HomeMy WebLinkAbout079-070-047CART RIGH' 01-0807
CARTWRIGHT, ARLEN t'-Iq-051 2937 ORO GARDEN RANCH OROVIL
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r CARTWRIGHT; ARLEN,
K 2937 ORO GARDEN.RANCH OROVILLE
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1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 7
ASSESSOR PARCEL NUMBER
030-430-047
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
_
FT. OCC. BUILDING VALUATION
v�SO.
25 ZJVlJw00
OWNERS MAILING ADDRESS
91itRANCH RD. ORMULE2 rA A O4
CONTRACTOR'S NAME - E HONE
SIVERRA FT ' 3442 -1 A A
CONTRACTORS MAILING ADDRESS
775 PATIRCHTID r Act
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2937 ORO _. _ r'CA. 95966$
Energy Plan Checking Fee $
PERMIT FEE $ 55.00
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling 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 gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑
Describe Work: RE ROOF
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W1 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A 'o R ss ss 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 i full fo ce nd effect. /(�
License Class 7 �- Lic. No. !Ii 7� 3
OWNER -BUILDER PATI N
I 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
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. So
OR ADDNS. ( a ACC. S.3.50F{.
INprERESIDMULTI-OUTLET 97,50
H CIRCUITS
POWERSINGLE APPARATUS
UTLET Ic .
OUTLET OR FIXTURES 20 @ 1•00
Ex. Occup.SAL @ .w
Ex. Occup.. pUIXT ETS pa D,°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
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
rformance 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' ensation insur oce car ier a policy number are:
Carrier , 4
Policy Number
(The above sections ed not be completed d1he 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' m sation pr via,of section 3700 of the Labor Code, I shall
forth 't 1 w- th pr ions.
!/
X Date y
Sigr9sture of ` pplicant - Q. Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55.0()
HA2.
p. FEES IMP
FLOOD
CDF
PARCEL Po
HD
ISSUE
This permit is he,r.eeby issued under the applicable provisions
of the Bine C6ur' ode nd/or Resolutions to do work
indicate a -ov�e f 'r hi h f es have been paid.
(��
By `" Da te`
PERMIT EXPIRES ON "/ /,�
/ ate
Receipt No. 31.523049-m
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, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT I01- afLto !
ASSESSOR PARCEL NUMBER
036-430-047
ZONING
BUILDING PERMIT
OWNER
CARTWRIGHT, ARIM & TDA _533-AW9
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
25
1500.00
. OWNER'S MAILING ADDRESS
2937 GROGARDEN RANCH RD- OROVILLE, CA 95%Q
CONTRACTOR'S NAME
I rE§LE§PHONE
342-1863
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
1,500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee
$ 20.00
Permit Fee
$ 35.00.
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
J CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LOT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling 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 ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: RE ROOF
Gas piping system 1 - 5 outlets
15.00 ,L
Building sewer
15.00
Mobile Home IS I GI W
(920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200. 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 i full f ce nd effect.
License Class Lic. No. li
OWNER -BUILDER CLARATION
I 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
Main Service 200A To f000A
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢FT.
," H'ROEP,pT MULTI.OUTLET
P7.50
PowER APPARATUS
a'SINGLE oun Er cIR.
Ex. Occup.OUTLET OR FIXTURESn123.00
Ex. Occup..OUnFIXFTSEPR6�SID.OFRJL
Temporary Service❑
Mobile Home Facilities
Misc. Wirin
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
erformance of the work for which this permit is issued.
I 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' ensgtion insur ce car igr a policy number are:
Carrier
Policy Num6r
(The above sections nlFed not be completed Me 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' m nsation pr isions of section 3700 of the Labor Code, I shall
forth . c e pr sions.
X Date _
Sig ature of pp I - Owner Contractor ❑ Ag en
An OSHA permit is squired for exca tions over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55.00
HA2.
D. FEES IMP
FLooD
I CDF
I PARCEL
I PD
HD
ISSUE
This 19,it is he y issued under
of the Bu u ode nd/or
indicat a o e f s ve
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do w rk
been pai
/ ,
ate
Dafe
ReceiptNo. 315230/55.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�ACORD�EI��F� �, ® I �'�'1"r�:V€I�Ir��G Vws DATE(MMIDD/YY).
na ,. ,_ " 04/05/2001 -
PRODUCER �, �.. w„-° .
'Serial #. A3567
-MICHAEL J. PETKUS INSURANCEr ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR.
6049 DOUGLAS BLVD., SUITE 13 ALTER THE COVERAGE AFFORDED BY THE POLICIES .BELOW.
GRANITE BAY, CA 95746 COMPANIES AFFORDING COVERAGE
PHA -888-644-4600 FAX:916-652-2231 COMPANY
A AMERICAN CASUALTY COMPANY OF READING
PENNSYLVANIA,
INSURED COMPANY
SIERRA ROOFING INC. `` e +
` P.O. BOX 252 COMPANY
CHICO, CA',95926 C
' - COMPANY
D
m E”
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 4 ,y .
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, . ,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'.4
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
/Y•,. LIMITS .
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $`
COMMERCIAL GENERAL LIABILITY, PRODUCTS - COMP/0P AGG $ ,
CLAIMS MADE OCCUR PERSONAL & ADV INJURY $
OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $ '
MED EXP • (Any one person) $
AUTOMOBILE LIABILITY
ANY. AUTO _ • COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
� BODILY INJURY . $ -
NON -OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO ' OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY ` EACH OCCURRENCE $ t
UMBRELLA FORM , AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKER'S COMPENSATION AND WC -247859437 3/22/01 09/01/01 X I TORYUMIis ER
A EMPLOYERS' LIABILITY + EL EACH ACCIDENT $ ;i�0 0O�
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE . EL DISEASE -POLICY LIMIT $ -1 00-0;00�
OFFICERS ARE: RX EXCL • EL DISEASE - EA EMPLOYEE $ ,00�0�0
OTHER _.
t
CONTRACTORS LICENSE #688803 ALL CALIFORNIA OPERATIONS
ZRA
' G�ANCELIATLON ;
CERTIFICAE•HQLDE.`
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
HIGNELL & HIGNELL, INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY,WILL E1AMUX0 MAIL
AND FRED & EILEEN HIGNELL & FAMILY 30 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
1990 LIVING TRUST ' �>�Cxr�4a6X17!CSMA(X�(:Dfd(J�D�Ld(g'X°D�dsl€N�2414i�fc�'XelC�4&C12fc�1(.�1C
x 1500 LIVING XX*XXx X XXOWX*X)4XCXXa<DXAXX M)W)>�S.
HUMBAU I 117� KLPKtbtN I A I IV
CHICO, CA 95928 ' ..
Co