HomeMy WebLinkAbout039-200-053039-200-053 PERMIT#95-1504
DAVIT, Satinder
4600 Dayton West Rd Chico Pl/
Cont; Ben's Electri��,
Ele ser Ch/MH
Ol
039-200-053PERMIT#95-1504 `
DAVIT, Satinder
4600 Dayton West Rd., Chico
' Cont; Ben's Electric "
Ele ser Ch/MH
t
N
OFFICE COPY,
Address
GAS
Meter By
ELECTRIC�jS
Meter By Date
COUNTY'`OF BUTTE- DEPARTMENT OF DEVELOPME,INT SERVICES -BUILDING DIVISION
j 7 County Center Drive - Oroville, California 95965 -'*Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT'
ASSESSOR PARCEL NUMBER.
o ,- �-5 _
ZONI
tip
BUILDING PERMIT
OWSA " Al D <c �A.+JNER
.TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4404 Z'>-- ..) J ILA -!G` S T f2 TIN
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
( c., £7'3 i3 • A .1f A'J /moo .p q a 4VS Q % 9Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater 23.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O'
Describe Work: —> �� Scy rc.�' Vpce/Lec%
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Servicee00V OR LESS
( 20O OR LESS ) / 23.00
Main Service ( 200A TO I000A ) 46.00
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.
License Class C — Hy Lic. No. G x 7 f:i(> 44
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
❑ 1, 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
NEW CONST. DWELLING OCCUP. So.
OR ADDNS. ( a ACC. BIOS. ) 3.52 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FUTURESz0 @ I.00
) BAL SO
Ex. Occup. (ouTIFTs RES D.�EA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
�� Z?1
PERMITFEE $
Contractor
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
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
lf one hundred dollars ($100) or less.)
E� I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 7 - 3 _ 4$
Signature of Applicant - ❑ Owner B—Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. p
Mobile Home Installation 'Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP I FLOOD
T73Ff_7
PD I HD
I ISSU
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 x / ✓`':-J Date
PERMITEXPIRESON %
I (Date)
ReceiptNo1 '3411
WHITE-D.D.B.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Droville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT S- /S(o
ASSESSOR PARCEL NUMBER
X39 - a on — C,53 —cw a
zONI�
BUILDING PERMIT
OWNER `
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR5 MAILING ADDRESS
1 c� £33 P - vt5�-✓ �Pi�. /D �2 y �i fo
Fireplace
P
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
ucENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE S
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 01
Describe Work: X-1414 3112W105- U4VA4&,
Mobile Home IS I GI W1
@20.00
S
PERMITFEEContractor
ELECTRICAL PERMIT
Filin Fee -20:00
Main Service OOOV OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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.
License Class L —ry Lic. No. G.2`79q4
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Coltractors License
Law for the following reason:
❑ 1, 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.
❑ 1, 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
NEW CONST. DWELLING OCCUP.
OR ( a C. BLos. )
SO.
3.50 Fr.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
d SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
BA2L @ I•50
L 50
Ex. Occup. (OUFIXED TLETS (RESIDE
.OA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRY
PERMITFEE $
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
�f 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 comply with those provisions.
_
X _ __` Date '7•– 3—' 5
S' ature of Applicant y❑ Owner [Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
, p
TOTAL FEE $
HA2.
1 D. FEES
I IMP I FLOOD
CDF PARCEL
PD HD
ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Lb
PERMITEXPIRESON
(D
provisions
to do work
paid.
/y
ate. e0l h5
7�
e)
�y
Receiptq D 1
WHITE-D.D .-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
/1-
GOUNTYOF BUTTE - DEPARTMENTdftEVELOPMENTSERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
4
PERMIT APPLICATION DATA SHEET M
aa
OWNER 5,e r 1 �aC lA 0 / . P/.�N�o. - Z o O '
Proposed Building Use %�� G Gt�t2l C� Building Inspector '��} Date
OT'
%-
At time of permit application, 1 was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED
BY
1.
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ . ...... r ..................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. ...........
19.
Driveway permit (construction approval required prior to occupancy). ..
Pre .
-Inspection reque-fs
Pre -inspection for required. . to Building Inspector
(Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner ............ -
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ........................................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.
34
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date -FS
Copy of Haz-Mat form sent Health Dept. Fire Dep( -'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:
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 _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
OWNER: S rr/�deA 0..e, t (I, -
LOCATION: 17"4 0-0 0/ lie1e- 2d
CONTRACTOR: Se -,4-'j 41C 6 74- -
PRE -INSPECTION FOR:I�G �-
PERMIT HISTORY: [AKONE [ ]AS FOLLOWS:
TYPE OF OCCUPANCY: 06. 1! -
Building Description:
DATE:
A.P.#: S3
ZONING:
DATE TO INSPECTOR )1515f
BMILDING INSPECTOR'S REPORT
[ ] Commercial/Usage:
[ ] Residential/# of Units: Mobile Home: Yes[ ] No[ J
[ ] Currently Occupied.
[ ] Abandoned/Vacant.
Electric:
[ ] Yes [ ] No
Electric is currently :[ ] On [ ] Off
Condition of electrical?
Gas:
Natural( J Propane[ J None[ ] Currently On[ ] Oil ]
I
Obvious problems:
anitation:
Plumbing working Yes[ J No[ ]
Well: Yes[ ] No[ ] Potable water: Yes[ J No[ ]
Obvious Sewage ;roble
ction Recommended: ]Issue
or:
[ ]Hold for:
r Date: