HomeMy WebLinkAbout033-090-027033-090-027 PERMIT#95-3078
, Tharen & Catherine
845 Lo
845 Long Bar Rd., Oroville
Ele Ser Ch/SF
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PQUNTYOFBUTTE - DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, Cplifornia 95965 - Telephone (916) 538 -7541 --PERMIT No.
APPLICATION A -ND PERMITqC
ASSESSOR PARCEL NUMBER,
033-090-027
ZONING
APJM
BUILDING PERMIT
OWNER
Tharen Catherine Hodges
TELEPHONE
533-0698
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
A 95965
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNINOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
j
Penalty $
BUILDINGADDRESS
Tong Bar oroville
PERMITFEE845 S
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
IDT No.
SUBDIVISION'S NAME
SUBDIVISION'S NAME 7I(
PARCEL MAP
Solar Or heat pump water heater
23.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome QR Other
sPECIFv
Water piping15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities R Installation ❑ Other ❑
Describe Work: install new main electric service panel
storm damage)
Mobile Home I S I G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT20.'00
Filin Fee
1
Main Service ( 000VOR LESS
200A OR LESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provision 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 Lic. No.
OWNER -BUILDER 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.
W -IT, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BUDS. )
SO.
3.5¢ FT.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
b SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
zp ,.00
BAL .00
EX. Occup. OUTLETSEDAPUSIo.1ERA
()
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
20.00
PERMITFEE $
63.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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.)
❑ 1 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
fofiwith comply,y ose provisions.
X1�.��ia-t�_ Date
Signature of Applicant - " ner ❑ Contractor ❑ Agen{tet
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is
Occ
CONST. TYPE
I
TOTAL FEE $ 63.00
HAZ.
I D. FEES
I IMP
I FLOOD
COF PARCEL PD HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
C'
%��.,,� 12,41
By .n Date
PERMITEXPIRESON9V
(Date)
Receipt No. 190709
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE-.DEPARTMENt OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califorriia 95965 - Telephone (916) 538-7541 --PERMITN
APPLICATION AND PERMIT q5 _ J0`7 9
ASSESSOR PARCEL NUMBER
033-090-027
ZDNINc RMH-
A
BUILDING PERMIT
OWNER
Tharen & Catherine Hodges
TELEPHONE
533-0698
SO. FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
865 -Long Bar Rd., r illi CA 95965
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNI(JOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OFS7'RUCTURE
SF ❑ Duplex ❑ Mobilehome OX Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities PX Installation ❑ Other ❑
Describe Work: install new main electric service panel
—
(storm damage)
Mobile Home IS I GI W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT:
Filin Fee 2000
Main Service ( 00000A OR LESS OR LES S
2 )
23.Do 23-06-
Main Service ( 200A TO 1000A )
46.00
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 Divi=ion 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. Nb.
OWNER -BUILDER 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.
W-1, as owner of the property, am exclusively contracting with licensed contractorsPrp—inspect-ion
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL .50
Ex. Occup. OUTLEETS j
-err...
tv
COUNTYOF BUTTE -DEPARTMENT Q' D'�VELOPMENTSERVICES - BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE;�(fALIFORNIA95965 -*TELEPHONE (916) 538-7541
OWNER l h A r -c-^
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Sir v) -c
A. P. No. -' Q F0 -O Z 7
Building Inspector /LJ, Date /Z- / S? -,9S
At time of permit application, I was advised the following Bata must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted. .................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. '
5. Hazardous Material Form. ......... !..................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data an 1 manufacturer's installation instructions, 2 sets. ...........
Y10. Fees of $ ..........................................
2 11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation lette• (100 year flood) by California Engineer . ................. .
14. Sanitation and plot Flan approval Health Department . ............
15. City of Chico plumbiiig permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: , (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construc Pon approval required prior to occupancy). .
Pre -Inspection reque
20. Pre -inspection for D required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded died of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on tuilding use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of IE)gal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed \
and (B) Parcel neets zoning area and frontage requirements . ...............
31. Existing violations/axpired permits . ........................................
32. Plan cAeck list. .. -................................................. .
33. r�'rN'3 C-
34.
Wheny issue the permit, process as follows: Mail to owner. Mail to contractor. t11
� Telephone''3.3 -6(,q8 hold for pickup at d 0 U Qe- office:) Deliver with inspector.
Other -,- a 1 177-77
Parcel Creation
Acreage
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date"
Copy of plans sent Health Dept. Fire Dept. Other Date By
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:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Dates.
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works `,
OWNER�V!
DATE: —
LOC
CONTRACTOR:
I
PRE -INSPECTION FOR
�OR �.
PERMIT [ 0 1�[ ]AS FOLLOWS:
TYPE OF OCCUPANCY:
_, .
A.P.#: 3 3 -- 0'/'0 -- 2
ZONING:
DATE TO INSPECTOR
BUELDING INSPECTOR' S REPORT
g Description:
[ ]
Commercial/Usage:
[ ]
Residential/9 of Units: Mobile Home: Yes[ ] No[ ]
[ ] Currently Occupied.
[ ] AbandonedNacaint.
1
c:
[ ] Yes [ ] No
Electric is currently [ ] On [ ] Off
Condition of electrical?
Natural[ ] Propie[ ie[ ] None[ ] Currently On[ ] 'Off[
ObviousP roblems:
tion:
Plumbing working Yes[ ] No[ ]
]
Well: Yes[ ] No[ ] Potable water: Yes( ] No[
Obvious Sewage Problem
i Recommended:. Issue [ ]Hold for:
r:
Date: I�
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSORPARCE1NUMBER
33 -65t -C
a0N1
�,Zi
BUILDING PERMIT
OWNERW
4- C'cX17 eri.ve. •cx
TELEPHONE
-C%(v4�,
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS /
CONTRACTOR'S NAME r
TELEPHONE
CONTRACTORS MATING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIOJOWN
Total Valuation $
Fling Fee
$ 20.00
LENDERS MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESs/I
�J (
PERMITFEE
S
PLUMBINGPERMIT
Filing Fee 20.00
u l /LF
Each Trap
7.00
LOT NO. S UBDNIS ION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK /
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation "her ❑
Describe Work: �% �« l� �,'L' ��%� �' f �� ` C
_0 -- 7 l!L „Z �.�, �.
Mobile Home I S G W
@20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service( Ioov oR LEss )
20oA OR LESS
23.00 e -i
Main Service ( 200A TO 1000A )
NEW CONST DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS. )
46.00
So.
3.5¢ FT.
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 Lic. No.Ex.
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 contractors
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($too) or less.)
❑ 1 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 those provisions.
X ______ Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
NEW CONSTNON•RESID BR+UANCH CIRCUITS @7.50LTI-OUTLET
( )
POWER gppgqATUS
(a SINGLE OUTLET CTR.)
l
Ex. Occup. ( OUTLET OR FIXTURES ) I I BAS Q C. ' 50
Occup. FIXED APPUJS. OR
p• ( OUTLETS (RESIO.( EA ) 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
izc. Wiring 23.00
_E - o `
PERMITFEE
S J4
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE
$
Contractor
Mobile Home Installation Fee I $
Energy Inspection Fee $ r -
occ
CONST. TYPE
TOTAL FEE $ c
��
HAZ 0. FEES IMP I FLOOD I CDF
PARCEL PO ND ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
applicable provisions
Resolutions to do work
been paid.
Date
I
-
/`-7 (' �, 7PERMITEXPIRESON