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HomeMy WebLinkAbout042-170-0730 t 42-17-73 rEdq..an SaC� amento Ave ,300'W.of Muir Av)-,comit 19�p,E,M(ne using e family) " Y: � IIyy Contr; Servamatic Solar System; Chico �' i 7=82P,E solar water 'Lr)SF�Gh���. 042-170-073' 02-2 BURALLI, ROY - Fi9►LED 2959 W. SACRAMENTO, CONT. RRR ROOFING RE -ROOF 3 _ *� s 9 I".��Y�� i ' • r PERMIT NO. 819-77B, P,E,M PERMIT EXPIRES Xzp0 OWNER ED LOGAN CONTR. owner a LOCATION IA.P. 42-17-73 SIS Sacramento Ave, 300' W of Muir Ave, 3. Chico 11 f 40, Temp. Power Pole } Called PG&E . Temp. Elec. Serv.%�2� Called PG&E Temp. . Gas Se Ca IedG& E . /NA t (Date) (Signatur COUNTY"OF-BUTTE — DEPARTMENT OF PUBLIC WORKS , w BUILDING INSPECTION RECORD Footings structure I I Temp. Gas Slab Final BUILDING BUILD N (Cok'd) PLUMBING Setback Final Firewall '� R— Soil Piping Forms —/:z ? Parapets 1st Floor %n Bldg. Final Restroom Finish Fixtures 2nd Floor. footings — Z-- % Windows 3rd Floor Stemwal) -- 2 —77 Siding To out ' Slab Roof Sheathin — 1 —_:7 Water Pi In _� Piers 7% Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l I Garage Vents Insulation Water Htr. Heaters Slab L .- Gr Carport Prov. for ph sically handica ed Conformance of e . Appliances Gas Piping & Test Footings structure I I Temp. Gas Slab Final Z Sanitation Patio FIREPLACE Final Footings Footin ( - — 77 ELECTRICAL Masonry Walls Throat Rough , Reinf. Steel .. Final Z 4V Fixtures Bond Beam _ FIRE SPRINKLERS Motors i N Framing ° ;41 to l Test r Water Htr. Stucco Final Sub anels Mesh y -i 7 MECHANICAL Gird. Fault Prot. 7 le r2 Scratch Heating Service , Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Penn nent Z Door Closer Final I Fin &12- M BILEHOME UtiLITI .MOBILEHOMEUTILITIES------------- ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E ME INSTA LATI N - - - - - - - - - - - - - Support Elec. Continuity Water PipingDrainage Gas Piping DATE REMARKS OR CORRECTIONS_ CJ zcj loon 4 I EA� 7-;7- �7 7 3 00,( 714 �^'�v»j1D4^f�Os•...l.:p...•+earrv�.:a}issr,,......ssrrrr.�.a.;.y�...r.ria�c+w+..,'�w.•Y,rrev�d,...ti Wim,-. .y, a.+�«.��. �,. R,cy ..,., TZ, I , d a. ! ,r ,r COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. (t `� () 1, ASSESSOR PARCEL NUMBER Il 7 - / -7 — 7 ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S` AME J TELEPHONE �9` `,. .iv,7,f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER � % ,/ It _n, _'"')aim 1.. ' UNKNOWN Q Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS a ,kS,.­2 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 11( .V lx. • Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 FilingFee Trap 2.00 Repair drainage or vent piping 5.00 11 L Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./DWELLING OCCUP.d) OR ADDNS. \ ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -Q 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. J ;oo l I' t� Classification ' ❑ 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 CONSTR 1 -OUTLET 2.5Oea NON.R ESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. / Ex.Occup OUTLETS OR FIXTURES a �� FIXED APPLNs. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 75" Permit Fee $ / Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ',.❑ The permit is for $100.00 (valuation) or less. 0 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 County of 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. i * X Date Signature of Applicant — Owner ❑ Contractor ElAgentwork 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 $ TOTAL PERMIT FEE $ 1,17 ,l7 .1d OCCUP. GROUP I TYPE OF CONST, I PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which .DI R_ ECTOR OF PUBLIC f ) By , , � •;,y .. �-- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r , { .� ( Receipt No. L t V ) -� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT +J COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. � 0 0 � -_yZ_ ASSESSOR PARCEL NUMBER — —7 . ZONING . BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SAILING ADDRESS CONTRA TO AME TELEPHONE CO TRACTOR'S MAILING ADDR S Fireplace CZyRTTFTUcTION L DER f/ ,t W UNKNOWN $ Total Valuation110, Filing Fee $ 10,00 LE DER'S MAILING ADDRESS Permit Fee $ ARC HITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARC ITECT OR ENGINEER'S MAILING ADDRESS ` Permit fee $ BUILDADDRESS � o a• PLUMBING PERMIT Filing Fee 10.00 ut 21�,Repair Each Trap 2.00 drainage or vent piping 5.00 Ckt L-0. Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ R ode Utilities Instal ,at' n ❑ Other ❑ Describe work: elL�� f� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.5i) OR ADDNS. ACC. BLDGS. 2Q, sq ft 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 a d effect. License No. +3 ��yL_ Classification C ❑ 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 CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6\ NON.RESID, SINGLE OUTLET CIR, 1 Ex. Occup OUTLETS OR FIXTURES BAL21 fr IXED APPLNS. OR EX. QCCup.i.UTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 —70 Permit Fee $ Contractor MECHANICAL PERMIT Filirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): NThe 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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, indemnify and keep harmless the County of Butte against all Iiab' 'ties, judgments, costs, and expenses which may in any way accrue in agaaid ounty in nsequence of the granting of this perm't. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ V 7 occUP. GROUP I TYPE OF CONST. PARCEL PD HD ISeuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I ECTOR OF PUBLIC n _ By """' - PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D e &I eipt No. �j �e - rReE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Uroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT 9_77 auuwllcv Iupleaeniailves UI the bounty of Butte to enter upon the above-mentioned propert for inspection purposes. a-wl_ Date 2 —22 -17 P�Signat�urefrmitee o Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -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 QtrP�1BLIC WORKS BYf ��✓ Dc1Le -< a- ? % Bolding permit expires Date ��p— �� BUILDING Owner �� SO. FT. OCC. BUILDING VALUATION D7 Z;Ur . Mailing Address ^6 -m©,-,s 41MT' 6 Tele honeNo.� Fireplace 7 0 - Contractor 0 LL) /V 10 , Total Valuation 3Po�/ Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ / - Building Address S C/z qpn o nn, put, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3v Q w /%I u /0-+ ,q Lig Each Trap 1.50 '- CRepair �T drainage or vent piping 1.50 ming .V.erificafion ni Water piping 1.5p Each gas water heater or vent 1.50 A. P. No. - /7— 7-3. / Yln AD,,, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ' Wt. I a on' Fire Dept. Fire one Use Permit Building sewer 5.00 arkinEQA PPlans Declaration Parcel Map 60' R/W I�mpro�vements Lawn sprinkler system 2.00 Bldg. P ans Recd arcel Approval Plans�ApprovaI Permit Fee $ y $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST *LING 0 OR ADDNS. ( DWEACCLBLDGS t) 2¢sgft 5 NEW CONST R. (MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RESID, SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)@SC BAL�1 Ex. Occu / FIXED APPLNS, OR p•(OUT LETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ I 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.1 @ I FEEPERMIT FILING FEE J$3.00 8- Heating ,`L V I -N �'— Cooling 7—• 7 Ventilation Hood 2.00 Permit Fee $ $ � 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 f4 N 0 TOTAL PERMIT FEE e.� z10 S auuwllcv Iupleaeniailves UI the bounty of Butte to enter upon the above-mentioned propert for inspection purposes. a-wl_ Date 2 —22 -17 P�Signat�urefrmitee o Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -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 QtrP�1BLIC WORKS BYf ��✓ Dc1Le -< a- ? % Bolding permit expires Date ��p— �� OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC: ONLY) Bldg. Permit # &1L A.P. # -7-Z A. GENERAL 1. Zoning requirements (sideyards and parking). 2. Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbacks; sideyards, easements, etc.' 3. Other buildings or structures. 4. Grading, fills, drainage. C. FLOOR PLAN 1. Complete to scale plan with dimensions.' 2. Required windows for light and ventilation (Sec. 1405).' 3. Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements (20% max. per..State law).," 5. Human impact glass (Sec. 5406)! 6. Required room sizes, ceiling heights (Sec. 1407).w 7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).' 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10.• Garage firewall, door size, and closer (Sec. 503(d)(4)). 11. 1 - 3'0" exterior exit door (Sec. MOM) .'� 12.. Fireplace location. 13. Smoke detectors (sec. 1413). D. STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building." 2. Floor construction details complete enough to construct building.- c> uilding. - 3. Elevations and wall construction details complete enough to construct building.' - 4. Roof construction details complete enough to construct building. - 5.. Fireplace construction details and talcs if over one-story in height.r- 6. Sufficient data and details to satisfy energy insulation requirements (State law)." E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. CCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 330.5).>&. 3. Guardrail details (Sec. 1716).-A 4. Brick or stone veneer (Chapter 30)K 5. Exterior plaster - we screeds (Sec. 4706 & 4708):4 6. Proper roof pitch for roof covering (Chapter 32).- 7. Rafter ties or -bearing ridge beam. - 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Living area over garage - complete 1 -hour separation walls and posts, etc., - 11. Two (2) exits on three-story dwellings (Sec.. 3302):v- re 302) k required including.supporting r � f 042-17M73"' 02-2533 BURALLI, ROY' 2959 W!SACRAMENTO, CHICO CONT:` RRRROOFING RE -ROOF L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (.'4? (Rev. 12/96) APPLICATION AND PERMIT C ASSESSOR PARCELNUMB )L _ 3 71G BUILDINGPERMIT OWNER TELEPHONE P� SO. FT. OCC. BUILDING VALUATION ` -29 90 •6 OWN S LIDRESS COM OR'�S�WM \ ` J //` lV C TE HONE / CO O 5 MAILING ESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 1/ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �� -o V ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - r �C"r Energy Plan Checking Fee $ 1159 PERMIT FEE S444 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 12` Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Re el ❑'Utilities d❑ Installation ❑ Other ❑ Describe Work: � Lip Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 obile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LE 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.POWER l-_ 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 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 t 46.00 WEE200A NEW CONST. DWELL -1G OCCUP. U OR ADDNS. a ACC. BLDS. SO 3.5ttFr. =R.,MULTI.OUTLET 97,50 APPARATUS a SINGLE OIm.ET CR. EX. OCCU OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. o�iETs R D°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. QL 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 worker ' compensation insurance carrier and policy number are: Carrier 0A h - r�A I F -I /f I 'le, !, c (r1 ✓�'�r f: -i Policy Number -) u!1 ) (:meq 1" 2 1 (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 l . ( 1r' ( / )1� Date tl 1 (� + I' t Signature of Applicant - ❑ Owner ❑ Contractor P!� 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 $ j c TYPE A TOTAL FEE $. UO HA D, E MP FLOOD CDF PARCELPD HD IS UE This permit is hereby issued under of the Butte County Code and/or indicat above for which fees have By i1Q� 1!: f --�.4 C lr-a PERMIT EXPIRES ON (f I the applicable provisions Resolutions to do work been paid. Date ? _ - Date Receipt No.O..eu+41- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V'` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ®� -NO.-� (Rev. 12/96) APPLICATION AND PERMIT C 9 ASSESSOR PARCEL NUMB _ zON G— BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION ' 00 . OWN 5 LI DijESS \^' t J COM OR' M „7 / TELEPHONE O 5 MAILING ESS rL COT'77?;. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ roo ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ a"I 15 PERMIT FEE $ a4f LOT NO. SUBD—IOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ RKr4 el ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: P, E I-- Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S' ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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 C' m Lic. No. i��� 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 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 WORKERS' COMPENSATION DECLARATION 'I 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 workcp' c mpen ation insurance carrier and p I'cy number are: Carrier N �Y1 t C Policy Number (The above sections nee 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. nI i�l�� X �_� Date "I Signature of Applicant - ❑ Owner ❑ 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 +000A 46.00 NEW CONST. DWEWNG OCCUR SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT, NON.FESID. MULTI.OUTLET 97.50 APPARATUS 8SINGLE OUfIEr CI R. 20 TL Ex. Occup. OUET OR FIXTURES BAL @'. 0 Ex. Occup. OUTIEtDfB RES,6.) Eq 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 $ 2oc -TYPE-M,TOTAL FEE $ '44-00 H4 D. IMP I FLOOD I CDF PARCEL PD HD UE This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work indicat d above for which fees have been paid. By Date�� PERMIT EXPIRES ON f ld y_ Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JaS0100INQ.- Main Assessor Name 1BURALLI ROY S & J U DY (CB DVA) Asmt # 1042-170-073-000 Fee # 042-1 70-073-000 Status JACTIVE Status Date Addr112959 SACRAD E N T 0 AMIE Tax[00-0 NORMAL OWNERSHIP TRA1062-022 Addr2 CH I CO CA 95973 S itus 12959 W SACRAM E N T 0 AVE CH I CO Addr3j Base D t 104/21/2000 Addr4 Land 67,626 � Timber Preserve 114.14444kruckure 114x444 � AgPres " Comments14217007300 CONVERTED 09/08/88 E tal Fixtures 0 Creaking D oc# 1974R 1933121 Dake � N otos O raving 0 Current D oc# 200OR 0014470 Date[6-4/21 /2000 � Bonds Total LSI 182,070 0 KillingDoc# Date Fix. R F multi Situs 0 Flag1 MH PP Asmt D esc 2959 W SACRAM E N T 0� S uplCnt Flagg PP 0 Zoning jA10 Dwell — 910 MH Exempt 7,000 Acres/S g Ft 10.66 � N /C 042 Asmt PP Ren Net 175,070 Tax PP Pen RSC# Appeal Pending T /R D k F Split Pending R /C S tat P11Y OWN EXP TAX H H N ATT SIT I APR PCL �'� Find - Alm?