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HomeMy WebLinkAbout058-350-005058-350-005 PERMIT#98-0400 SIX ASSOCIATES INC. 12735 Concow Rd., Oroville Cont: Thomas Groarke /' Relocate Ele Ser/SF 0 PRE -INSPECTION 0 TIER f � ( X �� oc la_` s CONTRACTOR : _f_�1 QU<,,��- -------------- PRE-INSPECTION FOR: DATE I� A.P. # OOS� ZONING DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY --------------- FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED [] HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES 0 HEATED -COOLED %__l PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: 3 BY DATE jsz t in NO t- K� I�s L 71 NO t- K� I�s L I i0,...1V3/nal COUNTY OF BUTTE • DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT ZONING BUILDING PERMIT ASSESSOR PARCEL NUMBER OWNER ,ix q-­qnriates TELEAR017C SO. FT. OCC. BUILDING VALUATION DW"P T"W"2562 SUN VALLEY ID 83353 � Q C,I f dkrE GROARKE TELEPHONE ' 533-8757 CONTRfTOd'S W IrSS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2C Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee _ $ BUILOIN�:211 s CONCOW ROAD, OROVILLE Energy Plan Checking Fee $ $ 1L/ PERMIT FEE _ LATNO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 2C Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF CX Duplex ❑ Mobilehome ❑ Other Each gas water heater or vent 15.00 SPECIFY TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 . New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Mobile Home I S I G I W Q20.00 RELOCATE ELEC SER Describe Work: PERMIT FEE S ELECTRICAL PERMIT Fling Fee 2 00"" R LESS Main Service za.A OR LESS 23.00 23 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING occuP. ( so 3'S¢FT� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ACDNS. 8 ACC. BUDS. NEW CONST. MULTI•DUTLET @7.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON•RESID. c and my license is in f I force and effect. ^ (? PO ER APPARATUS 8 SINGLE OUTLET CIR. License Class Lic. No. 4!'- / / i _( Ex. Occup. OUTLET OR FIXTURES AL � 1'� aAL .so OWNER -BUILDER DECLARATION FlXED APPUJS. OR Ex. Occup. S.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License ounETs REBID. EA Law for the following reason: Temporary Service 23.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wiring 23.00 to construct the project. PRE INCE 23- 0 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE S reasonFlin WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT 9 Fee 2 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 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: PERMIT FEE $ Carrier Policy Number Mobile Home Installation Fee $ _ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) occ CONST. TYPE TOTAL FEE $ I 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' HA2. D. FEES IMP FLOG CDF PARCEL Po H laws of California, and agree that if I should become subject to the compensation workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable Prov 1' 2�� %Yl_�'l'� _Date _ of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. "'Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction Date of structures over 3 stories in height. B y Receipt No. 9*1691 R PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 . 7 County Center Drive, Oroville, CA - (916) 538-7541 - - - CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Arte- " / - /) _ Date / Inspecto12 r%/� REV 10td2 l COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541% PEIMITNO. (Rev. 12/96) APPLICATION AND PERMIT �J n 1100 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE&MOA SO. FT. OCC. BUILDING VALUATION OWNER 1"67E 2562 SUN VALLEY ID 83353 cONTR 6 E GROARKE TELEPHONE 533-8757 CONTRfTOy jG I l� ESS LLENDER CONSTRUCTION Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIIf21,lyltl CONCOW ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C Describe Work: RELOCATE ELEC SER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W - @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos DOA Lss 23.00 23.00 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 Division 3 of the Business and Professions Code, and my license is in f l force and effect.POWER License Class Lic. No. 9 f qR 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. ❑ 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 Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. s0 3.50FT. rNio Es oT MULCTI-CUT�E1 @7.50 APPARATUS 8 SINGLE OUTLET CIS. Ex. Occu OUTLET OR FIXTURES 20 @ I'50 aAL p .so Ex. Occup, OUTT�S REESSID.OE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE. INCE b-i.no PERMIT FEE S 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. 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 PERMIT FEE $ 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.) I certify that in the performance of the work for which this permit is issued, I shall K0TOT1 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. JrX)/�'r_ _ Dateg� /� _ VSignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ALFEEel HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ,05 WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a'Jy � i 4 .'4 , • , a...a S'•i%e"' �, r .7 S `x ¢ '' y'at taYY" T � & lj„�,..t3� f � z I:�i 3,1i..r;q w�mt,}j• :��. r•J. i ? ar ��'3#dr{����F`�,,'",�.y����'�i*,•'�,aa�pr <;!�.�x"�y`}` A���;� �',�`.'�x srW�.f.• ni:i'(' .�3;,�itr;•ni-.,.44j� •tr�,a�,� C9,�'CSrtCr ...a *ist�+ � �wr COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advi ed the following data must be su miffed prior to permit p sling and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans- ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form- ------------------------------------------------------------------------------------------ 119.5 9.. Manufactured Home data and installation instructions including Tie Down Specifications------------------- 940. Fees of $ 3. ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate:---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for jdriveway construct' 0approval prior to occupancy) ------------------ F720. Pre -inspection for pJ[Q. 0,& required- Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement- ------------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance- --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to ntractor. JTelephone 5334757g and hold for pickup at 0 r6 ( office. ❑ Deliver with inspector. Applicant: h- A vim` Date: G (?? Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: _ Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division.