HomeMy WebLinkAbout039-120-009039-120-009 99-2424
CINQUINI, MARIE
11053 LONE PINE AVENUE, CHICO
CONTR: BUT E ROOFING
RE ROOF Zi 013
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CINQUINI; HARRY l03�
r7 R11053 ALONE PINE,AVE,•-CHIC0,�;- - -
vACRICULTURAL EXEMPTION PERMIT: �.
'ALMOND HARVEST EQUIP
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
MIT N
_TP _
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO.
ZONING
FARCE
P.D.ROOFIpIG
OWNER
PHONE NO.
/
9Y
OWNER'S ADDRESS
LOCATION OF BUILDING
/)
USE OF BUILDING
-
Ava
tie's ""0
SIZE OF STRUCTURE U
D X % O ry4 D a SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL_CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
O>A-A L
L. e_
ESTIMATED COST OF CONSTRUCTION
�.i � /��%. d'd
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: /
FRONT SIDES ` REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date
Permit Fee -Co
Receipt No.IL111 Z_ 1
Signature of Owner A��'
OV
The above described AG Building is exempt fom a building permit.
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
Director of Public Works
By d Date Co . AX
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FLOOD
FARCE
P.D.ROOFIpIG
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Director of Public Works
By d Date Co . AX
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 ��+ PERMITTNO.
(Rev. APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER a� `
ZONING
BUILDINGPERMIT
G .
TEL HONE
SQ. FT. OCC. BUILDING VALUATION
OOV1NING
OER'S 3s -.ADD SS ^ nu
C OR'S NAME T LEPHONE
CO TOR'S MAILING ADDRESS
A
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
..
BUILDING ADDRESS 05 3
Energy Plan Checking Fee $
$
_ ,ERMIT-FEE $_.-
...-_ _.
Lor' : ' r -*V-I
'SLIBo rows NANI?
ARCE,
-
PLLJMBINd PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF, -Duplex OF -Mobilehome ❑ Other
$ SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
_ TYPE OF WORK
- •-,
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: ..
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zO.OA R 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,
land my license is in ull force and effect.POWER
License Class Lic. No ��f'/���
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 i
Main Service To 1000A
(
46.00
NEW CONST. DWELL
EL ING OCCUP.
OR ADDNS. ( a ACC. B.S.
SO
&.40.
NEW NoN-REO .T MULTI -OUTLET
97.50
APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup.OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
Ex. Occup. pUIXT ETS (R� p,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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.
I 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:
rs
Carrier d /, o, -,
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number ) ;1 + n
(The above sections need not be completed if the pe(ml 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
forthwith, comply with those provisions.
.�of
Date 14a///�'_—
Signat re of Applicant - ❑ Owner ❑ Contractor ❑„Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructione
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HA2.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By I . ( . / Date
PERMIT EXPIRES ON '/ lb IfX.Jc -Z)
fDeta
ReceiptNo. - `` ' L1 `7tJ
WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,COUNTY OF BUTTE -DEPARTMENT OF DVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Orovilfe,'.CaQfornia 95965 - Telephone (916) 538-7541 P RMI_T NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
BUILDING PERMIT
O E - TELEPHONE
SO. FT. OCC. BUILDING VALUATION
O NERS MAILING ADDRESS y
CO TO R'S NAME TELEPHONE '
CO TOR MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 41-0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ G_
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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherxi
Describe Work: i ., '
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
I Fling Fee 20.00
Main Service zoos oA mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
(commencing with Section of Division of the Business and Professions Code,
( g 7000 ) 3 i
and my license is In II force and effect.POWER
License Class _ Lic. No. n �`�
�rlN
OWNER -BUILDER DECLAA 10
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' c mpensation insurance carrier and policy number are:
Carrier
Main Service 200AWEE TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDCS
SO
3.5¢FT:
NEW CONST. BRANCH R
NON-RESID. CCHCIRCUITS
CUITS
@7.50
APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FDRURES
BAL Q 1
.50
P
Ex. Occup. o�TELE°Ts"RES o.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the p-eirmillis 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
forthwi h.comp) with those provisions.
X-- Date--
SignatATA2.�D__ ❑ Contractor l &gent
An OSHA permit is required for excavations over 60" de%pand demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ BIl
HAZ.
I D. FEES IMP
I FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
/L
ljll
PERMIT EXPIRES O
the applicable provisions
Resolutions to do work
been paid.
Date /1�74
Date
Receipt No.
WHITE-D.D.S.-B.D. CANA Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
DATE (MM1DDIM
,- ACORD, ;,::CERTIFICATE=!)F :LIABILITY INSURANCE ° ; 09/30/1999
PRODUCER .. ` Serial # ,A�844
MICHAEL J. PETKUS INSURANCE
6963 DOUGLAS BLVD. SUITE 131
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFEkS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER, THE COVER*GE AFFORDED BY THE POLICIES BELOW.
GRANITE BAY, CA 95746
PH:1-888-644-4600 FAX:916-652-2231
COMPbNIES AFFORDING COVERAGE
COMPANY
A VILLANO INSURANCE COMPANY
INSURED
COMPANY
BUTTE ROOFING CO
a II
COMPANY
P.O. BOX 557
CHICO, CA 95927
C
COMPANY `
D
Q •aqB;• . ±fit.,,.::; z;.
^T :,, :, - ,�. aI.-r: _ :t'Ti: t `L _�'.1 ''•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURNlCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTF ER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE:. INSURANCE AFFORDED B Y THE POLICIES OESCgISEO HEREIN IS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Co�pE
LTR
OF INSURANCE
POLICY IdUf18ER
POLICY EFFECTIVE
DATE (MWDDNY)
I
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
GENERALLIABIUTY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F7 OCCUR
PRODUCTS - COMPIOP AGG S
PERSONAL • ADV tNAWY S
EACH OCCURRENCE $
OWNER'S 8 CONTRACTORS PROT
FIRE DAMAGE (Anyone fire) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS
BODIL�YdURY $
(t�re
�y 11
HIRED AUTOS
NON -OWNED AUTOS
6901LY �IJtIRY S
lee r accl ent
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN AUTO ONLY;
EACH ACCIDENT $
AGGREGATE $
e
EXCESS LIABILITY
EACH OCCURRENCE i
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
-
s
A
WORKER'S COMPENSATION
MPLovpw uABILRY
WC3-0075548
10/01/99
10/01/
Q
X TueT,s
EL EACH ACCIDENT $ 1,000,000
TME PROPMETORI X INCL
PARTNERSIEXECUTIVE
EL DISEASE - POLICY LIMIT 5 1,000,000
moi" AM-" EXCL
-
EL DISEASE - EA EMPLOYEE S 1,000,000 I
pTHER
DESCRIPTION OF OPERATIONSILOCATIONSMEHIC PECIAL MR.
LICENSE #567600
._... ....
CANCELWTtONw�` r•-e...�-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE —
EVIDENCE OF INSURANCE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLbiNKADOW& WAIL
30 DAYS WRITTEN NJ710E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
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