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HomeMy WebLinkAbout042-030-011042-030-011 99-1757 BERTAIN, Michael 3618 Hwy. 32, Chico 14 / {QQ l _ Contr: Owner Upgrade ex electric service to 200 amp I a 042-030-011 42 3 99-1757 9 ' 757 00 97 0 -0 0 0' 1% BERTAIN, Michael % I 3618 Hwy. 32, Chico Contr: Owner Upgrade ex electric service to 200 amp -TOJY1" OFFICE COPY Addres GAS Meter By Date ELECTR, c Meter By Date X X COUNTY OF BUTTE - DEPARTMENT. OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,iCalifornia,,95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB + • ZONING BUILDING PERMIT OWNER �k _ n , . i(}..F��r.{�'G/ TELEPHONE 7466 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING AD KESS /� ��(//� //�, •/� �._ ' l �""� it l .- ` 'cu CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 34 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Q Jpn H,C--Q-/-n Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600OR LIS Main Service p A VOR LESS 23.00 Ma) 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 1 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. ❑ 1 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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. �( ry 1 X�/+-.f�-_Date / � G 1 _ Sigrfatuk of Applicant - I, Owner ❑ Contractor ❑ Agent-^^�-�^--- An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. P Mein Service To +000A 46.00so NEW CONST. owELUNG Occup. so DWE200ALLING OR ADONS. ( & ACC. BLOC. 3.5¢FT, NON.RESID. MUL I,, CIRCUITS@7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ +.550 Ex. Occup. u,E,APPg1%-.,ERAJ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 (� PERMIT FEE S 14 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ . Energy Inspection Fee $ 0 OQ .3 co PE TOTAL FEE $ �O ,Co HAZ. D. FEES IMP I FLOOD I COF PARCEL PD I HD ISSIJE 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. t� /Vt✓�L�+.�'�r p/L { f By 1 !i Date `J PERMIT EXPIRES ON N ��y Dale ReceiptNo. CFL WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A,WjgV4�_ I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, 6alifornia 95965 • Telephone (530) 538-7541 PEEWIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBZONING :� BUILDING PERMIT OWNERELEPNO- 43368 NE SO. FT. OCC. BUILDING VALUATION .OWNER'S I NG SSW CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF V Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describ Work:gl� w CQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.A OR LESS ) 23.00 JIM) 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. 0 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 1 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. ❑ 1 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 l should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .� X OV Date � / / _ Sig f Applicant - Owner ff Contractor ❑- Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS, 8 ACC. BLDS. 3.5¢Fr_ T @7,50 NOWREESID. RANCHO CIRCUITS PSINGOIfTLET COWELER APPARATUS IR. EX. Occu ourLEr OR FD(TURES BA @'.500 Ex. Occup. OuT>ErsRa1D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _''1 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc �_ co TOTAL FEE $ o� HAZ. D.'FEES IMP I FLOOD I CDF PARCEL I PD I HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By D Ad�Iw 7V PERMIT EXPIRES ON I Dat provisions to do work paid. y e . V 9 tr 1 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6�F­&OUNTY OF BUTTE - DEPARTMEI 'T.OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: L Q_ Z ayyJ , ASSESSOR, Proposed Building Use: ,�� Building Inspector:v Date: -7 -QLq -q cj At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. ------- -------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 1.7. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- .� ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21.•Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ------------------------ 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑ 26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------- I ❑29. 0433 11 Grant ,j;30* ❑ M.H. 1,itle, ❑ Check to (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor. Telephone X59 C� �� (�g and hold for pickup at office. ❑ Deliver with inspector. Aplicant: s4A��,_Date:_.T G r 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items'numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 1:1A.P. folder.• Note transfer by: Date: OWNER: LOCATION: (0 O CONTRACTOR: PERMrr HISTORY: ONONE [ IAS FOLLOWS: TYPE OF OCCUPANCY: c`L� ► l �� [erciaWsage: [ ResidentiaV# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. c: V] Yes [ ] No Electric is currently : [ ] On [ J Off Condition of electrical? J4 M APA ZONING. DATE TO INSPECTOR EgSPECTOWS REPORT '7"4 %,5 L W Natural [ ] Propane[ ] None[ ] Currently On[ ] O$[ ] Obvious problems: ISanitation: Plumbing working Yes No[ ] Well: Yes[ ] Potable water:, Yes[ No[ ] Obvious Sewage Problems: e4-114)- ction Recommended: [ ssue [ ]Hold for: C. Date: '?12AP May 1995 4.