HomeMy WebLinkAbout041-630-089air L
B07-1184 041-360-089
MISCELLANEOUS Electric Panel
MISC. PERMIT FOR ELECT SERVICE
RED TAPE RD� Lr.
STOPPLEMORE, MARLY �ll'e1
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: RED TAPE RD
Owner:
Permit No: B07-1184
APN: 041-360-089
STOPPLEMORE,
MARLYN
Issued Date: 06/07/2007 By TMP
Permit type: MISCELLANEOUS
464 MACEDO RD
Subtype: Electric Panel
GRIDLEY,
CA 95948
Expiration Date: 06/06/2008
Description: MISC. PERMIT FOR ELECT. SERV
(530) 846-4295
Occupancy: Zoning: U 00
Contractor
Applicant:
Square Footage:
OWNER
BEN PRUITT
Building Garage Remdl/Addn
-
5350 MARYSVILLE BAGGET'
OROVILLE, CA 95965
Other Porch/Patio Total
(530) 534-3352
FEE INFORMATION
DBE Single Phase Service-Resid $0.00
DBOMSCF Supplemental Inspectio $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3298
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
OWNER
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not than five hundred dollars
06/07/2007
penalty more [$500];
Please check one of the following:
Contractors Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
���i�i III COMPENSATION, 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
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
Section 3700
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
of the Labor Cade, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors 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.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is or one hundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
t 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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X �2—E26/07/2007
compensation provisions of Section 3 0 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 06/07/2007
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
Sig&=,
ure atDate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pr ownero a authorize the ro a rsbehalf.
CONSTRUCTION LENDING AGENCY
06/07/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Pe ittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR MAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
S
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT T1ME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last arr�e
7G el?1- e V`16 P f^
Name
irsl Name
P—Ly
Mailing Addres 1-77
t4 C e _00
City
Fax
Statec f�_
Zipy
PhoneS3G $
Fa 5 yra
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
5o 1)/ 11 L, E
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
5o 1)/ 11 L, E
Addtess
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name 13,6'AD✓J ��
AddressPR/
-5-55-0 Jkza (ZYs' D/4A, �/a cc JW -
5o 1)/ 11 L, E
StateC
Zip
Phone
b �,� 33 S�
Fax
E-mail
W., ON a
PERMIT
NO.
367- l/$'-//
BIN # .
U PROJECT LOCATION
Gy
AP#/ 3CG v, R�'�
Property Address 9,g % TA p
City C� S g o I-', %
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
DESCRIPTION OR SCOPE OF WORK:
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
Yes
No
Occ.
Type Const.
I
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
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-1184
Date:
05/31/2007
Location:
RED TAPE RD
By:
TMP
Parcel Number:
041-360-089
Sub Type:
Electric Panel
Owner Name:
STOPPLEMORE, MARLYN
Phone:
(530) 846-4295
Description:
MISC. PERMIT FOR ELECT. SERVICE TO WELL
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
DRAINAGE DISTRICTS
❑
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑
❑
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
F1,
❑
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
R
PARKS & RECREATION DISTRICTS
❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281.
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other: /� - 1
Other: / I/� /M n/1 11 ""11 7// 1 /17 n. n / {I1, ._A1I /ill/livi,n i/ Ir..
Other:
Signature of Property Owner:
FILE
Date: 05/31/2007
c�h
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 "ownet-builder' you are the responsible parry 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 it busipcss license from the city or county. They are also required by
law to put their license number on all peimits 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 fnr your benefit and
protection:
C 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 aro not licensed as contractors or subcontractors, than you may be an employer.
R If you are an employer, you must register with the state and federal government as an employer and you arc 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 speck 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 a)towed to perform their work personally or through theer 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 1-900.321
-CLSB (2752) or by accessing thicr 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 T14ESE 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 13E ISSUED UNI IL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN'1'O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO)
2. 1(HAVF./HAVE.. NO'D SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
Pt10NE CONTRACTORS LICENSE NO_
a. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT 1 HAVE.. HIRED T14E FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS_ CITv
PHONE CONTRACTORS LICENSE NO
S. I WILL PROVIDE SOME OF THE WORK BUT 1 HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME APPI& S PHONE TYPE: OF WORK
Description: MISC. PERMIT FOR ELECT. SERVICE TO WELL
Reference Ntunber: 807-1184
Applicant NaMe: BEN PRVITT
Ovvnees Name: STOPPLEMORE, MA.RLYN A� AP 041-360-089
Signature of Property Owner' Date: - J 1 —7-- ..
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1184 Issued: 06/07/2007
Address: RED TAPE RD Area: OROVILLE
Owner: STOPPLEMORE, MARL :APN: 041-360-089
Applicant: BEN PRUITT Map Page:
Permit Type: Electric Panel
Description: MISC. PERMIT FOR ELECT. SERVICE TO
Flood Zone: None SRA Area: Yes
SETBACKS
Front Setback: 20' Side Setback: g'
Rear Setback: 10' Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
OFFICE COPY q M
Address
M
GAS I
Meter Byate k
ELECTRIC/ a
Meter By at
k
Gas Piping 403'
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
ShearwalVB.W.P.-Exterior
135
Roof Nail/Drag Trusses 129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
�,• : 77�_ , Fin Is
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-6837 c t 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 �.
--_
-r ruJecL anr
al 1s a %,enucHM o1 occupancy for tmenuennal Vnly)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
3z-
Receipt Number: B3298
Permit Number: B07-1184
APN:041-360-089
Paid By: BEN PRUITT
Fee Description
BUTTE COUNTY RECEIPT
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Date Paid: 05/31/2007
Received By: TMP
Pay Method: Check 2167
Account Number
Printed: 05/31/2007
9:03 am
Fee Amount
DBOMSCF Supplemental Inspectio
0010-440001-4210500-1010 $58.00
Total Fees Paid: $58.00
.
Foy- H�pl� cank .
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
PERMIT APPLICATION DATA SHEET
Reference Number: B07-1184
Location: RED TAPE RD
Parcel Number: 041-360-089
Owner Name: STOPPLEMORE, MARLYN
w u �
Date: 05/31/2007
By: TMP
Sub Type: Electric Panel
Phone: (530)846-4295
Description: MISC. PERMIT FOR ELECT. SERVICE TO WELL
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
CItyofr.___r.-__ _-T___ n,�n__.,_ n. ,. �• .. _ _.._
Other:
Other:
Other:
Signature of Property Owner:
APPLICANT
Date: 05/31/2007