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