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HomeMy WebLinkAbout039-370-0500 39-37-50 , 11816 91B--��f'' - T'!0 ' ;, r PAVCIK, Joseph 2 t PAVCIK;• Joe' ~ 77 1187 • StanT' y.,Ave ,' Chico 3 1 3 q - 37- SO r (roeroof/sfr`a Roofing<: Jf r Standby Ave. off Dayton Road-3 houses -, �n, on left, • :, Chico. COMPLETE-9-7-62 t PAVC�IK,NJoseph 4481b , 39-37= 5 p w ` 1187 Stanley venue, , Chico y (addition) i a 1 o / h t s . i 1 � _ .. � .ly++l•:, s.�.P',�^�..vesinl.,ti�3�r�� F �r.•.-.r..w..k.s.,u. ., �+''ir�ax,-";trrv+7;,y,�..,,t+•• r;r.•.'.e...+.�:r��"�it'�•'Rf. r�r ; w�f k' `?;i,;•cr µ,; � t 439-17-50 1816-91B � 9. •• ~ p y i. . 1. •-• PAVCIK, Jo6 1187 Stanley Ave, Chico cont:. Sierra Roofing �(reroof/sf) li COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. C- 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE11YR,, ..- , ZONING BUILDING PERMIT OWNER _ - Joe Pavdk TELEPHONE -6910 SQ. FT. OCC. BUILDING VALUATION nPS OWNER'S MAILING ADDRESS 1187 Stam Aver Chico Ca. CONTRACTOR'SNAME Sierra Rwfirn Co. TELEPHONE -1 CONTRACTOR'S MAILING ADDRESS PO Box M, Chico Ca %927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENS2800 E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1187 Stanl Avenue Chico Ca. 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 q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.006 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: R2md halse A attadied airage _ with 20 year ealipInition Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (Check One): RI 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. Il Classification C 34 ❑ 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.& OR A.D.S. ACC. BLDGS. , /x2Sq ft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Occup(OUTLETS OR FIXTURES 20 .200030 FIXED PEx. LNS K Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 FiIingFee 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 Countyor 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 std ounty in consequence of the granting of this permit. X IU �"1- Date 5-14-91 Signature of Applicant — Ownej❑ Contractor ElAgent❑ An OSHA permit isrequiredfor 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 $ 3%.00TOTAL FEE ALSCHE HAz CUA PARK PAR PD HD Is u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO"F PUBLIC By ,r PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 42, - Receipt No. � WNITE-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 NO. i, ASSESSOR PA CELNUMB ER !�/� --- ZONING BUILDING PERMIT rp OWNER Joe Pavcik TELEPHONE 342-6910 SO. FT. OCC, BUILDING VALUATI 27 sqwa- Pes 1620 OWNER'S MAILING ADDRESS 1187 Stanle Avenue Chico CONTRACTOR'S NAME Sierra TELEPHONE CONTRACTOR'S MAIL G ADDRESS PO BOX 252 Chico, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2800 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1187 S 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 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: Remof hf)lls;e SSI attached garage with 20 year cogmition Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 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 Professions Code and my license Is In full force and effect. License No. 2Qq$L�L� Classification C 39 ❑ 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) ElI, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. OR ACDNS. (ACC. BLDGS. I , �Z�sgft NEW CONSTR. MU U NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®506 BALD 30 \ Ex. Occup. OUTLETS FIXED P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00t- 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. ❑ 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. 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 s id ounty in consequence of the granting of this permit. X5-14-91 Signature of Applic t - OwneZ 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 $ 38'00 HAZ I CUA PARK I SCHL I FLD I PAR PD HD IS[/ This permit is hereby issued under sions sions of the Butte County.Code and/or work indicated above for which fees DIRECTO 77PUBLIC BY 9 PE XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -1 — �g� �' L Receipt No. c� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - �W - WELI, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET' Permit No. OWNER A. P. No. Proposed Building Use //Y�(/ _S� .Building Inspector Date —v At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED I iK 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed'by preparer of plans ........ —�/ 3._d -o- plete 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 (construction approval required prior to occupancy) 20. Pre -Inspection for Pre-Inspec. request to p regUlred".. • Building Inspector (Date) 91. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 4 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. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 1 2. Additional items required: 'r Y Contractor, designer, owner, was advised of above required data by _phone_rnail_counter by* ..date Contractor, designer, owner, was advised of above required data b y� ' q by—phone b date Plans checked by Date Plans approved by Date 'Sets of plans on hold in File cabinet AP folder Copy—DPW^ / ''%►--