HomeMy WebLinkAbout043-252-018�w% I 43-252-18
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FNELS CHRISTENSEN
1424 Bidwell Ave, Chico
Contr: R.G. Electric q
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' Permit#2599-89E(elec ser ch)SF
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COUNTY OF,'.BUTTEDEFARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville*alif--ojla 95965-- Telephone: 916/538-7541. _ �j�'j
APPLICATION -AND PERMIT /— ./ .Ko
ASSESSOR PARCEL NUMBER
o14 3 '- ' dt8-
ZONING
BUILDING PERMIT
OWNER
TELEPHONE-
�197
SQ. FT. OCC.BUILDING VALUATION
OWNER'S MAILING AD RESS''JJ ,1 ..
121 ;/A ,,A ICO JI r Y,
CONTRACTOR'S NAME 1
TELEPHONE
CONTRACTOR'S MAILING ADeRESS
13 92 er 0 CIA GO
Fireplace
CONSTRUCTION LEND• 'RUNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 10 .00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S M_AILING.ADDRESS
� '�
Penalty $ +�
-BUILDING ADDRE S
L.1
_
Permit fee
PLUMBING -PERMIT Filing Fee 10.00
!/.��_
/-r/G O
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[54 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G 10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[W Installation❑ Other ❑
Describe work: - S"o- ti O—A,4 C!a a /tip .4+±Ze
-*
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 6o01 OR LESS
100 AMP OR LESS 1.00
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE iLAW
I declare under penalty of perjury (check one): 1� t I 1 /
l 1 ♦
I am licensed under provisions of Chapt. 9, Div. 3 IOf the Business
and Professions Code and my license. is in'full force and effect.
License No. B/ t Classification #39 (/ tion - C~/�
'4 Y�
❑ I, as the owner, or my ern lOyees`wilth wages as;•their sole compen-
sation, will do the work,antl the structure is not, or offered
for sale. (Sec. 7044) �t
• i t ` �
❑ I, as the owner, am exclusively contracting With licensed contract-
ors. (Sec. 7044) 1 -- ``��} �, `` 1
❑ I am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. DWELLING OCCUP.SI ,
,OR ADDNS. ( ACC. BLDGS. h2sq ft
NEW CONSTP-MULTI-OUTLET 2,50 ea
NON.R ESI. .BRA CH CIRCUITS)
+ + POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTL'ETS OR FIXTURES SAL030
eALO 30
FIXED APPLNS. OR
'Ex. OCcUpa/OUTLETS (RESID.) EAJ 2.00
. Temporary service 10.00
Mobile Home Facilities 15.00
' Misc. Wiring 15.00 00
11"5,0—
S -vfor
Permit Fee $ Q ��
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.
❑ 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.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
aga'Insysid Coun )n consequence of a granting of this permit.
X Date
Signature of Applicant - Owner ElContractorD ' 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 $
TOTAL PERMIT FEE $
Oe CUP.
CONST.TYPE
SCHOOL
PLooD
PARCEL
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
Code and/or resolutions to do
sions of the Butte CounVfo
work indicated above which fees have been paid.
D!/RENO. pOF �118LIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.� ;
7 County Center Drive - Oroville,_Ca`fprnia 95965 - Telephone: 916/538-7541 Lam%
APPLICAT10% AND"PERMIT ' w
ASSESSOR PARCEL NUMBER
—
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
-
7J /
S0. FT. OCC, BUILDING VALUA ON
OWNER'S MAILING AD RES
hep
CONTRACTOR'S NAME^^ t
.Ld– /l e
TELEPHONE
C NT ACTOR'S MAILING ADDRESS
u IvS /tt/`f CA, CD
Fireplace
CONSTRUCTION LENC66M
OWN
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 ADDRE S
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
G O
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities® In`stallation❑ Other ❑
Describe work:d R, fp(/'-0 ��}1}�F fob bFi►�J
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 d
Main service EA. ADO'L 100 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 BuslnesS
and Professi)onss Code
__ and my license is, in full force and effect.
License No. '1 r�� Classification e'�10
❑ 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 CONST. DWELLING OCCUP.eI CC. SLOGS. ,
NEW CONNSTR.� A � h2sgft
MULTI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
(
EX. Occup( OUTLETS OR FIXTURES 200501
e.L0 0
FIXED PR
EX. Occup. OUTLETS (RESID )EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
g
ae NS ti 1D- 0 0
Permit Fee $ 9 �=
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 shal I 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
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
agaIns s Id Coun In consequence of a granting of this permit.
�. ^n�,
X � Date � 7i -1
Signature of Applicant - Owner ❑ Contractor il 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 $
TOTAL PERMIT FEE $
occu P.
CONST.TTPE
SCHOOL
FLOOD
PARCEL
P11
I ND
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated ove fo which
R TO ELIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. / 4�, 9,/
WHITE-D.P.W., TELLOW-Ase EDSOR, PINK-INsPECTOR. GOLDENROD -APPLICANT
,�;: .:.,rrL,,:fl.��...'Si3>>'i 7!f�1iCi',x^"r��^+w.,.�.��+f...�?.I.•}�:%.:F'1::!^.... r•.rfi j:�.y�:.:•..,�;^r�: "t'3F"y ^C ` �,•--_r;.r.^.,,.wr-„c..': "M1. �,�'FFr^ v .• �1�„ a:• � _ sof �. .
COUNTY OF BUTTE - DEPARTWNZY,P143LIC�WORKS - BUILDING DIVISION /
hd,R
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET,; f
r Permit No.
OWNER iLL.S H2% S ��z.✓i✓ ±' A. P. No. 0_C77- O/ g
Proposed Building Use - 44-41- S -n Ec_ Building Inspector Date
At time of permit 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing.. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy)
19. Pre -Inspection for required ..... .Bribinrequest to
p q •Building Innspector (Date)
20. Contractor's license information (No., Name Style, Classification) ./.... .
21. Certificate of Workmans Compensation Insurance ...........
22. Owner -Builder Verification (Given to owner o, Mail to owner �) .�..... .
23. Recorded copy of Agricultural Acknowledgment Statement ... .
v
9n9A*n Lettef signature authorization ........................./
26.
When you issue the permit, process as follows: Mail, to owner. Mail to contractor. t
Telephone and hold for pickup at office. Deliver 'w/inspector.
Other
AppI icant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
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:
1
r
Contractor, designer, owner, was advised of above required data by_phone_-nail 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