HomeMy WebLinkAbout039-230-02139-23-21 ~' 4124-89E
r ,(
HENNEMAN FARMS \ /
`9684�.Fimple Rd-, Chico (.
'(iic�tall utilities, SY) 1-3
`%(/
BRUN, Orvis 8
9-23-21
Fimple Road, No. of Durham -Dayton
Durham
e
l\
vim' r�'�.�;;,� . ". �:. x . °,}F�. i►k , r.,�±� rt. � T `�},:i�`w
.,• ..; •�Yr .Y..f ,; ;,z:�: r£...�'�.•.'.•.,..-.rt:.c.',Ka� •�•.-1.-.�.'-�'. �.--r 5.'� st•. a r...,...Y..•-,>fl!.,�.rv-
� -+ -,t n ••.` .. ._ . ^�'�•S' _ r k", i. 'L^` i _+..i..it?,�`..:a.t�la.s?^�r'.rfT:'k • :57ti:M� l
X39-23-21
f 4124-89E
�.� HENNEMAN FARMS
9684 Fimple Rd, Chico
' (install utilities SF)
f - d
1 1 t
pd,
1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovillep- Phone: 538-7541 _
- 747 Elliott•Road, Paradise — Phone: b'72.-6307
CORRECTION. NOTICE
/i��(J�J £-'6�c G.(% / G� /I Gu S• — ��lii��F /�C� /t/�w
OWNER PERMIT N
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or /ed additional explanation, please contact this office immediately.
.� -/-/�Vi Sz' 11,4_0 /C t�jo.1- /-7"
T
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, Ci K,)rnii&95965 - Telephone:
APPLICATION AND PERMIT
WORKS PERMIT N..
916/538-754 / Z
ASSESSP RCEL NER_
— Z Z
Z° 'NG
O
BUILDING PERMIT
OWNERTE
o,.r VVL
EPHONE
S0. FT. OCC. BUILDING VA UATION
OWNER'S IIL�NG ADD JC
CONTRACTOR'S NAME
C7 t41.Jt n -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S.MAILING ADDRESS
Penalty
$
BUILD+NG
10
RESS_
I
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
c
01
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF,g Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G 1W I
10-00ea
TYPE OF WORK
New Add ition❑ Remodel El Utilities Installation❑ Other
Describe work: sia I I rie-uJ S pu t ),t C to ron l I
nni 1 �f_Art C '( cme-k 4ZE)OA 4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
�—
Main service 100 AMP ORLESS10.00
r/O
Main service EA. ADD'L 100 AMP
2.50 Z. S
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, Or my employees with wages as their SOIe COmpen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING Occ UP.tr
OR ACDNS. ACC. BLDGS.
,h¢sgft
NEW CONSTR ULTI.OUT LET
NON.RESID BRANCH CRCI.TS
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
200501
a AL030
FIXED S. OR
EX. Occup. OUTLETS TS (R(RESID,) EA,�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
00
15.00 %
- Q
Permit Fee
$ 5.17'0
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
d� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
9
Hood r
3,00
Ventilation.
Permit Fee
$
Contractor
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 authorize representatives of the County of -
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said unty in c sequence o he granting of this permit.
X Date 2
Signature of Applicant — Owner on+rector ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
0
TOT $ _52-Sf
AL FEE
AL E
HAz
CUA
PARK
SCH
PAR
PD
HD Issu
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PER T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date/Z'!(- Ya
V
91"T2
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
04
,,
COUNTY OF BUTTE - DEPARTMENT OF �,IJBLIC WORKS - BUILDINGIDIVISFON
7 COUNTY CENTER DRIVE'- OROVILLE, OALi 6AIA 95965 - TELEPHONE: 916/538-7541 I /
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER '/,. s A. P. No. 3 -5 — 213 —2 I
Proposed Building Use Building Inspector C Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. .............................
..... ...............
2. Plot plans:in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form .. _ ............... ........ ......... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City' of r
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
_4�pd-1-pre-Inspection for X LrLI It4i La l_ Se- requiredPre-Inspec. requestr t
Building Inc (Date)
4
' 'pecto
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .........
23. Owner -Builder Verification (Given to owner ❑, Mail to o e ) .. .. �
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26. r
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
r)�_ Telephone71479,�and hold for pickup at CL/_ office. 7 Deliver w/inspector.
Other
Applicant Q11dA Date
j�
Copy of plans sent Health Dept., Fire Dept., Other % Date
The following data must be submitted prior to permit issuance: (Cir 'Ie i 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 ___naII—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE-..DepaY2meAt of Public Works
7 County Center Drive; Orov'ille, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541-
An
16-538-7541•
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
' 2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No:
4. ,I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: 1"a -
Property
Owner l� /1 e�%p�1 C�P���%Iit,Pil�n �,--
Social Security Number
Date .1 z sy- - g
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
carY- a�rl
A -a-
g
kken(uman T.rrl,s a�
3
Coy C 5 9
��-
�
a.nd
�S Q,r v�
kken(uman T.rrl,s a�
3
Coy C 5 9
��-
�
COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSP R=_EL Nl1MBER 2
Z
Z° 'NG
O
BUILDING PERMIT
OWNER
I:> r rA
TE EPHONE
` Z_ 16
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S AILING ADD SS
G
Je
CONTRACTOR'S NAME •
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR -ENGINEER •
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILOING
IoEiL�
RESS_
Permit fee
$
PERMIT
Filing Fee 10.00
aPLUMBING
Each Trap
2.00
' f / S
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME .�
PARCEL MAP
Water piping _ _
5.00
Each qas water heater or vent
5.00
US 0 TRUC
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G IWI
10.00e
TYPE OF WORK
New❑ Addition [I Remodel[] Utilities Installation❑ Other ❑
Describe work: :145 11 Y%,e(.0 S oP_f I)N' C t' \
nri� _. P__Ari C �JG11e l /72,00, /mp)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP OR1 OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
No. Classification �
❑ I, as the owner, or my employees with wages as their sale compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1,a th(Sece owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OR ACDNS. (ACC. BLDGS.
NEW CONST. DWELLING occuP.&182ALC
, h2sgft
NEW CONSTR. ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ao¢
30License
FIXED
Ex. Occup. OUTLETS (RESID IAPLNS.REA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Q 4 s GL. w
''
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a•Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fv�T I shall not employ any person in any manner so as to become subject
Y� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
'
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said unty in c sequence o he granting of this permit.
Signature of Applicant — Owner ontroctor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ov�err in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONSTTYPE
TOTAL FEES
HAz
CUA
PARK
SCHL
PLD
I PAR
PD
HD ISSUE
This permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
stories
Rerlv `�
.Pint Nn. I _� _�
-3c7 --2-1—z\
C 6d `'� Fig
49 rel
e Cr( s�
. � L Seg✓.