HomeMy WebLinkAbout040-213-004l0 0
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04`0, 21.-3�:;p0:
J' 040-21-3-004 91-3772
NAGEL, LARRY
CONTR : • JENN I NGS ELEC
9408 GOODSPEED ST., DURHAM ;
UNDRGRND ELEC/SF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
4 ' 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541
APPLICATION'AND PERMIT
ASSESSOR PARCEL NUMB R
ZONING
BUILDING PERMIT
OWNER
N
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M ILING ADDRESS
9 R s 95938
CONTRAC TOR'S NAM
Jonnin
TELEPHONE
898-1421
CONTRACTOR' MAILING ADDRESS
928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
Ener Plan Checking Fee
Energy g
ARCHITECT OR ENGINEER'S MAILING ADDRESS
or
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
9408 rxandAppad Rd.. Dillrham
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 f
SF Duplex❑ Mobilehome❑ Other
SPECIFY I
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New! Addition Remodel❑ Utilities Installation Other E]
Describe work: D.M.D.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS
SS 1 18.50 18.50
Main service 200A TO 1000A1 37.50
CONTRACTORS LICENSE LAW
'
I declare under penalty of perjury (check one):
IX 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 .Jo. '�{93'i 10 Classification C —1V
❑ 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.E\ 3.64 sq.ft.
OR ADDNS. % ACC. BLDGS. I
NEW CONSTR ULTI-OU T LET
NON•RESI D• BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 764
FIXED
Ex. Occup. OUTLETS (RESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 1 15.0015.00
Permit Fee s48.50
—
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
Coolin 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 J---_•-------- 1 Date / U '� 3' �J /
Signature of Applicant — Owner ❑ Contractor N A ent ❑
g
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 FEE $ 48 50
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE '
✓;
This permit is hereby issued under the applicable provi-
sions of the Butte Cou� y Code and/or resolutions to do
work indicat8d above for which fees have been paid.
/'DIREC'TOFi OF PUBLIC WORKS
By _ r % Date ter. -Z 3 r'
PERMIT EXPIRES Date
Receipt No. 100965
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. , COUNTY. OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307/
CORRECTION NOTICE
OWNER O PERMIT NO.
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 need additional explanation, please contact this office immediately.
C ;67A4 "
a�
DateL07/2 q4 J Inspector
ka
V
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND HERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
40-213-004
ZONIN
BUILDING PERMIT
OWNER
Larr
TELEPHONE
,SOS FT. OCC. BUILDING VALUATION
OWNER'S M ILING ADDRESS
R m 95938
CONTRACTOR'S NAM
Jpnnin
TELEPHONE
—1421
CONTRACTOR' MAILING ADDRESS
28
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
9408 Goodspeed gri T)iirhqm
Each Trap
1 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
SF n 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[!] Installation ❑ Other ❑
Describe work: D.U.U.D.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
1 18.50 18.50
Main service 200A TO 1000A,
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 Q 2nsCodde and my license is in fulls force and effect.
`
License Ao. 7 / J L 12 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 ADDNS. ACC. BLDGS.
3.6a sq.ft.
NEW CONSTR ULTI.OUTLET
NO N•R ESIC BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
L 9760
FIXED APNS
Ex. OCCUp. OUTLETS P(RESID IREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
1 15.00 15.00
Permit Fee
$ 8.50
—
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
Y" 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 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, judgme ts, costs, and expenses which may in any way accrue
against aid County in tonsequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ ontractor 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 FEE $ 48.50
HAz DFEES IMP FLOOD CDUE
F PARCEL PD HD ISS
This permit is hereby issued under
sions of the Butte Cou Code and/or
PI
wo rk indi d o which fees
r
BY D E PUBLIC
PekMTT EXPIRES Date /u-
'
the applicable provi-
resolutions to do
WORKS
have been paid. Date/ -23- �/
Z3 -9Z
Receipt No. 100965
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLI�ChTION BATA SHEET
� Q Permit No.
OWNER I lj. P o.
Proposed Building Use (� 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 (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Dau
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail tom"contractor.
Telephone and hold for pickup at office. eliver w/inspector.
Other t
Appl ican
Date 1% 31g/
Copy of Hdz-Mat form sent Health Dept. Fire Dept. 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---jnail—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
COPY—DPW
File cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916 '538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB R
467 -- y —p
ZONING ,
BUILDING PERMIT
OWNER
La�� � z �
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN RYO AILING AD00,1 S
9 -at S c�
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS /
2-32 on�t Z.�N 3� Ckeo 57.fZk
Fireplace
CONSTRUCTION LEN05ER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
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
SFN Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
-T-15.00
Mobile Home SG W
61s.00
TYPE OF WORK
'�l
New F7 Addition LJ Remodel E]Utilities U Installation ❑ Other ❑
Describe work: (% (/Z—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
15.00
Main service 00V OR LESS
200A OR LESS
�F/ilingFee
/� 18.50
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 f rce and effect.
License .do.�J3?k'%?�7 Classification e-10
LJ 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)
F,I am exempt under Sec. , Business and Professions Code
for this reason
Main service 20rTO 1000AI
37.50
NEW CONST. LLING OCCUP.g\
OR AODNS. ACC. BLDGS.( DWEI
3.64sq.ft.
NEW CONSTR ULTI-OUTLET
NON -R ESI O• BRANCH CIRC ITS
^ 5.00
(POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
AO V 71,d
Ex. Occup. OUTLETS (RESIO IREA.�
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. 1Virin 9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
i deciare 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.
Et 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, ju ments, costs, and expenses which may in any way accrue
again t said Cour in consequence of the granting of this permit.
X '—'"— -4 Date/0 ' x-33 Z
Signature of Applicant — OwnerElContractor ❑ Agent ❑
An OSHA p
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 TOTAL FEES
HAz
0FEES IMP
FLOOD
I COF
PARCEL
J.P0
I HD
I 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
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT