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HomeMy WebLinkAbout033-090-027033-090-027 PERMIT#95-3078 , Tharen & Catherine 845 Lo 845 Long Bar Rd., Oroville Ele Ser Ch/SF { r •r:.:x. .�" «j. ��. n :y4rF ^fili '"� °[., ..t.....,.w*ri'.r iicvs� ....�:. .:MT:7. _ .— �:..�h,I..:k :.�. - ,"4, a 7.2& OFFICE COPY Address FF ELECTRIC Meter By Date i � 5 OFFICE COPY Address FF ELECTRIC Meter By Date 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