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HomeMy WebLinkAbout079-070-047CART RIGH' 01-0807 CARTWRIGHT, ARLEN t'-Iq-051 2937 ORO GARDEN RANCH OROVIL CONT: SIERRA ROOFING RE ROOF 0 7 _.. D_- ;. a...�;z;—•mss-..—.,..p-n...,.,�.C-•.+:rt:°.rd�SN:rX►+=14i #.e3'�y.c:�Sy'j�- E[ • V 036=430-047, 01-0807 r CARTWRIGHT; ARLEN, K 2937 ORO GARDEN.RANCH OROVILLE CONT: SIERRA ROOFING ... RE ROOF • v i it - a - • , • v it - a - • , 1 COUNTY 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 7 ASSESSOR PARCEL NUMBER 030-430-047 ZONING BUILDING PERMIT OWNER TELEPHONE _ FT. OCC. BUILDING VALUATION v�SO. 25 ZJVlJw00 OWNERS MAILING ADDRESS 91itRANCH RD. ORMULE2 rA A O4 CONTRACTOR'S NAME - E HONE SIVERRA FT ' 3442 -1 A A CONTRACTORS MAILING ADDRESS 775 PATIRCHTID r Act CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2937 ORO _. _ r'CA. 95966$ Energy Plan Checking Fee $ PERMIT FEE $ 55.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 'o R ss ss 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 i full fo ce nd effect. /(� License Class 7 �- Lic. No. !Ii 7� 3 OWNER -BUILDER PATI N I 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a ACC. S.3.50F{. INprERESIDMULTI-OUTLET 97,50 H CIRCUITS POWERSINGLE APPARATUS UTLET Ic . OUTLET OR FIXTURES 20 @ 1•00 Ex. Occup.SAL @ .w Ex. Occup.. pUIXT ETS pa D,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 rformance 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' ensation insur oce car ier a policy number are: Carrier , 4 Policy Number (The above sections ed not be completed d1he 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' m sation pr via,of section 3700 of the Labor Code, I shall forth 't 1 w- th pr ions. !/ X Date y Sigr9sture of ` pplicant - Q. Owner Contractor ❑ Agent An 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 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.0() HA2. p. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is he,r.eeby issued under the applicable provisions of the Bine C6ur' ode nd/or Resolutions to do work indicate a -ov�e f 'r hi h f es have been paid. (�� By `" Da te` PERMIT EXPIRES ON "/ /,� / ate Receipt No. 31.523049-m WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY 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 I01- afLto ! ASSESSOR PARCEL NUMBER 036-430-047 ZONING BUILDING PERMIT OWNER CARTWRIGHT, ARIM & TDA _533-AW9 TELEPHONE SO. FT. OCC. BUILDING VALUATION 25 1500.00 . OWNER'S MAILING ADDRESS 2937 GROGARDEN RANCH RD- OROVILLE, CA 95%Q CONTRACTOR'S NAME I rE§LE§PHONE 342-1863 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,500.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 35.00. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS J CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fling 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 ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 ,L Building sewer 15.00 Mobile Home IS I GI W (920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200. 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 i full f ce nd effect. License Class Lic. No. li OWNER -BUILDER CLARATION I 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To f000A 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. ," H'ROEP,pT MULTI.OUTLET P7.50 PowER APPARATUS a'SINGLE oun Er cIR. Ex. Occup.OUTLET OR FIXTURESn123.00 Ex. Occup..OUnFIXFTSEPR6�SID.OFRJL Temporary Service❑ Mobile Home Facilities Misc. Wirin PERMIT FEE S 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 erformance of the work for which this permit is issued. I 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' ensgtion insur ce car igr a policy number are: Carrier Policy Num6r (The above sections nlFed not be completed Me 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' m nsation pr isions of section 3700 of the Labor Code, I shall forth . c e pr sions. X Date _ Sig ature of pp I - Owner Contractor ❑ Ag en An OSHA permit is squired for exca tions over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HA2. D. FEES IMP FLooD I CDF I PARCEL I PD HD ISSUE This 19,it is he y issued under of the Bu u ode nd/or indicat a o e f s ve By PERMIT EXPIRES ON the applicable provisions Resolutions to do w rk been pai / , ate Dafe ReceiptNo. 315230/55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �ACORD�EI��F� �, ® I �'�'1"r�:V€I�Ir��G Vws DATE(MMIDD/YY). na ,. ,_ " 04/05/2001 - PRODUCER �, �.. w„-° . 'Serial #. A3567 -MICHAEL J. PETKUS INSURANCEr ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. 6049 DOUGLAS BLVD., SUITE 13 ALTER THE COVERAGE AFFORDED BY THE POLICIES .BELOW. GRANITE BAY, CA 95746 COMPANIES AFFORDING COVERAGE PHA -888-644-4600 FAX:916-652-2231 COMPANY A AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA, INSURED COMPANY SIERRA ROOFING INC. `` e + ` P.O. BOX 252 COMPANY CHICO, CA',95926 C ' - COMPANY D m E” THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 4 ,y . INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, . , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '.4 CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION /Y•,. LIMITS . LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $` COMMERCIAL GENERAL LIABILITY, PRODUCTS - COMP/0P AGG $ , CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ ' MED EXP • (Any one person) $ AUTOMOBILE LIABILITY ANY. AUTO _ • COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS � BODILY INJURY . $ - NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ' OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY ` EACH OCCURRENCE $ t UMBRELLA FORM , AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND WC -247859437 3/22/01 09/01/01 X I TORYUMIis ER A EMPLOYERS' LIABILITY + EL EACH ACCIDENT $ ;i�0 0O� THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE . EL DISEASE -POLICY LIMIT $ -1 00-0;00� OFFICERS ARE: RX EXCL • EL DISEASE - EA EMPLOYEE $ ,00�0�0 OTHER _. t CONTRACTORS LICENSE #688803 ALL CALIFORNIA OPERATIONS ZRA ' G�ANCELIATLON ; CERTIFICAE•HQLDE.` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE HIGNELL & HIGNELL, INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY,WILL E1AMUX0 MAIL AND FRED & EILEEN HIGNELL & FAMILY 30 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1990 LIVING TRUST ' �>�Cxr�4a6X17!CSMA(X�(:Dfd(J�D�Ld(g'X°D�dsl€N�2414i�fc�'XelC�4&C12fc�1(.�1C x 1500 LIVING XX*XXx X XXOWX*X)4XCXXa<DXAXX M)W)>�S. HUMBAU I 117� KLPKtbtN I A I IV CHICO, CA 95928 ' .. Co