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HomeMy WebLinkAbout017-100-080d O l 1-_310-080 02-1325 , CNGEBRETSON Kaien'�- '4743 China Cainp,Rd ; CI.co Cont North State Pum f Clwti k, Si i vices ChAnbG, MATT 97-67B s/s Humbug Rd. 2'.7 mi, east of Covered Brdd Chico (addition) /'—/%- 7-o 0/ D nO(ea0 i .. 0 I 0 rJ � J w I t - P MATT 97-67B s/s Humbug Rd. 2'.7 mi, east of Covered Brdd Chico (addition) /'—/%- 7-o 0/ D nO(ea0 i .. 0 I 0 rJ 0 0 V- y I` 'a't� �I'+'KfM� �. ..'w'rifA'1.�St"r' •.�r�"`A • _.A i jryly�a 011z310-0- 80 x ';'02-1325', s ' ENGEBRETSON, Karen"', 4743�China Camp Rd ,Chico Cont`. North"State Pui» -- Electric Services Chanbe/SF „ 1 • i' x .. • • � � Biu. " i�r . . I: a t T ' FA COPY, DateDate�� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT N (Rev. 12/96) APPLICATION AND PERMIT C,19-. 13'51 ASSESSOR PARCEL NUMBER U11-310-080ZONING BUILDING PERMIT OWNER am w�www�MHao TELEPHONE SO. FT. OCC. BUILDING VALUATION 47,V M=RCkVC8IC0 CA 95928 CONTRACTOR'S NAME 111110 li STATE am TELEPHONE 1891-&%5 CONTRACTOR'S MAILING ADDRESS 6 Fti UGH1Y LN. QKQQ CA 95923 CONSTRUCTION LENDER Fireplace LENDER'S MA,UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4743 OHM C"Energy RD, CH= CA 95928 Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY ' 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: -CHA= Z + SEWCE ELIM• WIRM Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S i ELECTRICAL PERMIT Fling Fee 20.00 S ELESSS Main Service OOzo.AA RRO'. 23.00 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 in full force and effect. I License Class Lic. No. ft OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 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 I Main Service zooA TO ,000A 46.00 NEW CONST.DWELLMX3 OCCUP. OR ADONS. ( a ACC. BLD.. SO 3.50FT, NON-RESID. MULTI- OUTLET CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET C,R. Ex. Occup. OUTLET OR FDCTURES Bn0 p 1.00 Ex. Occup. ou p O.R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .00 tiw PERMIT FEE $ 89.00 WORKERS' COMPENSATION DECLARATION I 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 performance 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the 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 thaN 'l should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fowith comply with those provisions. / j�� r' e'7 Z-11 Date 3 ` gnatuFe ofiplicant - E Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ.D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' BY ' "' 'rr �� PERMIT EXPIRES ON c the applicable provisions Resolutions to do work been paid. Date M } Date Receipt No. -��/,�irf ��r .` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t.. - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-275.1 ;:. 7 County Center Drive • Oroville, CA • (530) 538-7541 `^CORRECTIMNOTICE ` �w. OWNER/.PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT b� DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California §5965 • Telephone (530) 538-7541 `l _ f PE���• (Rev. 12/96) APPLICATION AND PERMIT � 1 ASSESSOR PARCEL NUMBER 011-310-080 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION i °RVMP allCO CA 95928 CONTRACTOR'S NAME NORTH SD -UE PUMP TELEPHONE 891-5545 CONTRACTORS MAILING ADDRESS 6 FREIGEITY M. (MCO CA 95923 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4743 CRNA C1aMP RD. (271100 CA 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C ViGE OUT E EMZICAL SKIVICE IMMISC. ELEC. IRRING Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service VICe 2ooA OROR LESS 23.00 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 in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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 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 performance 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' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. °WELLING OCCUP. OR ADDNS. ( s ACC. BLAS. SO 3.5QFT: T, MULTI_ CONS. ANCHOUTLET NON-RESID @7,50 APPAwLTUs 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 1.00 @ sAL ,50 Ex. Occup. oimEFrs .a.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 —lIIS:!JPCt lOII 3.00 PERMIT FEE $ 89.00reason MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the 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' co nation laws of California, and agree that f I should become subject to the wo rs' compensation pr fusions of section 3700 of the Labor Code, I shall fo with comply wit thos isi ns. /Z 4j'� L; X Date ( _ gnature of plicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 39.00 =.A IMP f FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. - �yDate,5 ��� �� Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :r PRE-INSPEcTjON REPORT OWNER. E010,P6A,tj 0 , LOCATION: CONTRACTOR: PRE-1NSPE7ION FOP- DATE OR DATE TO INSPECTOR 6-1 Z/% E J2- PgRm rl' HWORY:( ) NONE Building Deserlptloa: Electric: Gas: Commei+anllUsyya ResidentialM of Units: Currently O=jpied AbandonedMacau t DATE: S. Z3, 0 Zr A.P.#011-3►0-0RO) ZONING: OAS FOLLOWS: BUELDmG wspa-Croats RBPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working ' Well Working Potable Water . Obvious Sewageproblems Comments: ACTION RECOMMENDED: Inspector: HOLD FOR ` Date -J /0��/�p� Sketch buildings on reverse and indicate location on property.