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Home My WebLink About026-090-028BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 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: B07-1054 Issued: 05/15/2007 Address: 7057 LINCOLN BLVD Area: OROVILLE Owner: MATHIS, ROGER & TERAPN: 026-090-028 Applicant: COMMUNITY ACTION )Map Page: Permit Type: Wall Furnace Description: INSTALL WALL HEATER: 50,000 BTU Flood Zone: AE SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: 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 Pre -Slab 124 Gas Test House 404 Gas Test Yard 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 Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.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 FIN Its Building Fina—r--802 IVR I INSP DATE Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP 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 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 a -rrolecr anal is it q-ermicare or occupancy for (xesiaennai umy) 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 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: 7057 LINCOLN BLVD Owner: Permit No: B07-1054 APN: 026-090-028 MATHIS, ROGER & TERESA Issued Date: 05/15/2007 By KCG Permit type: MISCELLANEOUS 2121 N VILLA AVE Subtype: Wall Furnace PALERMO, CA 95968 Expiration Date: 05/14/2008 Description: INSTALL WALL HEATER: 50,000 E (530) 533-2294 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: COMMUNITY ACTION AGENCY OF BUT COMMUNITY ACTION AGEr Building Garage Remdl/Addn 2255 DEL ORO AVENUE 2255 DEL ORO AVENUE OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)538-7559 (530)538-7559 FEE INFORMATION DBM Heater (Wall) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B3075 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License COMMUNITY ACTION AGENCY 617201 / B / 04/30/2007 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/15/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: ractors Signatur 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: �( Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 1568401 Exp. Date: 12/11/2006 Contractor's License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/15/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. 111_'i X' 05/15/2007 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 re Date RNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, WI'Butte construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 property o ora o act on t property owner's behalf. 05/15/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for,blame of Permittee [SI Print' Date the performance of the work for which this permit is issued. (3097 civ. code) —r—r ❑ Owner Contractor OR; Agent for OwnerAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name (► n 1 h I First Name J, t ` Mailing Address 2;; —7 ) l L ' c, City Q CD State L4L Zip hone Fax -mail APPLICANT SIGNATURE X CZ PROJECT LOCATION P# �2 Co,o qn,02 Property Address U City O 1 ---, , PERMIT NO. -10 BIN # WORKER'S COMPENSATION Policy Number O O 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: O 00 -I Sq FT- Living Garage Open Cov O . Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name v Q C ort rs Address A02-:- city City Zip State�� Zip a�c'o E-mail 3 Phone Fax E-mail Lic. # &)7 Z Class APPLICANT SIGNATURE X CZ PROJECT LOCATION P# �2 Co,o qn,02 Property Address U City O 1 ---, , PERMIT NO. -10 BIN # WORKER'S COMPENSATION Policy Number O O 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: O 00 -I Sq FT- Living Garage Open Cov O . Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name v Q Address -4 1n City No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X CZ PROJECT LOCATION P# �2 Co,o qn,02 Property Address U City O 1 ---, , PERMIT NO. -10 BIN # WORKER'S COMPENSATION Policy Number O O 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: O 00 -I Sq FT- Living Garage Open Cov O . Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name � v Q Address -4 1n City. O '+C' No Stat � zip Phone Fax E-mail APPLICANT SIGNATURE X CZ PROJECT LOCATION P# �2 Co,o qn,02 Property Address U City O 1 ---, , PERMIT NO. -10 BIN # WORKER'S COMPENSATION Policy Number O O 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: O 00 -I Sq FT- Living Garage Open Cov O . Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const.