HomeMy WebLinkAbout017-100-078NOOSA, Sal
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J COUNTY OF -BUTTE - DEPARTMENT OF"PUBLIC WORKS PERMIT NO.
'- 7 County Center Drive - Oroville, Califtrria 95965 - Telephone: 916/538-7541 -:36 dJ
QL'1
APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER
11-31-78
ZONING
1
BUILDING PERMIT
OWNER
SOL MOOSA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAMETELEPHONE
CHICO ELECTRIC
891-1933
CONTRACTOR'S MAILING ADDRESS
36 West Eaton
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
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Centerville Rd , 3
Permit fee
$
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 ❑ Duplex❑ Mobilehome❑ Other Rl.ec
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 ❑ Remodel ❑ Utilities ® Installation❑ Other ❑
Describe work: 200 Amp Service Pedestal _
Future Develop
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00 10. M
10.00
Main service EA. ADO'L 100 AMP
2.50 2.50
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 Profession Code and my license is in full force and effect.
License No. '� C ?C = Classification C-13
❑ 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
ELLING oC.CUP.&
NEW CONST. DWACC. SLOGS
OR ADONS. (
2�20sgft
NEW CONSTRESIO, RANCH TLET
CIRCUITS)
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20®50C
eALO 30
FIXED
Ex. OCCUp. OUTLETS P(RESID.)LN REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
Pre Insp
1 15.00
Permit Fee
$ 52.50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 conseeqquence of the granting of thislpermit.
X Y -t �L�✓ �• Date /U-% - �rJ
• -
� �Ig toof Applicant Owner ❑ Contractor � Agent ❑
�n 05HreA 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 $ 52.50
HAZ
I CUA
PARK
I SCHL
I FLO
I PAR
PD
HO
IS/
This permit is nereby 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.
D HECTOR OF PUB IC WORKS
Bye l , (Dfate U
PERMIT EXPIRES D to 7
Receipt No. 73941
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - PERMIT NO.
_ 7 County Center Drive - Oroville,California 95965 - Telephone: 916/538-7541
-36
APPLICATI��V AND PERMIT C!
ASSESSOR PARCEL NUMBER
11-31-78
ZONING
BUILDING PERMIT
OWNER
SOL MOOSA
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
CHICO ELECTRIC
TELEPHONE
891-1933
CONTRA'CTOR'S MAILING ADDRESS
36 West Eaton
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Centerville Rd 3
Permit fee
$
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 gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other F1 Pr
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
10.00e
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities® Installation[] Other F]
Describe work: 200 Amp Service Pedestal
Future Develop
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00 AMP OR00V 01 LESS10.00
10.00
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 Profession Code and my license is in full force and effect.
License No. Sc S Classification C.—l0
❑ 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
Main Service EA. ADD'L 100 AMP
2.50 2. 50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
,
2/z¢sgft
NEWCONSTR. MULTI -OUTLET
N ON.R ESID BRANCH :,.CU. TS
2.50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20@50¢
SAL@ 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
Pre Insp
15.00
Permit Fee
$ 52.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
50 1 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 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
agai t said County in conseq ence of the granting of this permit.
X �O _� ^p
Date 77
ig ture of Applicant — Own Contracror� Agent
n OSHA permit is req fired for excavations over 5'0" deep and demolition or construct-ZIE=RF
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 52.50
HAz
I CUA
PARK
I SCHL
I FLD
I PAR
JPDJHDJ
IS/
This permit is Hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
IC
By
PE IT EXPIRES to O
the applicable provi-
resolutions to do
have been paid.
WORK$
Dat
Receipt No. 73941
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
. - ,,.. �.-..�.....423� "K�}}rs-rc�`1T•�;. .�'Y.;q�-jq�,�'!Q[.r�.� '7�9R4'A:r."`i"r"e'G'ri i �'�t'-^ F.- ,.qG v.r ...
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVICLE,"LFOA�lA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. — 21—
Proposed Building Use Building Inspector Date
1 E�e��
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 Section DPW
19. Driveway permit (const tion Pp roval required prior to occupancy)
Pre -Inspection for III l/ required Pre-Inspec. request
quest told /fin J�
_C BuildingInspector 1 � / t"!
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: Mailto Mail to contractor.
Telephone and hold for pickup at S�ffice. Deliver w/inspector.
U If
Other
Copy of plans sent
Health Dept.,
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_mail—count er by—. date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date
1
Plans checked by Date Plans approved by t Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
CJ
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 91,965 - Telephone: 916,538-7541
APPLICATMN AND PERMIT
ASSESSOR PARCEL NUMBER
11-3)-78
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
I
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
cc
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
G G (, L E
Permit fee
$
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 STRUCTURf�i � �
SF ❑ Duplex❑ Mobilehome❑ Other f�/i
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilitie Installation Other ❑
Describe work: ` 6"` , Ftlr-two (C ►<<11 e F_ 7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORLESS
LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
® provisions of Cha t. 9, Div. 3 of the Business
and Profession Code and my license Is in full force and effect.
License No. 3 Classification C -f C)
❑ 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)
E:1 I,
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
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.Ed
OR ACDNS. ( ACC. BLOGS.
/20sgft
NEW CONSTR ULTI.OUTLET
NON -.E BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS 81
\SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
SALO 30
FIXED APPLNS.
Ex. OCCup. OUTLETS ((RESID IREA.1
2.00
Temporary service
10.00
Home Facilities
15.00
Misc. Wiring
g
15.00
P 2 — N
�O
Permit Fee
$ r
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
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 Countyof
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 �0�C2n
Signature of Applicant - Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
I CUA
PARK
I SCHt.
I FLD
I PAR
PO
Ho
IssuE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have. been paid.
WORKS
Date
Receipt No.
WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. 1 .-
w PRE INSPECTION
SQL- -
QWNER: 11A O �% =_ �. DATE
LOCATION: ��i ��LG P. n - 3 - 79
CONTRACTOR.; ZONING
PRE -INSPECTION FOR:_'FU TU %2
DATE TO INSPECTOR /OJ/40 X90
PERMIT HISTORY: NONE C( AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - ?1FORMATION
BUILDING USAGE:
TEYNANT
OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION- FACILITIES
Q HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS
ACTION RECOMMENDED: -
ISSUE 0 HOLD FOR.
OTHER:
BY DATE i 0
res+- oll i ZS h�
CeV;l lt