HomeMy WebLinkAbout041-620-004rd
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CASA SIERRA DEL SOL, PARADISE
MISG W IR114G FOR GENERAT
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5
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California, 95965 • Telephon (530) 538-7541 PE•-ZITNO(Rev.12/96) APPLICATION�AND PERMIT i� ��_"""
ASSESSOR PARCEL NUMBER I'%)I �. (�-"1�
ZONING
BUILDING PERMIT
OWNER �� (Ct (�c1 el r�h.P
T H�o.�t
-�
SO. FT. OCC. BUILDING VALUATION
.OWN' MAflJ1 C'ADORESS� � I'' �It�, )L,- I C_> 1 )�• j
G 111,,,...///1 1 h4ff
CONTRACTOR'S_ r.
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER -
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS •
Plan Checking Fee
$
•�
BUILDING ADDRESS I r (! J +
Energy Plan Checking Fee
$
r l� rl f sc—
PERMIT FEE
S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK /
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Ter Cal/
Describe Work: r t E �C- 1 I if 1 � }�
,D/rk(,Ie-- U p ) I r
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200AORLESS
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 force and effect.
License Class Lic. No.
..00
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
1, 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
I hereby affirm under penalty of perjury one of the following declarations:
0 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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(Che above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
JKnot 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.
"�` t �- ,
X f �'/rt6l�f!' r..,,,�s'r.y _ Date �_; ' (` w ��
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
t
Main Service zooA To L000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( 8 ADC. BLD S. 3.5¢FT.
�N N.RO.ID MULTI.0, @7,50
PON1ER APPARATUS
8 SINGLE OUTLET CIR.
20
EX. Occup. OUTLET OR FIXTURES BAL p 1.50
FIXED APP LNS- OR
Ex. Occup. ..RESID. Ea
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating -
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE u
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
COF
PARCEL
PO
HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
/ --ki r
C �
By !
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
2- V - e3
Date r
Date
Receipt No. J �'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR' - GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-j 7 County Center Drive • Oroville, California 95965 • Telephon (530) 5 8-7541 PnT(Rev.12/96) APPLICATION AND PERMIT L
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNERi
�p
T�"L°E�
SO. FT. OCC. BUILDING VALUATION
KE
.OWN U SS (� j
CONTRAC 'S M TELEP E
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERMAILING ADDRESS
S
Plan Checking Fee $
BUILDING ADDRESS ! �P l� DO )il
Energy Plan Checking Fee $
( O`er$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
sPECIFv
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 U,_
Describe Work: ( e W 1 6 Ay -:-
Ci
L= Z
Gas piping stem 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
600VOR LE
Main Service p 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 force and effect.POWER
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 following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
o will do the work, and the structure is not intended or offered for sale.
Jlj 1, 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 POOR TO 46.00so
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ACC. S.3.50FT.
NpµR61D. T. MULTI -OUTLET @7,50
APPARATUS
a SINGLE OUTLET CI R.
20
OUTLET OR FDTTURES 9'-0O
EX. OCCU BAL. sa
Ex. Occup. oLITELEDTSA Ao ° E,._ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 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.
❑ 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:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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.-
Xi�rp�/�Lf_� Date r- 4-40
Signature of Applicant - ❑ CWhr ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ';�_L
HAZ.
p -FEES IMP
FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic d above fo w is fees have been paid.
t'
By Date
PERMIT EXPIRES ON ��-- /
ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
u
041'620-q 03-0364
8 SADDLE,;
CASA SIERRA DEL .SOL, PAROISE.'
MISC., WIRING FOR GENERAT
21,
k
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION'
7 County Center Drive • Oroville, California 95965 • Telephone;G530) 5 8-7541 ER NO
(Rev. 12/96) APPLICATION AND PERMIT C/ -
ASSESSOR PARCEL NUMBER�� +�,L� . aD
ZONING
BUILDINGPERMIT
1
OWNER GL ' f#' B
J(� �q -
� IKl
`�• ` j_
SO. FT. OCC. BUILDING VALUATION
. OWNERS V R
IC,I`.�..`TjEUSHONIE)
\{��y
y� 7 1,49/r lit S
CONTRACTOR'S NAME �A � jP j//
TELEPHONE
CONTRACTOR'S MAIUNG ADDRESS
CONSTRUCTION LENDER _
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS �� �(
Sct
Energy Plan Checking Fee $
$
W11 L I
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20..00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodels❑ Utilities, '❑ Installation 0 Other '❑ I
Describe Work: Y 4'i i J` ►��✓ (/ f r7 " 1 (0/0
fM p
ti �� l �'L ✓�i�
Gas piping systern 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
i
PERMIT FEE $
Y
ELECTRICAL PERMIT
Filing Fee 20:00
eoov OR XEss
Main Service .0AORLESS
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 force and effect.
License Class Lic. No. _
" -
4 jOWNER-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
Main Service To i000A
46.00
W:.200A
NEW CONST. DWEWNG OCCUP.
OR ADDNS. a Acc. BLDs.
� SO
3:50Fr:
NON -R CONS MULTI-OUTCUITS LET
@7.50
EWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES Y-__...
I
BAL .soFIXED
APPLNs. OR
Ex. Occup. O.FIXED
EA
5.00.
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23'
PERMIT FEE $
l�7
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' compensation insurance carrier and policy number are:
Carrier
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 permit is for work of a valuation
Vof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
Pnot 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 //,a..x,l /,nX�ii-r'•�1`��\ Date `f "
�- ntractor ❑Agent
Signature of Applicant - ❑Owner Sc.
An OSHA permit is required for a a ori oyer 60" deep and demolition or construction
of structures over 3 stories in height. `
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.D.
FEES
IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte Coun Code and/or Resolutions to do work
indicated, above for which feeshavebeen paid.
/ 2
By V Date
PERMIT EXPIRES: ON �-
Date
Receipt No. r07 4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK=INSPECTOR GOLDENROD -APPLICANT
F
`- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINg DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone 1530) 5 -7541 014
(Rev. 12/96) APPLICATION AND PERMIT
AS SESSOR PARCEL NUMBER '
U
1I /1 ¢"� ZONING
v�
BUILDINGPERMIT
OWNER I�B/VA"J
I'G •
ELEPHONE
'
SQ. FT. OCC. BUILDING VALUATION
. OWNERS Ir
, � 'V
v
17
CONTRACTOR'S NAME DI -p A
'
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
'
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS k6oi, ` V •%!_Energy
Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O OtF�er
Describe Work: /� J� W ff,' ti�i� /
UY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS IG 1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.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 force and effect.PSING
License Class Lic. No.
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 astheir 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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) '
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 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 Date ��
Signature of Applicant - ❑ Own Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. a AOC. S. 3.5¢FT;
ULTI.O@7,50
1NJ0I}galp. ='_O,
a U
E 0ll OWERLAPPARATuCIR.s
20 ° 1.00
Ex. Occup. DURST OR FIXTURES BAL. @ .50
OFIA
Ex. Occup. onxuT,E�°�Aa )
RE
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00 23, QJ
PERMIT FEE $ -00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ - O
HAZ.
I D. FEES
IMP
I FLOOD
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
Co and/or Resolutions to do work
Of the BuLvef
indicatedh' h ees av been paid.
By Date t� /
PERMIT EXPIRES ON <2.,&� D /
Dats
Receipt No. 730- Z577 '30
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT