Loading...
HomeMy WebLinkAbout040-213-015EEA 5 U, ' 91-3667 I� ELECTRICDURHAM'GAS. STN � / w `' �� ' r �� . . _. .ay.,.��'�r1�'43� '3��s�-,3+'S�'"s!$;�7'^�'.}'Simi&.:t�c,'��e.S�7ff�:^r'.ri<�kt,4,J'.e$:M•1�=.;;'�7�;:.�rr{.,R,Li'�.`s1 iiFw f;:�i,A1„�. �'.+.:i�'cy�- �A'i7'�•_.4��{,��';.�:r`5.�°.^r.r�3,��'I"�'�'^r': „*.�.. 040 21-3-015 t g1-3667 \ CONTR: AGRI ELECTRIC. 9405 MIDWAY, DURHAM UNDRGR ELEC/GAS STN i . t J ent, OFFICE COPY Address iJ'► GAS Meter By ELECTRIC ' Meter .By Date ��,, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pg I 1k 7 County Center Drive - Orovllle, California 95985 - Telephone: 916.'538.7541 q . APPLICATION -AND PERMIT 1 dill -- ASSESSOR PARCEL NUMBER 40-213-015 ZONING ` +�yl BUILDING PERMIT OWNERTELEPHONE Gore/Mclau Peri 'a Texaco 363-6518 $Q, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9405 midway, Durham r CONTRACTOR'SNAME TELEPHONE " ElLsetrIc 2-420 CON -1 H A C ivR"S~MAI LING Arl _ 9 g 8 Fireplace L CONSfRUCTION ENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other rarlif1t-reia►l. GAA gtAt{An SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK eNew„: Addition Remodel❑ Utilities InstallationC Other ❑ Describe work: D.U.M. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service. 600v OR LESS 18.50 1 8.50 200A OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EX 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. a�3` 55 Classification CiIO iJ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA, 37.50 NEW CONST.(DWELLING OCCUP.h 3.64 sq.ft. OR ADONIS. ACC. BLDGS. NEWC ON5TR ULTI.OUTLET @ 5-00 N O N•RE SID• BRANCH CIRC ITS POWER APPARATUSs (SINGLE OUTLET CIR. Ex, Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REA.7 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bvirin g 1 15.00115.00 Permit Fee $ 48. — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. Iq I have placed on file with the County of Butte Building Department 4� 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 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 against s'ai/d.'CoLfity in con§'equence of the granting of this permit. X �-�r Date %y%�- �l Signature pp 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 TOTAL FEE $ 48.50 HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abor for which fees have been paid. ��/IRE R OF PUBLIC WORKS By/j�i.. s., Date PERMIT EXPIRES Date /O /l v Receipt No. 10092,4 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 10 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE I 7 County Center Drive - Orovllle, Cellfornla 95985 - Telephone: 918.'538.7549 APPLIC;TIOi AND PERMIT A33E93R NUMBER 40-213-015 ZONING BUILDING PERMIT OWNER Gore McLau (Perry's Texaco TELEPHONE 343-6518 SQ. FT. OCC. BUILDING VA T OWNER'S MAILING ADDRESS 9405 Durharn qA CONTRACTPRAWN TELEPHONE Rlprtrir 1'149-4203 CONTRACtOR'S MAILING ADDRE , 11011 MTdwnv - C:hi c -j Fireplace CONSTRUCTION LENDER I -- KNOWN 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 9405 Midway, Durham 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 ❑ Duplex❑ Mobilehome❑ Other Commarei a1 f ac Ctati on SPE r Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition LJ Remodel❑ Utilities® InstallationC Other E] Describe work: D.U.UD. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 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 Profess i gnsCode and my license is in full force and effect. ' License No. -443455 Classification CIO ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 20GATo 1000AI 37.50 OCCUP.&) 3.6asq.ft. NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. / l NEW CONSTR. MULTI -OUTLET NO N.R ESI D• BRANCH CIRCU ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APLNS. Ex. Occup. OUTLETS PIRESID. IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 1 15.00 15.00 Permit Fee $ 48 — 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 liabili judgments, costs, and expenses which may in any way accrue against i Co my in c equence of the granting of this permit. X�D,��r 9� Date Signature of Applicant — Owner❑ Contractor ❑ Agent IXsions An OSHAwork 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 $ C CONST TYPE TOTAL FEE $ 48.50 E HAz I DFEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do indicated ab a for which fees have been paid. OR OF PUBLIC WORKS By �- Date /O-16-9/ PER IT EXPIRES Date 16-146 —F -Z_ Receipt No. 100914 WHITE•D.P,W•, YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLt; CALIFORNIA 95965 - TELEPHONF: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Propose At time of rmit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: l 1 All items have been b ;tt d su me . 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 of DPW. _ 19. Driveway permit (construction approval required prior to occupancy). _ 20. Pre -Inspection for required. - 21. Contractor's license information (No., Name Style, Classification). -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. -26. -27. When you issue the permit, process as follows: Mail to owner. -Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 12:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7281 Hoijrs: 8:00 a.m. - 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant 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 NUMBER _61 /< ZONING BUILDING PERMIT OWNER i TELEPHONE SO. FT. OCC. BUILDING VALUATION OMIA 71(LING 00RE55 W V a14- 14-CONT AC OR'S NAME CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 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 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 L:j Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 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 Main service 200A TO IOOOA) 17 37.501 NEW CONST. DWELLING OCCUP.&) OR AODNS. ACC. BLOGS. 3.6C sq.ft. NEW CONSTR. ULTI.OUTLET NO N.RESID• BRANCH CIRC ITS I @ 5.00 /POWER APPARATUS e SINGLE OUTLET CIR. ) \OUTLETS Ex. Occup( OR FIXTURES 20 76d Ex. Occup. OUTLETS IIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee s 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 g Hood 6.50 Ventilation permit Fee $ I 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 Signature of Applicant — Owner❑ Contractor ❑i 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 TOTAL FEE $ HAz 1 DFEES IMP I FLOOD I CDF RCEL I PD I ND ISSUE 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 Date DCDAAIT CYDIDCC r,%-- Receipt No. 0_Q _