HomeMy WebLinkAbout061-050-031G
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HOMAS L, SMITH =
/S Mil,
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061.-050-031
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HOMAS L, SMITH =
/S Mil,
Bar Rd, 3 mi E BaJ4 Rock
Rd, Brush Creek
Permit#2730-85E(complete rewire &
new ser)SF 9117/g'
FRHODES,
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061.-050-031
US Electric Panel
SERVI 'PANEL
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G & KATHLEEN
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BUTTE COUNTY r
'4DEPARTMENT 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: 1007 MILSAP BAR RD
APN: 061-050-031
Owner:
RHODES, TERRY G & KATHLE
Permit No: B06-2509
Issued Date: 10/24/2006 By KCG
Permit type: MISCELLANEOUS
1007 MILSAP BAR RD
Subtype: Electric Panel
BERRY CREEK, CA 95916
Expiration Date: 10/24/2007
Description: REPLACE ELEC SERVICE PANEL
(530) 589-3169
Occupancy: Zoning: U
Contractor
Applicant:
Square Footage:
OWNER BUILDER
RHODES, TERRY G & KATH]
Building Garage RemdUAddn
1007 MILSAP BAR RD
1007 MILSAP BAR RD
BERRY CREEK, CA 95916
(530) 589-3169
BERRY CREEK, CA 95916
(530) 589-3169
Other Porch/Patio Total
FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B632
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
OWNER BUILDER OL:CRW_00400927 / /
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
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 10/24/2006
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractor's Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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
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
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 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;
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
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 a completed if the permit is or one a hundred dollars ($100) or est
DI AM EXEMPT under Section B. & P.C. for this reason:
aI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 10/24/2006
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.
Owner's Signature Date
X 10/24/2006
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
property owner or am authorized to act on the property owners behalf.
10/24/2006
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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.
CONSTRUCTION LENDING AGENCY
Name of Permittee [SIGN] Print Date
1 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)
❑ Owner ❑ Contractor OR; DAgent for Owner Agent for Contractor
INSPECTOR COPY
Lender's Address City state zip I
COUNTY OF BUTTE - DEPARil-MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Gi lif.or614 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ON �s
ASSESSOARCEL_NUMBE
CS/ �� a
ZONING
BUILDING PERMIT
OWNER i
{/
TELEPHONE
—
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAIL DDR
CONT ACTOR'S NAME
h�
T LEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
�1
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI DREss�J
/v , Q I^ r
Permlt fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
911�19� _
Solar or heat pump water heater
0.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
15.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
Building sewer
5.00
Mobile Home - S I G I IN
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel Utilitie I tallation❑ Other❑
Describe work: A94 _
�e ®Avg _ r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 (�
,
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
oa ACONSDDNST ( DACCLBLDGScc 2ELIN'/Z2sgft
NEW CONSTR ULTI.OLITLET
NON•R ESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS 6)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050C
SALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESI D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
5
Permit Fee $ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabili' judgments, costs, and expe s s which may in any way accrue
again id my in consequen b
�OZnting of this permit. O
X Date ✓ !
Signature of Applicant — Owner [IContracro. ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONS1.7
I
IFLOODIPARCELI
PD
Noy
ssuE
This permit is'hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI OR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 9--
Receipt No. 7 Z���
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
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Permit#2730-85E
Thomas L. Smith
• Milsap Bar Rd, BC
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OFFICE COPY
Address
GAS
Meter By Date
ELECT
Meter By Date%
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Permit#2730-85E
Thomas L. Smith
• Milsap Bar Rd, BC
i
4 Y •
9 .
• a .
OFFICE COPY
Address
GAS
Meter By Date
ELECT
Meter By Date%
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COUNTY OF BUTTE - DEPA: TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.gal,ifor a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
�s j
ASSESSOR ARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION'
OWNER'S MAILING ADDRESS *�
CONTRACTOR'SNA E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
r a
4 ` E
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILD I G' ADDRESSI '
'li � ,r"", ►; 1� o I t 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
_�
'Y j /
�� C' I r
Each Trap
2.00
Sol at or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping
5.00
Each qas water he or vent
5.00
USE OF STRUCTURE
SF'S6 Duplex❑ Mobilehome❑ Other
/ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK New R Addition ❑ .Remodel o 1 Utilities,[:] Installation Other ❑
Describe work: f" f F �� 1 ^r U _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10 00.
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
' I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑, a the owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCc es. ,
OUTLE DGS./'r�' �2QSgft
New eoNsTR.� A
ULTI
BRANCH CIRC ITS 2.50 ea
POWER APPARATUS h
(SINGLE OUTLET CIR.
Ex. FIXTURES 5AL03t
ALeo
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
—"
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to 1he W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult Fee
$
Contractor
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabiliti,es,-judgments, costs, and expenses which may in any way accrue
against said; -County in consequenceyof the granting of this permit.
��—� 1—/C>—
%� — �� s-Lr� (� :��%�p�- Date
Signature of Applicant — Owner ❑ Conrrac o ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST*TYPEJ
FLOOD
PARCEL
PD I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Dijt£(;TOR F PUBLIC
BY
PERMIT EXPIRES Date .
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat - �N J
T.
Receipt No. � ��
WHITE-D.P.W., YELLOW-ASSEDSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-a _-
'rap exi o o (3AB /J 2ocfL J r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-21.40 Website: www.buttecounty.net/dds
Permit No:
B06-2509 Issued: 10/24/2006
Address:
1007 MILSAP BAR RD BERRY CREE:
APN:
061-050-031 Permit Subtype: Electric Panel
Owner:
RHODES, TERRY G & KATHLEEN
Applicant:
RHODES, TERRY G & KATHLEEN
Description: REPLACE ELEC SERVICE PANEL
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Set acs
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
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Ri--__----=�=1
Gh OFFICE COPY
Ri' j
Sl Address
Fi
GAS l
VV Meter By Date -
Q ELECTRIC
I.' Meter By Date IS --Oro
T; ..CMP
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803 p C_ . p
Mechanical Final
809
Plumbing Final
813
Project Final
v 801., b G • 1. -
I
PERMITS BECOME NULL ANDVOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
x'V
BUTTE COUNTY
"W 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: 1007 MILSAP BAR RD
APN: 061-050-031
Owner:
RHODES, TERRY G & KATHLE
Permit No: B06-2509
Issued Date: 10/24/2006 By KCG
Permit type: MISCELLANEOUS
1007 MILSAP BAR RD
Subtype: Electric Panel
Description: REPLACE ELEC SERVICE PANEL
BERRY CREEK, CA 95916
(530) 589-3169
Expiration Date: 10/24/2007
Occupancy: Zoning: U
Contractor
Applicant:
Square Footage:
OWNER BUILDER
RHODES, TERRY G & KATHI
Building Garage Remdl/Addn
1007 MILSAP BAR RD
1007 MILSAP BAR RD
BERRY CREEK, CA 95916
(530) 589-3169
BERRY CREEK, CA 95916
(530) 589-3169
Other Porch/Patio Total
FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B632
LICENSED CONTRACTOR'S DECLARATION
OWNER /BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
OWNER BUILDER OL:CRW_00400927 / /
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
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 10/24/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
one of the following:
Contractor's Signature Date
VPIseeck
OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
PENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS'COMPENSATION DECLARATION
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
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
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 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;
❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions 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
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not a completed if the permit—is—For ondollars ($100) or less.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
10/24/2006
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X 10/24/2006
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 arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit 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
prope owner or am auth ri ed to act on the p p rty owWs behalf.
10/24/2006
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( 1
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Na a of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR. DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.nettdds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
irst Name
Mailing A dress 4 C
CityState
_V
1/a
Zip
Phone-�3�
Fax
E-mail
66
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
/
u/
Address
Type Const.
City
Map Book
State
Zip
Phone
Tate Approved:
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
/
u/
Address
Type Const.
City
Map Book
State
Zip
Phone
Tate Approved:
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
/
u/
Address
Type Const.
City
Map Book
State
Zip
Phone
Tate Approved:
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone SRA
Yes No
Occ.
Type Const.
Subdivision Name
Map Book
I Page
Lot #
Planner
Tate Approved:
PERAHT
NO.
BIN #
PROJECT LOCATION
AP# P) '/ l
Prty�Add res /O
y
Cros treet
td&0 AY, ACZ?
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
&Ue?5 �v�ripti or � pe of Work: /'M z0z _ 'WW
Sq FT- Living M .0 Garage Open Cov
Structure Built without Permits. A97�
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.
Received by:6 Amount: .� Bldg
t 1,
SRA
Receipt #:�L Sheriff
_SMIP
j
Date: 4(1_55 Total
3(o s i -rao eivD 0 I (3Atoo 2«0L
BUTTE COUNTY
DEPARTMENT OF DEVFELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-21.40 Website:www.buttecounty.net/dds
Permit No:
B06-2509 Issued: 10/24/2006
Address:
1007 MILSAP BAR RD BERRY C
APN:
061-050-031 Permit Subtype: Electric Panel
Owner:
RHODES, TERRY G & KATHLEEN
Applicant:
RHODES, TERRY G & KATHLEEN
Description: REPLACE ELEC SERVICE PANEL
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
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
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
R
Gi OFFICE COPY
R, j
Sl Address
Fi
GAS 1
W Meter By Date
C, ELECTRIC '
Meter By Date I I' II-0ry
nT. FcI +
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801. D G l .
PERMITS BECOME NULL AND VOW 1 YEAR
COMMENCED, YOU MAY PAY'POR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 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 unders state law, contact the Department of Benerit Payments and the Division of lndustrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing 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 requir3ed 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
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.
1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YE OR NO)
2. 16V)/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 CITY
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: REPLACE ELEC SERVICE PANEL
Reference Number: B06-2509
Applicant Name: RHODES, TERRY G & KATHLEEN
Signature of Property Owne . Date: