HomeMy WebLinkAbout039-570-018a
2208-89B
70 �Ol
PENNINGTON., Frank.
4009 ore ead''A`ve, `-Chico
ContR :. Denny -Const .
(reroof/SF)
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I, JPT
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2208-89B
70 �Ol
PENNINGTON., Frank.
4009 ore ead''A`ve, `-Chico
ContR :. Denny -Const .
(reroof/SF)
r t S'
. H.
I, JPT
3, �,�
42-23-18
2208-898
PENNINGTON Frank
4009 Morehead Ave; Chico
ContR: Denny Const.
(reroof/SF)
s
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
f._ 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541
APPLICAVON.AND PERMIT
PERMIT O.
7 %i
ASSESSOR PARCEL NUMBERZO
IN.
-/0
BUILDING PERMIT
OWNER_..�
I- r n ,.. k 1 c V, h ,., a h
TELEPHONE
V3-2,3110
SQ. FT. OCC. BUILDING VALUATION
v r r
0
OWNER'S MAILING ADDRESS /
o 0 C/ hl Ort k C'u it -e (t :� • V
,a
fJ v
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MMhAILING DDRESS
1, f
P.6. O I1 9 S y 2
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ :3 . S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
y
Permit fee
$.5=--
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
h , V
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
USE OF STRUCTURE
SF E)k Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K
Describe work: ie R O o - (' p w• .}- nitr
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de lar under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license' is in full force and effect.
�� 24 v2
License No. > ` Classification '�EX.
F] 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)
❑ I, as the owner, am exclusively contractingwith licensed contract-
ors. (Sec. 7044) ,
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW OR ADDNS. CONST. � ACC. BLDGS. / DWELLING OCCUP.a`
,�22sgft
NEW CONSTR.U I.OUTLET
NON.RESID .BRA CH CIRC ITS
'2,50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Ex.00Cup OUTLETS OR FIXTURES
SAL@30
FIXED PR 11
Occup. OUTLETS (RESID.IEA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
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.
1 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 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 i.d Count in consequence of the granting of this permit.
r
X Date ���`� ZO 45 /
Signature of Applicant — Owner ❑ Contractor" Agent ❑
An OSHA permit is requi ed 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 $
TOTAL PERMIT FEE $
OCCuP,
CONST.TYPE
JSCI1OOLJ
FLOOD
PARCEL
P11
=E
-This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
-
By "' 1 `' `p----.. Date/—//- ///y�� J
PER .MLT' EXPIRES Date ��� �' IL ' e/
Receipt No. 7 /l / /
WHITE-O.P.W.. YELLOW-ASeLSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMI 0.
7 County Center Drive - Oroville, Californt95965 - Telephone: 916/538-7 41
APP'LI fLON AICD PERMIT
ASSESSOR PARCEL NUMBER
�2_— 3—
ZO ING
—/O
BUILDING PERMIT
OWNER7 �o
cVL�t
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
M
OWNER'S MAILING ADDRESS
y'O0C/ Mae kC."d PI -u --C NC 4L
Ci S
CONTRACTOR'S NAME
eVNn- _o
TELEPHONE
13yt 7oS6
CONTRACTOR'S MnAAILING DDRESS
V"(:)-1,® 9r°/2
Fireplace
CONSTRUCTION LENDER
in 0 N -e
UNKNOWN
Total Valuation $ 2 6 �—
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ - r
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /q
Permit fee
$ :�1 9-1S'
PLUMBING PERMIT
Filing Fee 1 10.00
Each Trap
2.00
(j
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
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition n❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: R e R O C) — Cor—PA- rollo j i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
�J
Main service aoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I derinder penalty of perjury (check one):
licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my license Is In fullforceand effect.
License No. S/ 2ey2 Classification c?
❑ 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.ai) ,
OR ADONS. ( ACC. BLDGS. / /Z¢sq it
NEW CONSTTI.OUTLET 2.50 ea
NON.RESD BRA C CIRC I Sam
POWER APPARATUS .&)
SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES20070t
eAL030
FIXED ALNS
Ex. Occup. OUTLETSP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
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.
kil 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.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
s
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.
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 i Count 'n consequence of the granting of this permit.
` ��l 6 Ua
X Date
Signature of Applicant — Wner ❑ Contractors Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures o[ve�r>3 sstorie�s—i7n height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST,TYPEJ
SCHOOL
PLOOD
PARCEL
PD
I ND
Is9U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. ? ! / /
WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDEN ROD-AP►LI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING IVISION
7 COUNTY CENTER DRIVE - C1RU�ILL��( ALIF.O NIA 95965 - TELEPHONE: 916/538-741
PERMIT APPLICATION DATA SHEET
' r Permit No.
OWNER(� h vi �1, (IGkv% IL . �,P L Q OVA A. P. No.
Proposed Building Use Building Inspector Date
1 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid ................. .
13. Sanitation approval from Health Department ...
14. City of Chico plumbing. permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required..
18. Driveway permit (construction approval required prior to occupancy) ...
19 Pre -Ins Inspection for required • . , , Pre-Inspe . request to
p q Buildin Inspector (Date)
0. Contractor's license information (No., Name Style, Classification) ..... .
1. Certificate of Workmans Compensation Insurance ...
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. ... .
23. Recorded copy of Agricultural Acknowledgment Statement ..... ......
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail o owner. Mail to contractor.
K Telephone3 112—7016and hold for pickup at office. Deliver w/inspector.
Other
4t) Applicant Date
Ili
Copy of plans sent Health Dept., Fire Dept., Other Date
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 _maII—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW