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HomeMy WebLinkAbout040-215-017T��4�O-21-5017 91—,3469TERS;;'JERRY.NTR: DURHAM ELECTRIC 9377,9379"MIDWAY, DURHAM UNDRGRND ELC/STORE . 040-215-017 02-3330 WALTERS, JERRY 9377 MIDWAY, DURHAM - . CONT: FOUR COUNTIES ROOFING RE -ROOF I V t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1! 2- ASSESSORPARCEL NUMBER O _ /'� k50 C'/•/`' ZONING BUILDING PERMIT OWNER JerryWalters TELEPHONE 95-1885 SO. FT. OCC. BUILDING VALUATION 35 s u res f built u roofing OWNERS MAILING ADDRF��77 y, , Midway, DurhamCA 95938 y @ $130.00 = $4,550.00 CONTRACTOR'S NAME I TELEPHONE Four Counties Roofin 43-1416 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4.55 .00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS KWUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9377 Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIr-v Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe work: Reroof existing roof w/built up roof system Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service soOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class 39 Lic. No. 774554 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. J I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker' compensation insurance carrier and policy number are: Carrier tate Fund Policy Number 272-02-573 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. l X f Date 11/27/ 02 Signa re of Appl' - ❑ Owner ❑ Contractor EX Agent An06AA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO I000A 46.00 Yoo NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACc. eLOS. 3.50FT: NO" N-RESID MULTI.OUTLET @7,50 APPARATUS arINGLE OUTLET CIR. 00 EX. OCCU p. OUTLET OR FIXTURES BAIL@ I.50 Ex. Occup. G„rls�°rS pa D°Ra 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring Lf: fl PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 9 2.00 HAz. D FEES IMP FLOOD cDF PARCELPD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BA / Date / PERMIT EXPIRES ON ate ReceiptNo. !) ._ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.��> zk �, vg�`.L`IiP%'^�,".(imR�s;t;�,4[j✓'��S•�Rs'�Pfiv�k�':y.Y'o"+�'�yi�.''Y+�+�'`„"n"Y' Tl 040-21-5-017` 91-3469 WALTERS, JERRY CONTR: DURHAM ELECTRIC 9377,9379 MIDWAY, DURHAM UNDRGRND ELC/STORE /o / 9�i 10... 0 939 FIFICE Address_ GAS Meter By ELECTRIC S� `v Meter By Date 9� { r \.kk i }>j, .;f..,.�r,..:,.,t,-%h►} ♦ ..,`7iS : r.�P': ,t K'� "!!. a �.iN�,:.�r' . F' ^.:. TC,41F" S. +1., ... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 M ' ' APPLICATION AND PERMIT ASZ15-1% NUM ZONING C2 BUILDING PERMIT OW Y WALTERS TELEPHO,,,�t _342_9331_7 SO. FT. OCC. BUILDING VALUATION s 0' 04Y bb /�V"� & W. DURHAM 95938 895-1885 Cu"iSOY AMI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 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 $ BILI QI,�1G&AD,p s MINAY DURM1 Permit fee $ PLUMBING PERMIT Filing Fee 1 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 gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherAFP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities P4 Installation ❑ Other ❑ Describe work: D= EM SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 50 �n 200A OR LESS 18. 18.50 Main service 2ocATO I000A) 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) rb, u 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,h 3.64 sq.tt. OR ACDNS. (ACC. BLDGS. NEW CONSTRULTI.OUT LET NON-RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 33.50 — 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 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 Countyof 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 g ' !j ' 7� signtore o/AppI cant= Owner � Contractor ElAgent ❑ An 0 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 33.50 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab�6ve for which fees have been paid. RE'TOR OF PUBLIC WORKS By Date 0-./4/ PERMIT EXPI • S Date lC) —CjI Z -�� 101067 Receipt No. WHITE•D.P.W., YELLOW—ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION,AND PERMIT NO� PERMIT ASWUSQ _PAJ3 EL NUMBER ZON1N� BUILDING PERMIT O'NARY WALTERS T342 9337 so. FT. OCC. BUILDING VALUAT N 011g�Z� 1ttWMf6ffRff,DURHAM 95938 895-1885 C OWAC, ?„O ttNATRIC EC 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL ING ADDRESS 934/7 & 9379 MIDWAY DURHAM 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 SF [:1Duplex❑ Mobilehome❑ Other ST0?E/7{� ` SPt CIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I IN I @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation[] Other❑ Describe work: DUUD ELEC SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LSS 00A OR LESS 18.50 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 force and effect. License No. Classification FlI, 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 t000A1 37.50 NEW CONST. OR ADONS, l ( DWELLING OCCUP.5dACC. BLDGS. / ) 3.6Q sq.ft. NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED EX. OCCup. OUTLETS P(RESID )REA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 33.50 — 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. 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. 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 said County in consequence of the granting of this permit. XDate �J/ Sign Lure App cant — Owner Contractor 11AgentY An 05 A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height.ORPUBLIC Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE I TOTAL FEE $ 33.50 HAz I DFEES I IMP I FLOOD CDF I PARCEL PO I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work indicated ab • ve for which fees have been paid. WORKS BY Date 2:1691 PER IT EXPI • S 61 Date fp /— f 7 - Receipt No. 101067 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS O P RG EM ,— pGJ ZONING Y BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 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 ADDRESSjJ� ^ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 7-7 Each Trap 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 SPEC Y Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK, New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: / \ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee f 15.00 Main service 2000AORLESS 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 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) ❑ 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 1000A1 1 37.50 NEW CONST./ DWELLING OCCUP.II\ 3.6Qsa.ft. OR ADDNS. l ACC. BLOGS. // NEW CON5TR. ULT' -OUTLET S.00 NO 11-R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 V 76d A Ex. Occup. our OUTLETS PIRESID 1LN5REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 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 Signature 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 FEE $ I HAz DFEES IMP I FLOOD CDF PARCEL PD Ho 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 PERMIT EXPIRES Date Receipt No. WHITE-O.P.W., YELLOW-ASSE330R, 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 A13PLLCATI©N DATA SHEET Permit No. OWNER ( _ I� �t �� �� �Y�� A. o. � _ Proposed Building Use (�(i'Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted . .................................... DATE RECEIVED APPROVED 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 acid 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 21. Contractor's license information (No., Name Style, Classification j Id��g Inspector (Date) 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, 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 Applicant Date Copy of Haz-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---mail counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW (