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:
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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.
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��'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.