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HomeMy WebLinkAbout078-010-027v iso B06-2520 078-010-027 MISCULANgOUS 100 AMP POWP8DAS1'AL Rrlectrical POWER I-JOUSG HILL RD OR AT t, A'rll neo - !H BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2520 Issued: 10/25/2006 Address: POWER HOUSE HILL RD OROVILLE APN: 078-010-027 Permit Subtype: Electrical Owner: AT & T Applicant: M G H ENTERPRISES INC Description: 100 AMP POWER PEDASTAL FOR AT&T MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 1 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 pc- 10:71 -Oto Mechanical Final 809 Plumbing Final 813 Project Final 801 b c— to ZI -0 Inspection Type IVR INSP DATE �- -- •s- - --OFFICE COPY-+* -- - - - _ f` Address:-' -GAS Meter By _ Date; �. ELECTRIC_.. I ` Meter By l� Date NOTES PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: POWER HOUSE HILL RD Owner: Permit NO: B06-2520 APN: 078-010-027 AT & T Issued Date: 10/25/2006 By KEJ Permit type: MISCELLANEOUS 4823 POWER HOUSE HILL RD Subtype: Electrical OROVILLE, CA 95965 Expiration Date: 10/25/2007 Description: 100 AMP POWER PEDASTAL FOR (530) 518-7163 Occupancy: Zoning: Q1 Contractor Applicant: Square Footage: M G H ENTERPRISES INC M G H ENTERPRISES INC Building Garage Remdl/Addn 2540 CACTUS AVENUE 2540 CACTUS AVENUE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 894-2537 (530) 894-2537 FEE INFORMATION Permit Issuance $54.90 Single Phase Service - Com $82.35 Travel and Documentation $82.35 Total Charged: $219.60 Fees Paid: $219.60 Balance Due: $0.00 Receipt No: B646 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) - State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License M G H ENTERPRISES INC CSLB-580327 / A C7 / 11/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HERE AFFIRM UNDE OF PERJURY that I licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed ) of Di s (comme ing with Sectio O) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full f n eff of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/25/2006 - the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signat re Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier. State Fund Policy Number: 1729472 Exp. Date:0710112007 Contractor's License Law.). (This section nee not a competed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERT Y THAT IN THE PE�ORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE hall not employ y person in any manner so as to become subject to the Workers' Compen tion laws of Ca ' mia, and agree that if I should become subject to the workers' X 10/25/2006 compens tion provision Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provision . X 10/25/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, i arising out of, in any way connected with of death, and property damage caused HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) rice the iss rice of this pang. . I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or pancy of a sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County enter a ove menti ed property for inspection purposes. I hereby certify that I am the prop o m r' d to act on the property owner's behalf. /L1/� S'. /,0a� 10/25/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner QCiontractor OR; El Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY o DEPARTMENT OF DEVELOPMENT SERVICES C BUILDING PERMIT APPLICATION C AND SUBMITTAL REQUIREMENTS e o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 p OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OFAPPLICA TION Website: wivw.buttecounty.net/dds *PLEASE PRINT CLEARLY** OWNER Last Name AT&T First Name Address 4823 POWER HOUSE HILL ROAD City OROVILLE StateCAZip 95965 Phone 530-518-7163 Fax .30-894-5158 E-mail MARK-HOOKCa,SBCGLOBAL.NET CONTRACTOR Name MGA ENTERPRISES, INC Address 2540 CACTUS AVE City CHICO State CA Zip95973 Phone 530-894-2537 Fax 530-894-5158 E-mail MARKHOOK@SBCCLOBAL.NET Lic. # 580327 ClaSSA & C7 APPLICANT NAME ARCHITECT/ENGINEER Name City CHICO Address Zip p95973 City Fax 530-894-5158 State Zip Phone Planner Fax E-mail State License Number APPLICANT NAME Name AT&T JOB# 5507521, Mark Hook Address 2540 CACTUS AVE City CHICO Slate CA Zip p95973 Phone 530-894-2537 Fax 530-894-5158 E-mail Mark.Book@sbcglobal.net AOPLICAN.T SIGNATURE X For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL_ REUUltttMtN I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. 'd�(� iP4 , BIN # LOCATION AP# 036-500-027 6 ( 0. PropertyAddress,�POWER HOUSE MILL ROAD City OROVILLE Cross Street OPHIR ROAD WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: PLACE 100 AMP 120/240V POWER TO SERVICE AT&T ELECTRONIC CABINET Sq. Footage N/A ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: Amount: l . V Bldg I Q SRA Re ipt#-eD Sheriff T SMIP Other Dated U a tJ — Total REV 7-27-04