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B08-2097 021-MO-01'5.
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MISCELLANEOUS'....Siding/Sacco.-,
- STUCCO SIDING 18 SQ'S
1246 LOSSER AVE .'a - i ;r
WOOTTON, SABRINA r
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1246 LOSSER AVE
Owner:
Permit No: B08-2097
APN: 021-260-015
WOOTTON, SABRINA
Issued Date: 10/14/2008 By TMP
Permit type: MISCELLANEOUS
1246 LOSSER AVE
Subtype: Siding/Stucco
GRIDLEY, CA 95948
Expiration Date: 10/14/2009
Description: STUCCO SIDING 18 SQ'S
(530) 846-1404
Occupancy: Zoning: A5 M
Contractor
Applicant:
Square Footage:
WOOTTON, SABRINA
Building Garage Remdl/Addn
1246 LOSSER AVE
GRIDLEY, CA 95948
Other Porch/Patio Total
(530)846-1404
FEE INFORMATION
DBMSC Stucco/Siding-Stone/Bric $119.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
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.
X 10/14/2008
Contractor's Signature Date
WORKERS' COMPENSATION 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' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is or oneshun red dollars ($100) or less.
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
LLJJ ISSUED, I shall not 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'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
— r f
X
10/14/2008
Signatt.1re Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
. I CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
Balance Due: $0.00 Receipt No: B8848
OWNER/ BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 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 such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
Z
nl to a civil penalty of not more than five hundred dollars [$500];
eck one of the following:
OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
PENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such 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 burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:_
K 11 EZ 'A'�Q hi7n 10/14/2008
Own s Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
prop oW er or am authorized to act on the party owner's behalf.
/ n - f11757�1-hr3Y� 10/14/2008
dwner r-1 Contractor OR E]Agent for Owner Agent for Contractor
FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.((DS OR NO)
I &/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS Cl
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: STUCCO SIDING 18 SQ'S
Reference Number: B08-2097
Applicant Name: WOOTTON, SABRINA
Owner's Name: WOOTTON, SABRININA� AP # : 021-260-015
j � � 0
Signature of Property Owner: CC!'a l�`� 1, Q) Date: ) O ( 1 —I / 09
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
&J --20q
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name•
Firs a e .
121 iv_
Mailing Address 12� (a tr _'/t ' ,—
City /�
State C -
Zip
Phones
Fax
E-mail cL( a
a-0 ( t CQ
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X �-aLICIAN-\4 M4+p:_7�
uv_� ct
PROJECT LOCATION
Property Address 11440 �/ / ,ceserLie
City C r ct ( q
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
S K.` nCO- U
o-C
C C O ace-
s+uc Ca
te'r
I Yes
I No
Occ.
Type Const.
Sq FT- Living Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
S• _
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Telephcne:534-4541 7?' �
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X t ` Date
Signature of Permitee or'Agent
Receipt No. I - /'1r t!
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OF;PUBLIC WORKS
By ` �` �.��. y Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
J
Telephone No.
Contractor �� �. �• .
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address -- �c1i / r_ -, - ,. I I'%
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
r` �)
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. f ,f I, -- f
I Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Foes
W'C'
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
I ParcelEach
Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg.-Plans-Rec'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 G,t�
Main service ;0000 AMP ORV OR SL=SS 5.00 j�f�
Single Family Q Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
/l. mac, = -• v r-- ;,. �. �.�,
OVER e00V
Main service 100 AMP OR LESS 25.00
Main service/ EA. ADD•L 100 AMP 1.00
CWE
OR ADDNS.NEW CONST. ACCLBLDGS.LING CCUP. 7t\ 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of:
NEW CONSTR. MULTI.OUTL T
NON-RESID { BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS e
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIiRESBAL 1� CW
Ex. Occup. (FIXED ALNS.
OUT LETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ;R 1
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
ElI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X t ` Date
Signature of Permitee or'Agent
Receipt No. I - /'1r t!
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR OF;PUBLIC WORKS
By ` �` �.��. y Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
'..�. . 7 County Center Drive — Oroville, California 95965
Telephone: 5304541
APPLICATION AND PERMIT
Owner
Mai I i ng Address�ys
t
Telephone
No.
n-s�7
Contractor
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Mailing Address
l.t
PERMIT FILING
FEE
Fireplace
600V OR LESS
100 AMP OR LESS
Total Valuation
EA. ADD'L 100 AMP
Main service
OVEReo0
100 AMP OvR LESS
Telephone No.
Permit Fee
NEW CONST. (
OR ADDNS.
Building AddressPlan
NEW CONSTR.
wnW.RESIo_
Checking Fee&/or Penalty
Permit Fee
p
W L
PLUMBING
No. @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
t LL
Repair drainage or vent piping
1.50
)Water
A.'P�No. !
"`'QZ f S
Zoning &Planning
piping
1.50
Each gas water heater or vent
1.50
Fks I
104G_
I &ertita n
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet
.30
Building sewer
5.00
Bldg.-R�ern-Reid
Parcel Approval
Plans Approval
Lawn sprinkler system
2.00
NEW ❑
ADDITION ❑ UTILITIES ❑
OTHER
p F
Single Family IN Duplex ❑ Mobil Home [:]Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
ermee
ELECTRICAL
PERMIT FILING
FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVEReo0
100 AMP OvR LESS
Main service
EA. ADD•L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUR. S.
ACC. BLOGS.
NEW CONSTR.
wnW.RESIo_
(MULTI.OUTL T
\ BRANCH CIRCUITS
Ex. OCCUD(OUTLETS OR FIXTURE
FIXED A
Ex. Occup. ( OUT ETS P(RESID )REQ
Temporary service
Mobile Home Facilities
Misc. Wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance.
$3.00
5.00
2.50
25.00
1.00
2.00
10.00
15.00
6.25
$3.00
I certify that In the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. Permit Fee $ $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
ZSignoture0fPermiiWo/A9ent
d property for inspection purposes.
-��
Date "'
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee $
TOTAL PERMIT FEE $ '
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.
DI CTOR OF UBLIC WORKS
By AIL Date �J
B permit expires Date ���'O