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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