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HomeMy WebLinkAbout042-160-001C. DROBNY 42-16-01 ''�... 2604 W. Sacramen'totAve, Chic. Contr: R..T. Electric 1113 1 PErmit#4052 87E(elec ser ch�/SF) - 042-16,0-001Iry PERMIT#5=21J-A".DROBNY C-'2604 ,W Sacramento Ave. „Chico `Cont; RRR_RoofingReroof/SF •: ,t o f t . f F, COUNTY OF OF BUTTE: DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7-.Couhty•"Center Drive - Oroville, California 95965--. Telephone (916),538-7541 PERMIT NO. APPLICATI0WAKE) PERMIT ASS !-"S�Sr�ORPAT0ELt{UM-BER.1 ,� ZONING BUILDING PERMIT 'NE"rObny, CC:♦J 1 T81:",T2-8086 30, FT, OCC. BUILDING VALUATION °WN76=11V'Ssascremento, Ave-,--, Chico 7 CO"i,U pioME- in • ♦ TELEPHONE CONTRACTORS MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS • Energy Plan Checking Fee $ Penalty $ SUILDINGADDRESS 2604 W. Sacramento Ave., Chico PERMITFEE $ IOU ` PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISDN'S NAME A PARCEL, MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF [q;XDuplex ❑ Mobilehome ❑ Other t. SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ` TYPE OF WORK - � New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 29R reroof 7 a coil M-1 Describe Work: Q Mobile Home . S G W @20.00 PERMITFEE 4 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 ' - a OR LESS Main Service ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 - I LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 with Section 7000 of Division 3 of the Business and Professions Code, (commencing ) and my license i��srrin full force and effect. // License Class (1 �S Lic. No. 655.5-S0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( 8 ACC. BUDS. ) 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS ' ( 8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) Q 1.50 BAI so EX. Occup. OUTLEEDTS (FI S D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance,of the work for which this permit is issued, I shall not employ any person in any_ manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers ;compensation provisions of se tion 3700 of the Labor Code, I shall forthwiK/comply with t. ose provisions. X (/- �,,. -��Date Signature of Applliieant - ❑ Owr TZontractor ❑ Agent An OSHA permit,irequired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee '$ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 35.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. `, y B /` C�..1? `, Date 9/6/95 PFRMITEXPIRESON T 9/6/96 (Date) Receipt No. ' 5L12 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT &I I 042-160-001 PERMIT#95-2155 DROBNY,'C. 2604 W Sacram6nto Ave., Chico 'Cont; RRR Roofing Reroof/SF 1i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville,: `Caliibrnia 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT N AssOLATV ZONING BU I LD I NG P ERM IT Wgrobny, C. T"4N" —8086 SQ. FT. OCC. BUILDING VALUATION °WN MJADD acramento Ave., Chico 7 60 2 ' CO R'$, NAM " lxooting TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2604 W. Sacramento Ave., Chico 35.00 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑kxDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other ®% Describe Work: reroof 7 sq Comp t4-1 Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS 1 23.00 Main Service ( 200A 7O 1000A ) 46.00 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 1 In full force and effect. 6555-10 License Class I No. C.�+SS `� " JS v 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. ❑ 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 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 NEW CONST. DWELLING OCCUR so, OR ADDNS. ( & ACC. BLAS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 Ex. Occup. OUTLEE°TS(RESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe 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' ompensation prow ions of se ion 700 of the Labor Code, I shall forthw' comply with ose rovisionS. X Date Si ature of A pli ant - ❑ Owner Contractor ❑ Agent An OSHA perm. • required for excavations over 5'0" deep and demolition or constructionlAgI of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE I TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. B Date 9/6/95 PERMITEXPIRESON I9F 9/6/96 (Date) Receipt No. loo5q7_3 WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t OFFICE COPY Address ------------ 6AS Date ICq Meter:By- ELECTR Meter By, Date I ' JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC .WORKS \ 9. M 7 County Center Drive - Oroville, Califor`Wa 95965 - Telephone: 916/538-7541 �Z /; PERMIT NO. r� Or APPLICATIQN_AN6-PERMIT ' • (' ASSESSOR PARCEL NUMBER ; _ _ ZONING_ .� BUILDING PERMIT OWNER, , r TELEPHONESO. FT. -OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRAGTOR'S'NAME TELEPHONE ' CONTRACTOR'5 MAILING ADDRESS Fireplace CONSTRUCTION LENDER` UNKNOWN 'Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. . Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �""��� - Each Trap 2.00 I 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 j SF;Z Duplex❑ Mobilehome❑ Other } SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.0 ea TYPE OF WORK } New ❑ Addition ❑ Remodel ❑ Uttiillitties ❑ Instal lation❑ #Other ❑ � u� Describe work: ��✓� l�^"�� i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 y' , U Main -service EA. ADD'L 100 AMP 2.50 fj CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q", am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in full force and effect. License No. •��� Classification(' i M FlI, 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.6d) OR ADDNS. ACC. BLDGS. / ,h2sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS.) POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES SALO 30 FIXED P Ex. Occup. OUTLETS (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc,. Wiring _ 15.00 ermlt 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. ©�-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, yo'u'must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor .- I certify that I have read this 'applicatiori 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, authonze representatives of the Countyot 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 said County in consequence of the granting of this permit. '- N r' X j f ��-� �� j �� (� +�`"��� Date % I�r� �� Signature of Applicant — Owner El 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPc SCHOOL PLDOo PARCEL PD ND 139UE This permit is hereby issued under sions of •the Butte County Code and/or work, indicated above for which .DIRECTOR OF PUBLIC B �(E+fiV \ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_2/ /)/—C EX ­5 7 Receipt No. �%� WNITL-D. P. W.. •ilio W-AeeleeO R, PINK -IN SP CCTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMtT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT ASSESSO ARCEL MBER _ > zo"' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILI G ADDRESS 1 CON A R'S —E TELEP CO RACTOR'S MAILING ADDRESS 9- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 SFZ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut• ities ❑ installation[] Other ❑ Describe work: r��—��C�' O� P / • I Permit Fee $ Contractor ELECTRICAL PERMIT FilfngFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 . Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW r I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' s ode and y license is in f II force d effect. a. License No. Classification 1 ❑ 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.y) +/zQsgft OR ADDNS. ACC. SLOGS. NEW CONSTR. U TI.OUTLET RA C CIRCU TSJ2.50 ea ON.RESID BRANCH POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES eAL930 Ex. Occup. OUTLETS FIXED P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 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 Filing Fee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �24��oeQ,^1 V t Date �.2c�o2�! Signature of Applicant — Owner ❑ Contractor �A9ent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.17 Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPIJ SCHOOL FLOOOJPARCELJ P11 ND ssuE si permit is hereby Issued under sions a Butte ounty Code and/or wor ind' :ted at a for which TGR OF PUBLIC By PERMIT EXPIRES Date the applicable to doX resolutions to do fees have been paid. WORKS Date V b� 8 Receipt No. 6"Za 74S7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPECTOR,aOLDlNROD-AP►LICANT 4 " COUNTY OF BUTTE - DEPARTMENT_ OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 1 / i PERMIT APPkIATfQN DATA SHEET Permit No. OWNER �/� D,f� �y �. `- A. P. No. Pw"X6 - Proposed Building Use ��� C�/Q� Building Inspector Date �7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. OZZ/1111 4�1_ 18. 19. 20. All items have been submitted. . . . . . . . . . Plot plans in duplicate/triplicate, signed by preparer of plans. . Complete plans in duplicate/triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings, . Fees of $ . . . . . . . . Letter of signature authorization. . . . . . . . Sanitation approval from _ Health Dept. . . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . Pre-Insperequest to Pre -Inspection for __ - _ .__ ._...._. _Required. Building Inspector .y Recorded copy of Agricultural Acknowledgment Statement. G �� Driveway Permit, — ,Plot plan approval from city of —21. — - —22. — — -- When you issue the permit, process as follows: Mail to -owner. �iI to contractor- - Telephone and hold for pickup 4 fice, Deliver w/inspector. Other Applicant WV" td /$15( te Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone_—Mail counter by Contractor, designer, owner, was advised c? above required data by—phone—mail ' counter by Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder date date Date