HomeMy WebLinkAbout078-220-03993-2808'B
SARKADY, LILLIAN'1J
5 ROSITA WAY,, OROVILLE
CONTR. K -DESIGNERS
VINYL SIDING/SF
{
a9
036-55-0-029 93-2808 B
SARKADY, LILLIAN
5 ROSITA WAY, OROVILLE
CONTR: K -DESIGNERS
VINYL SIDING/SF
r
036-55-0-029 93-2808 B
SARKADY, LILLIAN
5 ROSITA WAY, OROVILLE
CONTR: K -DESIGNERS
VINYL SIDING/SF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
c 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
9'3 - z
ASSESSOR PARCEL NUMBER 9
ZONING—�
BUILDING PERMIT
OWNER
LILLIAN SARKADV
TELEPHONE
534-6812
SQ.FT. OCC. BUILDING VALUATION/
OWNER'S MAILING ADDRESS
R S TA WAY OROVILLE CA 95966
CONTRACTOR'S NAME
— C
TELEPHONE
631-9300
CONTRACTOR'S AILING ADDRESS
11261 SUNRISE PARK DR RANCHO CORDOVA CA. 95742
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filin Fee
9
$ Z,0600
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
9880
Plan Checking Fee
$
Ener Plan Checking Fee
Energy 9
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
41: r l A f ocl;ile
Permit fee
$ pp
PLUMBING PERMIT
Filing Fee _Imm
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
-00ea
TYPE OF WORK
New ❑ Addition[] Remodel ❑ Utilities ❑ Installation❑ Other fk
Describe work: 11,1AJqJ AIA
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1.A2f70
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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 ful1 for a and effect.
License No. 498806 Classification C -61c
❑ 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
CONST. DWELLING OCCUP.EI\ +/z¢sgft
NEW OR ADDNS. ACC. BLDGS. I
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu 2Deaoe
p�OUTLETS OR FIXTURES 8. L030
FIXED
EX. Occup. OUTLETS P(RESID.IILNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): r --+t
❑ 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.
MECHANICAL -PERMIT
FiIingFee J -0.A0
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 iii consequence of the granting of this permit. -�
/ ` `"� Date I ," /r � f 6
Signatu a 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 storiesin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ '
occu P.
CONST.T77
SCHOOL
FLOOD
PARCEL
PD I NO I
1390E
This permit is hereby issued under
sionssions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
1_ "'-
I %
By 9 � , - ..
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r _ /, ,
Date S__ l / -
, `,,�4 t/
Receipt No. �66M,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-AP►LI CANT
COUNTY OF BUTTE - DEP RT4MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
93 -Z �
ASSESSOR PARCEL NUMBER
0.3 �-• QZc�
ZONINGR—i
,,PP7711
BUILDING PERMIT �
OWNER
LILLIAN SARKADV
TELEPHONE
534-6812
SQ, FT. OCC.1 BUILDING VALUATION_
O
OWNER'S MAILING ADDRESS
A" ITA AY OROVILLE CA. 95966
CTOR'5NAME
TELEPHONE
631-9300
CONTRACTOR'S MAILING ADDRESS
11261 SUNRISE PARK DR. RANCHO CORDOVA CA. 95142
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Filing Fee
$ ZC;�.00 } '�
LENDER'S MAILING ADDRESS
Permit Fee
$ „(o
ARCHITECT OR ENGINEER
LICENSE NO.
1498806
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�pCp;trCE
Permit tee
o
$ It 0(]
PLUMBING PERMIT
Filing Fee •telm
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SFA Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New❑ Addition[] Remodel Utilities❑ Installation❑ Other
Al
Describe work: L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 49:80
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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.
498806 C-61
License No. Classification
El 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.6I ,/zQsgft
OR ACDNS. ACC. BLDGS.
TLET
NEW RESIO,CONSTR. CH CIRCUITS)2,50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCup(OUTLET3 OR FIXTURES 20050t
SAL090
FIXED APPLNS.
Ex. OCCUp- OUTLETS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
n 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 3Z,@&
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
:
Contractor
I certify that I have re is application and state that the above information
is correct. I agree to omply to all County Ordinances and State Laws relating
to building constructs n, and hereby authorize representatives of the County of
Butte to enter upon t above-mentioned property for inspection purposes.
I also agep to save, indemnify and keep harmless the County of Butte against
all li Ili es, judgm ntS. costs, and expenses which may in any way accrue
against a' County i conselquence of the granting of this permit.,!
X ��� Date
Signor re of Applicant — Owner ❑ Contractor EJAgent❑
An OSHA permit is required for excavations over 5'0" deep and demolition Or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
I ' `( ^ J
TOTAL PERMIT FEE $ l 00
OCCUP.
CONST.TYPEJ
ISCHOOLIFI.0111PAIICELI
P13
ND
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 Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Data
1,25
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
KAREN HANSMANN �q
29 Rosita Way, Oroville
Pt'rmit#6754-79B (reroof ) F
PERMIT#94-1777
PIANAVILLA, KIM /
29 ROSITA WAY, OROVILLE`
REROOF/SF
0� 8 - 0-37
' [REIROOF/SF
0-039
tl ILLA, KIM, PERMIT#94-1777
ITAWAY, .OROVILLE
�L
r
�•. i
1EECA s. pA
ti•�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541� � ` R J„ No•
APPLICATION AND PERMIT
ASSESS ILP NU BE
+((EE((�qq�1 1r -6=639
ZONING
R-1
BUILDING PERMIT
OWN` M PIANAVILLA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS Jy1gIUW,'§1bRN DRIVE, SANTA CRUZ 95060
buu
CON�{Ip�T�H'$ NAME
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
29 Rosits Way, Oroville
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap IN + 1
7.00
Solar or heat pump water heater
23.00
LOT NO.SUB
DIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex O Mobilehome ElOther
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition (3Remodel ❑ Utilities ❑ Installation ElOther ❑XX
DeJcribe W
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
-
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. 8
( ACC. BLDS. )
S
3.50 FTO,,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (ch ck one)
❑ I 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
--0 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)
I am exempt un er $ �. Business and Professions Code
forthis reason ` I I
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS )
@7.50
I POWER APPARATUS )
3 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
@ 1.000
BAL.
Ex. Occup.FIXED APPWS. OR
I OUTLETS IRESID.1 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):i
EI 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] I shall not employ any person in any manners as to become subject to the Worker's
• t Compensation laws of California. r �, //
Notice to Applicant: If after making this sisterrient,�huld�y u be me bject Lo.the'f
Worker's Compensation provisions of the Labo'Cod,e,.you mu�stthwi h omply with
/
such provisions or this permit will be revoked'. 'j l7{f« � )�. - ����?
'
r PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood -
6.50
'Ventilation
PERMIT FEE $
Contractor
�.
I certify that 1 have read thi ap Iica I�n and sate that the above information is correct.
I agree to comply to all Butte Bounty 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 •puipo'seS. . .,-`
I alsole ee t6lsave ndepnify and keep harmless the County of Butte against all
liabilities, judgments, cost andnses which may in any way accrue against said
CCo•n�unty cons � Lence o th rgi f this permit.
X Date
Signatur if ' plica wner Contractor ❑ Agent Jr
r r• !
An OS A pe rr t required for excavations over 5"0" deep and demolition or
const uction o'M uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
06C
CONST. TYPE
TOTAL FEE $ 37.0(3
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
HD
ISSU)T
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.
Jnr ��j �j[/
By _ �l" Date �.G./ � �/ / 7
v /r /��` /
PERMIT EXPIRES ON �GJ l z
(Date)'
eiptNo. 163291
E
TE-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, California 95965 Telephone (916) 538-7541 PERMIT NO.
APPLICAtION AND PERMIT yam% 1777
ASSESSOR03ARCEL�-55NUMBER
—0-039
ZONING
R-1
BUILDING PERMIT
OWNKIM PIANAVILLA TELEPHONE
SO, FT, OCC. BUILDING VALUATION
1 0 COMF 600
OWNER'S MAILING ADDRESS
1028 WESTERN DRIVE, SANTA CRUZ 95060
CONTRACTOR'S NAME TELEPHONE
OWNER
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
_ Filing Fee $
20,00
Permit Fee $TT.00
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Pian Checking Fee $
Penalty $
BUILDINGADDRESS
29 Rosita Wa Oroville
PERMIT FEE $
37 .00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAME PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
15.00
SF CX Duplex ElMobilehome O Other
Building sewer
15.00
Mobile Home S G W
@20.00
SPECIFY
TYPE OF WORK
New ❑ Addition O Remodel O Utilities ❑ Installation ❑ Other QXX
PERMIT FEE $
Contractor
Describe Wgrlero()f/with rmmn
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.5C FgT.0,
'CONTRACTORS
NEW CONST. MULTI -OUTLET
-NON -RESID. ( BRANCH CIRCUITS )
@7.50
LICENSE LAW
I declare under penalty of perjury (check one)
( POWER APPARATUS )
& SINGLE OUTLET CIR.
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Ex. Occup. ( OUTLET On FIXTURES )
20 @ 1.00
Professions Code and my license is in full force and effect.
Ex. Occu FIXED APPLNS. OR
p' ( )
BAL. @ .SO
S.OD
License No. Classification
OUTLETS (RESID.1 EA.
O I, as the owner, or my employees with wages as their sole compensation, will do
Temporary Service
23.00
the work, and the structure is not intended or offered for sale. (Sec 7044)
Mobile Home Facilities
20.00
Q I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
I am exempt under Sec. , Business and Professions Code
Misc. Wiring
23.00
`may_
forthis reason Bt41
WORKER'S COMPENSATION INSURANCE
PERMIT FEE $
1 declare under penalty of perjury (c eck one :
Contractor
O This permit is for $100.00 valuation or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
MECHANICAL PERMIT
Filing Fee 20.00
Building Division a Certificate of Workmen's Compensation Insurance or a
Heating
`�1 Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Cooling
6 ` Compensation laws of California.
Hood
6.50
Notice to Applicant: If after making this statement, should you become subject to the
Ventilation
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
Mobile Home Installation Fee $
1 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
Energy Inspection Fee $
enter upon the above mentioned property for inspection purposes.
I also ee av Inde nify and keep harmless the County of Butte against all
occ CONST. TYPE TOTAL FEE $
37.00
liabilitie , judgm n ,costs and xpenses which may in any way accrue against said
HAZ• D. FEES IMP FLOOD COF
PARCEL PD HD ISSU
County copse ence of he f this permit. ,�. �/
X Dtate �D"
This permit is hereby issued under the applicable provisions
Si nature li a caner ontractor O Agent
of the Butte County Code and/or Resolutions
to do work
A OS pe i required for excavations over 5"0" deep and demolition or
indicated above for which fees have been
paid.
cc ction o ctures over 3 stories in height.
By
Date ///2
ReceiptNo. 163291
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
PERMITEXPIRESON �2 /� 9J
/Date/
COUNTY OF BUTTE - DEPARTMENT SOF DEVELOPMENT SERVICES, BUELDING DIVISION
7 County Center Drive, Or.oville CA 95965
Ahnna, 916-53a-7541
Kim Pianavilla.
1028 Western Drive
Santa Cruz, CA 95060
RE: Permit Application #94-1777
A.P. # 036-55-0-039
With reference to the above subject:
Att 1s:
plication for permit
Building Plans
Engineered Calculations
YXXOwner-Builder Verification Fm
DATE: 11/14/94
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
WeeXX the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Develcp-,ent (a) Improvements (b) Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Stvle, Class) or exemption statement.
Certificate cf workmans Cc.^ ensaticn Insurance.
-XIXFOwner-Builder Verification Form.
Recorded=cpy of Agricultural Acknowledgement Stazeme_�t .
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50t subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Other: Please return application and owner builder a, soom as pessiblo se that
tha pogM; t G@A ho jgqj1pa. '-he-9ppl�eetien Foaq 6,126,194.
Should you have any questions concerning the above, please contact Donna Sperling
of this office.
MCV: ahb
Y rs very tr ly,
Mid.ael C. ieira, C.B.O.
Man ger, Building Inspection
Oroville:
Chico:
Attention Property Owner:
COUNTY OF BUTTE
Department of Development Services
Buildina Division
7 County Center Dr., Oroville CA 95965
1469 Humboldt Rd., Chico CA 95928 '
OWNER -BUILDER VERIFICATION
Ph: 916-538-7541
Ph: 916-891-2751
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) 6_
2. I (have/have not) LVOT— 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 Phone Type of Work
Signed:
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.
mei
OC .-Q) ..*-Q)
Cl\
co
COUNTY. OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Lounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1./PERMITNO.
APPI 1(4-ATInIN AND PERMIT 7`
ASSESSOR PARCEL NUMBER ^ s s D — ®3
J
ZONING
BUILDING PERMIT
OWNER
w'
�(j/
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAI GADORES\S
s G
J c !S L
CONTRACTOR'S NAME f
TELENE
CONTAACTOR's MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT Fling Fee 20.00
Each Trap
7.00
Solar or heat pump water
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
dheater
Each gas water heater or
15.00
USE OF STRUCTURE
SF k Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 5 o
15.00
Building sewer
15.00
Mobile Home S G
@20.00
TYPE OF WORK
New ❑ Addition O Remodel O Utilities O Installation ❑ Other
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( A OR LESS
.)
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 6 ACC. SLOS. )
SO.
3.50 Fl-
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury (check one)
O 1 am a licensed nder 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 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 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.
O 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.
I POWER APPARATUS )
1 8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) -B�
@1 5
.50
FIXED (RESIDPPLNS. OR
Ex. Occup.UT
( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23,00
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 Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structuresover3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $
HAz.
I o• FEES
I IMP
I FLOOD
I COF
PARCEL PD
I HD
I 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.
By Date
PERMIT EXPIRES ON
!Date/
Receipt No. /
WHITE-D.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� �"M�"'�'*�r�l,,, r t H^• x•r. r�,.,Y} a ... ; r..•--..rr.y..,�.•r �.-:rr + .r'+H'-^'�...rrrr•.r++^�'r..'.-�....•�,�-•. - - - .��� �-+ ..�-�r�..r, 7.-.v+t ..a.riM t +
s '
COUNTYOI BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - 13UILDINGPLVISIPN?'`7 ^7
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Building Inspector
A. P. No.
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
fDATE 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.
Driveway permit (construction approval required prior to occupancy)....Pre�a��e
20.
toA r6gdesf
Pre -inspection for required. .. to Building Inspector (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.
33.
Plan check li ............... ........ ...............
'J
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at 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
PERMIT NO. 6754-79B
PERMIT EXPIRES 11/1/80
CONTR. owner
LOCATION (A.P. 26-55-39 )
29 Rosita Way, Oroville
0
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB Q
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
gUILDI,NG INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for phsically
-handicappew
Conformance of ex.
structure
Final
Appliances
Gas Piping & Test
Temp. as
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Steel
T
FIRE
btucco Llpal I SubDanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
Ylv�,�F.� � -
B k cam,
�1
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Tel ephont: 534-4'641
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date —
Signature of Permitee or Int
Receipt No. b�6
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.
DIRErTOR.,OF PUBLIC WORKS
BY Date
Building permit expires Date - Cl — i -Q U
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Sdn
Mailing Address
Q S�I�PQ�
Tclephone-N !
Contractor 00 4f 1 0
Mailing Address
Fireplace
Total Valuation
Telephone No.
a^
Permit Fee
Building Address a
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. --S'—� —.3 9
—
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
FYI
SL.6- S
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
ahs ec d
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. ACCLBLDGSCCUP. S) 20sgft
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:
Y
NEW RESID. /BRANCH CIR T
NON•RESI T \ BRANCH CIRCUITS)i 2.50ea
NEW CONSTR. (POWER APPARATUS .&,
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXT11RES) :g L ,
Ex. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 1 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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
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
Land Development Fee
$
TOTAL PERMIT FEE
_
$ '—
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date —
Signature of Permitee or Int
Receipt No. b�6
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.
DIRErTOR.,OF PUBLIC WORKS
BY Date
Building permit expires Date - Cl — i -Q U