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Home My WebLink About078-380-018• c. - JAY LAYTON - - .5096 V -E Avenue, Oroville Contr: North State Roofing Permit#16617-85B(reroof/SF) /D-3v�Z- 7� { �.._ -r'U5=1216'' LAYTON, JA o -- 5095 V -E -AVE; OROVILLE� CONT: FOUR COUNTIES ]'-RER0OF:3O S �Q Q 31, T rd BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051216 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION 1 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: 05/06/2005 APN: 036-112-033-000 the Business and Professions Code, and my license is in full force and effect. �7 License Class : L^ 3� License Number: / 7 9T,5- 91 Site Address: 5095 V -E AVE ORO Date: S' G'— O S Contractor: FOV f L>p/roof, Map Index: tion: REROOF WITH COMP 30 Description: ( ) 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 Owner: LAYTON J A & DORIS M JT to its issuance, also requires the applicant for such permit to file a 5095 WE AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 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 Applicant: FOUR COUNTIES ROOFING PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, RUSADE CR R CO CO COURT 3 3 CICO, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CA year of completion, the owner -builder will have the burden of (530) 343-1416 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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, Contractor: FOUR COUNTIES ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3 CRUSADER COURT ❑ I am Exempt under Article 3 of the Business and Professions Code CH ICO, CA 95973 � (530) 343-1416 Date: Owner: License #: 774554 WORKERS' COMPENSATION DECLARATION 1 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: 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: Carrier: S 7�g -f-R r11 ti Total Square Ft: 0 S. F. Policy #: A 7,Z o 0 D 5-7 3— 0 3 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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: _ 6—("5— —G $—Applicant: 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. (,✓jam )�'1 1 Z�� / ,� CONSTRUCTION LENDING AGENCY T This'permifisfiere yissued under the applicable provisionsbf tree ButteCounty Code and/or — 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.) Resolution ork indicated above for which fees have been paid. . .. 6� Name: , By: Date: 6 Address: PERMIT EXPIRES Date ❑ 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. Cl 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 fo or document of Butte County. I hereby 8uthorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: EO (t ti O i� Signature: Date: 0 S ❑ Owner ,jam Contractor 13 Agent for Owner ❑ Agent for Contractor /UTT�° DEPARTMENT BUTTE COUNTY OF -DEVELOPMENT SERVICES o ° BUILDING PERMIT APPLICATION ° _ ° f r.AND SUBMITTAL REQUIREMENTS o ° 24_ HOUR INSPECTION#: OROVILLE:`(530).538-7636 CHIC_O: (530) 891-2834 c0U N'�yOFFICE#: (530),538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name AFF fog✓ Address 0 91 3 City O'o✓ Ir F State Zip - & Phone S3 3 / 9 3 � Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name Itoulf C v,✓Li,PS h96v City Address 3 C 16S R at C C Zip City �1 [ r.0 State, State Zip q5_973 Phone -3 (13 Fax �3 S_X 79 E-mail UC. #97 S-zl Cas APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone :Page .. Fax E-mail State Ucense Number APPLICANT NAME Name �\ Address City State Zip Phone Fax E-mail PERMIT NO. Bt BIN # LOCATION •AP#a' Property Address Cross Street WORKER'S COMPENSATION Policy Number g77 a .Ooo 5-17 3—o3 Carrier iS toq'�R Fc, tid 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 3o F' Structure Built without Permits 0. 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 AP17LICANT SIGNATURE' refundable. X Recei Amount Bldg For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book :Page .. Lot# ' Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMSOdgAppISubRgmts.doc SRA Receipt M Sheriff 4. J" SMTP Date —other Total Page 1 of 2 REV 4-30-04 Permit#1617-85B h1 Jay Layton 5096 V -E Ave, Oroville 4' COUNTY OF BUTTE - DEPAR`TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS PLUMBING PERMIT Fllln g Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL. MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[J Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[], Installation ❑ Other ❑ Describe work: ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. flip '7 License No. - � Classifications )��' ❑ 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 CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) -RESID. SINGLE OUTLET CIR. Ex. Occu 20@50C P�o OR FIXTURES SAL®300 FIXED A Ex. Occup.FUTL TS (RES. OR OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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 granting of this permit. ' X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $ ti OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARYMENST OF, PUBLIC WORKS 7 County Center Drive - Oroville, Californie 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO 141 7_1e ASSESSOR P pit C EL UMBER !//a' ZONING BUILDING PERMIT OWNER a TELEPHONE SQ. FT. OCC. BUILDING VALUATION A? ego OWNER'S MAILIff ADDRESS S -c- Aae CONTRAC OR•S N ME 19n I V( TELEPHONE - CONTRA R'S MAILI ADDRESS t 4. a r r V [/ Fireplace CONSTRU T O LENDER UNKNOWN `� Total Valuation $ Filing Fee g $ 10.0(] LENDER'S MAILING ADDRESS Permit Fee $ /�� ARCHITE OR ENGINEER Pq e2 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS v� I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �n Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF P Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Re odel ❑ tilities ❑ Insta latioJ' EJ Other ❑ Describe work: E ✓' ino 1O f c��f [. /Sc�-S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OLESS RSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2,hP.Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 13 I' am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions 4VICode nd my license is in/fulllll force and effect. License No. Classificatlonc"�2 ❑ 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 CON5TR U T"OUTLET NoN.RESID BRANCH CIRCUITS2.50 ea NEW CONSTR. POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES BA 50 FIXED APP LNS, OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. g�,�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 10.00 Heating Cooling Hood 3.00 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 save, indemnify nd keep harmless the County of Butte against all liabilit' judgments, a enses which may in any way accrue against d County in c en the granting of this permit. y ` Date f Signature 01pplicont — Owner ❑ Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE�� OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ' IRECTO PU LIC _ By. PERMIT EXPIRES ate_ the applicable provi- resolutions to do fees have been paid. WORKS /Dat 6 Receipt No. 2Q to WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT