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HomeMy WebLinkAbout027-070-027ti - {9zJ 27`=07"-27B ROZ,A,,;;Johnorov lle 6635. Upper ,Palermo rd ,' . y_ 9'q3 -..reroof./sfJ&) 4, COUNTY OF BUTTE - DEPAR-HENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. C) ASSESSOR PARCEL NUMBERZONING 027-070-027 APM'2.A BUILDING PERMIT OWNER JOHN ROZA TELEPHONE 533-0099 ' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6635 UPPER PALERr10 ROAD OROV = h c 25 SO 11500 CONTRACTOR'S NAME 0WM TELEPHONE ` CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER .. UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6635 UPPER PALERMO ROAD OROVILLE Permit fee $ 45.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition 0 RemodeIE Utilities❑ Installation❑ Other ❑ Describe work: ROOF WT"` OX14P Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 LESS Main service 200AORLESS 18.50 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 Professions Code and my license is in full force and effect. License .Jo. 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 Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. SLOGS. // 3.64 sq.ft. NE w CONSTR ULT' -OUTLET NON -REST BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. O 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 FilingFee 15.00 Heating Cooling g Hood 6.50 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 A + � Date 4 7 — C� .. `,. Signature of Applicant — Owner.❑,i 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE45.00 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable provi- sions of th e Butte County Code and/or resolutions to do + ti , Work indicated above or which feehave been paid. DIRE66 rbF PUBLIC feel, WORKS Ji BY .t J Date PERMIT EXPIRESDate a `� r1 )1r41e2 •' ' f �..IT Receipt No. 117069 45.00 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT N0. q -4(4 ASSESSOR PARCEL NUMBER 027-070-027 ZONING ,ARM*H 2.5 BUILDING PERMIT OWNER JOHN ROZA TELEPHONE 533-8099 SQ. FT. OCC.1 BUILDING VALUATION 25 S 1 500 OWNER'S MAILING ADDRESS 6635UPPER PALERMO ROAD OROVILLE CONTRACTOR'SM OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.500 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS UPPER PALERMO ROAD OROVILLE 6635 Permit tee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISFGTW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: REROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 20GATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P 1 Y ( ) ❑ 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 NEW CONST. / DWELLING OCCUP.5d) OR ACDNS. l ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR OUTLET NO--RES-D`; BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) EO Ex. ccu Occup(OUTLETS OR FIXTURES 20 76 EX. Occup. OU LETS P(RESID. IFIXED APLNS. REA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. LrJ�f 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 15.00 Heating Coolin g rHood 6.50 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 liabi ties, judgments, costs, and expenses which may in any way accrue agains aid C my in conseq ce of the granting of this permit. X l —12 — � Date Si4nreof Applicant — Own Contractor ❑ Agent ❑sions 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 45.00 HAz 0FEES IMP FLOOD CDF PARCEL PO HD Iss This permit is hereby issued under the of th Butte County Code and/or work in Ic ed aVvr which a DIRF PUB BY PERM I EXPIRE Date applicable provi � resolutions to do have been paid. ORKS Date Receipt No. 117069 65 -nn 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 APPLICATION AND PERMIT ASSESSOR PARCELNUMB R ZONING _ Q -� 2-7 %H 2.5 BUILDING PERMIT OWNER � Al o ( TELEPHOtJE OH SO. FT. I OCC. BUILDING VALUATION yl 3S—ING _ ESS � A� \ MQ D- 0Q_6V(LLe_ OWNER'993S—_0 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 0 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $30Fo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING A,OORESS Penalty $ BUILDING ADDRESS X ^^ �L Permit fee $ f� PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF % Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New❑ Addition' Remo I❑ UtilitiesD Installation❑ Other, Describe work: LAA I MN co -m Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 200AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I 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 Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP.8i 3.6Q sq.f[. OR ADONIS. ACC. BLOGS. NEW CONSTFL •^ ULTI-OUTLET @ 5 00 NON-RESIO• BRANCH CIRC ITS /POWER APPARATUS Q (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d R FIXED APLNS. Ex. Occup. OUTLETS PRESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 9 -H 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 Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 rHood 6.50 Ventilation Permlt Fee $ 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 Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr 39storries ineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE ! TOTAL FEE $ �� F—IL11AZ 0FEES IMP FLOOD CDF PARCEL PD HO 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. (7 06 q Li -500 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - ~Department of Public Works 7 County Center Driver Oioville, CA 95965 Phone: 916-538-7541 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..at your earliest opportunity ,to.avoid ..unnecessary delay in processing and issuing your building permit. .•No building permit will be issued until. this.verification.is received. - 1: I personally plan to provide the major labor and materials for construction'of the proposed property improvement (yes.or no) 2. I (have/have not) signed an app cation for a building .permit for the proposed work. -3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone _ Contractors License -No. 4: :1 plan to -provide- portions -of this work -,--but I have- hired the 'following person to'coordinate, supervise, and provide the major work: Name Address City Phone-. Contractors,License No. 5.. I will provide so.me-,of the work.but I•have contracted (hired) the following. persons •to"provide=.the work indicated: . Name Address Phone- Type of Work Signed : Property Owner Social S curit Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and•Safet.y Code. This verification must be completed and returned to -our office before we, are per- mitted to issue the permit.