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HomeMy WebLinkAbout026-250-030r 26-25-30 SALLY SEMAS 1785 Palermo Road, Palermo .er-mit#559-83E(replace storm damaged- elec servoce/SF) 26-25-30 162-90B,- SEMAS, 'Sally, Contr: Don C. George, Inc. 1785. Palermo Road, Palermo, (reroof).•- 026-25-0-030', 97-2207 B SEMAS, Sally 1785 Palermo Road, Palermo (reroof)SF George offing F G 'S =z 026-250-030 01-2380 SEAMAS'SALLY 1785 PALERMO RD, PALERMO CONT: MIKE CAREY PI 4 1-7., b REROOF SHED 026-250-030 01-2381 SEAMAS, SALLY -�t� L(- 1785 PALERMO RD, PALERMO CONT: MIKE CAREY OOF 0210' •a SD - �j�p 03-3690 COMCAST COMM, SEE ATTACHED, OROVIL LE Cont: WESTCOAST COMM PLt\C..: CATV PO\i�ER SiJP.PLY 30 i 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 0n/ - ASSESSOR PARCEL NUMBER SEE A ZONING BUILDING PERMIT OWNER TELEPHONE Sp. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PE13, DR SACRAM= CA 95838 CONTRACTOR'S NAME TELEPHONE 1341-94-73 CONTRACTOR'S MAILING ADDRESS 140 MEYERS STREET CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDWG ADDRESS 9 PALERMO LOCATIONS SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zoon oa LES 9 23.00 207.00 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 ' in II force and effect. n License Class — D Lic. No. / Lo S rl i LD OWNER -BUILDER DECLARATION 1 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 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 if the 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' compensation pLovisions of section 3700 of the Labor Code, I shall forthw' o ply w' th rovisions. X Date I I'- I Z " Signature of Applicant - ❑ Owner %Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT: CONS ►N,o RES D. MULCT' 0%,%TrS @7.50 POWER APPARATUS a sINGUE ouTLET IR. Ex. Occup. OUTLET OR FIXTURES BAL @';50 Ex. Occup. OFlUr EDs�ES D.OR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 227.00 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 $227.00 HAZ. 0. FEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. Ic D to oZ-/ 1 qk PERMIT EXPIRES ON 1110, ReceiptNo. WHITE-D.D.S.-B.D. ARY• SSESS PINK -INSPECTOR GOLDENROD -APPLICANT 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 01-2381 ASSESSOR PARCEL NUMBER 026-250-030 ZONING BU I LDING P ERM IT OWNER TELEDMONE 534-1061 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1785 PATERMD_ED, PAT.RMO CA 22sq 1320 CONTRACTOR'S NAME MIKE CAREY TELEPHONE CONTRACTORS "UNG ADDRESS JJM.y 9274 FOMTTT GROIJ-1-12. CA 95966 CONSTRUCTION LENDER " Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1020.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00' Permit Fee $ 53.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRES1 785 PALERMO RD. PALERMO CA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: RE ROOF 22 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 aOOV OR ESS Main Service 2o.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 10 Lic. No. ��� ' ~L OWNER -BUILDER DECLARATIONRATION 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 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 if the permit is for work of a valuation of one hundred 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 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 'th those provisions. /of Date 0/ Signature of Applicant - ❑ wner Contractor [3 Age An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEwNG OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT, NON I CUT 97,50 N.geSID BRANMUCH CIRCUITS POWER APPARATUS 8 SINGLE OUTLET CIR. YO O 1'50 Ex. Occup. OUTLET OR FIXTURES eAL p ,50 FIXI Ex. Occup..OUTLETS RESID.DEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing -Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 73.00 HAZ. I D FEES IMP I FLOOD CDF PARCEL PD MD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code d/or Resolutions to do work indicated ab ve for whi fees eve been paid. By Data 9-21-2001 PERMIT EXPIRES ON 9-21-2002 ReceiptNo. 332242 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) } 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) C�-PAPPLICATION AND PERMIT (2/- 2� �K/ ASSESSOR PARCELNUMBr% ZOMNO BUILDINGPERMIT 1 OWNERT ONE SO. FT. I OCC. BUILDING VALUATION OWNERS MAIU ODT $ CONTRACTOR'S 11I�E_���%/ /Y) Permit Fee CONTRACTORS ADDRE 9 2: o. CONSTRUCTION LENDER $ LENDER'S MAILING ADDRESS Energy Plan Checking Fee ARCHITECT OR ENGINEER NEW CONST. OR ADDNS. ( ARCHITECT OR ENGINEERS MA41NG ADDRESS BUILDING ADDRESS LOT NO. I SUDONygNS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utili * tan ❑ Other ❑ Describe Work: 6 ( J i aeC *PERMIT FEE PAID SRA . SHERIFF OTHER AAk6VNT RECEIVED *RECEIPT NV#JMR * TO BE PVT 1W0 COMPVTER Total Valuation S c� Filing Fee $ 20.00 Permit Fee b cu Pian Checking Fee $ Main Service Energy Plan Checking Fee b NEW CONST. OR ADDNS. ( DWEILNO OCCUP. 3 ACC. gLpS, SO 3.540: NLW GUMMULTI-OUTLET NON-RESID. ( PERMIT FEE $ PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 4- 15.00 Mobile Home ITF5-1 W (920.00 EX. OCCU . OUTLET OR FIXTURES PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ooV Goa Liss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. ( DWEILNO OCCUP. 3 ACC. gLpS, SO 3.540: NLW GUMMULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 EX. OCCU . OUTLET OR FIXTURES 20 ® IAO aAL @ .50 EX. Occup..FIXED APPLNS. OR 011TIETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE S Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ -Z. I D. FEES I IMP I FLOOD I 66F PARCEL I PD HJWSSUE 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. By Date PERMIT EXPIRES ON I , �A (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. 01-2380 ASSESSOR PARCEL NUMBER 026-250-030 ZONING - BUILDING PERMIT OWNER SALLY SEAMAS TELEPHONE 534-1061 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1785 PALERMO RD., PALERMO CA 8sq 540 CONTRACTOR'S NAME MIKE CAREY TELEPHONE 533-2165 CONTRACTOR'S MAILING ADDRESS 2874 EOMILL BLVD., 0-R0_VTTJ.F CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 540.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1785 PATERMO RD. PALERMO CA Energy Plan Checking Fee $ PERMIT FEE $ 37.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Al Duplex ❑ Mobilehome ❑ Other SPECIFY 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 Describe Work: RE ROOF 8SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa 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 � Lic. No. r% �/ �/ 2. � 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 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 Mein Service TO 1 46.00so WEU200A NEW CONST. DWEWNG OCCUP. SO U OR ADONS. ( & ACC. BLD S. 3.5¢Fr. NDN�-acE510 ' MULTI.BRANCHOUTLETITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 EX. Occup. OUTLET OR FDCTURES BAL Q I .w Ex. Occup.. DUTIEtDTs RM .GE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 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 forthwith comply with thoseprovi ' S. X Date � Si ture 67 Applic nt- Owner ❑ ntractor 11Age t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 37.00 HAz. o. FEES IMP FLooD COF PARCEL I pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code d/or Resolutions to do work indic ted a ve for whic fees ave been paid. By Date 9-21-2001 PERMIT EXPIRES ON 9-21-2002 ate Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT %-- _, 910 ASSESSOR PARCEL NUMOER ZONING BUILDING PERMIT OWNER - C- I TELEPHONE - _1�C SO. FT. OCC. BUILDING VALUATION OWNERS I ADDRESS i nf►/L CONTRACTOR'S HAM TELEPHONE COMRACTONO A9DRE3 S /�_ / Blvd., ,(� CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee b Plan Checking Fee $ 6LIILOINGAooREss r Energy Plan Checking Fee $ IPA PERMIT FEE S rJ� IAT NO. SU6DNCION'SNaLIE PARCEL MAP PLUMBING PERMIT Filing Fee ,1.).00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap .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 ❑ Rem del ❑ Utilities rle��\(/ 011er E3 (=l Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 Main Service z80oaL o mss 23.00 PERAUT FEE PA110 4 I SRA ; SHERIFF OTHER AMOUNT RECEIVED ; *REC 1 NV"Bt * TO BE PVT ZNTO COMPUTER ' � Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5¢so. OR ADONS. ( 6 ACC. Bu)S. FT. NEW CONST. muun-oUTLET Q7,5O NON-RESID. BRANCH IRCUITS POWER APPARATUS & SINGLE OUTLET CIA, ' Ex. Occup. OUTLET OR FIXTURES 20 ® I'00 6AL .SO EX. Occup., OURETS ESIDAPP—D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt: s Mobile Home Installation Fee $ Energy Inspection Fee $ DSD CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HO SSUE 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. BY Date PERMIT EXPIRES ON le s 026-250-030 01-2380 SEAMAS, SALLY 1785 PALERMO RD, PALERMO CONT: MIKE CAREY REROOF SHED M � - p' (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. 01-2380 ASSESSOR PARCEL NUMBER 026-250-034 ZONING �1I� BUILDING PERMIT OWNER SAILY SEF1@ttAS TELEPHONE 534-1061 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1785 PALERMO RD. PALS CA 8s 540 CONTRACTOR'S NAME MIKE CAM TELEPHONE 533-2165 CONTRACTORS "UNG ADDRESS 2874 F0011111HIM BLVD. 6 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 540.00 ARCHITECT OR ENGINEER UCENSE NO.' --' Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 1785 P Energy Plan Checking Fee $ ' $ t PERMIT FEE $ .37.00 LOT NO. SUBDIVISIONS NAME °AHCEL'1AMP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 •USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other t SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other Describe Work: RE ROOF $$Q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee ° 20.00 Main Service 20.A OR LESS 23.00 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions hof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ I License Class Lic. No. 1 17G ��., OWNER -BUILDER DECLARATION' 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t ❑ 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. DWELLIUR NG OCCSO OR ADONs. ( a ACC. BLDS. 3.5¢FT; NON-NEWCES ' mu LT"@7,50 POWER APPARATUS a SINGLE OUTLET CR. 20 @ t'00 Ex. Occup. OUTLET OR FDRURES BAL o .w Ex. Occu ; OfluxnEis a� ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring +�-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 ,(rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 6-M 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 forthwith comply with those provi ion X � _� _ Date XV Sign -a ure of Applic nt - QrOwner ❑ Cbntractor ❑ Age:t 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 FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 37.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD HD SSUE 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. f r t 1 g -21-x0 By \ I - Date PERMIT EXPIRES ON 9-21-2002 Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT m 026-250-03001-2381 SEAMAS, SALLY 1785 PALERMO RD, PALERMO CONT: MIKE CAREY REROOF - "l t i 6 4 F t 1 m 026-250-03001-2381 SEAMAS, SALLY 1785 PALERMO RD, PALERMO CONT: MIKE CAREY REROOF - "l 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 01-2381 r ASSESSOR PARCEL NUMBER , I ' 0 Al— ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1785 PAJERM0 RD, PALERMO CA 22sq 1320 CONTRACTOR'S NAME CAR WKE i TEEI EPHONE i30 6 CONTRACTORS MAILING ADDRESS tt EOMT11.T CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS I Total Valuation 1132 ARCHITECT OR ENGINEER LICENSET".••: Filing Fee $ 20.00 Permit Fee $ 53.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1785 PALERMO RD. P� CAEnergy Plan Checking Fee $ PERMIT FEE $ 73 .00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 Trap 1 7.00 USEOFSTRUCTUREEach SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Ublides ❑ Installation ❑ Other C3 Describe Work: RE 9WF 22 SQ. # Gas piping system 1 -'5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' OR. 23.00 LICENSEDt CONTRACTOR'S DECLARATION � I hereby affirm under penalty of perjury that I am licensed under provisions 8f Chapter '-9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. '3• - License Class �.., Lic. No. OWNER=BUILDER, DIARATION I hereby affirm under penalty of perj6r.y�that'I am exempt from the Contractors License Law for the following reason: +� �a t '` 1 11. 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 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 if the permit is for work of a valuation of one hundred dollars ($100) or less.) �I certify that in the performance of the work for which this permit is issued, I shall 77 `` 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 itthoseprovisions. J X�Date Q _ Signature of Applicant - r-lVnwner ACContractor ❑ AginjrA An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service TO tOooA 46. DWELLING CONST. WEE ( NG OCCUP. sSo O - OR ADDNS. a ACC. S.3.5QFT: NEW CONST.MULTI.OUTLET NON•RESID. C @7.50 POWER APPARATUS 'POWER OUTLET CIR. Ex. Occup. OUTLET OR, FIXTURES BAL @ I.w FUCED APPLNS. OR Ex. Occu . O.RESID. EA 5.00 Temporary Service' 23.00 Mobile Home FacilitiW 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 73.00 HAZ. D. FEES IMP I FLOOD I COF 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. /% , 9-21-2001of By i Date PERMIT EXPIRES ON 9-21-2402 to ReceiptNo. 332242 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P 026-25-0-030 97-2207 B SEMAS, Sally 1785 Palermo Road, Palermo (reroof)SF George Roofing o - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,, California 95965 - Telephone'(916) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT -� lf' ASSESSOR PARCEL NUMBER 0(j� �/'J�(\^ ZONING BUILDING PERMIT V' OWNER Sall Semas TELEPHONE 34-1061 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS _' .1785 -Palermo Rd.Pdlermop CA 95968 �y �} 1 00 .BUR V . - CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 I[ CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd Oroville CA 95966 S CONSTRUCTION LENDER . LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1820.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 43.O0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS d. 'Ener Plan yCheckir�. Fee. $. .Tr $ PERMIT FEE $ 63.00 LOT NO. ' SUBDNIS ION'S NAME PARCEL MAP f PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 11 SF❑:( Duplex ❑ Mobilehome ❑ Other yf 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 ❑ - Describe Work: B.U,R, 1 Gas piping system 1 - 5 outlets 15.00 Buildingsewer `F 15.00 Mobile Home IS I G1 W 920.00 PERMIT.FEE` S S ELECTRICAL PERMITAJ ,.fi Filing Fee 20.00 eoov oR LEss ; Main Service ( 2oonoR'UEssu� 23.00 LICENSED CONTRACTOR'S DECLARATION 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 mylicenseis in -full force and effect. „�...- T� "License Class�'�"`� -C"3� Lio.rNob,.r... >i4J- 266 �� "" WNER-BUILDER DECLARATION • A�•'�11°�kb..�. -..�. - "1'he�eby affirm -under penalty of perjL ryy1hat'I am exempt from the Contractors License Law for the following reason: 9 ❑ I, as owner of the pioperty, or my employees with wages as their sole compensation, will do tFie work, and the structure is not intended or offered for sale. O I, as Owrier of the property, am exclusively contracting with licensed contractors to consCruct-the project: fi=�.;_ .. - .- sir- .. r - _..-: _ _ ❑ 1 am exempt under` Sec. Business and Professions Code for this reason t _ Main Service 200A ( TO 10ooA�)� 46.00 NEW CONST. DWELLING OCCUP.^ - SO OR ADDNS. ( 6 ACC. BUDS. 3.50Fr. NEW9 NON-RESIDT MMU�LCTI.OUCETS 97.50 CONS POWER APPARATUS d SINGLE OUTLET CIR. ' Ex. Occup. OUTLET OR FIXTURES BAL @ I.50 FI%ED APPWS. OR " Ex. Occup. oUTUETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ". _�:, . - l _ , . ..::4 = •:r; __ - ' 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 forI,byAsection 3700 of the Labor Code, for the performance of the work for whicli'this' permit islissued. ❑ 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' compensat'on in urancg carrier and policy number are: Carrier Golden �age insurance Company MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number NWL; :liG I ZUbr-01 I (The above sections need not be completed if the 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' compensation provisions of section 3700 of the Labor Code, I shall fo hwith c mply kith those prbv sions. X)q, . /_ ` / / rDate -A"Aim _ Signatur,� of Applicant - ❑ -w. er�` J 'Cont ctor 0• Agent An OSHA -permit Is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home`Installation Fee $ Energy Inspection Fee $ OCc CONST. TYPE j TOTAL FEE $63.00 HA2. D. FEES IMP FLOOD CDF PARCEL •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. / By �. Date in PERMIT EXPIRES ONt �i 49 Date Receipt No. 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, Californii 95965 - Telephone (916) 538-75 PERMI 0. a&4 11ZI (Rev. 12/96) APPLICATION AND PERMIT ---5!" ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT OWNER Sally Semas TELEPHONE - 34-1061 SO. FT. OCC. BUILDING VALUATION 1400 UR 1820.00 OWNER'S MAILING ADDRESS 1785 Palermo Rd Palermo, CA 95968 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 1820.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 785 Palermo Rd Palermo CA 59100 Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Q Other ❑ Describe Work: B.U.R. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 600V OR LES9 Main Service .0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class C-39 Lic. No. #452266 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 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 Golden Eagle Insurance Company Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( g ACC. BLDS. SO 3.50FT: NEWCO9 NON-RESIIDT ANLCTI.OUTCET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURE Ex. Occup.Bnl 20 @ I'50 @ .so NS Ex. Occup. OF�ITXES RESIp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number NWC 341205-01 (The above sections need not be completed if the 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' compensation provisi ns of section 3700 of the Labor Code, I shall fo with c ply ithothoovlion�. _ate e11r'atu,fXf)AppIicant - ❑❑'' on ctor Agent An OS rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC , CONST. TYPE TOTAL FEE $ 6 3.0 0 HAZ. 1 D. FEE IMP I FLOOD I COF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By &Adu 1P If PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT o r'.: _. !'{ ^f'... v . � . _ ..,_ • - o- �.r. Ns -.•K' .� Y �atT ,....,.. y.v,k: !FE '+-'. f iP COUNTY OF BUTTE - DEPARTMENT OFtPUBLIC WORKS - -PERMIT NO. p,o 7 -County Center Drive - Oroville, Ca!Morn AQ5965 - Telephone: 916/538-7541. / ! /7 APPLICATION AND PERMIT l� (� ASSESSO 19 0PARCEL NUMBER ---� 4 Q, ZONING U BUILDING -PERMIT OWNER SALLY SEMAS TELE PHONE 534-1061 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS700.00 1785 PALERMO ROAD PALERMO CA. 95968 CONTRACTOR'S NAME TELEPHONE I DON C. GEORGE INC. 533-•6393 ' CONTRACTOR'S MAILING ADDRESS P.O. BOR 729 OROVILLE. CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 700.00 Filing Fee $ - 10,00 LENDER'S MAILING ADDRESS I Permit Fee $ 13.00 ARCHITECT OR ENGINEER LICENSEE,,NO. •+ ` Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS t Penalty $ BU.ILOING_,,AD„DRESS,,..___. _..- 'r .t. ,•� 1785 PALERMO:ROAD PALERMO, CA. 95968 1 Permit fee .• - - .. ... $- -. .• .,23 .OQ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP + Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[?J Duplex❑ Mobilehome❑ Other SPECIFY ; Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK , New ❑ Addition ❑ Remodeel)❑ UtiIR-jes ❑ Installation❑ ( Other Describe work: /� t~ r06+ + _ A 9 Permit Fee $ Contractor LQfXLECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ' I 1 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW + t I declare under 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. License Nor! 59966 Classification S—i9 I ❑ I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intendedlor offered for sale. (Sec. 7044) ' ttt4 ❑ I, a`s the owner, am exclusively contracting with -license,d cohtract-' ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.g) , OR ADDNS. ACC. BLDGS. /20sq ft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex.,.OccupOUTLETS OR FIXTURES (BAL SOS 20050300- FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring' ' ' I.• -, .. ' 15.00 Permit Fee $ Contractor 1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 ❑ 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. I 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 g 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 County of 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 CCee t in• �uencepf the granting of this permit.r`Dat.JAN . 12 , 1990 Signature of Applicant — Owner❑; Contractor ❑ AgentU 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 FEE $ 23.00 HAz CUA I PARK I SCHL I FLo I PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. i DIREC OR~OF PUBLIC WORKS / �% Date Y .F- ! k Q�9� U D PERMIT EXPIRES Date / Receipt No. 5 � � WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovrZq, •Ca+ifornia 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSO PA=CE N�WBER /Jl ZONING BUILDING PERMIT OWNER SALLY SEMAS TELEPHO 1534-1061 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1785 PALERMO ROAD PALERMO CA. 95 68 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 1533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace . CONSTRUCTION LENDER UNKNOWN Total Valuation Is 700.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13 .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1785 PALERMO ROAD PALERMO CA. 95968 Permit fee $ 23 .00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home - S G W 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remode 4—] UtilLt'ies ❑ Installation❑ Other ] Describe work: (' I^O Permit Fee $ Contractor LECTRICAL PERMIT Main service 100V DR LESS 100 AMP OR LESS Filing Fee 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penNEW alty I declare under lt of (check . p Y perjury one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No452266 Classification C. -3a ❑ 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.8d) OR ACDNS. ACC. SLOGS. I yzQsgft NON.RESID CONSTR. BRANCH CIRCUITS 2.50 ea. POWER APPARATUS 6 SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 30AL0SAL030 Ex. Occup. OUTLETS (FIXED PRESID ILNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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 10.00 Heating Cooling g 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 County of 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 Cemt c.9asgauence of the granting of this permit. JAN. 12 1990 X��� Date Signature of Applicant — Owner LJ Contractor ❑ Agentu An OSHA permit is required For excavations over 5'0" deep and demolition or construct-DIR ion of structures overr3 stories in height.—Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE E $ 23. 0 0 HAZ cuA PARK SCHL I FL. PAR PD HD ISSUE.0 This permit is hereby issued under sions of the Butte County. Code and/or aki,ted above for which fees OF PUB I PIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (WHITE-D.P.W.. No. V YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i'Y'�'�y^,- �n.rr'�y..,.�.: `e�ary-F,vrwt. ,{�".�-r.�...la'-.�.j:��...w--• .� ,. _!..-,-� ��.,-.""`✓Y*.;,M�-. 1'-�^. f"'�K'7�'i" ?.� T` . f`✓��(7r 1- A- • —� COUNTY OF BUTTE - DEPARTMEJNT�-'QF-PU:B;LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,. , t , PERMIT APPLICATION DATA SHEET t Permit No. y� OWNER ' A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Sectio,rryDPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec, request to Building Inspector (Date) 21 Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept,, Fire Dept., Other 1-s Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date fSets of plans on hold in . File cabinet AP folder ! Copy—DPW t I r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilig,• Califpinia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESPARCEL NUMBER C ZONING BUILDING PERMIT OWNER- S-A I 1 LA S -S 15:1 lirs TELEPHONE ,SQA FT, OCC. BUILDING VALUATION OWNER'S MAILING Af DR_E_SS p CONTRACTOR'S NAME,/ TELEPHONE "R f ' - CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ BUILDING/ ADDRESS ��Y Imo- k PLUMBING PERMIT Filin gFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 -� 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 [" Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition Re odel ❑ Uti I: ties ❑ Installation ❑ Other Describe work: cai`.e f h'� — ViC' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDG5. 2t/20Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): mi N I am licensed under provisions of Chapt. 9, Div. 3 of the Business Code and my license is in full force and effect. and Professione1rl �nJ/o A 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 noit 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 NO N.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &` NON.RESID.SINGLE OUTLET CIR, / EX. Occup(OUTLETS OR FIXTURES BA ®30C FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA,s 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Qr Contractor MECHANICAL PERMIT Filing 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. 0. l 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 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 County of 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 �.� „�>f�� f 1 nf11yAf` Date Signature of Applicant — Owner Contractor 59-v)Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over�33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ---.-- OCCUP. GROUP I TYPE OF CONST, PARCEL PD MD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTO OF PUBLIC By PERMIT EXPIRES d ate -?y� the applicable provi- resolutions to do fees have been paid. WORKS Date�� r ty Receipt No. � / `7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caliiprnia-9.965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER-, c� S TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING APO `1V CO TRACTOR'S AKtE ,1 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 $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 FilingFee Each Trap 2.00 Solar Water Heater 20.00 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 L�� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additio Re odel ❑ Uti 'ties ❑ Installation❑ Other Describe work: r M1290251— 0 w \ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 00 10. F (/ p0 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBL GS.CCUP.&1 II 2yz0sgft .. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 7260 License No. �%��p 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 CONSTR ULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS &\ NON.RESID. ( SINGLE OUTLET CIR. / 200500 Ex. Occup(ourLeTs OR FIXTURES 9AL®300 Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee - $ Contractor MECHANICAL PERMIT Filing 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. 1 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 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 granting of this permit. X Date ` �f� S' nature of Applicant — Owner ❑ Contractors 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 I TYPE OF CONST. PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C- 0 OF PUBLIC .By PERMIT EXPIRES 6ate�� the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. EZ?(7"3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT