act o e roparty owner's behalf. 8/1/2008 -Name of Permittee [SI Print Date for Owneent A Owner 1-1 Contractor � �R: 9 Agent for Contractor FILE COPY ` PROJECT INFORMATION Site Address: 5954 OLD OLIVE HWY Owner: • Permit No: B08-1501 APN: 072-200-005 DUNN MAUREEN DOLOR T, Permit type: MISCELLANEOUS 404 FIRST ST Issued Date: 8/1/2008 By GLB Subtype: Re -Roof LODI, CA 95240 Expiration Date: 8/1/2009 Description: REROOF 16 SQ (209) 712-3646 Occupancy: Zoning: FR10 GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530)533-6393 GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530)533-6393 FEE INFORMATION DBMSC Re -Roofing $119.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GEORGE ROOFING 452266 / C39 B C43 / 2/28/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is' full force d effect. l 'X 8/1/2008 -Contractor's Signage Date I 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 performance of the work for which this permit is issued. I`HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 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; Carrier: State Fund Policy Number: 272-0000596 Exp. Dater/1/2009 (This section need not be competed if the permitis or oncehundred dollars ($100) or less. ❑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 8/1/2008 SignMture' Date WARNING: FAILURE TO SE RE 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 Square Footage: Building , Garage Remdl/Addn Other Porch/Patio Total Total Charged: $119.00 • Fees Paid: $119. Balance Due: $0.00 Receipt No: B81 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: . ❑1, 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 (Seca 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.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: X 8/1/2008 Owner's Signature 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 Butte 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. 1 hereby certify that I am the property eQor am uthorized to act o e roparty owner's behalf. 8/1/2008 -Name of Permittee [SI Print Date for Owneent A Owner 1-1 Contractor � �R: 9 Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X For office use only: V OWNER Name Philip Michael Dunn / Maureen Dunn Address 27395 N. Kennefick Rd. City Galt State CA Zip 95632 Phone 209-712-3646 Fax E-mail Lic.# APPLICANT SIGNATURE X For office use only: V CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X For office use only: V ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X For office use only: V APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X For office use only: V Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. / BP BIN # LOCATION AP# - 0-� S/ Property Address 5954 Old Olive Hwy Oroville, Ca. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND 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 Reroof - House - Com Sq. Footage 16 sq. ❑ 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 required. 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. Received by: Amount: Bldg SRA Receipt M BUTTE Sheriff COUNTY JUL 2 5 2008 SMIP DEVF-Lo pMENI Other SERVICES Date: Total REV: George Roofing F p-"v�4•':1�wsR�'�',: WC2.�Yr��� _'��S+Yi�?:,� 'i ,...�,,..... _ ;, _ ,. .. .;�,..a.. r .taw..,.. rr. ' a ^e• . �'. ,'ti-•-'-tvw'1 072-20-0-005 9,3-1987 B '• DUNN, MAUREEN " 5954 OLD•OLIVE HWY, 0.OVILLE CONTR: GEORGE RFG.. _ REROOF/SF j i 61,5) y 1 f+ COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive- Oroville CaWQfnia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEtFNUMBER 3 0742-p�00 ZONING f Je- to BUILDING PERMIT oNER t.� TELEPHONE ,5.9.- 5 SQ. FT. OCC. BUILDING VALUATION ORR'S MAILING ADDRESS , 0(�' CONTRA C T O RS NAME -TELEPHON n, 3 CONTRACTOR'S MAILIN /YZ5 DE Fireplace CONSTRUCTIOI-VLENDER / UNKNOWN Total Valuation Is (70 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 5 ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD 1XADDRESS "5 !� �/d / . !I Permit fee $ PLUMBING PERMIT FIIingFee 15.00 t����/� / �' ' ��7 '��� Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF LXJ Duplex❑ Mobilehome❑ Other ff \\ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I GJWJ @ 15.00 TYPE OF WORK New Addition Li Remodel❑ Utilities❑ InstallationC Other, Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of of (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professic s Code and my license is in full force and effect. License .Jo. -� Classification -�y ❑ 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) EJ I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. 1 ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20 750 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID.)REAT I 3.00 Temporary service j 15.00 Home Facilities Mobile Hotract- 15.00 Misc. g 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 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 inconsequence of the granting of this permit. o X ��/�?�r / .�"��Y✓4r/ Date -� -/� Si nature of Applicant - owner A0— g pp ❑ ContractAgen(An OSHA permit is required for excavations over eep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. EC,T,O O_F BLIC WORKS / �.,//f, By /�"�=�� r Date 4 2 �T PERMIT EXPIRES Date' /-/7 / / ' Receipt No. 737 �oG P WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT f 1 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, Californiatt5965 - Telephone: 916.538-7541 APPLICATIOWAND PERMIT ASSESSOR PARCEL NUMBER 07,9-A60— ZONING fie- tO BUILDING PERMIT OWN R TELEPHONE —J)" SQ. FT. OCC. BUILDING VA UATION O [I R'S M ILI NG AD KESS I 11, C 0 r v J CO,y'{QTRACTOR'S NAM r �8- TELEPHONE ,153 CP TRACT AILING DRESS U Fireplace CONSTRUCTION ENDER UNKNOWN Total Valuation is ) Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $C23,160- ,6 ARCHITECT ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOI9G ADDRESS �t Permit fee $ PERMIT Filing Fee 15.00 U�PLUMBING f Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFL�1 Duplex❑ Mobilehome❑ Other l SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I GJWJ @ 15.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ Installation❑ Other � Describe work: / `_ e_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business Xand Professions Code nd my license is in full force d effect. �; License .Jo. ClassificationED ❑ 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 con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. _37.50 3.64 sq.ft. NEWCONSTR MULTI -OUTLET NON. RESID BRANCH CIRC ITS /1 5 00 l: POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 LN \ Ex. Occup. ou OUTLETS PRESID IS. REA.) 1 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00tract- Misc. byirin g '15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 Iiabilitiesl, judgments, costs, and expenses which may in any way accrue against County in consequenp of the granting of this permit. fJ %� � � �� Date %� Signature of Applicant — Owner❑ Contractor AgJr,t -- `` 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES G� HAz 1) FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D R U LI By PERMIT EXPIRES Dat applicable provi- resolutions to do i have been paid. WORKS /1 Dat 2'S7 Receipt No. �`7�7 �� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT