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HomeMy WebLinkAbout040-240-037I ' c f 40-24-37 3385 -00E -'r... B, RINES, Russell,. 2375 Serviss St,•Durham y 'N Contr: Durham Electric (elec sery/sf) a �. ,pry - - - - - ��y�'Rs.�.�a�ir•. ^ ' { *kms° �.' "vY7j"�^"� x :w���,'„r ';�?�'i�',:.A�Y'�':-•1R"1�.I�ryi�;i"*i�.I"a-,�'ra.r:^T'�—?�e�nY"°r�,.t"^"•.y"'W��. -24-37 '3385-90E BRINES, Russell .2375 Serviss St, Durham Q Contr: Durham Electric (elec sery/sf) ���.x, Fri; gin. �, :.�,':..,, :•yii+,�ak'M k::{r. �- :��,,pY}.1t}Y•` i.-�'�, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A�?-,s-- 9 ASS"x140NG - 4-37 NUMBER 1 Z RLL + BUILDING PERMIT OWNER Russell Brines TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 3081, Chico 95927 CONTRACTOR'S NAME Durham Electric TELEPHONE -'' CONTRACTOR'S MAILING ADDRESS 110 C Orange St., CHico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 2375 Serviss Durham Each Trap 2.00 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 [N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JS=EJ 10.00 e TYPE OF WORK r��1 New ❑ Addition [:1Remodel ❑ L3 Utilities Installation❑ Other ❑ Describe work: Service Change _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L too AMP 2.50 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. q27rJ lOJ Classification l_.-0 ❑ 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 GOCCUP.&� OR ADDNST ( DWEACCLLING / 21/2¢sgft NEW CONSTULT'.OUTLET NON -R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES MAL@30 FIXED EX. Occup. OUTLETS P(R ESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Pre—Inspection 1 15.00 15.00 Permit Fee $50.00 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. ,5;rI 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 Countyor Butte to enterr on the above-mentioned property for inspection purposes.--- I also agre ,fo ve, indemnify and keep harmless the County of Butte against all liabilities f, dncost d expenses which may in any way accrue against id ountof the granting of this permit X Date % Signature. Of licant — Owner g pp ❑ Contractor, :f 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 NOTAL FEE $ ALSCHL E 0 50.00 HAZ CUA PARK PAR HD 'esu Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR F PUBLIC By ZF _0____ PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date"- �q�' �� �_ .Receipt No. 73482 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r PRE -INSPECTION Q NER : l/ �`� �(� � N S DATE LOCATION:— % V/ `S A.P. CONTRACTORS ��� ���I /1/1 F L � ZONING PRE—INSPECTION FOR : DATE TO INSPECTOR PERMIT HISTORY: NONE AS HOLLOWS: i 'HYPE OF OCCUPANCY FIELD — P.FORMATION BUILDING USAGE: �� �fC,r✓� Fktm�c,H TENANT: OCCUPIED • FYI HAS ELECTRIC FX] HAS GAS =)d HEATED—COOLED :. OTHER COMMENTS:. ACTION RECOMMENDED: ISSUE Q PERSON CONTACTED HOLD FOR HAS SANITATION FACILITIES F' OTHER: BY DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. qo ASSESSORARCEL NUMBER 40-24-37 ZONING R=3 BUILDING PERMIT OWNER Russell Brines TELEPHONE SO. FT. DCC. BUILDING VALUA, ION OWNER'S MAILING ADDRESS P.O. Box 3081 Chico 95927 CONTRACTOR'S NAME Durham Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS 110 C Orange St. CHico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 2375 Serviss Durham Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 71 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 G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodei ❑ Utilities g Installation❑ Other ❑ Describe work: Service Change Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORRV OR SLESS 1 10.00 10.00 Main service EA. ADD -L too AMP 2.50 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. 427&10! Classification G—t� ❑ 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. h4Sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APP ARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eA 030 FIXED APLNS. EX. OCCUp. OUTLETS PIRESID,IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 1 15.00 15.00 tion 1 15.0 15.00 Permit Fee $50.00 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. ,§R--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 Filing Fee 10.00 Heating Cooling g 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 County of n the above-mentioned property for inspection purposes. Butte 4es I also ve, indemnify and keep harmless the County of Butte against all liadgme cost , d expenses which may in any way accrue ' of the granting of this permit X Date 7 `Q Signature of/Applicant — Owner ❑ Contractors Agent ET 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 $ 50.00 HAZ CUA PARK scHL FLD PAR PD HDagainsy This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTORF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 73482 WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION G 7 COUNTY CENTER DRIVE - ORO}I}L E.(%LIFORNIA 95965 - TELEPHONE: 91e/63e-7641 PERMIT AgP4CATION DATA SHEET Permit No. �/J Z OWNER / (/ A. o. �L/ Proposed Building Use �� �-/� Building Inspector DateZ��:ZA?o At time of per't 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) 0,e20. Pre -inspection for required Pre-Inspec.request —����� W p q Building Inspector nate) 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 ❑) ..... t 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 Z Copy of Hazy 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--jnall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLUTION AND PERMIT ASSESSOR P CEL NUMBER3�2- ZONIN BUILDING PERMIT OWNER �Sl7G //n/��� - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORE55 `/c (xJ CO T AC OR' AME T LEPHO E C TCTOR'S MAI IN A RE55 f✓ 2 Fireplace CONSTRUCTION LENDER 644 KNOWN Total Valuation Is Filing Fee _. $ 10.00 ! LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ` I E=nergy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D Permit fee $ ` PLUMBING PERMIT Filing Fee 10.00 ! Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 i Each gas water heater or vent 5.00 USE OF STRUCTURE SFk Duplex❑ Mobilehome❑ Other T� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G WE4 t TYPE OF WORK New❑ Addition ❑ Rem del Utilitie Installation[] Other ❑ Describe work: 6LZ V l C G. Permit Fee $ f Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service 110v OR LESS 100 AMP OR LESS 10.00 a i Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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. 7944) El I, 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 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , qft h2sea i NEW CONSTRESID. BRANCH BRANCH CIRC ITS 2.50 ea j POWER APPARATUS SINGLE OUTLET CIR.e ) I / EX. OCCUp\OUTLETS OR FIXTURESeA 0330 FIXED APLNS! EX. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 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 S100.00 (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 10.00 Heating Cooling g Hood 3.00 A" Ventilation Permit Fee $ Contractor I 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 Countyotocc Butte to enter upon the above-mentioned property for inspection purposes. 1 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 $ Energy Inspection Fee $ CONST TYPE TOTAL FE $ E E �cL� HA2 CUA PARK SCHL PAR PD HD Issue ; This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do , have been paid. i WORKS Date i 1! Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT