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Home My WebLink About059-087-007SIDING WITHOUT -PERMIT 3/22/93 '0,1 Re S a /ve,aC/ All ;;o/93 059=087-007 4 9�B /^� SAKSCHEWSKI, HERBERT 7 .40 e7* 06 �` N 17189 MANZANITA, STIRLING CITY SIDING/SHED_ - 059-08-7-007 9` 3-780 B ! SAKSHEWSKI, HERBERT R.ODRIGUES, John 459-66B* /.44-66B 17189 MANZANITA, STIRLING CITY -_389-66P* REROOF WOODSHED 3 7� 59_087_7 0 PERMIT#Q4-14358,11319 701 Manzanita, Stirling City 059-087-007 (reroof main part of house) SAKSCHEWSKI, HERBERT S`%%��I ITY y CONTR: Paradise Weatherproofing, 7816 sl j, 17189 MANZANITA ST. , (*TYPE A FLUE) Paz'ad:,``'z' REPAIR TERMITE DAMAGE/SF ( ONTR: Collins Sheet Metal, Paradise) 5 r OP I- 0 F 1 N .r v-s^a �'. K.x: :`.•. .�.,r"-)YVC:•. . - 3'•i3. _ .r y. . }:.q yij.irt=r YiF'c.+-p.'s?. �'ti,., i .4.v tiii..`v. �.rl.^'•v+. -.... r ,tY "�- r•{I '�u4a. s..k `+ "y -:059-087-007 PERMIT#94-1435 SAKSCHEWSKI, HERBERT 17189 MANZANITA ST.; STIRLING CITY REPAIR TERMITE DAMAGE/SF S/.--, - s 19 e c COUNTY OF BUTTE - DEPARTMENT 9V DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, ;California 95965 - Telephone (916) 538-7541 f — ?IM IT N0. APPLICATION MD PERMIT 7 Ass"M 05626 7'--007 1 ZONING BUILDING PERMIT OWNERTELEPHONE HERBERT SAKSCMSKI 415 471-4334 SQ. FT. OCC. BUILDING VALUATION st 10,0 00 OWNER'S MAILING ADDRESS 2325 Gramercy Union City CA •,, ; CONTRACTNAOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NA � UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS !' Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHfdTvttA.T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17189 Manzanita Street Stirling City PERMIT FEE $ 137.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCELMAP Each gas water heater or vent 15.00 USE OF STRUCTURE i t I SF M Duplex O Mobilehome ❑ . Other , SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S-1 G I W 1 @20.00 TYPE OF WORK•) New ❑ Addition ❑ Remodel(j(Utilities ❑ Iristallation ElOther ❑ Describe Work: Re air of Termite damage � PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 + Main Service ( 111V OR LESS 2ODA 0RLESS ) 23.00 Main Service ( 2OOAT0I000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. SLOS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ? License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET ( BRANCH CIRCUITS ) @7.50 _NON.RESID. POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): , ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 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. X*dA�e ai- Cd�eQ/l Date .J / �! / Signature of Applicant ❑Owner ❑Contractor O Agent i An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 137.00 HAZ• 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. ,�,, �.DIRECTOR OAF/PU,B�eL�IC WORKS �1 By /tT -1%__{/" Date �j PERMIT EXPIRES ON /�•j/ /- (Date) I Receipt No. 156404 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califoraia195965 - Telephone (916) 53 - 541 �Lr APPLICATIOWAND PERMIT %Z/-14�j N> ASSESSOR PARCEL NUMBER 059-08-7-007 ZONING U BUILDING PERMIT OWNER HERBERT SAKSCHEWSKI 415 TELEPHONE 471-4334 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2325 Gramercy Union City CA Est 10,000 CONTRACTNAOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 CONSTRUCTION LENDER NA UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIUX OR ENGINEER'S MAILING ADDRESS 11VV Penalty $ BUILDING ADDR 7 ESS Manzanita Street, Stirlingt PERMIT FEE $ 137.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF PX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remode[AXUtilities ❑ Installation ❑ Other 1:1 Describe Work: Repair of Termite damage PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLDS. ) 3.50 FrSO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW•ST. MULTI -OUTLET NON -R SLID. ( BRANCH C RCU ITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 1@ .50 "S. OR Ex. Occup. OUTLETS IFIXED APRESID.) EA. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 raanntiin of this permit. l; X�W f �j _ Date J / e 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. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEES 137.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PO HD Iss E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF_PUBLIC WORKS5r, BY PERMITEXPIRESON s (DA tel provisions to do work paid. v [� ate`�7 %� ReceiptNo. 156404 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �. .'a-�..�b!d�-•• a r .w'.rq lti �aq�' f• ....ia.t+�...'��y[lY,._�YwY�:�APaW'�`'+'.,""^." . 1 COUNTY OFA' BUftE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE SE�l��cla� wSkl Cit- t ci�5 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasepontact this office immediately. nn �, " C If 1 2ll,jrq 111Aj ' Date (o'- f 6 - w Inspector ) REV 11/91 - �.+♦-aw•��ra�.VGw`s �, .i j'�..ilr.ti+h;��"T.��+.'ria.+-'-lrr.-'-C^si�/" ^:��T� ti:1,it•`s`by.:,,f`li=•J>..,J�,.;��f+^:y.. 4. COUNTYOF BUTTE - DEPARTMENTO`FBE KOP�MENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER .S,4k5C14FWS1,1/. , HF'g8re-r A. P. No. OSq- 037-C)0% Proposed Building Use s - i - 7 l'i T- L, c r „r C Building Inspector (,-G Date 5- /q q c/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ✓/ DATE RECEIVED BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. V. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . Pre-Inspedion requeis 20. Pre -inspection for required. . to Bu;;d;ng inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. a Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :..:............... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and old or pic p at CA fZF- office .►� � Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.,_ Other Date By 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 _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building'Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address I Phone Type of Work Signed Prop( Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. +R:•.> " i=.'.. .i:�..'.�F . "s'.. Si ... ! a?' ` y^'r .:y e�..��...µ �.f.':'� `hrF t,x.< .. y „{. ^:yd�+.. :T: . i. 059-08-7-00793-780•.B' SAKSHEWSKI, HERBERT 17189 MANZANITA, STIRLING CITY REROOF WOODSHED i 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI6N AND PERMIT PERMIT NO. I WASSESSOR P R EL NUMBER 0597-007 ZONING ' U BUILDING PERMIT OWNER . Herbert kshewa_ki 41S TELEPHONE 471 334 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 2325 lv Union Cit 94587 CONTRACTOR'S NAME Ownor TELEPHONE ` CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee 1 $ 15,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS P mit fee $30.00 17189 1%nzanita, StIrling City PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. Z SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other WoMshed SPECIFY. - Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [] Describe work: Reroof w/metal Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 t Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW _ I declare under penalty Of perjury (check one): �.. t ❑ 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. 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 Profess ions'Code for this reason Main service 200'IrO1000A, 37.50 NEW CONST. DWELLING OCCU OR ADDNS. ACC. BLOGS. P.El1 3.64sq.ft. NEw CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2076 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check,one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of Califor la. Notice to Applicant: If after making �t, *�.s�-,!�att��eer�ent hould you become subject to the W. C. provisions of the Labor CiiAS3 aiY hw$t orthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor at the above information I certify that I have read this app lic I nd a��eintatives is correct. I agree to comply to all C t . ._in and State Laws relating to building construction, and hereby aut'ho ere of the Countyot Butte to enter upon the above-mentioned property 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�Af this permit. X V,4 _ , ' 45/,Fate•. / 'sions Signature of Applicant — Owner tom ' ontraC ctor LJ A9y�.vv'' An OSHAwork 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 $ occ cOSTYE TOTAL FEES $30.00 ' HAz I DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE j/` This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees , DIRECTOR OF PUBLIC By .1��. �' EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date %:.l>� - `- Receipt No.– WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 1. • APPLICATION. AND PERMIT PERMIT NO. v ASSESSOR PARCEL NUMBER 059-087-007 ZONING U BUILD NG PERMIT OWNER Herbert Sakshewski 415 TELEPHONE 471=4334 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS amerl Union Cit 94587 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 15.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $30.00 -A, Stirling City PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other Wnnd,-hed SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W 915.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X] Describe work: Reroof w/metal Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW penalty I declare under lt of p y perjury Iur y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. I 3.64sq.ft. NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. / EX. Occu Occup(OUTLETS OR FIXTURES 20 76 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C unty in consequence of he gr ting o this permit. X 6- I- e 3 9 — �� Signature of Applicant — Owner 9Contractor ❑ Agent ❑ An OSHA permitis required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation. Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 30.00 F1AZ DFEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY P EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 129772 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF D�V Lf)PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLFrC'A�LIFORNIA95965 -TELEPHONE (91,6)'538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use (,200 �J Building Inspector Date o? At timeof p it application, I was advised the following,,data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10.' Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19 Drivewa ermit (construction a roval re wired rior to occu anc ) Y P PP q P P Y 20. Pre -inspection for P`Bu"�8g Inspector p required. .. � Building (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ...... :.................................. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. •34. When you issue the permit, process as follows: Ma' to oyyn r. ' Mail to co Telephone and hold for pickup at !� Y� office. _ Other Parcel Creation Acreage Applicant ver with inspector. Date 3/� 9%93 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. i 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION "AND PERMIT ASSESSOR PARC. 7 NUMBEt ZONING S —01s _�0 BUILDING PERMIT \ r 'OWNER .1 IVO3 ` SO. FT. OCC. BUILDING VALUATION WNER'S MAILING ADDRESS 2 � 2 S �pZ f� U•r//Dil/C,�l-y . CONTE CT R' NA E� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER" UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ �! Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDR ss ermlt fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE//, SF [IDuplex❑ Mobilehome❑ Other JZ) & S SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 • TYPE OF WORK New Addition❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (Check One): am licensed under p ❑ provisions of Cha t. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification U 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 Main service 200A TO 1000A1 37.50 NEW CONST. DWELLING OCCUP.e! 3.64sq.lt. OR AC214 ACC. BLDGS. NEW CONSTR OUTLET NON.RESfD BRA C CIRC ITS @ 5•�0 APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 @ 76 ED ANS. Ex. Occup. ou LETSPIREStD IREA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor ify that I have read this application and state that the above information rect. I agree to comply to all County Ordinances and State Laws relating lding construction, and hereby authorize representatives of the Countyot to enter upon the above-mentioned property for inspection purposes. agree to save, indemnify and keep harmless the County of Butte against bilities, judgments, costs, and expenses which may in a way accr a Lagainst t said County in consequence of the granting of this permiI DateThis re of Applicant — Owner ❑ Contractor ❑ AgentHA permit is required for excavations over 5'0" deep and demolition or construct -work structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 3�• HAZ DFEES IMP FLOOD coF PARCEL PD HD IssuE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. a YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearipg your signature. Please complete and return this information at your earliest opportunity to avoid .unnecessary delay in processing and issuing your building permit. No building permit will be issued until this veri.ficat.ion .is ' received. 1. . T personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .2 plan to provide portions of this work, but I have hired the following person • to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but I_have contracted (hired). the following. persons to provide the work indicated: Name.' Address Phone Type of Work Signed: Property Owner Social Securi y Nu b r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the California Health and Safety -Code. This verification must be completed and returned to our office before we are per- mitted to issue.the permit. }itdf_' _ •-v+: �;` .'e:.:iu•^�r^�-i�." .� 7,i;�;,'e�;r .��;. �...� ,� i, f.,.� ,i ��. ,�� ^'w'�� - �tv: e'j7,.r�- Y�•� r - 1 ` v.'4s � ?l'^� . .. '.-' ` +ow' L : '4" r` �:."si.. _ "y j . ."�>J.. t W f �;.y 7[.• i t 059_ SAC 087-007 KS - -171.89 HEWSKI. v 4 SIDING NZANI TA RBS RT 93-758 B SHED TIRLING CITY 4r I COUNTY OF BUTTE.- DEPARTMENT,OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3-21" 7 .ne ASSESSOR PAR EL NUMBER 054'-087-007 ZONING U BUILDING PERMIT OWNER Herbert Sakschewski TELEPHONE 471-4334 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2325 Gramercy, Union City 94587 - 500.00 CONTRACTOR'S NAMETELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace II CONSTRUCTION LENDER UNKNOWN Total Valuation 1$550.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan,Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 84 Ma scattita St. StirlingCiti PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Woodshed SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 and effect. License No. 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 Main service 200A TO t000AI 37.50 NEW CONST. DWELLING OCCUP. �\ OR ADDNS. ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR.ULT'-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) (PO OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20 76 Ex. Occup. OUTLETS IPRESID )FIXED APLNSREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. 2" 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 musYforthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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, 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 th`eJgranting of this permit. _ X �� j Date 3 ^ Y Signature of Applicant — Owne�,U 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.IR Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County de and/or resolutions to do Work indicard�aborveorhich fees have been paid. CIO1Fi F PUBLIC WORKS By /2— Da�te.1110IV 7 PERMIT EXPIRES Date 3' Z y Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE , BUILDING DIVISION `1' DEPARTMENT OF DEVELOPMENT SERVICES ;~ 1469 Humboldt Road, Chico', CA - (916) 891-2751 7 County Center Drive, Orovzille, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 �--� CORRECTION` NOTICE, OWNER PERMIT NO. ; t A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office.when correction of work . is completed. If you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. - �l� lav/�i®lL/moi G �J�✓ a a o0 1,06 o% I V �. (�l Date i,�7� ` Inspector REV 10192 { t - r (�l Date i,�7� ` Inspector REV 10192 { / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0 KS 7 County Center Drive - Oroville, jcaliforn�a 95965 - Telephone: 916/538-7541 APPLICATLON AND PERMIT y1A i� PERMIT NO. � -3---7C5-9' ASSESSOR PARCEL NUMBERr 059-087-007 '` ZONING U BUILDING PERMIT OWNER Herbert Sakschewski TELE, -HONE 471-4334 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2325Gramerc Union Cit 94587 Est. 500.00 C O N T R A C T O R'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$500.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 15.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 17189 Manzanit-a St., Stirling Cit PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME --JPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[—] Mobilehome❑ Other Woodshed SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW 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 and effect. License No. Classification 19 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 Main service 200ATO1000A). 37.50 NEW CONST. DWELLING OCCUP.&) 3.54sq.ft.I OR ADDNS. ACC.BLDGS. WCOCONSTR U TOUTLT NO 11-R.R ESID ANCI- E H CIRC ITS @ 5.00 (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED.APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15. 00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Xainst said Co in conseque a of the granting of this permit. _ 2 Date 3 3 Signature of Applicant — Owner g 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County de and/or resolutions to do Work indicat bo e f • hich fees have been paid. F PUBLIC WORKS �J By PERMIT EXPIRES Date Z Receipt No. 129768 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COP NTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET ; OWNER S-aig;5cly) GSC/ _ �20 . Proposed Building Use / / //l„ Building Inspector Date 3 At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 7All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ..................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ................. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form. .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ; 10. Fees of $ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... / 14. Sanitation and plot plan approval Health Department . / 15. City of Chico plumbing permit . ................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ....... . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........ r 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. ...B.ilt 9 noWedo - (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............. 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization. ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . ...... 27. Letter of intent on building use. ' ....................... ............ 28. Mobilehome utility clearance ...... . 29. Documentation of legal access. .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ... t .......... 31. Existing violations/expired permits . .................................... . 32. Plan check list. 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. eliver with inspector. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 Counerby _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter,by _ Date Plans checked by Date Plans approved by a Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a 1 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive • Orovllle, California gws - Telephone: 916/638.7541 APPLICATION AND PERMIT A-55 cc AC NF - j — y BUILDING PERMIT OWNER NO,N SO. FT. OCC. BUILDING ALUATION OWN3aMA IN. ADDRESS A Y O CONT '. MON CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'$ MAILING ADDRESS Filing Fee ,$ 15.00 Permit Fee $ ARCHITECT 6A ENGINEER LICKNOM F40. Plan Checking Fee a Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS-- - Penalty BUILDING ADORE 3 /1/� �l/l i`�9 s T. Permit lee 30 PLUMBING PERMIT FIIingFee 16,00 Each Trap 6.00 / G /%7 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7,00 Each qas water heater or vent 7.00 USE OF STRUCTUREGas Other�00.5&_ D SF ❑ Duplex❑ Mobilehome❑ u,0 SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities❑ Installation❑ Other Describe work: V/ A/ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS j $,50 Main service 200ATO1000A, _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (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 and effect. License No. Classification ❑ 1, 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.1w) OR ADDNS. l ACC. SLOGS. 3.ed sq.lt. NEWCONSTR U TI.OUTLET NON .R ESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR \ EX. DCCUp. OUTLETS 1RESID.1 EA./ 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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, 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 permi . XDate 3 Signature of Applicant – Owner Contractor ❑ Agent An OSHA ion of structures toverr39stories ineheigvfat:ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES D 4 v HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., T LLOW-A33E330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner .. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No'building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) P� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5._1 will. provide some of the work but I have contracted (hired) the following. persons to provide the -work indicated: Name Address Phone Type of Work Signed: r- ' �- IC Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and _. 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE BUILDING. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �r 1469 Humboldt Road, Chico, -CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 ®liott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNEIR PERMIT NO. A rou6re buVec6m ecilicates that the following violations of Butte County Ordinances exist at ' the above adldrecc and should be corrected. Please notify this office when correction, of work is comWb led fymhave any questions pertaining to this matter, or need additional explanation, pie=ce Ibis office immediately. a DA f ; S f i i• `� r f .. Date � �' � r( Inspector ch IREV 10192 i +" :' P'': ;. 3; ,. i.. •.: t4 :, :r'8,.+� YUl.fneiii`Ysr4. ��t ..: r E.w i {: �:,.- �u' p'-�}. 1 .., .,,I RODRIG' ES John 459-66B 444-66B 389-66P 59-087-7. 701 Manzanita; Stirling City .(reroof main part of house) CONTR: Paradise Weatherproofing, 7816 Skyway, (*TYPE A FLUE) Paradise e (* ONTR: Collins Sheet Metal, Paradise) ° e � m a e m e ° e m e m ° Y t • •` t c Ana ��'�+�.;� , d R1 m PkA TREE T pis �2� ac _ ------ '''t1 d; -5�.3 I� fON' r3.� pis �2� ac t