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Home My WebLink About039-210-092,�.,,.-.=-r Yom,,.,,,....-.--- �. ..— •t , .. M t � " 7 •r , 39-21-92 JOE CARLOS W/S FimpleRd.,app 900' S. of - Hegan Lane,.. Chico �. Permit 61^5'75B, ,E M(new single i family) Itf 039-210-092 04-2193 . CARLOS, JOE N 10617 FIMPLE RD, DURHAM IMALED Cont: CHICO ELEC ELEC SERV UPGRADE •Z.,'0 Psq 06, (guj BIS.-oMO Ad (600) O 1 � 1 3yorr,k3116 .T. V" BUTTE COUNTY DEPARTMENT OF DEVELOPMEN SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS 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 License Number: Date: 2Z D `/Contractor: �rCO.c�nz/C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 /. issued. Gd I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �z�%vs>Enle Y Policy #: 2 7 Z- r lA1/% 522-03, �i7 I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,. and agree that if I should becdme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith-7com ly with those provisions. Date: < 2 Z/12 y - Applicant:_ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ERMIT NO. Issued Date: 07/22/2004 APN: 039-210-092-000 Site Address: 10617 FIMPLE RD DUR Map Index: 93 Description: ELECT: SERV. UP GRADE 400 AMP TO 800 Owner: CARLOS JOE F & GERALDINE Y 10617 FIMPLE ROAD CHICO, CA 95928 Applicant: CARLOS JOE F & GERALDINE Y Contractor: CHICO ELECTRIC 36 WEST EATON ROAD CHICO, CA 95973 (530) 891-1933 License M 454345 OFFICE COPY Architect: Engineer: Address GAS Meter By Date Total Square Ft: ELECTRIC Valuation: $ Meter By Date -7 Census Code: 7�� V CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrvor I hereby affirm that there is a construction lending agency for the Resoltions I do work indicated a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By. J/,/�i)Ann�f� � Date:�'I Q Name: L1► V'/„ n PERMIT EXPIRES ON: / ^ 2 2.6S Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purposes. Print Name: 7 �1%� Signature: Date: V- 2 ©� / —fir ❑ Owner Contractor 0 Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042193 LICENSED CONTRACTORS 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 Issued Date: 07/22/2004 APN• 039-210-092-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: C License Number: `17 Site Address: 10617 FIMPLE RD DUR Date: 22 o l Contractor. �i�`rC0 �iECTYL/C Map Index: Description: ELECT. SERV. UP GRADE 400 AMP TO 800 p • OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a CARLOS JOE F & GERALDINE Y permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 10617 FIMPLE ROAD the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CARLOS JOE F & GERALDINE Y such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: CHICO ELECTRIC ❑ 1 am Exempt under Article 3 of the Business and Professions Code 36 WEST EATON ROAD Date: Owner: CHICO, CA 95973 (530) 891-1933 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pery'ury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #• 454345 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit . issued. 2/ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier:/ w27i1 Total Square Ft: 0 S. F. Policy #: 2 ! Z till 17— S ?_ --0 / 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should bec6me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ly with those provisions. Date: 7 2 2 O h Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ _ _ - _ # yb Oqc-5�j Arna.,17 f 4 -,16 q: G � CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resol toIt,do work indicated a for which fees have been paid. �1 ' n / �a�GY�( Name: By: Z/Y�/„L! Date: �r �CA7i Q 1 PERMIT EXPIRES ON: / — 2 2- 61 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above;information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County toenterupon the above mentioned property for inspection purposes. Print Name:f� N /'7�� U -f -/o ti,Signature: Date: // 2/(9 ❑ Owner 0 --Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Names first Name Address 0 61IM L E 2 6 City r// /co State Zp 9�ZS Phone 3 2Z ^ l ,7 Fax E-mail CONTRACTOR Name Name City Address Address 3 City City C' C—o State zip Phone Fax E-mail Dc. # Class/0 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zap 59? 3 City Fax 8 F/^-- State Zap Phone Book Fax E-mail Z State License Number APPLICANT NAME Name C�f�lCO Address City State Zap 59? 3 Phone f -3 Fax 8 F/^-- E-mail A P ANT SIGNATURE X / 4�� I For office a only: Zoning A-ZQ Flood Zone Cross Street / SRA Yes I Kfo Occ. ' Type Const Subdivision Name Map Book I Page Lot # Planner Date Approved: ® OVER FOR SIIRMITTAI RFOI IIRFMFNT-q PERMIT NO. I Bp BIN # LOCATION AP# Property Add �es� < O -Gity Iv Cross Street / WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ra l -le --10)-11 f� Sq. Footage O Structure Built without Permits 11 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ` Amount q ° Bldg SRA Receipt#: 4 6&q64 Sheriff Date: ? -,--) / C4 SMIP Other AQ 9 � � Total )6 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI ❑ 3. OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed Letter from Engineer or Architect for truss design review. ❑ 5. calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to Letter of intent. ❑ 10. mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 0(4 i J. 6ERMIT NO. 6155-75B,P,E,M .; S 4 E M MH UTIL. PERMIT NO. I PERMIT EXPIRES, L1, Z71, OWNER Joe Carlos CONTR. owner F LOCATION (A.P: 39-21-92 �S/y% IWIS Fimple Rd.; app 900' S. of Hegan Lane, tChico 4 , i 4 • t� r Temp. Power Pole Called PG&E ' +et8)T. E I ec. Serv. © —Z t Called PG&E 0--7 6,J Temp. Gas Serv. Called PG&E -00 • JOB f FINA y ( ate) K (Signatur ) Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 3 O •- -7 C, Fixtures BUILDING BUILDING (Cont'd) FIRE SPRI KLERS PLUMBING Setback — Firewall Soil Piping Stucco Forms Parapets 1st Floor Main Bldg. Grd. Fault Prot. Restroom Finish 2nd Floor Footings/ % Windows - 3rd Floor Temp. Pole Stemwall - 7 Siding To out r '� Slab Roof Sheathing Vrdter Pi p in g Piers Final Roofing Sewer Garage Fdn. Vents .. Fixtures 3 0-7 Footin s ' 7 Garage Vents Water Htr. ---v, 0 — Stemwal Slab ` Prov. for physically handicapped Heaters Appliances 3 _ (::>-7 Carport Footings oeConformance of ex. structure Gas Piping Temp. Gas & Test o Slab Final Sanitation —� Patio FIREPLACE Final Footinas I Footina /e!`f v/�c ChkAASCI ELECTRICAL Reinf. Steel Final 3 O •- -7 C, Fixtures Bond Beam FIRE SPRI KLERS Motors Framing 7 est Water Htr. Stucco Final Subpanels Mesh MECHANICAL_ Grd. Fault Prot. Scratch —-Heating Service Brown - Cooling Temp. Pole Finish — !9rO —'7 Ducts Underground Interim Lath Ventilation Permanent Door Closer — ? 6 �� -I Final -3-30-7 % G;r� Final DATE _G REMARKS OR CORRECTIONS W7-/ A J7 / cd -- �2 -.?& sue r-re)c-b 3*1 w 4-4-, j, p. `�i� f�7'� /�- show sm 7r�' Rg/t2<_ 74> Pi n44,L-, ip p 7"d U / n o i../ 7-G r -r B NVA7 -1 • -� W &Z P scee F&/e- Sz'" Cc - o -11--7 01 Iro �� 60446F- TO: Building Departmentr (; j5-�5 FROM: Environmental Health RE: Sewage and/or eater Clearance OvMER LOCATIN -f / 6:!�Zl -.?/- 91 2 A . P;-�- Has been approved for: / SE -WAGE DISPOSAL ✓ . LATER SUP.. -PLY / e Sanitaria n 7 Date S95-775 COUNTY OF BUTTE—��DEPO.RTMENT OF PUBLIC WORKS 7 County Center Drive -L UrmAlle, California 95965 Telephone: 534-4541 AAPPLICATION AND PERMIT /SSS nuuwiicc represenLat ves UI the bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date 1A'L,3T- $ gnature of Permitee or Agent /� Receipt No./ 1366(19 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 OW'P)JBLIC WORKS BY �� Date �'z— (!- -;'Jilding permit expires Date BUILDING OwnerS © SQ. FT. OCC. BUILDING VALUATION Mailing AddressSY / �T1 S . d s 0 (0 l C Telephone No. Z Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 5` G PLUMBING No. @ I FEE PERMITFILING FEE $3.00 eDC) Z) X Q Qb 077, Each Trap 1.50 Q Repair drainage or vent piping 1.50 ! C O Water piping 1.50 Each gas water heater or vent 1.50 /_� A. P. No. ! Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Sa i a on .OfFire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking arcel Pla Declaration Parcel a P 60' R/W Im ements Pr Lawn sprinkler system 2.00 Bld tans Recd Parc Approval Plan Approval Permit Fee S J NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEEPERMIT FILING FEE $3.00 0V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service E A. ADD'L too AMP 1.00 NEW CONST. DWELLING OC P & OR ADDNS. ACC. BLDGS.' ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS &) NON- R RESID, (SINGLE OUTLET CIR. 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: • Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL�1 Ex. ccu FIXED APPLNS. OR O Occup.(OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ZS� I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ?f $ WORKMEN'S COMPENSATION INSURANCE I 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 j QO Heating - !r! Cooling `S" Ventilation Hood 2.00 JZ, ®U Permit Fee $/;z so $ 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 TOTAL PERMIT FEE nuuwiicc represenLat ves UI the bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date 1A'L,3T- $ gnature of Permitee or Agent /� Receipt No./ 1366(19 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 OW'P)JBLIC WORKS BY �� Date �'z— (!- -;'Jilding permit expires Date , , - ��ill � I � 'i l,� , , , , ;i� ,�', �; I ,, " , I � 1 I I , . i"', , ,. - i I l:., � 04INT ( Aii F Jol I 0 J-11- K I a. 3 4� , . I ". , � , - I J01111 I ,,�%v I I I ' If, "I �, �� , i , I , , . , 11 I A I ,111, 1, l il�,l 4", I'M "ll r,�, �4__�-�, --- ll,Z'wl I I ,f: i , I I ,, , ,!�i .it ,,,,, ."i , 11 ll I - � : , I , � �'j 1, , ;.� ! , , . , i, ,", , 1[ 3. 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