HomeMy WebLinkAbout073-090-00273-09-02 ^
PHILIP SCIORTINO
W/S Lost Creek Dam Rd, 3/10 mi N Binet „l,t,
Rd', Strawberry Valley
Permit#4040-83E(ele ser, wire SF & r
temp ser) '�
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*Permit +#4040-83
Philip Sciortino
OFFICE COPY
Address„
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COUNTY OF BUTTE 'DEPARTMENT OF PU IC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
i
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
I
i
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
!C-
UNKNQWN
Total Valuation $
Filing Fee
$ 10.00_
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
F
Each Trap
2.00
Solar Water Heater
20.00
.-
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY
Building sewer
5.00
G W Mobile Home S
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: f -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sgft '
CONTRACTORS LICENSE LAWNEW
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 m license is in full force and effect.
y
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
CONSTR (MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS &')
NON.RESID. (SINGLE OUTLET CIR.
OR FIXTURES BALeao
Ex. Occu BAL@30
P�o
FIXED APP LNS. OR
FIXED
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home -Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
Heating
Cooling
Hood
3.00
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 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.
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 Date
Signature of Applicant — Owner ❑ 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
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
MD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASSFESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.,Califomia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT,(NO.
D t'J '—
ASSESSOR PARCEL UMBER
3 - p1— p�
Zt)NING
A7-
NJ
BUILDING PERMIT
OWNER ,//C /p sn `0e711jo
Nyw(p
T� �HE
SO. FT. OCC. BUILDING VAL ATION
O W N E R' 0!A`�IL9O DRESS
CONTRACTOR'S NAME
ELEPHONE
CONTRACTOR'S 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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINPADDRESS
/0/6 r��nAV 10P,
pEach
PLUMBING PERMIT
Filing Fee 10.00
/
Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Nf Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �L
Describe work: Ic)a s�F
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 O,�
Main service EA. ADD'L 100 AMP
2.50 ,SO
NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CC
21/ZQSQft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesszD®s0C
and Professions Code and m license is in full force and effect.
Y
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
NEW CONSTR.ULTI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS.
NEW CONSTR ( POWER APPARATUS &')
NON-RESID, SINGLE OUTLET CIR. /
Ex. Occup(o XTS OR FIXTURES BAL®30
FIXED APP LHS, OR
Ex. OCCUp- OUTLETS (RESID,) EA.) 1 2.00
Temporary service 10.00 /O.co
li06-1A)S 15.00 ,5,o—d
Misc. Wiring 15.00
Permit Fee $ 7�
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
1 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
$
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 on the abo�mentioned property for inspection purposes.
I also agree to ave, ind rhnify and keep harmless the County of Butte against
all Iiapidities judgmen costs, ad expenses which may in any way accrue
against s i o my in onseq en of the granting of this permit.
�l
X J ` Date
Signature of ppli nt — Owner ❑ Contractor ❑ Agent ❑
An OSHA per 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 $
occuP. GROUP
I TYPE DF CONST.
PARCEL
PD
HD
IssDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF UBLIC
`
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date v�J
Receipt NO. .�r
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,*Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
i,
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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 �7O Vl )
Address. ISS—tC_V*Q9C_. 1� f A.l_ C itv(7 F (4 QS
Phone (,57S-2_27(` Contractors License No.
F
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.. 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
S igned :
Property Owner O G
Social Sec rity 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
permitted to issue the permit.
I
COUNTY OFBUTTE �—DEPARTMENT OFPUBLIC WORKS PERMIT NO
7 County Center Dxivo-Omvi||o, California 95865 -Te|opwonu 818/53*-45*1
lip
BUILDING VALUATION
MA L G ADDRESS
IEU-11-;�RACTOR'S MAILING ADDRESS
Fireplace
LENDER UNKNOWN
Total Valuation
I$
Permit Fee
RE�ii-FE:c-r 6R ENGINEER
ARC141TECT OR ENGINEER'S MAILING ADDRESS
ing Fee
Plan Check $
Penalty $
Permit fee $
NAME
SPECIFY
TYPE OF WORK
Solar Water Heater
20 .00
Water piping
5.00
Each clas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
Permit Fee $
ELECTRICAL PERMIT
Main AMP OR LESS
10.00
/0,CJ0:0
Main service EA. ADD -L 100 AIAP
2.50
Sqft
I 6ec!are under penalty of perjury (check one):
10 licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my licensa is in full force and effect.
License No. Classification
I, as -,he owner, or my employees with wages as their so;e compen-
saZion, will do the work,and ihe structure is not intended or offered
for sale. (Sec. 7044)
L J 1, as the owner, arn exclusively contracting with licensee contract-
; am exempt under Srzc.--, Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I deciare under pena!ty of perjury (check one):
E] The permit is for $100.00 (valuation) o.- less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensagion Insurance or a Certificate
of Consent to Self-lns�ure.
T��l I shall not employ any person in any cianner so as to becoroe subject
Notice to Applicant: if after making this staterrent, should you becolle -ibject
to the. W. C. provisions of the Labor Code, you -nLISt forthwith comply wi h such
.Provisions or this permit shall be deemed revok2d.
qH CIRCUITS)
2.50 ea I
N' E W C 0 N ST R. ( POWER APPAR ATUS &
Ex. OCCLIP(OUTLE . S
Ts OR FIXTUF
BALO —C
FIXED APPLN,.
Temporary service
10.00
—
Mabi� e Howa-�t4iGs-
15-00
1
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee
10-00
Heating
Cooling
Hood
3.00
Venti lation
Contractor
h bile Home Installation Fee $
certify that I have read this application and 3tate that the above in.ormat;on
is-cor.rect. I agree to coniply to all County Ordnances and State Laws relating
to building construction, and hereby authorize of the Countyot
B: '!kte to enterupon the abovj�--mentioned property for inspection purposes.
I also agree to �aive, indq�nify and keep harmless the County Of BLJzte against
I xpenses which may in any -w'
al' linb;lities,/judgments, costs, and &y accrue
an
X Date Z
-,/p
An 0SHA permi is required for excavations over 5'3" deep and demolition lir onstruct
is
TOTAL PERMIT FEE $
- rT
-zw7ypF —OF CON
occup- R"'I "I
This permit is hereby issued under the appli cable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
PERMIT EXPIRES Date------