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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: