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Home My WebLink AboutB16-0990 042-020-034BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 5 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 2pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds Permit No: B16-0990 Issued: 12/22/2016 APN: 042-020-034 Address: 3413 BELL RD, CHICO Owner: RASMUSSEN JEFFREY E & MICHELLE Permit Type: GARAGE CONVERSION Description: STORAGE CONV TO SECOND DWELL Flood Zone: None SRA Area: No qF.TRACKS for Zoninp. AG. SRA. PW Front: 20 Centerline of Road: Rear: 10 SRA: Side: 10 AG: Other: 5 Total Setback from Centerline of Road: 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 Plumb17ng 412 Under Slab Plumbing 411 Sewer 407 Underground Water Do Not Install Floor Sheathing or Slab Until Above Signed ShearwallB.W.P.-Interior 134 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 c`krr 610 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 el Fire Sprinkler Test or Final 702 Inspection Type IVR INSP DATE T -Bar Ceiling 145 Stucco Lath 142 - Setbacks I Pool Plumbid BldgPermit: Gas Test I Address: Pre-Gunite Pre -Deck Pool Fencing),, GAS By: Pre -Plaster I Electric By: OFFICE -COPY c � 00t,10Lk (l ICU— Date: Date: ` 1 �7 Setbacks 131 BlockingfUnderpining 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Underground Electric 218 Sewer 407 Underground Water 417 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: Rnals Public Works Final 538.7681 Fire De artment/CDF 538.6226 Env. Health Final 538.7281 Sewer District Final "PROJECT FINAL 3. -rrolect anal is a ternncace or uccupancy for (xesiaennai uniy) 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 BUTTE COUNTY R�1:;ii DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:530.538.4365 OFFICE#: 530.538.7601 FAX#:530.538.7785 • iiiliiiiiii`611�4 ' www•Butt6County.net/dds , f h ' 1 < • PROJECT INFORMATION' . [ ' Site Address: 3413 BELL RD Owner: } ' APN: , • 042-020-034 RASMUSSEN JEFFREY E & MI Permit type: MISCELLANEOUS 3413 BELL RD 'Subtype: GARAGE CONVERSION CHICO, CA 95973 Descri tiori STORAGE CONV TO SECOND 5303439631 I Permit No: B 16-0990 Issued Date: 12/22/2016 By DAH Expiration Date: 12/22/2017 compensation, Issued by the Director of Industnal Relations as provided for by Seco on 3710 of the Labor Code, for the performance of the work for which this permit is Issued. Policy ' No. Ii ❑I have and will maintain workers' 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' 'i compensation insurance carrier and policy number are: I' , Cartier: Policy Number. Exp. Dale: 'r� ..❑ I certify that, in the performance of the work for which this permit is issued, I shall not I 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' r. compensetlon provisions of Section 3710 of the Labor Code, I shall forthwith comply with those ,provisions. ' Ali .X, '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 IN .SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IF CONSTRUCTION' LENDING AGENCY DECLARATION I I I hereby affirm under penalty of perjury that there is a construc-ion lending agency for the P . performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name and Address 1 r- i Lender's Name & Address r s, f F , .. , . ...b. yujim Contractor Applicant: Square Footage:' i RASMUSSEN JEFFREY E & Building Garage Remdl/Addn 0 200 720 341'1 BELL RD (� CHICO, CA 95973 Other Porch/Patio Total � 5303439631 0 0 920 ;I F4 'LICENSED CONTRACTOR'S,DECLARATION . ' ..,, OWNER/ BUILDER DECLARATION - - , Contractor (Name) State Contractors License No. / Class / Expires I herebyaffirm under penalty of perjury that I am exempt from the Contractors' State License Law for ` P. / / the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, - - ' '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 i 3, ;I i improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law 9 Section 7000) Division 3 the Business in full force:and effect. (Chapter (commencing with of of and ` i _ Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of V 1 X _ } not more than five hundred dollars ($500).): Contractor's Signature Date , I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not '' WORKERS'. COMPENSATION DECLARATION °�,.. f 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 intended 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 improved for the purpose of sale.). compensation, Issued by the Director of Industnal Relations as provided for by Seco on 3710 of the Labor Code, for the performance of the work for which this permit is Issued. Policy ' No. Ii ❑I have and will maintain workers' 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' 'i compensation insurance carrier and policy number are: I' , Cartier: Policy Number. Exp. Dale: 'r� ..❑ I certify that, in the performance of the work for which this permit is issued, I shall not I 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' r. compensetlon provisions of Section 3710 of the Labor Code, I shall forthwith comply with those ,provisions. ' Ali .X, '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 IN .SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IF CONSTRUCTION' LENDING AGENCY DECLARATION I I I hereby affirm under penalty of perjury that there is a construc-ion lending agency for the P . performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name and Address 1 r- i Lender's Name & Address r s, f I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). ❑1 am exempt from licensure under the Contractors' State License Law for the following reason: Owner's Signature Date PERMIT APPLICANT DECLARATION- By ECLARATION-By my signature below, I certify to each of the following: 1 am L) a California licensed contractor or U the property owner' or L) authorized to act on the property owner's behalf I have read this construction permit application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized Agent": 'requires separate verification form "requires separate authorization form City State Zip FEE INFORI Total Fees: $7,305.20 Balance Due: (None) s I Print Pa [ATION. - - Fees Paid: $7,305.20 Job Value: ' $69,717.60 P i � Iti If , V I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). ❑1 am exempt from licensure under the Contractors' State License Law for the following reason: Owner's Signature Date PERMIT APPLICANT DECLARATION- By ECLARATION-By my signature below, I certify to each of the following: 1 am L) a California licensed contractor or U the property owner' or L) authorized to act on the property owner's behalf I have read this construction permit application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized Agent": 'requires separate verification form "requires separate authorization form City State Zip FEE INFORI Total Fees: $7,305.20 Balance Due: (None) s I Print Pa [ATION. - - Fees Paid: $7,305.20 Job Value: ' $69,717.60 P i