HomeMy WebLinkAbout039-440-0169
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A.P. 39-44-16
VERNON I. BERG
w/_s--C-e•ssna••Ave-:•-app----200•►• so-: of--
Ln., Chico
Permit 2795-72B,P; E;
(new single family)
039-440-016 00-2315
SMITH, PERRY AIAJ 4"
756 CESSNA AVE. CHICO
CONTR: B'AIRD ROOFING CO.
RE-ROOF SHAKE TO COMP
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SMITH, PERRY
756 CESSNA AVE. CMCO' , y
CONTR: BAIRD ROOFING CO:
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SMITH, PERRY
756 CESSNA AVE. CMCO' , y
CONTR: BAIRD ROOFING CO:
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COUNTY OF BUTTE - DEPARTMENT OF:DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMITiWOW025
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
S0. FT. OCC. BUILDING VALUATION
OWNER
z
/ �• w' -
OWNERS MAILING ADORES
.,oft.r
CONI 'Sz Ao�e46 M
N
'
CO TORS MA NG ADDRESS )/
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
�•± �i
ARCHITECT OR ENGINEERS MAWNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 0 WA AE -4
Energy Plan Checking Fee $
PERMIT FEE $
LOT No.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1
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: /� COIN i j� S
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 20 A OR 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,
and my license is in full Ice and effect. �j ' /
License Class Lic. No. ((� 1 �Y/
OWNER -BUILDER DEDE— LAG ARA'TION
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
Main Service To
46.00
CCUOOOA
WEE200A
NEW CONST. DWELLMJCi OCCUP.
OR ADDNS. a ACC. BLDS.
3,5QS0.
FT.
Iypµq�Ip, MULTI -OUTLET
97.50
POWER APPARATUS
a SINGLE OUREr CIR.
Ex, OCCU OUTLET oRFIXTURES
Ex. Occup. OFurE A OE
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
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.
jR. 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 insuranc�yc crier and policy number are:
Carrier % /_ �> ; ,f l //.'
Policy Number "` 3-'4 Vj yYk .
(The above sections need not be completed if the permit 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.
'•• ` // `�
X -t ,� f / i -.( % , .f,G1 Date n( J 1 v
Signature of Applicant - ❑ Owner ';O Contractor ❑ Agerft
An OSHA�/' 'permit is require for excavations over 60" deep and demolition or construction
of strucfurss over 3 stories in height. P
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAz.
D FEES IMP
FLOOD
CDP
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate ve for which fees' ve been paid.
By Date
PERMIT EXPIRES 0 % _)
Data
Receipt No. '�(777 �
WHITE-D.D.S.-B.D.' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V,t
1/
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P,E,RMMI NO.
(Rev. 12/96) ; APPLICATION AND PERMIT D �'c�L
ASSESSOR PARCEL BUMBER
7 C/-ln
20NIN0
BUILDINGPERMIT
OWNER
TALE,,,° =
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS (� � � •�
R
j
CONT O 'S
ONE
VZ
CO OR5 MAILING ADDaESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S kAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS i kfA A&.1
Energy Plan Checking Fee
$
$
PERMIT FEE
$
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 ❑ Other ❑
Describe Work: J
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR 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,
and my license is in full fo a and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the followiig reason:
❑ I, as owner tithe 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.
❑ I 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 anc 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' gArr�pensation insuran eAier and policy number are: Carrier / , /Wp4247 74, c�,
Policy Number r%'~.S a4
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[31 certify that in the performance of the work for which this permit is issued, I shall
not emplcy 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
ith comply with those rovisions.
i
X/ Date Q &� __
Applicant caner -Contractor ❑ Agerd
A+nOSA
rmitiis required for excavations over 5'0" deep and demolition or construction„(�oover 3 stories in height.
Main Service TO 46.00
WEIL200A
CCU000A
NEW CONST. DWEWNO OCCUP. SO
OR ADDNS. ( & ACC. MOS. 3.50FT.
REST MULTI.OUTLET @7,50
NoD
POWER AFPARATUS
a SINGLE OurLEr CIR.
OUTLET OR FIXTURES 20 p I.00
Ex. OccuBAL o .50
Ex. Occup. DFlx�e P(R o�
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HA2.
D. FEES IMP
I FLOOD
I COF
PARCEL
Po
HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated ve for which fe ve
By
PERMIT EXPIRES O
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY•AS ESSOR PINK -INSPECTOR GOLDEN APP
PERMIT NUMBER _ B 2795-72B,P,E2
P
E
Y
PERMIT EXPIRES
owNER Vernon I. Berg
� CONTR:. owner
:
LOCATION (A. P. 39-/.4-16
w/s Cessna Ave-. app. 200' so. of Hagen Ln., Chic
DATE REMARKS OR CORRECTIONS
3-13--73 C4. l o -a
'i
COUNTY OF
BUTTE
i+ n
A-
Department?. of Public.
Works
t
BUILDING INSPECTION:
RECORD
4i�/ear�✓c,
Zoning
Setback �� S '� Z
J
Forms S�
Foundation T� `Z-
Piers &Girders / -
::2�
Fireplace"/;'o'
Rgh. Plumbing - = %;�
Bond Beam
Lath & Plaster 5017-
Rein. Steel
Gas Piping &, Test
-7
Found. Vents '
Framing _, �--�
Pim o
g. Tpout- 2�
-'% 3,
Rough EIec. 2 -
Wtr. Htr. -)-n 73
Furnace - ZQ ^
7
Kitchen Vent 4 - ---71?
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary OQ�tr -7
Temporary
Cert. of Occup.
Final 4 - �-� ' ::2
z.
Final L - i'Q
7
Final
DATE REMARKS OR CORRECTIONS
3-13--73 C4. l o -a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Orovi.We, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
9.s=7a
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date -AA
'Signature
^Qof Permitee or Agent
Receipt No.T� —
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions 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 fa /� -.77--
Building Permit Expires DatelO /A-73
BUILDING
SQ. FT. OCC. BUILDING UILDING VALUATION
Mailing Address O�
-Z
c�
Fireplace 7p0 a
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
$
$
Building Address ((/
PLUMBING
No.
@
FEE
PERMIT FILING FEE J$2.00
Each Trap O 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent L 1.50 1J-(>
A. P. Ao. 3 —
Zoning
Gas piping system 1 - 5 outlets
1.50
3'0
Each additional outlet .50
Fire Zone
Fire Dept. _
Planning
Building sewer 5.00
Plans `_�
Fees 4---
W. C. R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
$
$�
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00 02
Main service incl. 1 meter 0do
Additional meters, each
1.00
Sub -panel (12 or le ore than 1 1_,5
USE OF STRUCTURE Single Family Q'Duplex ❑ Others ❑
Range, dryer or water heater 1.00
0Wn, Coe*fop or space heater
1.00
2-
Light fixtures 2bal fall 0 5% a
R s., svk6fles & f i x tbhl et ,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, ga . disp. or W. 1.00 7_� p8
Air conditioner or heat pump3 i w 2, v0
Water pump 1.00
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I 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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00 3 �"
Heating Oma,
Cooling
Ventilation
Fee r bQ, ' a
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
SSPermit
Insu menta ttiontr__n a Motion $0.07/$1000 Evaluation
Is lo t, C,
TOTAL PERMIT FEE
$ Z.O$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date -AA
'Signature
^Qof Permitee or Agent
Receipt No.T� —
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions 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 fa /� -.77--
Building Permit Expires DatelO /A-73