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025-380-052
VERNA DENARDO_ 4780 Feather Ri(er'Bvd; O troville �j'?/1 Permit#3565-82E ele , ser/welder) ADA.S Q Lj-- Os IN ...a .: . , . .♦.l� ,. •ar .1." as • i �,r ._ �wp:!►..�! �t . Y♦ ss t!. •'^.'fib i Permit #3565-82E Verna Denardo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK$ 7 County Center Drive - Orovilrb, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARL NUMBER ZONING BUILDING PERMIT OWNER V TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN.E MAILING ,D_[JRESS .. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS I Fireplace CONSTRUCTION LENDERIt UNKNOWN I Total Valuation Is Filing Fee $ 10.00 LENDER'S Permit Fee $ ARCHITECT OR ENGINEER _ J (/// I LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER''SS MAMAIL(LING ADDRESS Permit fee $ BUIL©Ly G ADDRESS �! /SUS (/[, L �r� , PLUMBING PERMIT Filing Fee 10.00 i r Each Trap 2.00 _ Solar Water Heater 20.00 !��• p Cif'N1 D. Gam/ A_ L L.- 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 & CC S 4C,4- _i'l "C. SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Additicn ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: C k� ��� �f/`� '`S S`[ Alcl )� iF (AQC,,fW,I- S '�" G— /�.' - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 8100 VAMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 (i NEW CONST. DWELLING 0CCUP.& OR ADDNS. C ACC. BLDGS. 1 2/ZQsgft 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 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 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 2,50 ea V NON-RESID, BRANCH CIRC ITS NEW CONSTR, (POWER APPARATUS &) NON -RES,D• (SINGLE OUTLET CIR, / Ex. Occu 20050c P�o rs OR FIXTURES BALe 300 FIXED Ex. Occup. ou LETS P(RESID )UNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .e4vN'se.-�� - P7___ 15.00 p 5"11P 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ 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. 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 consequence of he granting of this permit. X Date - fr 7, Sitjnature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 4/7' s0 OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD SSUE This permit is hereby issued under -si•ons of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC I� Apt, By 41.14de PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t �yReceipt No. ` i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil e, California 95965 - Telephone 916/534-4541 APPLICATION ANY PERMIT PERMIT NO. A ASSESSOR PA7e NUMBER ^S2 S ZONING BUILDING PERMIT Ow ER TELEPHONE SO. FT. OCC. BUILDING VALUATION O W / �(/ � I L 1 N GI {.r/ r �/ / V `••� /r-� F✓ {.�/cam �L-V /� • ©r "' � / (� CONTRACTOR'S N AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUIV7R&PDRE /�� ��v�-� Lv� 7- PLUMBING PERMIT Filing Fee 10.00 ./ � 4/ S 2 �Gv�! i i-gp%' lgpp '��� Each Trap � 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. . SUBDIVISION NAMEPARCEL MAP Each qas water heater o'r vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other 45611 /- S � �� SPECIFY Building sewer 5.00 Mobile Home J S I. G I W 1 1 110-00 e TYPE OF WORK New ❑ Addition ❑ Remodel [:]Utilities ❑ Installation ❑ Other Describe work: 54CQ0f111C1S- Foo 1414 COi�£ 5' " ZJ roes el�%S) i41c: 5 e- P&2a �PR1,2s / � Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 80000 AMP LESS 10.00 /0.00 Main service EA. ADD'L'100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2,/2¢Sq ft 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 my license is in full force and effect. 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 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 rNionWi-R°ESIo R(BRANCH CIRCTITS 2.50 ea .vv NEw CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. P�oX OR FIXTURES Ex. Occu zBAo@L0s0e30Q IED A PLNS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �lJ�—� S' 15.00 ,O0 G A4p. Permit Fee $ (� Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] 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. j� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and -keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in cons quence of a granting of this p mit. X Date (�/ 0,V S' ature of Applicant — Owner �x•- Contractor ❑ Agent ❑ 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 $ z17,!5�0 OCcui , GROUP TYPE OF CONST. PARCEL I PD I HD ISSUE his permit is hereby issued under the applicable provi- ns of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFUBLIC WORKS By _ Date PERMIT EXPIRES Date Receipt No. ��V&� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. Vfi %,0_0I_bQ t. A. P. No -36 Proposed Buildings /' _56S /Gr-- Fa�9,_ -45WIAZS 7D . Permit Fee Based Upon.11 Complete Contract Price DPW Valuation Other (Explain) F Building Inspector r'f Date / / Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED t 1. All items have been submitted. . . . . . . . ' 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. f 10. Sanitation approval fromi Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information. (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . . 16. Mobilehome Installatl Da a. ���8. 7. Pre -inspection for Required- BuildingPre-Insp request to j G BZ (D te) �% q Building Inspector Other P When issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone) and hold for pickup at office. Deliver w/inspector. Other Applicant &,�Date Copy of plans sent Health Dept., Fire Dept.,% Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: Copy—DPW Telephone Mail Date Date Date Other i COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing'permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and ma erials for construction of the proposed property improvement (yes or no) 2. I (have/have not) gned an appli tion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to o coordinate, supervise, and provide the major work: Name AddressU'N City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name x'9 _ ..Address Phone Type of Work Signed: Property Owner Social Sec rit numb Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. To: Building Department FI-Um: Dnviromit -. F,-I Hey^.lth Subject: Sanita-tion Clearance '.Owner LocaWi AP## Plans approved for: Se,6rz.be %iFposa.i Water Suspply Hold final for: Water Supply FirAl clearance O.K. for: Water Supply Clearance for a bedroom mobile home. Other Clearance for addition of . Sanitarian`✓ date