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HomeMy WebLinkAbout017-100-02511-31-25 � ; 3808-90E' GANGUET, f Rick43 4740 ,China Camp' Rd, Ch,i_co � r Contr:_Wallys Electric (el'ec sery/sf) M, 1 -_OLS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,- I 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIDN AND, PERMIT ASSESSOR PARCEL NUMBER 11-31-25 ZONING BUILDING PERMIT OWN EECK GANGUET TELEPHONE Q4— S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 CON Vlallys SElectric TELEPHONE CONTRACTOR'S MAILING ADDRESS 11"10AFireplace 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 E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4740 China Camp rd. Chico 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 OF STRUCTURE SF L_T--Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer E5.00,����''77��USE Mobile Home S G W TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Replace electric service box _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 00 /� /�/� 10. 10.00 Main Service EA. ADD'L 100 AMP 2.50 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 ❑ 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) 1, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason GOCCUP.&) S. oR ADDNST ( DWEACCLLING Zyz¢sgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2ALO3C 0L0 30 FIXED APPLNS. OR EX. OCCU p• OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 pre -inspection 115.00 Permit Fee $ 37.50 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 Filing Fee 10.00 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. 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 said County in c nsequence of he granting of this permit. X Date io - 3 /- 9Q Signature of Applicant — 0 nerK 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 HAz I CUA I PARK nFLD I PAR I PD HD ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov for whd- h fees have been paid. DIREC OR Of PUB C WORKS By X Date f_ PERMIT EXPIRES Date /�� 2 / Receipt No. A4196 -137-5n_ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I �L , - PRE -INSPECTION OWNER : ti DATE _ %� �--�—o — LOCATION: 7 �p ,y�,.� y �.v/� ��ict� A.P. # O - CONTRACTOR: /. YL d S C`-.cc=moi .eiC ZONING PRE -INSPECTION FOR: _ ,C �� c _ /9 6 /VQQ� o`' ' n r AI DATE TO INSPECTOR PERMIT HISTORY: ,NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: Q OCCUPIED Q HAS ELECTRIC �_J HAS GAS Q HAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: 0 ISSUE Q HOLD FOR OTHER: BY DATE COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAI ION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER j_ONING • BUILDING PERMIT OWN RICK GANGUET TELE HONE 894-7914 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRA O 'S N E Wallys Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS V -P' Fireplace CONS TI N END R 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 4740 China Camp rd, Chico Permit tee $ 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 JX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Replace electric service box _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR SLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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 ACDNS. (ACC. BLOGs. ) 2/z¢sgft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50Q BAL930 Ex. Occup. ou ED P LETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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 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 said County in c asequence of the granting of this permit. X /D _�� Date Signature of Applicant — O neiK, 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 $ HAz CUA PARK SCHL ELD I PAR PD HD Issue Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated abov for ' h fees DI C R PUB C By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS G Date / a _-!�7/ �� Receipt No.g4.�n WMITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROWLLE'CAEIFORNIA 95965 -TELEPHONE PERMIT ARFLICi10N DATA SHEET 916/538-7541 Permit No. A. P..No. T/ — 3/0 —2 �. Proposed Building Use -.Q& lwG= V Building Inspector. � � � . Date ��C�? 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 apprQVal required prior to occupancy) f 20. Pre -Inspection for -.tee, f�eJ� required Pre-Inspec. request to Building Inspector (Date) 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 issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. b_DeIiver w/inspector. Other Applica ADate A2 -3/ �,0 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: J t Contractor, designer, owner, was advised of above required data by_phone_— mall—counter by ..date J Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder ,. "I Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER %r 1 %(>— 2; ZONING p �,C,o2 _ BUILDING PERMIT _ OWNER `� ,ter z � TELEPHONE �9 _? SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ` Ir"o G//C /- ate! C1I/6 z) Cl, ' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS . Fireplace O CONSTRUCT.P NDER UNKNOWN. 1 Total Valuation $ LENDER'S MAILING•ADORESS Filing Fee.. $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ / BUILDING ADDRESS '�/�� (J/ 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00e TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe,� Describe work: a' -,,./.!P -c SC�2ylGr= /% p t�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 Q�,� Main service EA. ADD'L 100 AMP 2.50 Zs6 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. c� 3Gc, LicenseLicense Nom 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 OCGuP.& OR ADONS. ( ACC. BLDGS. /z¢sgft NEWCONSTFL ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. 20@50c eAL030 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESOD )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 je ,eZ NS d1 /S�� Prermit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (valuation) or less. ❑ 1 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 10.00 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. 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 said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required* for excavations over 5'0" -deep and demolition or construct- ion of structures over 33ss►tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ JCUA I PARK SCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �7l l �- 32,10 WHITE-O.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,"Oroville, CA 95965 Phone: 916-538-754.1 01MER_-BUILDER VERIFICATION Attention Property Owner: . 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) 40 I (have/have not) k a.✓f- signed an application for a building permit for the proposed work.. 3. 1 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 Signed: Property Owner Social Security Number 56 f-lzt—S49Z 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.