HomeMy WebLinkAbout017-110-004�Maiyy' Rose Beck _ y
't •W/S Humbug Rd. ; app.22 'mi.N:of"
Covered Bridge; Chico
I _ Permit #3369-78B E(addition-enlarge
living room/SF);
nb ' 011-300 - - '
004 99-1515 r
` x BECK,'Rosemary�'
,12475 Centerville Road;} Chico `ED
i Contr:. Loren Dawson"t '
} Electric Service Change ,
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12475 Centerville Road' Chico
Contr: Loren Dawson
Electric Service Change { '
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive + Oroville, California 95965 + Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT` l'
ASSESSOR PARCEL NUMBER
0 1 i 1-3vt�-004 /�
4.1ai
ZONING t'�)
BUILDING PERMIT
OWNER BECK, ROS)�'`iARY
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 12475 Cf NTERVILLE ROAD, CHICO ,. ,x.283
CONTRACTOR'S NAME 10REN DAWSON
TE M16506
IN-- •l
CONTRACTORS MAILING ADDR�$,O" BOX 6073, C;-IJCO 95927
L�
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 $
BUILDINGADDRESS 12475 CEYffRVIILE ROAD, CL(
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF jP Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
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 EX Installation ❑ Other ❑
Describe Work: SERVICE CHANGE
RF.A.JVE 1003+ REPLACE WITH 200A
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
ELECTRICAL PERMIT Fee 20.00
-LEFling
Main Service 2o.A OR LESS 23.00 Z.5+LJU
LICENSED CONTRACTOR'S DECLARATION
1 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.
License Class n 117 Lic. NO. ( b
OWNER -BUILDER DECLARA ION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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
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
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.)
I 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 that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith complthose provisions.
X ; : Date `� f -7 f
Signature of Applicant =" Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction,r.
of structures over 3 stories in heig4t.
Main Service 200A tOOOA 46.00
ToLING
NEW CONST. DWELLING CUP.SO
OCCU
OR ADDNS. ( a ACC. BLOB. 3.5QFT:
INK)N R6ID. MULTI -OUTLET 97.50
PGWER APPARATUS
8 STIGTE OUTLET CIS.
OUTLET OR FDS. RES x'.50
B20 00
�(, OCCU
Ex. Occup. OUuTLFIXETS RESID.GEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
eXE ASPEGTION 1123.00 123.00
PERMIT FEE $ i Q
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE w 66.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
I r/ I,,/%C,r
By ; ,�ji ! ,� , a I( Date /
EXPIRES ON
Date
Receipt No. �fPERMIT
WHITE-D.D.S.-B.-D. CANARY -A ESSO P K -INSPECTOR GOLDENROD -APPLICANT
OWNER: j3 ecl<,
LOCATION: J,2 U -��
CONTRACTOR
r/u
DATE: 9 f?
A.P.#:DSI ��� - D D T
ZONING.
PRE -INSPECTION FOR: �trb �W? c ZY-ZC-t - 7�Oa o�106 �jo
DATE TO IIdSPECTOR.
PERMIT HISTORY: [ ]NONE [)(]AS FOLLOWS:
r
TYPE OF OCCUPANCY:
BUMDING INSPECTOR'S REPORT
ig Description:
[ ] Commercial/Usage:
---------------------------
[ 41EQdentiaV# of Units-.—= obile Home: Yes[ ] No[ ]
[ ] Currently Occupied.
[ ] Abandoned/Vacant.
C*
•
[ Yes [ ] No
Electric is currently : [ ] On
Condition of electrical?
[ ]Off
Natural [ ] Propane[-j�None[ ] Currently O�Off[ ]
Obvious problems:
Plumbing working YesM--'No[ ]
Well: Yes[✓] ---No[ ] Potable water: Yes[ ] No[ ]
Obvious Sewage Problems:
ction Recommended: [ ssue [ ]Hold for:
pector:
Date:
May 1995 4.'
BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PE MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 011-300-004
ZONING FR 5
BUILDING PERMIT
OWNER BECK, ROSEMARY
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS 12475 CENTERVILLE ROAD, CHICO 95+928
CONTRACTOR'S NAME LOREN DAWSON
TEM E6506
CONTRACTORS MAILING ADDRESS 0. BOX 6073, CHICO 95927
i
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 12475 CENTERVILLE ROAD, CHICO
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF X1 Duplex ❑ Mobilehome ❑ Other
sPECIFv
Each Trap 7.00
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 EX Installation ❑ Other ❑
Describe Work: SERVICE CHANGE
REMOVE 100A, REPLACE WITH 2O0A
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ZDDAORLESS 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,
( 9 )
and my license is in full force and effect.
License Class L' —%® 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:
❑ 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 contractorsMisc.
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 TO 46.00
CCUOOOA
NEW CONST. DW ,%NG OCCUP. SD
OR ADDNS. 8 AOC. S.3.5Q ,.
NEW CONST. RANCHO CIRCUITS
NONRESIS C 97.50
POWER APPARATUS
8 SINGIF OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @'.50
BAL Q .SO
Ex. Occup. oimEDTSA AE�sID °FR.a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring23.00
PRE INSPECTION 1 23.00 23.00
PERMIT FEE $ 66.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
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.)
I 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 that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort With c it those provisions.
X Date
Sig ature of Applicant -Owner ❑ Contractor ❑ Agent
An OSHA permit is require for excavations over 60" deep and demolition or construction/7
of structures over 3 stories in heig
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE 4t 66.00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By-atte�Q /j�,,
PERMIT EXPIRES ON
Date
Receipt No. IZZ5
WHITE-D.D.S.-B.D. CANAR - ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
"Rev. 12n6) APPLICATION AND PERMIT
NpItOIIIARC14WYe01 �� DO►Oq //�/7 f
•�
BUILDING PERMIT
LiOf�`4/�
°w �d1� �ffifr LD1 SO. FT. OCC. BUILDING VALUATION
DwTO11 www %S�Jz
Z e -P i�e CSD
OONTRACTOR't ►rA.e z - o j2 P A.i
CONSTRUCTION LOOM '—
1.11,06M weu+o ADOPISS
ARCHITECT OFI MWIMEER
AAGH"CT OR OlOrrmis NAL04 ADDAUS
SU D010 A000=2 `/ 9
IDT NO. I /lJe MIC)" Nue
USEOFSTRUCTURE
SF Duplex O Mobilshome O Other
ereatFV
TYPE O;��
New O Addition O Remodel O Utililles Installation 0 Other O
Describe Work: 2�� el e —
�e �yjou� /60Iq
7q
s/
r7
C�iiCa '7-7-�19LT
7
Receipt No.
wHITE•O_n o
Fireplace
PERMIT FEE
s
Total Valuation Is
-Filing Fee 20.00
Mein Service
Firing Fee
s
20.00
Permit Fee
s
New COWT.
OR ADONS.
Plan Checking Fee
i
NONRESID.
Energy Plan Checking Fee
s
s
PERMIT FEE
s
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
Solar or hent pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gat piping "tam 1 - S outlets
15.00
Building sower
15.00
Mobile Home I S I G I W
@20.00
EIC. Occup. OUTLET OR FKrA=
PERMIT FEE
s
ELECTRICAL PERMIT
-Filing Fee 20.00
Mein Service
600v OR
20" on �
23.00
Main Service
200A To IOOOA
40.00
New COWT.
OR ADONS.
OWMA W Doan.
a AOC. atm.
3.St:R
NONRESID.
MULTI -OUTLET
IMAACM aroma
@7.50
EIC. Occup. OUTLET OR FKrA=
ML • '..ww
MEx. OCCU AF'vva1Ts ..6. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
.�� . ,o
PERMIT FEE
s ,
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Hood 1 1 6.50 1 1
PERMIT FEE V.=-
Mobile Home Installation Fee
Energy Inspection Fee $
occ CONST. T K TOTAL FEE $
NAZ 0. FEES W► P=O
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date �—
PERMIT EXPIRES ON
• - — •°3369-78B,.E--
?PERMIT NO.
07
PERMIT EXPIRES�O,T,.e r
OWNER Mary Rose Beck
CONTR. owner
' 51-35-4
*LOCATION (A.P.
W/S Humbug Rd., app.22 mi.N.of Covered
Bridge, Chico
4
y
'I
r�r
f�
Y
. �^1
1.
j
y
i�
30
r Temp. Power Pole
c,
Called PG&E
` Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
i Called PG&E
i
JOB _2__5 �2
FINALED �
(Da e)
:t
(Signa e)
COUNTY OF BUTTE..—,,DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECbRD
BUILDING •,
BUILDING (Cont'd)
- PLUMBING. -
Setback
Firewall'-\'
Soil Piping
° Forms
Parapets
1st Floor..
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows —
3rd Floor
StemwalI
Siding . -
To out
Slab
Roof Sheathing _
Water Piping
Piers — /' —%
Roofing
Sewer
Garage
Fdn. Vents ,=
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing ,
ELECTRIC L
Masonri Walls
Throat
Rough -�
Reinf. Steel
Final
Fixtures
Bond Beam
FIRES RINKLERS
Motors
Framing
Test 1
Water Htr.
Stucco
Final
Subpanels
Mesh
ME6HANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath I t�2
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
_ 4v
i MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity �
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
•_ � 7 County Cznter Drive - Orpville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT AA (�
autnorize representatives of the County of Butte to enter upon the
above -m ntioned property for inspection purposes.
KOPil'
X Date& 115-7e
Signature of Permitee or Agent
Receipt No. / i07 4 L
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P LIC WORKS
BY Date 6-2-,---
u
- L7-- 7�
uilding permit expires Date
BUILDING
Owner 11y ?per C /V_—SQ.
FT. OCC. BUILDING VALUATION
n
Mai ling Address 0 /V/ ,tVJ 5-rh-49
A7
100,
Telephone No. _�
2— 7,
Contractor
Mailing Address
Fireplace / ,9 00 • 0Lr
Total Valuation
Telephone No.
Permit Fee
Building Address JAI 5 e u
Plan Checking Fee&/or Penalty
Permit Fee , GD
p ,
M / L 41, 49 F
PLUMBING No.1 @ FEE
U v�r4� 3 rt
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. N —' ��•'�
Zonis & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F es - .C.
S ) Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. P ns Recd
Parcel Approval
PlansL pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $
$
NL
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3IM
Single Family Duplex Mobil Home
9 Y ,� P ❑ ❑ Others ❑
Main service s00V OR LESS
100 AMP LESS 5.00
-L
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 1�00Q'AMP 1,00
t
NEW CONST.OR ADDNS. ACCLBLDGLING .L/v �) 20 sq ft ,
CONTRACTORS LICENSE LAW
I am licensed under the provisions' of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CO ID � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. BRANCHMI CIRCUITS)
NEW CONSTR. /POWER APPARATUS B
NON-RESID. `SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXT11RES 5 L�
Ex. Occup. ( OUT LETSP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
/f 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ .
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
lave placed on file with the County of Butte a certificate of
❑ Workmen's Compensation Insurance.
lecertify 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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ 2
autnorize representatives of the County of Butte to enter upon the
above -m ntioned property for inspection purposes.
KOPil'
X Date& 115-7e
Signature of Permitee or Agent
Receipt No. / i07 4 L
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P LIC WORKS
BY Date 6-2-,---
u
- L7-- 7�
uilding permit expires Date
June 15, 1978
This will authorize Kenneth C. Beck to sign any and all papers necessary
to obtain a•building permit for the -property improvement at 144 Nimshew
Stage Chico. Title of said property is ..listed in my name.
MAR OSE BECK
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