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