HomeMy WebLinkAbout022-203-018PF
AP 22-203-18
H. BRUCE L.QUTON
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Biggs
2-203-1
PERMIT #59�6-75M( INST. GAS HEAT-
PONCIANO
Cont: OWNER
WOOD STOVE Xk,?;P
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (630) 891-2834 (CHICO)
OFFICE #: (630) 638-7641
PERMIT NO.
BP053077
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 11/16/2005 APN: 022-203-018-000
the Business and Professions Code, and my license Is in full force and
effect.
License Class : License Number:
Site Address: 158 PRYDE AVE BIG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: WOOD STOVE INSTALLATION
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: PONCIANO, LLOYD & WAN DA
to its issuance, also requires the applicant for such permit to file a
148 PRYDE AVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
(530) 868-1027
applicant to a civil penally of not more then five hundred dollars ($500).):
a 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: PONCIANO, LLOYD & WANDA
owner of property who builds or improves thereon, and who does
148 PRYDE AVE
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
BIGGS, CA
sale. If however, the building or improvements are sold within one
95917
year of completion, the owner -builder will have the burden of
868-1027
proving that he or she did not build or improve for the purpose of
(530)
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Stale License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
❑ I em Exempt under Article 3 of th Bus ne and Professions Code
Date: LLLO S Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
❑ 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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are.-
re:Carrier:
Carrier:
Total Square Ft: 0 S.F.
Policy #:
Valuation: $0.00
O 1 certify that in the performance of the work for which this permit is
Census Code:
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'
^
(v`lr)
compensation provisions of Section 3700 of the Labor Code, I shall
I 0
forthwith comply with those provisions.
` d
�f
O
Date:
t
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
R sol. 'ons to do work indt aled above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
'� I _16 _05
Name:
By - WR I /�++ Date: IIJJ
PERMIT EXPIRES ON: I — I In - O Cn
Address:
(Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly auloorizqd agent of the owner. I agree to comply with
all county and state laws relating uilding construction. I acknowledge it is unlawful to alter the substance of any official f .:or ument of Butte County. I hereby
authorize representatives of Butt6 Cc my to enter upon the above mentioned property for inspection pu as
�
11
Print Name: N r A) Signature:
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
*"'PLEASE PRINT CLEARLY"
OWNER INFORMATION
'LpsVName
CLD
Fir;t Name
Q j
Addr r I`�
�t
City` S
Stat
Zi —5
o _� a
Fax ,
mr
Email P0.0644-16 C2 S&I flab N c
APPLICAkrINFORMATION
CONTRACTOR
Name
Flood Zone
Address
f r
C1
City
I No
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
Lic. #
Class
APPLICAkrINFORMATION
ARCHITECT/ENGINEER
Name
Flood Zone
Address
f r
C1
City
I No
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICAkrINFORMATION
Zoning
Nam
Flood Zone
Address t
�
f r
C1
City c
J
I No
S
Type Const.
Phme
O .�'� �-- / !�
Page
Fax_53'5Q !yt Zf-
E-mail
Date Approved:
For office use only:
Zoning
PropelAddress � r � �
c+
Flood Zone
Cro sXeet I kWd [
SRA
Yes
I No
Oce.
Type Const.
Subdivision Name Map Book
Page
Lot #
Planner
Date Approved:
rim oI lmnnrr-rnl 0cn111DCnn1ZA1T4Z
PERMIT
NO.
Bp0E)307-7
BIN #
PROJECT LOCATION
AP# 022
2 _ 203 - Q I pts
PropelAddress � r � �
c+
CiDk S
r c!
Cro sXeet I kWd [
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Descri tion orScopeof Work:
U
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
a. W
Received by: K.G. Amount:��. Bldg
c� SRA
Receipt #: �a� Sheriff
SMIP
Date:
11—IG705'
�I��� Other
4 Total
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary.
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the ma r labor and material for construction of this proposed
property impr vement: YES K] No [ ].
2. I HAVE HAVE NOT [ ] signed an. application fora building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE CONTRACTOR'S 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:
PHONE: CONTRACTOR'S 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
SIGNED:
PROPERTY OWNER: AA t
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION : BUILDING `GIS t PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 their own employees, without a licensed 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 in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so.that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
G(cy�i b�'.'•�',,
y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive f— OroviIIe, California 95965 4
Tel eph�pne: 5:J,4.-4541
- ' APPLICATION AND PERMIT'
BUILDING
Owner A/ /�✓�IOL//1,0 461-1 ����
SO. FT. OCC. BUILDING VALUATION
'
Mailing Address A 7—
�ti C '-"'p—`
Telephone No..
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address �i �✓ U� P /�d
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�)
Repair drainage or vent piping 1.50
Water piping 1.50
v
Each gas water heater or vent 1.50
A. P. No. ~�Q _._
Q
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees'
WrC-
Sanitatioh
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg: Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑X
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
< %f h [rr_�tp �A
Main service incl. 1 meter
-�
Additional meters, each 1.00
Sub-panel (12 or less) (more than 12)
Single Family'E] Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures y025
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. coo I er, gar. d i sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Y 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 relatina to buildina construction, and hereby
TOTAL PERMIT FEE
$ ,C
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X I�n r t�f.J� nt c u.c✓l Date
Signature of Permitee or Agent
Receipt No. / --3 � —
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 4,ri/ _�i'!J �- Date l.'',;q/-7
Building permit expires Date
t/
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drivj- ¢roville, California 95965
Telephone; 534-4!3,41
APPLICATION AND PERMIT
Owner Q
Mailing Address
Telephone No.
Contractor moi'
Mai I i rig Address
Telephone No.
Building Address ,
c
041 0�
A. P. No. — Zoning &Planning
F W n aion Fire Dept. Fire Zone Use Permit
EQA Parking Parcel parcel Ma 60' R/W Im rovements
Plans Declaration p p
Bldg. Plans Recd Parcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family 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:
Licenser No. Classification
I am exempt from the Contractors License Laws of the State of California.
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. '
❑I 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.
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
above-mentioned property for inspection purposes.
x6,C ZA&&AA= Date
�Signature of Permitee or Agent
Receipt No. 1 ,3
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
No.1 @ FEE
Permit Fee
J$3.00
Plan Checking Fee &/or Penalty
Permit Fee
1.00
PLUMBING
No. @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50 j
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
ELECTRICAL
No.1 @ FEE
PERMIT FILING FEE
J$3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
ballade
Receps., switches & fix outlets
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W.
1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities
5.00
Temp. Power Pole
5.00
Misc. wirinq
Permit Fee $
MECHANICAL N0.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cool
Ventilation
Hood 2.00
Permit Fee $
TOTAL PERMIT FEE I $
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 p d.
DIRECTOR OF UBLIC WORKS
By Z7 Date '—
permit expires Date 7
C�lfl
r
e
i
f
f
f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 Jf
Tel ep>None: 544-4541
APPLICATION AND PERMIT
autnorize representatives of the county of ttutte to enter upon the
above-mentioned property for inspection purposes. r
X r .. Date r
Signature of /P�ermitee or Agent
J J �
Receipt No. J
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.
♦ r D1�3.• .EC TOR OF PUBLIC WORKS
gye�f �.y� Date //!f
/
13yi1dir►g-permit expires Date
BUILDING
Owner , / el ;
SQ. FT. OCC. BUILDING VALUATION
Mailing Address - I
Tel ephone No.
Fireplace
Contractor _
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
!
Building Address /, , ' f J
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
' J „ ,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
i
Each gas water heater or vent 1.50
A. P. No. - _Gas
Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Feces
�WC.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
13ldg._P.[orLs._R&c4 I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
0
Light fixtures b 0110
Receps., switches & fix outlets 20 19 25
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
0 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 $
$ /
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 relatinq to bui Idinq construction, and hereby
TOTAL PERMIT FEE
$
autnorize representatives of the county of ttutte to enter upon the
above-mentioned property for inspection purposes. r
X r .. Date r
Signature of /P�ermitee or Agent
J J �
Receipt No. J
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.
♦ r D1�3.• .EC TOR OF PUBLIC WORKS
gye�f �.y� Date //!f
/
13yi1dir►g-permit expires Date
-COUN-TY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephohe. 53444541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate
fi
h� 17Y_
�
Signature of Permitee or Agent
Receipt No. 4�3
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 es have been paid.
D R OF BLIC WORKS /
.Y60. Date
ermit expires Date �/
BUILDING
Owner r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �d2
�l
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
s
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Zoni
ng & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sa '
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
B
Parcel Approv=
Plans Approval
Permit Fee $
$
NE ❑ ADDITION ❑ UTILITIES ❑ OTHER a
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
-
Single Family � Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b0 a2
Receps., switches & fix outlets hMoln
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
j;S I certify that in the performance of the work for which this
ermit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE $3.00 4,06
Heating ,
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ Z,
$ I
I certify that I have read this applicat'fon-arid state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ '�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate
fi
h� 17Y_
�
Signature of Permitee or Agent
Receipt No. 4�3
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 es have been paid.
D R OF BLIC WORKS /
.Y60. Date
ermit expires Date �/
Butte County Department of Development Services. gurtE� ^ate
N® T E S Y 7 County Center Drive, Oroville, CA 95965 I
(530)538-7601 v"m.buttecountyn@tidds `o°uNty
RESIDENTIAL
APN: Permit No.
+ Owner. 022-203-018 05-3077
i +—PONCIANOSite Address: 1._158 PRYD_E AVE, BIGGS
? i Cont: OWNER
1 Contractor. WOOD STOVE
Type of Permit:
. r
i
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
j
DATE JOB FINALED:
SIGNATURE:
CHECKED BY
= OK
o = Not OK
RESIDENTIAL (Single. & Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg PorchesiDecks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts -Wrapped
57 Test Tub & Shwr, 2nd fir - Tub, Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insulin
15 Acc & Vntitn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
72 Elec Trim & Subpnl, Breaker S7s & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clrnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnis
83 Insultn-Foam-Looked in Attic
38 Insulin -Walls -Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes ❑No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
DATE JELECTRICAL
90 Wtr Well, Dscnnc% Elec, Pimb
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or ❑AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑AL
99 Fire Sprinkler
48 Range Circ ga ❑CU or ❑AL
Oven Circ ga ❑CU or ❑AL
Insulated Neutral ❑Yes ❑No
01
e���
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
= OK
= Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaII/C10-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing -Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
DATE DECKS -COVERS -CARPORTS `GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsStee I
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-S hthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
g s`
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFl
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing