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B17-1365 039-060-136
2 " �. 1 .t BUTTE ;COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 5 INSPECTION CARD MUST BE ON JOB SITE ti 24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 3pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds Permit No: B 17-1365 Issued: 7/6/2017 APN: 039-060-136 Address: 11115 MIDWAY, CHICO Owner: WARREN BRUSIE INC Permit Type: 3 PHASE ELECTRIC SER Description: PANEL C/O IRRIGATION WELL 100 AMP 3 Flood Zone: None SRA Area: No SETBACKS for Zoneng- AG- SRA. PW Front: Centerline of Road: Rear: SRA: Street: AG: Interior Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING sa Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Eufer Ground 216 Masonry 120 �s 1Dt Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test Underground/floor 404 Gas Piping Underground/floor 403 ' Underfloor Framing •149 =' ' Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Do Not Install Floor Sheathing or Slab Until Above Signed Shearwall/B.W.P.-Interior 134 ShearwalUB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 ' 4 -Way Rough Framing 128 Gas Pi2ing House 403 Gas Test House 404 Shower Pan/Tub Test 408 Do Not Insulate Until Above Signed Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkler Test or Final 702 Inspection Type IVR INSP DATE T -Bar Ceiling 145 Stucco Lath 142 tlOFFICE COPY�(�/j� 4 Setbacks d Bldg Permit: —M, (,% --_ � 147-S Pool Plur 9cFdr`ess Gas Testi ' " - Pre -Gum : rPre-Dl4AGAS B Y� Electric By: r5 5 h _ +-�--o---- •Date:_ � - '`/ Manufactured Homes ---- -- Setbacks 131 Blockin nde inin 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Underground Electric 218 Sewer 407 Underground Water 417 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Final 538.7681 Fire De artment/CDF 538.6226 Env. Health Final 538.7281 Sewer District Final "PROJECT FINAL 3 *Project Final is a Certificate of Occupancy for (Resi enti 1 Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR -Al YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION ("•': i r 'k -;'a• . �N SITE PLAN Assessor's Parcel Number: H F3-1 0 — [q] ©D --m- Fig g E T r a k i t #: Owner Name: warren bruise - kilen UaKs iviemorlai Fary- Sca I e 1 Ad&ess I Phone: 626 Broadway - Chico, CA Site Location: 11115 Midway. - Chico, CA • Contact Name: North S . tate Electric & Pump Phone: 530-891-5545 gi ♦UT 117777711 11,111 1111-1 111 1-11177-11 1 11L 1 7- . ........ Z� • 6.KWde�j-,.hA*w man, •V 6+60 1; e MIS Job Site N. -APN #039-0607136 z N, -old + T`=!� al Use I HI I I I 1 11 11 1111 1 11111 Hd 11111 11111 1 1 111 1 1 1 i 111.11-1E Owner Name: warren bruise - kilen UaKs iviemorlai Fary- Sca I e 1 Ad&ess I Phone: 626 Broadway - Chico, CA Site Location: 11115 Midway. - Chico, CA • Contact Name: North S . tate Electric & Pump Phone: 530-891-5545 gi ♦UT s Butte County Department of Development Services PERMIT CENTER. 7 County Center Drive, Oroville, CA 95965 Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax(530)538-2140 ELECTRIC SERVICE QUESTIONAIRE In order to insure that you get timely assistance and the type of ' permit you need, we request that all applicants for electrical service upgrades, retags, 2nd services, etc: answer the,following questions: 1. Are there any structures on the parcel? Yes. 2. Is.this a mobile/modular. home? If yes, will the service be on a pole for the mobile? No .3. Is this a 2nd service on the parcel? ' Upgrade to existing service. j 4. Have you contacted.PG&E? Yes 5. If a vacant lot, what is the power for? Irrigation well pump. 6. What size (amps) is the service? 100 Amp, 240y 7. Is this a 3 phase service? Yes, 3 phase. 8. Will this be- for commercial use? Cemetary Irrigation `9. Are you doing any other work? No. If you need additional room to answer these questions, please use the area below or the bask of this page: i APN #039-060-136 Meter #1006590354 Y Thank you. K:Uv"1:W—W-EBSIMBuilding\Building Fonns & Docmnents\Approved 2011 forms -handouts and on list\Etectric Service Questionaire DSP -18 10.18.1 Ldoc ' Page 1 of 1 FORM NO DBP -18 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT, SERVICES BUILDING PERMIT . 24 HOUR INSPECTION (IVR)#:530.538.4365 OFFICE #: 530.538.7601FAX#:530.538.7785 www. ButteCounty. net/dds PROJECT INFORMATION Site Address: 11115 MIDWAY Owner: APN: •039-060-136 WARREN BRUSIE INC Permit type: MECH ELECTRIC PLUMB 626 BROADWAY Subtype: 3 PHASE ELECTRIC SER CHICO, CA 95928 rlacnnntinn• DA WV IF I''In IrDDi!`A Vlfnw 117117 1 Permit No: B17-1365 Issued Date: 7/6/2017 By JMD Expiration Date: 7/6/2018 Occupancy: Zoning: WELL INDUSTRIES INC DBA NORTH GRELL, DALE Building Garage RemdUAddn 3282 HWY 32 3282 HWY 32 0 0 0 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total 5308915545 5308915545 0 0 0. LICENSED;CONTRACTOR'S DECLARATION-, - OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for WELL INDUSTRIES INC 534959 / C10 / 5/31/2019 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 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, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (mmmendng with Section 7000) of Division 3 of the Business and Professions Code, and my license i State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and in full force and effect. - Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. X_ Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of - Authorized Agent": 'requires separate verification form "requires separate not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will ❑ do U all of orU portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the ' building or improvement is sold within one year of completion, the Owner -Builder will have the Contractors Signature Date ' WORKERS eiCOMPENSATION'DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: • I have and will maintain a certificate of consent to self -insure for workers' burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ' I, as owner of the property, am exclusively contracting with licensed Contractors to I have and will maintain workers' compensation insurance, as required by Section 3700 of construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor pursuant to the Contractors' State License compensation insurance carrier and policy number are: Law.). - - Cartier. NEW YORK Policy NumbWC901700019gR6 _ Exp. 1IilW201E I am exempt from licensure under the Contractors' State License Law for the following I certify that, in theperformanceof the work for which this permit is issued, I shall not reason: employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' X compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date X - PERMIT APPLICANT DECLARATION. Signature Date By my signature below, I certify to each of the following: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I am L) a California licensed contractor or U the property owner' or L) authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owner's behalf'*. I have read this construction permit application and the information I have provided is AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN correct. ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN t agree to comply with all applicable city and county ordinances and state laws relating SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , to building construction. authorize representatives of this city or county to enter the above -identified property CONSTRUCTION ILENDING !AGENCY DECLARATION for inspection purposes. California Licensed Contractor, Property Owner' or Authorized Agent": 'requires separate verification form "requires separate I hereby affirm under penalty of perjury that there is a construction lending agency for the authorization forst - performance of the work for which this permit is issued (Section 3097, Civil Code). - Lender's Name and Address X Pd.—. ns oo.,..tMoo rstcrut o.:..# n��e Lenders Name & Address City Total Fees: Balance Due: State Zip ' I ' INFORMATION . $286.00 Fees Paid: $286.00 (None) Job Value: $7,500.00- State 7,500.00-