HomeMy WebLinkAboutB17-1823 028-260-034BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is:.3pm)
Development Services cannot guarantee inspections on the date reque::ted
Office: 530.538.7601 Fax: 530.538.7785 www.ButteCountv.net/dds
Permit No: B17-1823 Issued: 8/14/2017
APN: 028-260-034
Address: 5704 LA PORTE RD, BANGOR
Owner: MIDKIFF RALPH & VIRGINIA DECED
Permit Type: ELECTRIC PANEL COM
Description: RELOCATE 2 ELEC METERS TO OUTSIDE
Flood Zone: None SAA Area: Yes
Front: Centerline of Road:
Rear: SRA:
Street: AG:
Interior
Total Setback from Centerline ofRoad:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
1I
1
Inspection T eIVR INSP DATE
T -Bar Ceiling 145
OFFICE� COPY�"�'""`�
Bldg Permit:
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f.: 3% BY ~"' Date.
4 'Electric BY.;-' t Date:
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Skirting/Steps/Landings 6 10
Coach Infis
Manufactures :Mame:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals
Public Works Final 533.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL
-r.ulccl renal Is a %,erlureate of uccupancy lorkme laenupl Vply) -
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YGU MAY PAY doll A(1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
F
BUTTE COUNTY
` DEPARTMENT OF DEVELOPMENT SERVICES _
' BUILDING PERMIT }
24 HOUR INSPECTION (IVR)#:530.538.4365
OFFICE #: 530.538.7601 FAX#:530.538.7785 t
www.ButteCounty.net/dds
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Site Address: 5704 LA PORTE RD Owner: Permit NO: B17-1823
APN: 028-260-034 MIDKIFF RALPH & VIRGINIA
Permit type: MECH ELECTRIC PLUMB 10 VAQUERO DR Issued Dale: 8/14/2017 By JMD
Subtype: ELECTRIC PANEL COM OROVILLE, CA 95965 Expiration Date: 8/14/2018 P
Description: RELOCATE 2 ELEC METERS TO Occupancy: Zoning: U
Contractor Applicant: Square Footage:
BYLER ELECTRIC BYLER ELECTRIC Building; Garage •RemdUAddn
6350 LOWER WYANDOTTE RD 6350 LOWER WYANDOTTE 0 _ 0 0
OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total ,
5309277291 5309277291 0 0 0
i;;<LICENSEDCONTRACTOR'S;DECLARATION ,►' (OWNER/:BUILDER 'DECLARATION
:;r.; "` }
Contractor (Name) - State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt four the Contractors' State License Law for
BYLER ELECTRIC 899385 / CIO / 6/30/2019 the reason(s) indicated below by the cheekmark(s) I havealaced next to the applicable item(s) (Section
7031.5, Business and Professions Code: Any city or count' that requires a permit to construct, alter,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 improve, demolish, or repair any structure, prior to its issu6:nce, also requires the applicant for the
(commenting with Section 7000) of Division 3 of the Business and Professions Code, and my license i permit to file a signed statement that he or she is licensed.pursuant to the provisions of the Contractors'
in full force and effect. , State License Law (Chapter 9 (commencing with Section W00) of Division 3 of the Business and
Professions Code) or that he or she is exempt from license re and the basis for the alleged exemption.
X - Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
ti not more than five hundred dollars ($500).): .
_ i
Contractor's Signature ° _ Date ❑ ' "
I, as owner of the property, or my employees wrh wages as their sole compensation, will
do U all of or U portions of the work, and the ssucture is not intended or offered for sale
�•� '� WORKERS' COMPENSATION rDECLARATION :-'.' _ `.:'' (Section 7044, Business and Professions Code: The Contractors' State License Law does not -
apply to an owner of property who, through employees' or personal effort, builds or improves the .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: property, provided that the improvements are not inwended or offered for sale. If, however, the
building or improvement is sold within one year of completion, the Owner -Builder will have the
❑I have and will maintain a certificate of consent to self -insure for workers' burden of proving that it was not built or .
compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.).
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy _ f
No. I, as owner of thero e
p p rty, am exclusively contncting with licensed Contractors to
❑ construct the project (Section 7044, Business and?rofessions Code: The Contractors' State
theand will maintain workers' compensation insurance, as required by Section 3700 of License Law does not apply to an owner of property who builds or improves thereon, and who '
the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor Pursuant to the Contractors' State License
compensation insurance carrier and policy number are: Law.). `-
Cartier. FYFMPT Policy Number: Exp. Date: I am exempt from licensure under the Contracto6' State License Law for the following '
F1_ reason: -
Icertify 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 theworkers'
X
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X
':.--rPERMIT-APPLICANT-DECLARATION 4' '
Signature Date
By my signature below, I certify to each of the folbwing:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
I am L) a California licensed contractor or L) the property owner' or U authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
act on the property owner's behalf**.
I have read this construction permit application and the information I have provided is
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
correct. I
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
I agree to comply with all applicable city and country ordinances and state laws relating
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
to building construction.
I authorize representatives of this city or county lb enter the above -identified property ,
for inspection purposes. California Licensed CorEractor, Property Owner' or
Authorized Agent": 'requires separate verifrcatio•:r form "requires separate.
L• CONSTRUCTION' LENDING'AGENCY.DECLARATION.
I hereby affirm under penalty of perjury that there is a construction lending agency for the
authorization form
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name and Address' -
X
Name of Permittee (SIGN) Print Date
Lenders Name & Address City State Zip , y
FEE INFORMATION,
1 Total Fees: $349.00 Fees Paid: $349.00
Balance Due: (None) Job Value: $1,000.00 -
r,
_ `
' Butte County Department of Development -Services FORM NO
PERMIT CENTER DBP -l$
v,b,aw� ti.K„ 7 County Center Drive, Oroville, CA 95965 r
Main Phone 530.538.7601 Fax 530.538.7785 `
ti a mm.buttecounty.net/dds
ELECTRIC SERVICE OUESTIONAIRE
.,
In order to insure that you get timely assistance and the type of L
t, .permit you need, we request that all -applicants for electrical service
upgrades,,retags,.2°d services, etc. answer the following questions:
h • What is the service for? A -e /o 6.• 7
Are there,any structures on the parcel? V
.3. Will this be for commercial use?
4. •Is this a mobile/modular home? If yes, will- the service be on
a pole for the mobile?
M 5. Is this a 2"d service on the parcel? i/O . i �`t
Have you contacted PG&E? 1 -�
7. What size (amps) is the service? 2 a
,8: Is this a 3 phase service? �G
} .-9. Are you doing any other work?
' If you need additional room to answer these questions, please use the -area
' below or.the back of this page:
-Thank- you:
Revised'A 2.19.2016, Page 1 of 1 _ A
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