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HomeMy WebLinkAbout042-170-080042-17-0-080 93-3231..E �SOMES, WAYNE & BERNICE . ?725-W SACRAMENTO AVE, CHICO CONTR : DURHAM ELECTRIC ` -° / � ��73 ELEC SERV/SF 042-170-080 04-0153 SOMES, BERNICE 2725 W SACRAMENTO AVE, CHICON Cont: FOUR SEASONS ROOFING RE ROOF n Y a Y '� r � +oa -'3t, t � y Z4 "�C }s^�t I F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754N (Rev.12/96) APPLICATION AND�PERMIT - . - M ASSESSOR PARCEL NUMBERr-LL a ® .0a) ZONING BUILDING PERMIT OWNER C TELEPHONE` 1 L449 SO. FT. OCC. BUILDING VALUATION . OWNERS�I Ss q % NA O� � TELEPHONE `441 ONE TORS MAILING ADDRESS ' v9 ^ Ort' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Rlinq Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 1r' VG Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPECIFv 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 ❑( RReem(o�dell E3 Utilliities ❑ Installation ❑p�O•ther B� Describe Work: Y�\[J ItiN)nze l�� 0-1"? Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A0R. 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. '`�-� License Class ( Lic. No. � � ( .J o 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. W"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 workers' compensation insure a carrier and otic number are: Carrier vzn M- l)= ZZMPE Policy Number lx]I'�, 3 (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. X _ Dates r C _ Signa ure of App ican - wner G3 -Co tra for ❑ Agent An OSHA permit is required for excavations over 0" deep and demolition or construction_ of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. a ACC. SLDs. 3.50 Fr; N"ONEW RESD ' MULTBRANCI.OU.0 @7.50 PO APPARATUS a SINGLE OVILEf CIR. Ex. OCCU OUTLET FIXTURES BAS @': 0 Ex. Occup. sR6D°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood '6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO 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 whic a have been paid. B Date PERMIT EXPIRES ON I Date Receipt No. WHITE-D.D.S.-B. CANARY• S ESSOR PINK-IINfiReCTOR GOLDENROD -APPLICANT iyfi!+f r f i ate*+{.: .. fi ai b ESQ iy'2 ur F6' of xr . fit"•-ri*sat�K.cjri. ci�:uaitr ni .s:LSr n�"=Hi*>.,_,tr, 042..-17-0-080 93-3231 E 4 SOMES, WAYNE A BERNICE:' ' 2725 W SACRAMENTO AVE,.CHICOe ;t CONTR: DURHAM ELECTRIC ELEC SERV/SF t ;. ( COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9- . PERMIT NO. 'APPLICATION�AND PERMIT 7- � ASSESSOR PARCELNUMBER 042-170.080 ZONING A -S BUILDING PERMIT OWNER Wayne & Berni6e ,Somes Nn540 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2675 W. Sacramento Ave., Chico X26 CONTRACTOR'S NAME Durham Electric T'-1301 CONTRACTOR'S MAILING ADORT 0 C Orange �7t • Chico 95,926 fl� r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee S 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER uCENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ •-"' ' w" :. / ! ,l: , r a y S�yy ' ,� •' PERMIT FEE $ 2725 W. Sacramento Ave,, Chico PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE �, SFU Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK r New ❑ Addition C1 Remodel CI Utilities ❑ Installation L1 Other' Describe Work: Service Upgrade PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 1 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. Ofl ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) -6 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 1-1,27.5 6; Classification & y © ❑ I, as the owner, or my employees with wages as their sole compensation, will To the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensDd contractors. (Sec 7044) ❑ 1 am exempt under Sec. Bus`ness and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 50 Ex. Occu FIXED APPWS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring I 23.00 23.00 -Pre -Inspection WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in ary way accrue against said County in consequence of the granting;of this permit. X .rf�� N ,\ % .`,. Date '� $ Signature of Applican`I'- ❑,-Qwner''l] Coritractor ❑"Agent An OSHAindicated permit is required for excavations over 5"0'' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 113 1 "' OCC CONST. TYPE TOTAL FEE $ 89 00 • HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE' 13/� This permit is hereby issued under theapplicable provisions of the Butte County Code and/or Resoutions to do work above for which fees have been paid. ,— i DIRECTO F-40,108t1liff WORKS / ? By �" ''�/ ="`" Date ��/i♦! �J PERMIT EXPIRES ON 1W (betel Receipt No. / WHITE-D.D.S.- C�- S ESSOR.' . PINK-INSPECTOF. GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT /- ASSESOR PARCEL NUMBER 042-170-080 ZONING A-5 BUILDING PERMIT OWNER Wayne & Bernice Somes TELE oNE2540 3+f3 - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES 2675 W. Sacramento Ave., Chico -;926 CONTRACTOR'S NAME Durham Electric TELEPHONE 345-2301 CONTRACTOR'S MAILING ADDRESS 110 C Orange St., Chico 95926 ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 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 $ 2725 W. Sacramento Ave. Chico PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFXX Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W � ZO.00 TYPE OF WORK �v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)ff. Describe Work: Service Upgrade PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V 01 LESS 00AORLESS ) 1 23.00 23,00 Main Service ( 200A TO 1000A ) 46.00 r NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) S0- 3.5C FT, CONTRACTORS LICENSE LAW I dlare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions ode and my license is in full force and effect. Al 1' ZD 11L License No. ;L Classification {LSV ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.500 Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 Pre -Inspection -11 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): eis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 89.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 he gran Ing of this permit. X Date 9, Signature f Applican - O caner Contractor YzAgent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 89. 00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD HO ISU t This This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECT By 1 PERMIT EXPIRES ON the Resolutions been (Date applicable provisions to do work paid. ORKS / Date Receipt No. LIQ 2 O 14 WHITE-D.D.S.-B.1V CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "�:��,'a{"""'�"*1J�`�+`'1�".�%Yfi+Lj� t :Y'{n K''R"6''�'�•, COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFONIA95965 -TELEPHONE (916) 538-7541 ry /: PERMIT APPLICATION DAT'ASHEET OWNER W 4 -So M e g` A. P. No. q2 Proposed Building Use 5/L 01'e'/7 t LVora �ABuilding Inspector / Date S Z SZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Y DATE RECEIVED BY 1. 2. 3, 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. W20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. ............:.......................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and.calcs, 3/4 sets, with wet signature on plans . ............ ... Hazardous Material Form . ...........................................:. . Energy Design Compliance and supporting documentation . ................... . Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 seks. .......... . Feesof $........................................ . Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. Planning approval for (A) Use: (B) Parking: ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval require prior to occupancy). / Frednspection req. �- Pre-inspection for !� eZrA «yio fa o-&quired. . . to Building lnspedor f� � (Date) Contractor's license information. (No., Name Style�Class ifcation). ............. . Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner _)...,� ....... . Recorded copy of Agricultural Acknowledgement Statement . ....... ......... . Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. VMail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 1 Acreage Applicant �7 Date 0! 1Z 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 _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works