HomeMy WebLinkAbout079-100-003-n /Do-
DavidNeilsen 003A Melrose Dr., lot 69, Copley Acres
Oroville /
conte Neilsen Const., Oroville /
Kermit #5377-80B ,P,E ,M(new �ng e
a /
mily)
036=fs66=603 99-0443 r ri
MEISINGER, Sherri ' . I i 1
40 Melrose Drive, Oroville • Aa (h
Contr: George Sumahit �� J
Ire -roof
036-698-e63- _ k ,. . . 04-0927 . .
HOFFMAN" TODD
40 MELROSE DR, OROVILL
Cont: OWNER,
NEW ROOF STRUC/EX GARAGE ii1� K
r-,. -- -
�� i j � � •--- ---
i
� - - -,
PERMIT NO. 5377-80B,P,E,M
PERMIT EXPIRES—
David
XPIRES
OWNER David I�lsen
CONTR. Neilsen Const., Oroville
ASSESSOR PARCEL 36-60-3
LOCATION 40 Melrose Dr., lot 69, KKMX
Copley Acres, Oroville
a,
Temp. Power Pole
Called PG&E
Temp. Elec. Service
i
Called PG&E/
Temp. Gas Service
-.
y CalleG&E ,
B /FINA4L'ED (Dat
Signat
V = OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
=
Date UNDE OOR Plans OK except#'s
Date FRAMING (Continued)
Z ' g requirements -Set ks-Easements
48. Property Line Firewall & Openings
Ftg., Main; Soils -S -flee,-El+trtt.- / /" Ftg. Depth
49. Ex Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -S - / " Ftg. Depth,
lairs; Width -Headroom -Rise -Run -Landing -Fire Protection
, Porches & Decks; Soils -Steel- / /' Ftg. Depth
PlyNro6d on Roof Overhang -Attic Vents -Rafter Outriggers
. Stemwalls, Main; Steel-Blockouts-Wrappe
iding-Nailing-Veneer
t mwalls, Garage; Steel-Blockouts-Wrappe ,Slab-
;V&—Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7 Fireplace Ftg.-Steel
54. Glazing Area -Glass Protection -Skylights -Plastic
.W.V.: Fall -Fittings -Test w O ewer
55. Shear Walls; Nailing -Bolts
X Gas Pipe; Size -Anchors of
10. Water Pipe; Test -Anchors -Regulator -Service Tes _
.41 Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
-I'S-Girders-Sills-Anchor Sol ts-Joists-Vents-C ipples
Card -BI Date and -BI Date
Card -BI Date lop, Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date / Card -BI Date
Date FINAL (PWs) OK except #'s
Card-BDate/ Card -BI Date •2 d
Date PLUMBI (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
ke Detector
1 a r Ht.; Vent -Ac ss -Combustion Air
1,0,.Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1 Wer Pipe; WAn s -Nail Protection
W.V.; & Anchors -Nail Prolection
Bedroom Exiting
7. wer Pan; Test, First Floor -Tub Access
We"G.F.I. & Bath Fixtures & Tub Access
/7 .Test Tub & Shower, 2nd Floor -Tub Access
Xc. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
Stairs & Rails
ireplace or Stove; Clearances -Hearth
87>!'lec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
65yKit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
6%,wElec. Outlets &.Receptacles at Kit. Counter
Date ELEC ICAL Permit OK except #'s
__ 6 arage Fire Door; Swing -Landing -Closer
in Garage -Damper
xture & Transformer Clearance -Ins. Protection
t�tr. Htr.; Vents -Clearance -Comb. Air -Connector -P .-
In Garage; Above Floor-Mech. Protection
lac. Receptacles Spacing -Lights &Switches at Doors
S' a Boxes & No. of Conductors -Stapled
We'-0aw'1b., Elec. & Mech. Equip. Listed for Location
Rex Installed Close to Edge of Studs & C.J.
7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2 uip. Ground made up w/Mech. Fasteners -Bond Gas &Water
7g. I suletion-Foam-Looked in Attic > &-Y.I—
ppliance Circuits in Kitchen &Conductor Size
Gard Rails & Deck Construction -Post Caps
S Wire Size / / ga. Cu or a Size / / ga. Cu or Al
74nis & Crawl Hole Door -Drainage & Wood -Earth Clearance
d under Floor Ll Yes
IFI�Range Circ. / / ga. Cu o. Oven C_ i#. / / ga or AI,
Insulated Neut al ❑Yes o (i(/l
75. Following instld.: Drive [IYes No; Walks Yes ❑ No;
Planters P?es EJ No
28. Service -Riser Conductors & Ground -Main Dis nnect
29. Equip. Clearances; Panels-Motors-Mech. Equip.
'Clothes Closet Light -Shower Light
46---SMMtf Brown -Finish
7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7A^ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
er isconnect, Electrical, Plumbing
E terior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date / Card -BI Date
ntilation throughout House
Card B-IDate Card -BI Date
8A -"Glass Protection
Date HA L (Permit) OK except #'s
8 rrections from Previous Inspections/
84. Gas Test -Meters Tagged; Gas-Ele ric
A. ucts; Insulation & Support
8 ater & Sewer Connected -C/0 to Grade -HD Approval
ant Fan; Exhaust above Insulation
ergy Compliance Certificate -Other Certificates
3. Condensate Drain & Overflow; Size & Grade
44rFurnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
C Date / Card -BI Date
C -Bl Date BI' Date
Card -BI _Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date F Plans) OK except #'s
Comments at Final:
s; Proper Material & Anchors
_ ;. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
elil-_Bparing Walls over Girders & Floor Nailing
t $top in.Walls (rat proof)
_ ire Stops: Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
ngers-Post Caps -Anchors -Connectors
C411 Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _
place Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
-B_ drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
= OK
= Not OK `
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors _
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 %!�
' 1. t��//
v APPLICATION AND PERMIT
ASS Ey C_Piig aCO _N L1aA 6y
✓(1/O_ ((//�O__ UU S
N G'
�T/
Ilk
f
��(_,j9(/ BUILDING PER IT /Q,00
Q+N R
r,�Se�
TELEPONE
SQ.FT. OCC. BUILDING VALUATIONp,qVI�
`'
2-5 �(/
OWNER'S MAILING ADDRESS
Q
IL4
♦�r
/ `^ cam' /q //'/� /� /I D' / � ,�% %
cX �/YP�C�V eiV MJfE �V/V //� C,7 0
(��E q7
J�✓ N7Z
/Q
•`%�
C' �CV//CT �� MAILING ADDRESS�V
.57-.ESSA /r `// / )90111U6,15�
CQpI CTIQN
UNKNOWN
Fireplace
Total Valuation $
Qp
L EE(y� M I ING ADDgg'S�s i/ /
v /� .D. /�v QS�(p
Permit Fee
$ .off
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR
/tI L_40gr
PLUMBING PERMIT
Filing Fee woo
Each Trap
2.00 X00
Repair drainage or vent piping
2.00
0AeoV/&4_15
Water piping
57. co
LOT N
SUBDI/V�I�SIOONN,(N.,AME /� ,rte
&/& / /' CPL,1ps --130-38
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex[_] Mobilehome❑ Other
SPECIFYTYPE
Building sewer
5.00
Lawn sprinkler system
[Pill
OF WORK
New E� Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
�p0
Contractor
ELECTRICAL PERMIT
Filing Fee 1600
Main service 600V OR LESS
100 AMP OR LESS
5.00 x-%49
Main service EA. ADD'L tOO AMP
2.50 2-50
NEW CONST. DWELLING O
OR ADDNS. ACC. BLDGS
20 Sq it517,-10
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
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.
Classification a J
License No.�� R Z
i �,�
❑ . 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 NON•RESID CONSTRMUBRANCO CIRCTITS 2.50 ea
NEw CONSTR, POWER APPARATUS &\
NON•RESID, (SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURESSO @2SQ
BAI-L@IW
FIXED APPLES. OR
Ex. Occup. (OUTLETS (RESID.) EA,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring6.25
Permit Fee $ 57. Z7
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
oj�t to Self -Insure.
rL�7�,not
shall nonot 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 M.00
Heating OO
_00
47-
Cooling '3 /
'00
Hood
Ventilation
pit F
Permit Fee
$ o
Z3• O
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, - demnify and ep harmless the County of Butte against
all liabili s, judg nts, costs, expenses which may in any y acc ue
against d Count in cons(I uenof the granting of this permit.
X Date ®
sig lure ZA�icant — Owner ❑ COn1rOCtOr ❑ Agent ❑
A OSHA is required for excavations over 5'l)" deep and demolition or construct-
i of struover st ries in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEEZo
3yS ,
OCCUP GROUP
TYPE of CONST.
A
PARCE
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PqFfMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date / D ^ ][PYA
i. 5 I' -/J/
Receipt No. �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534=4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that,the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
f{/ �d��/�•� / ' .Tyi �r� �� �? ice' �!%I�-. }�s...,f /_,+__ ��s•-
.� `r`7I///i/�� fr �?_�.r�-iJ/t�• .�� , fI!.A.�,--a _ .nom ,..f-' .
V 7 .kms✓ l%rte �'� .��-�-----� //r9> ,� � i c�/��
Inspector �'-j�`���+"7,'% Date
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN C,�O�N/FORMANCE WITH CU T ENERGY CONSERVATION REGULATIONS
(location)
BUILDING PERMIT N0.:53' �7_ ?L;� A;P. N0. % `i` e ' 3
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION: _
Slab Edge
Fdn. Walls
Floors.
Walls ,�• i
Ceiling/Roof "
Ducts
Circulating Pipes---���ee---
APPROVED HEATER__---��
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES I ----
I DECLARE,THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator "
State Contractors
I I4cense No.
General Contractor/Owner Name ve, 0, 1 f /
please nt)
Signature of s
General Contractor/Owner e
State Contractors
License No._,�'3�>/ '7
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN -THE DWELLING.
<-W
BUTTE COUNTY
DEPARTMENT OF DEVELOPMEN SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7:541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net%dds
PERMIT NO.
BP040927
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: 04/05/2004 APN: 036-600-003-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 40 MELROSE DR ORO
Date: Contractor:
Map Index:
l Descrtion: ADD NEW ROOF STRUCTURE TO EX
p
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
GARAGE
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
Owner: HOFFMAN TODD A
signed statement that he or she is licensed pursuant to the provisions of
40 NECROSE DR
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
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966-7702
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
j
f
sole compensation, will do the work, and the structure is not
t
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
I
owner of property who builds or improves thereon, and who does
Applicant: HEATHER HOFFMANN
such work himself or herself or through his or her own employees,
(�
provided that such improvements are not intended or offered for
�/ \
MELROSE
sale. If however, the building or improvements are sold within one40
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530-533-3113
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,
- D �. 3 •
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
os r �' /
�/ Lh
Date: 5 Owner: �'4--�`�1 '
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #.
❑ 1 have and will maintain a certificate of consent to self -insure for
Q 1i� i i�l.Q
workers' compensation, as provided for by Section 3700 of the
-
Labor Code, for the performance of the work for which this permit
13Ishave and will maintain workers' compensation insurance, as
C Architect:
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.
Total Square Ft: 0 S. F. ^
Valuation: $0.00
Code:
Policy#:
I certify that in the performance of the work for which this permit islensus
issued, 1 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 w1i those provisions.O
1.-I C 0
!•/J,
Date:
,n {���.,
i�V "`'• `�
Applicant:
WARNING: Failure to is
secure workers' compensation coverage
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
"�/p,�"w`""�l
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
i
CONSTRUCTION LENDING AGENCY
This peii'mit 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 -
Resolu'rcns honstd work indicated a ve for which fees have been paid: - - -
performance of the work for which this permit is issued (Sec 3097 Civ.)
...d
Name:
BY Date: (�y
AZAddress: PERMIT EXPIRES ON: Q
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 8 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 un�po►^nithe above mentioned property for inspection purpo es.
0eo-+ E-. 4T n -o n ^J
Print Name: I I� -n Signature:Lklol
Date: l51ok -
❑ Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor
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.netWds
PERMIT NO.
BP040927
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: 04/05/2004 APN: 036-600-003-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 40 MELROSE DR ORO
Date: Contractor:
Map Index:
Description: ADD NEW ROOF STRUCTURE TO EX
OWNER-BUILDERDECLARATION
I hereby affirm under penaltyenaltyoffperjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
GARAGE
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
Owner: HOFFMAN TODD 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
40 MELROSE DR
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
95966-7702
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: HEATHER HOFFMANN
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
40 MELROSE
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530-533-3113
sale.).
JiQ 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:
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 33 of the Business and Professions Code
Date: 5 Owner: `T`''L '
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as
Architect:
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:
Total Square Ft: 0 S. F.
Policy #:
I certify that in the the for
Valuation: $0.00
performance of work 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 w�h those provisions.
-`-1 5
�� � � O
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
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
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions to dg work indicated a ve for which fees have been paid. -
Name:
By: Date: Ute/
PERMIT EXPIRES ON: Q
Date
Address:
❑ 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 u on the above mentioned property for inspection purpo es.
Print Name: ���1•�T i I� Q,1 -_ �T(���� ri Signature: . Lai)W"
"4 I o` -l'
Date:
❑ Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
DATE: q
APN:
ZONING:
OWN R'S LAST NAME:
F
OWNER'S FIRST NAME:
-/7 b /)'1
PHONE:
3
STREET ADDRESS:
F
CITY, ZIP:
E-MAIL:
SITE AD RESS:
CITY, ZIP:
NEAREST CROSS STREET:
TRACTILOT P
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP: L F
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS: /
FAX
CITY, ZIP:
E-MAIL:*
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
LICENSE NUMBER:
E-MAIL'
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without per Its
❑ 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 fees 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.
For office use only:
Notes:
Application Received by: v� Date: 4—
Receiptnumber:O Amount Received: ?,�(
✓U
(e -54 tAeA5
�e
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e- i5 ii
BUTTE TO-0JINTY.
BUILDING DIVISION
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SAX SMT 036--too-003--0c?o BUTTE COUNTY
BUILDING DIVISION'
APPROVED
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ex�sti095
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036-600-003 99-0443
MEISINGER, Sherri
40 Melrose Drive; Oroville
Contr: George Sumahit
re -roof = g= ZOOQ
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036-600-003 99-0443
MEISINGER, Sherri
40 Melrose Drive; Oroville
Contr: George Sumahit
re -roof = g= ZOOQ
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION1 - '*
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT L?qr
gSgEgs;?Ap�NUygEpW^
J.AR
ZONING
BUILDING PERMIT
OWNSMRI MEInI*O
1�jnER
JDR((.;.
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
960
°"""�i11f1ur"..!�( OROVILLE, CA 95966
CONTRA" RM
l�r.�ktir� E§UMAAIT
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 40 WIMOSE DR . ' OROVIME
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 45.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF F 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 ❑ Utilities ❑ Installation ❑ Other)M
Describe Work: REROOF 16 SQ COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '0..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 in -full force and effect.
License Class ; y� `T '
�'` Lic. No.
OWNER -BUILDER DECLARATION
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 tOooA
46.00
NEW CONST. DWELLMIG OCCUP.
OR ADDNS. ( 8 ACC. S.
SO
3.50FT.
NEW T.
NON-RE°SID. MULTIOUTLET
@7,50
FowM APPARATUS
ISMOUTLET CIR.
Ex. Occup. OUTLET
SAL ®I:w
Ex. Occup. °FimEDrsWREES °EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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 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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed d the permit is for work of a valuation
1 of one hundred dollars ($100) or less.)
b I certify that in the performance of the work for which this permit is issued, I shall
A 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X r 71} t
+ A ! r A t i / ! I I+ .r: Date �l l ' - l l l /
-.Signature of Applicant - ❑ Owner ❑ Contractor V Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 45.00
HAZ.
1 D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
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.
B1r 1 ,` / It.L'- Date
PERMIT EXPIRES ON
/ /Date
Receipt No. �z�i tl
WHITE-D.D.S.-B.D.-- —CANAPIWASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO.
��l
(4ev.12/96) APPLICATION AND PERMIT 4
ASSESSQfL 1rE_� 1dM1 i}�O�
IIIJ.JJ oo 17111) IIJJ
ZONING
AR
BUILDING PERMIT
OWN THERRI MEISINGER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
ow"74blft'�Mt DR., OROVILLE, CA 95966
"'ffV"MtUMAHIT
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ $25 00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
40 MELROSE DR . , OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
S 45.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF &X 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 ❑ Utilities ❑ Installation ❑ Other)g
Describe Work: REROOF 16 SQ COMP
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLESS
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 II force and effect. �� l i
License Class Lic. NO. 1
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 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 I
46.00so
CCU00A
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. eLos.
SO
3.5¢FT;
NON -R SID. MU LT0.OUTLEf
tea 7,50
POWER APPARATUS
a SINGLE oIITLET qR.
Ex. Occup. CUTLET DR FDRURES
20 @ 1.00
BAL. @ .50
FID AI
Ex. Occup. Duii AE=.o�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 If the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
A 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 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
for#1with comply with those provisions.
Date 4 /
1:3gnature of Applicant ❑'Owner ❑ Contractor k' Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 45.00
:HA:Z.
D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
a
B nt4a,
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date C3 100J 11
6P.D.S.-B.
�fe
rR7eceiptNo.
D. C N R 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
APPLICATION AND PERMIT
wswoRP�Reawa�e� 3 (p— O O� T=44,
BUILDINGPERMIT
OWWMI ww►p �f SQ. FT. OCC. BUILDING VALUATION
Main Service ( 2— To toga► ) 1 1 49.00
Ex. Occup. ovnm OR FKP.V 0 •
ew x
Ex. Occup. ov E°n om. a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fea 20.00
Heating I I II
Hood I I 9.501
PERMIT FEE S
Mobile Home Installation Fee =
Energy Inspection Fee S
occ CONsT. TYPE TOTAL FEES W,6D
IIAZ 10. FEE31 WP I R=0 I CC' I PhW& I PO I 1Q 6SI'E
This permit is hereby Issued under the appilcable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date �—
ReceiptNo. PERMIT EXPIRES ON
W
OOMRACMI MUM ADOMS
OONfTRUC MUIMIM
UEMOnMAK aADOWN
Fireplace
Valuation S
Maa=OPtVOMM MTotal
ucar+caNa
Filing Fee
S
20.00
ARCMfr=r oR oauMs MALw bDOM
Permit Fee
$
Plan Checking Fee
$
susawADORess _
k_os_�
Energy Plan Checking Fee
S
$
PERMIT FEE
i
Lmm aueoEv�a� E+�r
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
Each Trap
7.00
SF I$,Duplex O Wbishome
Solar or heat pump water heater
23.00
O Other
Water piping
15.00
TYPE OF WORK
Each aas water heater or vent
15.00
Gas to 1 - 5 outlet
15.00
New O Addition D d O D hstsJatton O other
,110Nss
Building sower
15.00
Describe Work:/__"';7
Home Is I r31 WF__
020.00
PERMIT FEE
S
ELECTRICAL PERMIT
1
[FiMngfFeel 20.00
I.MainService = o0a =
23.00
Main Service ( 2— To toga► ) 1 1 49.00
Ex. Occup. ovnm OR FKP.V 0 •
ew x
Ex. Occup. ov E°n om. a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fea 20.00
Heating I I II
Hood I I 9.501
PERMIT FEE S
Mobile Home Installation Fee =
Energy Inspection Fee S
occ CONsT. TYPE TOTAL FEES W,6D
IIAZ 10. FEE31 WP I R=0 I CC' I PhW& I PO I 1Q 6SI'E
This permit is hereby Issued under the appilcable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date �—
ReceiptNo. PERMIT EXPIRES ON
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