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HomeMy WebLinkAbout005-402-009I 5=402-09 3643-90E a . FREESE ?. ,s Alfred 784 Virginia- St hico'• �(� (elec sery/s ,l � �O 1 `t f I 5=402-09 3643-90E a . FREESE ?. ,s Alfred 784 Virginia- St hico'• �(� (elec sery/s ,l � �O 1 J. - r r - ---,r.Y'.'•y„"'""y`y`tbt"�:r lt''��.t�y�„"'t/5<�.* , Wi-`M' :r>~,,:ra'3�,r �'+�.-{Y'rvv.:�\.�y:. w-� �7,..r...-Pa�.,,r` a ... .. .: �•� rx. � , � �� ti' ;1 rah%? , . aJ1 , y`'r ..r'... • ti-+. ... — �: 5-402-09 3643-90E FREESE, Alfred 784 Virginia St, Chico (elec sery/sf) e • 11 S 1 • t A. }A OFFICE COPY Address `/ // • v AS Y, Date E�By MNt4e � i e� •. . • - . • .. .��.. ate=-. •; ' / COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 - Telephone: 916/538-7541 AFPLICATION AND PERMIT PERMIT NO. ASSESSOR #RCEL NUMBER ° 5-402-9 ZONING AR BUILDING PERMIT Ow ER Alfred p TELEPHONE -145-S583 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2176 Mulberry St., Chico 95926 CONTRACTOR'S NAME Owntar TELEPHONE 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 ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 'VirninigEach 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 SF ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [] Installation ❑ Other ❑ Describe work: F.1 Prtri r SPrvi re TTnorAdp _ v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov 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. 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 CONST. DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. , 2/z¢s qft NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea ea (POWER APPARATUS &) SINGLE OUTLET OR. Ex. Occup(OUTLETS OR FIXTURES 20®50S BAL030 Ex. Occup. our ETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 I 15.00 -Ina_ E ti 115.00 15.00 Permit Fee $ 0 .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. Contractor MECHANICAL PERMIT FiIingFee 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I 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 s d County in consequence of the granting of this permit. I — / �- o ! r / _. - Date /�— ,� - �� / 'r Signature of`Applicant — Owner❑Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $50.00 HAz CUA PARK SCHL PAR PD HD Iss This permit is nereby issued under sions of the Butte County Code and/or wk indicated above for hih f work owhich DIRECTOR OF PUBLIC By-"'^--'--��-.Date PERM, I.6T�XPIRES Date the applicable pro vi- resolutions to do have been hbaid. p WORKS 1VITC.D.P.W.. :10.nof ceiptNo.73957 YELLOW-ASS!!9S0 R, PINK -INSPECTOR, GOLDENRa D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 5-402-9 ZONING AR BUILDING PERMIT OWNER - Alfred Freese TELEPHONE 345-9583 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2176 Mulberry St., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SF X❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORKr� New ❑ Addition [:1Remodel ❑ Uti lities u Installation ❑ Other ❑ Describe work: Fl Prtri r SPrvi re lIpRrarle _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000V OR 0 AMP ORLESS10.00 Main service EA. ADD -L too 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. 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 CONST. DWELLING OCCuP.E OR ACDNS. ACC. BLDGS. 2h¢Sgft NEW CONSTRES'., RANCH TLIET NON-RESID BRANCH CIRC ITS CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( o 20050e BALM 30C FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 1 15.00 15.00 A5.00 15.00 Permit Fee $50.00 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. Cg' 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 10.00 Heating Coolin 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. I 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 s id o my in copse ence of the granting of this permit. X /��� q� Date/ / Signature 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 $ Energy Inspection Fee $ , Occ CONST TYPE TOTAL FEE $50.00 HAz CLIA PARK SCHL FID I PAR I PD HD Iss Th;s permit is nereby issued under sions of the Butte County Co and/or work indicated above for which DIRECTOR OF PUBLIC By (�M� PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 1,4—/I/ Receipt No. 73957 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - COUNTY OF BUTTE - Departmer�t of Public Works 7 County Center Drive, Orovil,le, CA 95965 OWNER -BUILDER 'VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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. 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) Lsigned 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 Contractors 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 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 igned : Property Owner Social Security Nu 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,-ALIFOQTAIA 95964 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER i2 ��� A. P. No. 0 49 Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer *of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW �19. Driveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you ' ue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5�7L% E2and hold for pickup at Loffice. Deliver w/inspector. Other. Appl ican Copy of plans sent Health Dept., Fire Dept., Other Date 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 —mai l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date D