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HomeMy WebLinkAbout022-203-018PF AP 22-203-18 H. BRUCE L.QUTON 0 f 4H Biggs 2-203-1 PERMIT #59�6-75M( INST. GAS HEAT- PONCIANO Cont: OWNER WOOD STOVE Xk,?;P . lot� ' m � - ` ~~-.-~- - � � . � , | | . ` ( / � - ` ~~-.-~- - � � . � | 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