HomeMy WebLinkAbout017-100-080d
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CNGEBRETSON Kaien'�-
'4743 China Cainp,Rd ; CI.co
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MATT 97-67B
s/s Humbug Rd. 2'.7 mi, east of Covered Brdd
Chico
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MATT 97-67B
s/s Humbug Rd. 2'.7 mi, east of Covered Brdd
Chico
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' ENGEBRETSON, Karen"',
4743�China Camp Rd ,Chico
Cont`. North"State Pui»
-- Electric Services Chanbe/SF „
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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.