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HomeMy WebLinkAbout072-310-004072-310-004, 03-2784 SBC, LUmpkll4RD/F'-OR-B"ES'rOWN,GRIDELY Cont: PAULS ELECTRIC' EXTENbELEC SERV COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Re*,2/96)"* APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER ,072-310-004 ZONING BUILDING PERMIT OWNER SBC TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTORS NAME PAUL'S ELEMIC TELEPHONE 589-4100 CONTRACTORS MAILING ADDRESS 625 MISSION 0LT4X RD ORMILU, 95%6 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS NE MRNER OF TIWKTN RD 8, FORRESTMN Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS 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: E)= EM M NN BMIP IN Gas piping stem 1 - 5 outlets 15.00 —Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.AORLESS 23.00 ZJ.W LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 11m,licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisiont3 of the Business and Professions Code, and my license is in full force and effect. I.--• \_11 ` License Class � — t Lic. No. �% �O t'i �! -Z.�"^ 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 contractorsMisc. 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 Main Service 200A TO 1000A 46.00NEw CONST. DWELLING occUP. OR ADONS. ( a Acc. eLos. So 3.50FT: NEW CONST.MULTI.CIRCUITS NON-RESID. 7.50OUTLET POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. OFF ED q'ID.oERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring23.00 PRE+INSPECtION00 • PERMIT FEE _ ` MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 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 thosefprovisions. �� [ ._ L ....-•-- X `� G--*' Date `/ ~ f (%' o l,� Signature of Applicant - ❑\Owner ®Contractor ❑ Agent b✓ An OSHA permit is required foreexcavations over 60" deep and demolition or construction of structures over 3 stories in K' ight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 66.00"I TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE Io `/_ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have 4407%&;0P1Date By PERMIT EXPIRES ON S applicable provisions Resolutions to do work been paid. / /1 FJ b /Date C ReceiptNo..��A:7-..'�1%� > (�CO� DO WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J M COUNT OF ` UTTE 'DEPARTMENT OF DE' EL 1PMENT SERVICES BUILDING' DI ' �SION N01 CE i Post this job card in a saf co',';picuous pl ce. Do not remove until all require ' 'nsp -tions are made and building is approved for oc upa -y. Plans must be available on the job site. A.P.-No. _ 072-310-004 — 03 -2784 - Owner _ SBC, LUMPKIN RD/FORBESTOWN,® l Contractor Cont: PAULS ELECTRIC' Permit No. EXTEND ELEC SERV rCMM1 I I tt MUS I- CALL FOR INSPECTIONS INSPI Footings Piers Under row Pre-Gunite Underfloor Plumbing Underfloor Electrical Y' Underfloor Mechanical Revised 7/94 • � s • s a , t M COUNT OF ` UTTE 'DEPARTMENT OF DE' EL 1PMENT SERVICES BUILDING' DI ' �SION N01 CE i Post this job card in a saf co',';picuous pl ce. Do not remove until all require ' 'nsp -tions are made and building is approved for oc upa -y. Plans must be available on the job site. A.P.-No. _ 072-310-004 — 03 -2784 - Owner _ SBC, LUMPKIN RD/FORBESTOWN,® l Contractor Cont: PAULS ELECTRIC' Permit No. EXTEND ELEC SERV rCMM1 I I tt MUS I- CALL FOR INSPECTIONS INSPI Footings Piers Under row Pre-Gunite Underfloor Plumbing Underfloor Electrical Y' Underfloor Mechanical Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Ref. 12/96) APPLICATIONAND PERMIT ASSESSOR PARCELNUMBER 072-310-004 ZONING BUILDING PERMIT OWNER SBC TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME PAUL'S ELECIRIC TELEPHONE 989-4100 CONTRACTORS MAILING ADDRESS 625 MISSION OLIVE RT), nEMILE, 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS DRNU OF$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EXTEND ELE TO NEW EQUIP BOX Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G1 W 11@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '*.A OR LESS 23.00 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 C4-- I o Lic. No. �i�% G `i 'i.i OWN WILDER DECLARATION I 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. ElI am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING Occup. OR ADDNS. ( a ACC. gLDS. s° 3.5¢FT: N=REs,F" MULTI -0,' @7.50 POWER APPARATUS a SINGLE OurtfiT CR. EX. OCCu OUTLET OR FIXTURES 20 @ I'00 BAL Q .50 Ex. Occup. °F�E�°�" Ra D.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE-INSPECTION23.00 PERMIT FEE $ 66.00 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. 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 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.) 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' arkpeirsensation laws of California, and agree that 'rf I should become subject to the ' co ensation provisions of section 3700 of the Labor Code, I shall with c p wit those provions. Date �"y � f Applicant - ❑ er Contractor ❑ Agent An OSHA permit is required fo ex avations over 5'0" deep and demolition or construction of structures over 3 stories in ' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This per it is hereby issued under the applicable of utte County Code and/or Resolutions iq ted above for which fees have been J y D PERMIT EXPIRES ON provisions to do work paid. �) e (� to /ht.ff Receipt No. fv(p<<-3o WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t. y�• .kCOUNTY OF BUTTE-DEPARTMENT,OF DEEV�ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovilie, CA 95965,fPhone (530)538-7541 Fax (530)538-2140 PERMIT APPLX� ION DATA SHEET C OWNER: ASSESSOR PARCEL NUMBER •Proposed Building Use: Counter Technician. Date:W - o Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers.............................................................:.............................. ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1.7. Statement of Intent for Non -heated and A/C Buildings .............................................. p 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑4. Encroachment PermVfornveway from the Public Works Dept ................................. 425. Pre -Inspection forJ== Lk AJJ (_c required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance ........................... :..................:................ ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone C7 and hold for pickup. items and requirements for obtaining a building permit. 1. Index(Wrmit application for the aboe i s numbered: 2. Addi ional items required Date: fl,k Plan Check Letter / trac o , designer, owner, was advi a of the above data by Vpfi6fii, 0 mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: P -D -o' INSPEI OWNER: e)C, LOCATION: CONTRACTOR: PRE-INSPETION DATE TO INSPECTOR FORT.: DATE: LD D_q I� A -P. # D -7a 3 (O-ja-) V ZONING: ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: / Commercial/Usage: r� S , c - G�fio �iL ')j c o /L Residential/# of Units: Currently Occupied AbandonedNacant Electric: T ,/ Yes No Electric currently On' Off V Condition of Electric Gas: Natural Propane None X. Currently On Off Obvious Problems: Sanitation: I Plumbing Working Well Working Potable Water Obvious. SewaeeProblems i ACTION RECOMMENDED: ISSUE: L/ HOLD FOR Inspector._ Date_ Sketch buildings. on reverse and, indicate location on property.