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HomeMy WebLinkAbout078-220-041AP 36-51F-44— kdarn Gonzales 33 Rosita Way, Oroville ' 03-2408 GONZALES, ADAM 33 ROSITA WAY, OROVILLE INALED r Cont: CHRISTIANS EN ROOF RE -ROOF 1no '� � o i IV 036-550-041 - 03-2408 GONZALES, ADAM 33 ROSITA WAY, OROVILLE Cont: CHRIStANSEN ROOFING RE -ROOF I - +•. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILPING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541- (Rev. 12/96) APPLICATION AND PERMIT / ASSESSOR PARCEL wt) 550-041 ZONING BUILDING PERMIT OWNER Gonzales, Adam TELEPHONE 33-7474 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 33 Rosit a Wat, Oroville CA 95%6 l4 s 60 1440 CONTRACTOR'S NAME,, TELEPHONE�� S -R13 CONTRACTORS MAILING ADDRE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $35.00 Plan Checking Fee $ BUILDING ADDRESS 33 Rosita Way Orovillp CA Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: re -roof Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OV OR LESS 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. License Class �� Lic. No. (p 4sJy OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 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 ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5tt' NON -ROD. MULTI -OUTLET @7,50 POWER APPARATUS asINGLE OLIn ET aR. EX. Occup. OUTLET OR FIXTURES SAL 9' 50 Ex. Occup. oUMTLEEiS RESIo.OEA 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. ❑ 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'com ensation insurance. carrier and policy number are: Carrier Adxf- .4. Policy Number 11 JK '_ e-> 4_a 13C-59! (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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �.. ry % f X � ;e (.6"/l Gdd�1 Date r!rA 3 Signature of Applicant - ❑ Owner -Contractor ❑ Agent An OSHA permit is required for excavati s over 5'0" deep and demolition or construction/ of structures overE3 sto�les i height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD "— ISSUE v This permit is hereby issued under the of the'Butte�County Codg and/or indic tee a v f hic !fees have By {� PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate ///n /Date Receipt No. % ' J...... WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I — . w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -75A:'. - (Rev. 12/96)TAND PERMIT (( jj ASSESSOR PARCELMr 550-041 ZONING BUILDING PERMIT OWNER Gonzales, Adam 33.7474 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 33 Rosita Way,Oroville CA 95966 24 sq 607-1440 COM RS NAM , /' S N TELEPHON '�6- COMACTORS MAILING ADDRE -sem .� lk �•l� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation J$1440.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 33 Rosi ta Way Ornyi 11 P CA Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: re -roof Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home GI W @20.00 _JSJ PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ZaOA 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, ( 9 ) and my license is In Il �force and effect.P License Class ,°'J Lic. No. [QS%y�� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comppggnsation insura carrier and policy number are: Carrier .Sl'7r Policy Number _428S'-- pCa�3c39 (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 Date Signature of Applicant - ❑ Owner LI-2ontractor ❑ Agent An OSHA permit is required for excavado ti s over 5'0" deep and demolition or construction of structures over s i hei ht. — Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. a ACC. BUDS. 3.5¢FT. NEW CONS ' ANCH- JRCU NON RESID. 97.50 OWER APPARATUs a SINGLE oIITLET CIR. Ex. Occup. OUTLET OR FDRURES B20 @ L.00 Ex. Occup. DuxT DA'(R oR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAz.= IMP FLooD CDF PARCEL pD HD ISS This rmlt is reby issued under the applicable provisions of the utte my Cod and/or Resolutions to do work indic to a v f is ees have been �////, ey Dae PERMIT EXPIRES ON IP116i Receipt No.wve��ff---- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FILE NO BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information V) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mopping Drng./Permits Sub. Checking Right of Way Adam Gonzales 33 Rosita Way Oroville, CA. 95965 Dear Mr. Gonzales: March 7, 1977 RE: Earthquake Damage (AP 36-55-41) With reference to the above subject and your letter dated March 5, 1977, wherein you requested verification of earthquake damage to your residence located at 33 Rosita Way, an inspection was made on November 18, 1975. The inspection revealed that the fireplace chimney was sheared at the roof line. At that time, you were to remove the chimney to the roof line and indicated you would have a contractor reconstruct or repair, depending on the extent of damage and the location of reinforcing steel. As of this date, we have no records of a permit indicating any repair of the damaged fireplace. Should you have any questions concerning the above, please contact us. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Assistant Director O%`C'iCL.%/�t,..._/✓Ci_� l�/ N. r �c'ri�a�ti/ � N r u, _ 7o i h SI2 �.c —L L 1 T da rev y� ly i Pf �v� fi a ct av/.r , ` u V F` � a . . � ti , -,, - � . � , - �, � - � 1 (\ REQUEST FOR T=1itiiQUAIT INSPECTION • I Date , % S Namec _ Telep] n: � (last "ame) (first name*) 77 Address j C,i�.S/ 7``c Directions IMIS OF CONCERN: ____-=_--1=-- -- ---------- INSPECTION Dat.e 1 i -TURE OF DA14AGE : �%��2,U ,� .• . ' -� � y�� ✓Lt. �Ln Lf i i Danger: :.� 4 - Action: V�i�/L / /4Czr� /,,?/ c� i ✓ / Inspector ��