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HomeMy WebLinkAbout039-440-0169 r ,I. 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 . 4.,.., sr— .�^V:xtw�vfi++a+�vwe+a«;mrl,.'"Nn!V+,IYlls�•5 :�Cti� YZiMgni x^3.1!,7 V 039-440-016 p _ ! 0 2315 SMITH, PERRY 756 CESSNA AVE. CMCO' , y CONTR: BAIRD ROOFING CO: • RE—ROOF SHAKE TO COMP • j N x r: I • i 1 'I J i .r If .j I+ I� n i II l d i u II , it ,t .i . 4.,.., sr— .�^V:xtw�vfi++a+�vwe+a«;mrl,.'"Nn!V+,IYlls�•5 :�Cti� YZiMgni x^3.1!,7 V 039-440-016 p _ ! 0 2315 SMITH, PERRY 756 CESSNA AVE. CMCO' , y CONTR: BAIRD ROOFING CO: • RE—ROOF SHAKE TO COMP • j N 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