HomeMy WebLinkAbout042-310-003- - -- - _ - -- - - 42-31-03
1 MERLY DAVIS
2841 Nord Ave., ChicoralZitio!n,
Permit #2163-76B,P,E,M
den) SF
� permit .#-2433-82B(rer,00f (SF) -
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 L/
1
APPLICATaON AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
A "'
BUILDING PERMIT
OWNER—,,,// '7
,If
TELEPHONE
1'/s`✓s�.�
SQ. FT. OCC. BUILDING VALUATION
C�ri3�ti �_�%l.Va.
11 r.
OWNERS MAILIN(?' ADDRf,�
CONITR ACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
F i rep I ace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,74A9, 6)o
Filin Fee
g
$ 10.00
I
LENDER'S MAILING ADDRESS
Permit Fee
$ 14_4( v
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee N'A.
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 'f/57C-) 0
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
j
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF1Q1 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition[] Remodel ❑ Utilities ❑ Installation ❑ Other R-
Describe work:. /1i�a.� s�!%u _%-ys 1 - ',% ya
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
F1I 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
®f 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 CONSTR. I.OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTPOWER APPARATUS S
NON.RRESID. (SINGLE OUTLET CIR.
Ex. Occup o 50@250
OR FIXTURES BAL@1
ED APPLNS. OR
IXED A
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
❑y 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
5
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'ihe granting of this permit.
J��Z
Signature of Ap� nt — Owner [9' 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
ND
issuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By .��f,�1 ��i"�/%/.i/
PERMIT EXPIRES Dam
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
.11%, y
Receipt No. �� .5 � �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTME4IT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAMN AND PERMIT
PERMIT N
N33 -�L
ASSESSOR PARCEL NUMBER
/
ZONING
— s -/
'BUILDING ERMIT
'
OWNER c /`
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNE ' MAILIIN ADDR
Q Ir
CO T ACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
'I
LICENSE NO.
Plan Checking Fee V1
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Additio Remodel Utilities Installation❑ Other
Describe work: -f/� •� -f Z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.M1
OR ADDNS. ACC. BLDGS.
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness
and Professions Code and my license is in full force and effect.
No. Classification
•52/1, 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
NEW NON -RESIT P- BRANCH TLCT1T5 2.50 ea
NEW CONSTR. (POWER APPARATUS &I
NON.RESID. SINGLE OUTLET CIR,
g
EX. OCCUp OUTLETS OR FIXTURES L2j
BAL@1
FIXED APPLNS. OR
Ex. Occup.(oUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s 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 t e granting of this permit.
X _ —� -�.—+/ Date /�
Signor re of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-By
ion of structures over 3`stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
P6
I ND I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
TOR OF PUBLIC
2;BY
PERMIT EXPIRES t _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date p
- '��✓-�Q,3
Receipt No. J/,,?�
—
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�� y____- .-,..,.,...r- --• COUNTY OF BUTTE - DEPARTMENT •-_E rDEP Y T � t „T ;.,,-s,.----mow...-..���----�+.� v ...�•---:,;..,::.r�r--��.:.
F`06BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE ,- OROVILLE, CALIFORNIA 95965. - TELEPHONE: 916/534-4 Ap11
. cZ•r
PERMIT APPLICATION DATA SHEET;
-.. a � Permit Nc,.,
OWNER
A._F: No.
Proposed Building Use `J� �% a
Permit Fee Based Upon: Complete Contract Price -_-D'f5W Valuation
ther ( xp
-5;?;a in)
Building Inspector 442fo Date-
At
ate_At time of permit application, I was advised the fo ov ing 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.
3. Complete plans in duplicate./triplicate. . . . . . .
4. Complete engineered plans and calcs.
5. Plans with Energy Design Compliance Statement.
6. State Energy Forms No.
7 Statement of•lntent for Non -Heated and AC Buildings.... .�
8. Fees of $
9. Letter of signature authorization. . . . . ..
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance.
113! Contractor's License Information (no., name style, classif.)
P, 14- Owner -Builder Verification (Given to owner ail to ownerEl) fig/T r
15. Improvements may be required. - - .R . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•. .
17. Pre -Inspection for Pre-Inspec. request to
Required- Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
T Iephone and hold for pickup at office: Deliver w/inspector.
Other
Applicant �_,_--Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item-)
1. Index permit for above Items No.
2. Additional items required:
f-
(Contractor, Designer, Owner) was advised of above required data by Telephone. Mail Other
By Date
r
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
t_ "t�ERMIT N0. 2163-76B,P,E,M
'
�i PERMIT EXPIRES /Z/l,--Z
OWNER __,SERYL DAVIS
�CONTR. owner
•LOCATION (A.P. 42-31-03 )
2841 Nord Ave., Chico
J
�t
. H
j
f
�r
Temp. Power Pole
Called PG&
Temp. Elec. erv.
Called G&E
Temp. as Serv.
ailed PG&E '
JOB
FINALED
(D)
ig ature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
'Footings
Indows AC/ —
3rd Floor
wal Io
—�' Siding
To out
Slab
Roof Sheathing
Water PI In ® K
Piers
Roofing -/e,7 —%
ewer
Garage
Fdn. Vents 7
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Insulation
Heaters
Slab
Carport
Footings
Prov, for physically
handicaplied
Conformance of ex.
structure
Appliances
Gas PI In ' & Test
Temp. Gas
Slab
Final #7
Sanitation
Patio
FI EPL CE
Final 2
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE §RRIKKLERS
Motors
Framin
Test
Water Htr.
Stucco
Final
Subpanels
Mesh - %
MECHANICAL
Grd. Fault Prot.
Scratch ^—
H eating
Service
_ Brown —/ — G
Cooling
Temp. Pole
Finish - —
Ducts — / L —
Underground
Interior LathVentilation
Penna en
Door Closer Final
DATE REMARKS OR CORRECTIONS_
�,� x-74
t r R&rG417G/C vki%®u,I
i IOR'Da ! --=
�- T� A!5,-7i� P� �c�GCa� /Mc)
90
.6 )'Y�� UPC-'
Ok -TO 1AI S U 4-/4
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
�COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center.Driv6 ()Soville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT `
Mai I i ng Address
a X5.3 -E
I Teleohone No.
3-7(e,7
BUILDING
SQ. FT. OCC. UILDING VALUATION
b - C,(9
Contractor
Fireplace
Total Valuation 0® C9
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Of
e
Tlephone No.
Permit Fee $ V 0
Building Address 7 ® e /o �
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 , 00
�'
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 S
Each gas water heater or vent 1.50
A. P. No. _3 — ®
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FW. Sa ion
FireDept. I FireZone
Use Permit
Building sewer 5.00
EQA
PPlans
Declaration I
Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
B Ions Recd
Parcel proval
Plans Approval
Permit Fee $ 0 0
NEW ❑ ADDITION25 UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 3
,Q
� &J -T t+
00v OR LESS
Main service 160
100 AMP OR LESS 5•00
Main service EA. ADD'L 100 AMP 2.5'50
Single Family,K Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP oR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW CONST. DWELLING O �.Q�) 21CS
OR ADDNS. ACC. BLDG S VV / qft 47,
NEW CONSTR. MULTI.OUTL
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)LL@1
BA�1
Ex. Occu00
FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�( I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Q
" d
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 d
Heating
Cooling
Ventilation e�j//b >01C 3�, ()
Hood 2.00
Permit Fee $ �
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.
X is -
�( - -� �' Date " %
Signature of Permitee or Agent
Receipt No. S
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE
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.
DIRECT OF PUBLIC WORKS
BY Date
Building permit expires Date �7/ 7%Z?
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