HomeMy WebLinkAbout039-570-009e42 n E)Q C 34-570-06�V%3480
CASEY, WILLIAM,JUDY
CONTR:' CHESHIRE'ELECTRIC'
4045 MOR.EHEAD_AVE, CHICO.
ELEC SERV/SF
'^'�.r .c,'.r�ri••�+t z 4#d : tip("y�y ,R��» ;vn`t i r Ott+moire-..mourn+.,^ y,n,�+� `""`� Da:s """^iy� d s�„a�.f�td-� .:r,.NU
42-23-0-009
1�� v CASEY, W I LL I AM, JUDY 91-3480
CONTR: 'CHESHIRE- ELECTRIC
4045 MOREHEAD AVE, CHICO
ELEC SERV/SF
OFFICE COPY
+ Address
GAS
` Meter BY
f EUERIC Date
gT�d
Meter
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' - PERMIT NO.
7 County Center Drive - Orovllle, California 95966 - Telephone: 916/538-7541
APPLICATION AND PERMIT
A33E55RF3,. N
at f7+�/22-
ZONING
_ BUILDING PERMIT
OWNER
WILLIAM & JMW CASEY
TELEPHONE
895--3632
SO; -FT. DCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2165 OAK WAY CICO 95926
CONTRACTOR'S NAME
CHESHIRE ELECTRIC '91358021
TELEPHONE -
345-9860
CONTRACTOR'S MAILING ADDRESS
BtTl'1'E CREEK ISI,,AM ROADF
.«
i rep I ace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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
$
BUILDING ADDRESS
4045 MOREHEAD AVE a1IC0 95926
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
rI
SF Duplex❑ Mobilehome❑ Other
u
Mobile Home S FG W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities Installatiion� Other ❑
Describe work: ELE=C SERVICE �� j'---n'�' _
Permit Fee
Contractor
$
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200ATO1000AI
37.50
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.
License No. Classification
NEW CONST.( DWELLING OCCUPM
OR AODNS. ACC. SLOGS. /
NEW CONSTRMULTI-OUTLET
NON•RESID BRANCH CIRCUITS)
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
3.611sq.ft.
@ 5.00
20 764
❑ I, as the owner, or my employees with wages as their sole compen-
FIXED
Ex. Occup. OUTLETS PR
IRESID.IEA.)
I 3.00
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)
Temporary service
Mobile Home Facilities
Misc. bvirin g
15.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
PM INSP
• 00
for this reason
Permit Fee
$
—
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
g
I shall not employ any person in any manner so as to become subject
Hood
6.50
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.
Ventilation
perrnit Fee
L=2ontractor
$
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
S
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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
against Said County in consequence of the granting of this permit.
j
�, ,..d.'f�t (� 1 f .sd-�/ /� �"' 1
X Date ri
!
SignatuA "Ifof Applicant — Ownq Contractor ElAgent❑
An 0•Hpermit is required For excavations over 5'0" deep and demolition or construct -
ion of structures over 3 stories in height.
101070
Receipt No.
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEE $ 63.50 �
HAz OfEES IMP FLOOD coF PARCEL PO ED Issu
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated abovr which fees have been paid.
T R F PUBLIC WORKS
By Date/45.2-4/
PER Cf EXPIRES Date /
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
Y . -
COUNTY OF BUTTE. -.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orvllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARC L NUMBER ZONING
42-23-009
BUILDING PERMIT
OWNER
WILLIAM & JUDY CASEY
TELEPHONE
895-3632
SO. FT. OCC. BUILDING V LUAT 0
OWNER'S MAILING ADDRESS
2165 OAK WAY CHICO 95926
CONTRACTOR'S NAME
CHESHIRE ELECTRIC 358021
TELEPHONE
345-9860
CONTRACTOR'S MAILING ADDRESS
BUTTE CREEK ISLAND ROAD
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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
$
BUILDING ADDRESS
4045 MOREHEAD AVE CHICO 95926
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFX1 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑
Describe work: ELECTRIC SERVICE (WEATHER HEAD) _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000A1
37.50
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.
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
,/for sale. (Sec. 7044)
pGl I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F -1I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUP.&)
OR ACDNS. 1 ACC, BLDGS. //
3.64 sq.ft.
NEW CONSTR ULTI.OUT LET
NO N.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
)
20 @ 761FIXED
APLNS.
Ex. Occup. OUTLETS PIRESID IREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. bVirin g
15.00 1
PRE INSP
iE
Permit Fee
$
—
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
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
Filing Fee 15.00
Heating
Cooling
Hood
6.50
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 Countyot
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 1' iliti es, judgments, costs, and expenses which may in any way accrue
ag nst aid ounty i cons uence of the granting of this permit. �+
X Date / v �' 7�
Sign t e of Applicant — Own Contractor ❑ Agent ❑
An HA permit is required For excavations over 5'0" deep and demolition or consr.uct-
of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
OFEES
IMP
FLOOD
COF
PARCEL PD
HD
Issu
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated abov r which fees
T R F PUBLIC
By
pE XPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date1
eipt No. 101070
LRe
E-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPAWTME Ti OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
F ,
PERMIT APPLICATION DATA SHEET
D iQ
Permit No.
OWNER
Proposed Building Use
A. P.
Building Inspector 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
(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 (cons uc Ion pproval required prior to occupancy)
0. Pre -Inspection for required Pre-Inspec. requestt� $ten w/Z
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ....................... 0 ...........
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone
Other
and hold for pickup at office. Deliver w/inspector.
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---jnaiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
PRE -INSPECTION
OWNER: 0 y 1 �� ��Y •
� ,q. DATE
LOCATION: ��%�� l / D / 1 A. P.
CONTRACTOR :G /M�� � G1��-�rI C� ZONI_. _
PRE -INSPECTION FOR: (/V I�T�i�--H �7 A
DATE TO INSPECTOR )0/o?- / q
PERMIT HISTORY: NONE F-1 AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFO&MATION
BUILDING USAGE:
TENNANT : V, V vL 0 C,, V-\
OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
Q HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
AnCT,ION RECOMMENDED:
&2ZISSUE Q HOLD FOR
OTHER:
I
BY �V I ((�C rl DATE /D �Oc
T
.- a
.. I Jul�.o
COUNTY OF BUTTE - DE-P•ARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Callfornla 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
S SOR ARCED NUMB
ZONING
BUILDING PERMIT
wNER` , JL ^ ..
TELE ONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S Mv�LINSG ADDRESS ��H`L �� q
Cp /RAI Tg SNAME � OZ
TE P ONE
CONTRACTOR'S MAILING ADDRESS
15a7l—E� (f ea 5 15
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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
$
6UILo NG A DRESS
Permit fee
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities)Installatio ❑ Other ❑
Describe work: 5
j.�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AA 00OR LESS
2OR LESS
18.50
Main service 200A TO 1000AI
37.50
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.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole 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 OCCUP.&
OR ACDNS. (ACC. BLDGS.
3.64 sq.ft.
NEW CONSTR ULTI.OUTLET
NON.RESIO BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20 76d
A
Ex. Occup. OU LETS FIXED �RESIO )REA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00 fJ
4/ S14
5_1 O
Permit Fee
$
—
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
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 15.00
Heating
Cooling
g
Hood
6.50
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 Countyot
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
against said County in consequence of the granting of this permit.
X Date
$ignature of Applicant — Owner ❑ Contractor ❑ 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES
HAz
1 0FEES
IM=
Col
PARCEL PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. % / �% % i%
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT