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HomeMy WebLinkAbout078-220-049l E _ 92x2 { , Alita Way;"Orov:ille "Geo"rge `Roofing/s'f 078-220-049 LANEOUS HVAC Change OutHANGE OUTTA WAYTRICK, RUTH M r lfq �rir� a DI � � � l_A '� o 0 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: 24 ROSITA WAY Owner: Permit No: B07-0753 APN: 078-220-049 KIRKPATRICK, RUTH M Issued Date: 04/10/2007 By GLB Permit type: MISCELLANEOUS 24 ROSITA WAY Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 04/09/2008 Description: HVAC CHANGE OUT Occupancy: Zoning: R1 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2582 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) I State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 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 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 ' II forceand of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the lff,_,.l basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 71) 04/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: tractor ign tune 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: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). �� z/l 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 Carrier: State Fund Policy Number. 713-00 Exp, Dale:05/0112007 Contractors License Law.). (This section need not be completed if the permit is or one hundre dollars ($100) or es— s ) ❑ 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 04/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date asions. ` 04/10/2007 I hereby certify that 1 have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building �fOature Date WARNING: FILURE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the erty,o r am a lhorized to act n the pr eny o s b If. CONSTRUCTION LENDING AGENCY gej 04/10/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame a mittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. Agent for Owner EfAgent for Contractor FILE COPY Lenders Address City State Zip �13TTF BUTTE COUNTY O C DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION o O AND SUBMITTAL REQUIREMENTS o O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O' a'' O OFFICE #: (530) 538-7541 C,•�`� A FEE WILL BE REO UIRED AT TIME OF APPLICA TION NWebsite: www.buttecounty.netldds **PLEASE PRINT CLEARLY** , OWNER Last Name <; r_k 1 �k K• First me Address O I� ocw City O ro t//- State CA zi11? moi,/ 6 %�T �(� Phone 5 - p 3 -70 Fax E-mail CONTRACTOR Name 8aaak, *vffG Address -Po .7 s City ft/ ' 6S State C1q Zip Phone Z9 L4 ayu LA Fax -3g r t Iq `'f E-mail Lic. # 773 Clas C APPLICANT NAME ARCHITECT/ENGINEER Name City Address SRA I City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME n t Name C=CL(tonu�� Address City l� SRA I Phone 334 3CJ r `7 f. a(4 Fax E-mail APPLICANT SIGNATURE X hP4XbjW_ For office use only: Zoning Pro erty Add ess (,� Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. Ifil ' D BP BIN # LOCATION AP# 078 - Z20 - (Y/9 Pro erty Add ess (,� �r-ovf ll� Cross Street ❑ Proposed Change of Occupancy WORKER'S COMPENSATION Policy Number ,7 /,3 , c�01 ? gs� Carrier L n d If hiring anyone other thanlicense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or SSope of Work: Lhari of( W OL nle1w, fl V Sq, Footage - ❑ 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. K:\FORMSIBUILDING FORMS1BIdgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther Total K:\FORMSIBUILDING FORMS1BIdgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 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 REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name First Name Address City State Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address , City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address , City Fax State Zip' Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Received by: Amount: Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldoAoolSubRomts.doc PERMIT NO '% :' BIN # I 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 LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O Structure Built without Permits O 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. Paoe 1 of 2 RFV 7_27_nd Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther Total Paoe 1 of 2 RFV 7_27_nd . '7' µ.. ='r " ` ..i :.} . ,-.i•,v pr ` ,.,, w v. ,,� �w.+� y e..-.'r'�'*r . R _ t ..—.v.e� - _ 036-55-0-0497. �92-3229B MATTIE, Al 24 Rosita Way, Oroville ` •' contr. George Roofing reroof/sf 1 ' t . c 1 1 r c �+fi'�„�fi'1�'s^+"'.-.�r'�P"'^„�"-',�p"9:rv-r-'�wf'Y+�sNr^wn^.w.5��,�ts3 ; *�_'�• COUNTY OF BUTTE - DePARTIVIBNT OF PUBLIC WORKS PERMIT NO. 4 y County Center drive a Orovllle, California 959 . Telephone: 916.'538-7541 '?,. 9 APPLICATION AND, PISMIT ASSESSOR PARCEL NUMBER -- _ ZONING - - A,. BUILDING PERMIT O ER \ - LEPNE `7 i SO. FT. OCC. BUILDING VALUATION CD /4�11410.r O NER'3 ;AILING ADDRESS, t NTRACTO 'S NA TELEPHONE ' CONTRACT R'S MAILING AODRES I I Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation $ _10 lop .LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD ADDRESS y,. Permit fee $ PLUMBING PERMIT Filing Fee 15.00 • si t; ..w:. .+:� ._�.�. f. l - Each''T fepf o .+.-. .. +•5:00 .. ; I - - �3K. Solar or heat pump water heater 20.001A LOT NO. SUBDIVISION NAME ' PARCEL MAP Water9 I In 7.00 P P Each qas water heater or vent 7.00 _ - + USE OF STRUCTURE SF Dufplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK "New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [j Other ] 'Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 600V OR LESS 18.50 200A OR LESS Main service 20GATO IOOOA, 37.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessiQps Code a d my license is in full force a effect. License Ao. Classification + f F1I, as the owner, or my employees with wages as their solelcompen- 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 _. • - r '', - ;'e NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADONS. l ACC. BLDGS. // NEW CONST Ft ULTI.OUTLET ^ 500 NON•R ESI D- BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL 20 464 Ex. Occup. FIXED OUTLETS RESID.IEAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee ' -` Y $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department 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 FiIingFee 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 in consequence of the granttii% of this permit. o-7 Date �"d 'r77 �� Signature of Applicant — Owner ❑ Contractor 0 Agent lam) `� 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ i HAZ 0FEES I IMP I FLOOD I CDF I PARCE D I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov�ifor which fees have been paid. DIRECTOR OF PUBLIC WORKS BY ��' 1—� Date 9- /s= PERMIT EXPIRES Date Receipt No. IZ32 3 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 9toa��9 APPL JCATION AND PERMIT ASSESSOR PARCEL NUMBER Q. -S'S'Q - ZONING BUILDING PERMIT - O NER 1 TELI-P_ NEII SO. FT. OCC. BUILDING VALUATION l a O NER'S AILTNG ADDRESS jONTRACTO R'S NA TELEPHONE CO TRACT R'S MAIL NGD RES Fireplace C0NSTRUC T I OQ LENDER UNKNOWN Total Valuation Is 0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Cnecking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL AD SS •- Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New u Addition U Remodel ❑ Utilities ❑ Installation Ci Other Describe work: _ P— (I air Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00, Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Coe a d my license is in full force a 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 CONST. DWELLING oCCUP.& 3.54sq.ft. OR ADDNS. ACC. BLDGS. NEW CONS TR ULTI-OUTLET NON.RE51 D BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIS. 76 Ex. Occup(ouTLETs 0,R FIXTURES 20 46 FIXED APLNS. Ex. Occup. OUTLETSP(RESID.)SEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 -4e'�­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 g Hood 6.50 Ventilation m perit 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 agalns said countyin onsequence of the granti of this permit. X������Date ��©�� Signature of Applicant — Owner �� ❑ Contractor ❑ Agent�PCl 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAI OFEES IMP FLOOD CDF PARCE D HD ISSUE This permit is hereby issued under the applicable provi- sions of the B to County Code and/or resolutions to do work Indic a o for which fees have been paid. R OF PUBLIC WORKS By Date 17 PERMIT EXPIRES Date — f Receipt No. 12-32.33 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT