HomeMy WebLinkAbout024-080-070BUILf)INGCOD1
LETTER 30 DA
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024-080-070 . - . 04-1947,
RODRIGUEZ, REFUGIO
1369 LARKIN RD, GRIDLEY
Cont: OWNER
RE -ROOF 13 SQ
J0NlES___q_E__ -1151--67-B,- -
916-67E
ouse no. o2; ;rmey
�T/s-Larkin Rd. 2nd h :rr 0�e�rmeyer
Qridley _g
(add garage covered walkl)e
V— 7ol
c J"",
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.buffecounty.netlidds
PERMIT NO.
BP041947
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/01/2004 APN: 024-080-070-000
.the Business and Professions Code, and my license is in full force and
effect.
-License Class: License Number:
Site Address:
Date: Contractor.
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REROOF W/COMP 13 SQ
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: REFUGIO RODRIGUEZ
to its issuance, also requires the applicant for such permit to file a
1369 LARKIN RD
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95948
she is exempt therefrom and the basis for the alleged exemption. Any
530-846-5645
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
;E§-- 1, as owne� of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: REFUGIO RODRIGUEZ
owner of property who builds or improves thereon, and who does
such 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 improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
0 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I am Exempt under Article 31 of the Busine s and Professions Code
Date: q Own A,4;i V09
License
WORKERS'COMPENSATIbN DECLARATION
I hereby affirm under penalty of pedury one of the following declarations:
0 1 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 performance of the work for which this permit
Architect:
is issued.
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
)&--4 certify that in the performance of the work for which this permit is
Census Code:
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.
Date:
Applicant: /(ILL
Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
t
code, interest, and atto mey's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Bijfte County CodA �!nry
I hereby affirm that there is a construction lending agency for the
Resolutions o rk indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
C
W4
Name:
By: D?j
EXPIRE4
Address:
- PERMIT
(Date)
13 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature: z 41
7 --
Date:
-Q-0wrier U Contractor EI Agent for Owner Ell Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530�538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Narrfe--, ;>
city
rip Na
C)a�
Address ' 3(0�
j
City(I
_,f �c �',
State
Statr
_k
FZjp
Phoney, (e
Fax
Fax
E-mail
Lic. #
APPLICANT NAME
CONTRACTOR
Name dY4
city
Address
Zip
city..
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
APPLICANT NAME
ARCHITECTIENGINEER
Name
city
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address V
city
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
For office uee only:
Zoning
PropertFAdaress
/('� (",' e.?
Flood Zone
Cross Street
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
I Page
Lot #
Planner
Date Approved:
I I
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING F0RMS;\13ldgApplSubRqmts.doc Page 1 of 2
PERMIT
NO.
'--t - (. q
BIN #
LOCATION
AN
<
PropertFAdaress
/('� (",' e.?
a
Cross Street
WORKER'S COMPENSATION
Policy Number
Carder
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:
)42 S 6t �F
q. Fo age
0 Structure Built without Permits
11 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OFAPPLICATION
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
reftindable.
Amount:
SRA
Receipt #: Sheriff
7�3 SMIP
Other
Date: Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE A CCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
0 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
11 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
C1 3. 2 Engineered truss details and layouts (if required) (7VO FAXES!).
C1 4. Letter from Engineer or Architect for truss design review.
1:1 5. 2 Energy compliance design and supporting documentation. (Note: Not requiredfor additions to
mobile or modular homes.)
0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
11 7. Detached Accessory Building Form, filled out by the property owner (if required).
0 8. Sanitation and site plan approval from the Environmental Health Department.
0 9. Metal Buildings: (A) Metal Bldg Plans, (B) Frid plans and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be starnl)ed and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
0 1 . 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
11 2. 2 Data sheets and installation instruction manual.
1:1 3. 2 Marriage line information.
0 4. 2 Floor plans.
1:1 5. 2 Engineered Tie Downs or Foundation plans.
C3 6. Sanitation and site plan approval from the Environmental Health Department.
o 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0 1 . 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
11 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
0 4. Letter from Engineer or Architect for truss design review.
0 5. 2 Energy compliance design and supporting documentation (if required).
0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
1:1 7. Statement of Intent for Non -heated and A/C (if required).
1:1 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd'plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
0 9. Letter of intent.
1:1 10. Hazardous Material Form.
0 11. Sanitation and site plan approval from the Envirorimental Health Department.
1 0- " I* -
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMBUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04
T_
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (BO)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 'Fo a, f I . ASSESSOR PARCEL NUMBER 0/a4 --
Proposed Building Use: yio�j�(_ Counter Technician: Date:
Items required in order to apply for a peNT-1( All boxes MUST be checked OR marked NA in order to,�Yply._
0 1. Site plans, 3 or 4 sets, signed by thepreparer of the plans.
El 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
El 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
El 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
El 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
Cl 14. Hazardous Material Form
0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
0 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... .. . ........
0 20. Erosion Control Plan Required .............................................................. ...... ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ...................... .......
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Forestry plan approval 0 paid. Sent by: . .............
11 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check: -
0 25. Contact Land Development about - Improvements, - Drainage .........................
El26. NPDES Form .............................................................................................
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Pre -Inspection for required .......
0 29. Contractor's license information. (-Number, Name Style, Classification) ...................
0 30. Worker's Compensation CarnerAnd Policy Number ..........................................
31. Owner -Builder Verificatioi Vdiven to owner, -Mailed to owner) ........
32. Letter of Signature authorization ..............................................................
0 33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance ................................................................
0 -35. Listing violations and/or expired permits .........................................................
0 36. Deed Restriction ..............................................................................
0 �37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other: U 7F-,
When issued Telephone 0 _T 1_U _F_ 11 / and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Date:
1. Index ermit dpolicotion fo ms ifumbere'd:
2. Ad( tnal items requiree �Ihe above ite
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by
Plans reviewed by: -Date: Plans approved by: -
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
b
Plan Check Letter
Date:
Date:
Date
Date:
O.B.- I
OWNER-BUIELDER VERIFICATION
Attention Property Owner:
An "o-ymer-buildee' building permit has bwa applied for in your name and bearink your signature.
Please complete and return this information at your earliest opportunity to avoid unnetessary delay
in processing and issuing your building permit- NO building pam3it will be issued until this
verification is received.
I personally plan to provide the major labor -and materials for construction of the proposed
Property improvement: YES FF— NO 13
1 HAVE 0— HAVE NOT 13 signed an application for a building p=3it for the, proposed work
I have co�tracted with the following person (fam) to provide the proposedponstruction:
NAMM.
)LDDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4\.I plan to provide portions of Us work, but I have hired the following person to coordinate 3-
)upervise, and pmvide, the major worla
ADDRESS: —CITY:
5) PHONE: CONTRACTOR'S UCENSE NO.
1 will provide some of the work but I have contracted Nred) the following persons to provide
the work indicated:
NAM . 19 ADDRESS PHONE TYPE OF WORK
SPGNED:
PROPF.RTYOWNEP)_/ 169
D
DATE:
NOTM This Owner-Builde . r Verylmlon is required by Section 19831 and 19832 of the
CaWornia Health and S4kfy Code. Ykis ver#lcafian must be conTleted and
retumed to o ur offike b efo re we are p ermiffed to - issue th e p ermit
OWNER BUILDER INFORMATION
Den Property Owner.
O.B.- I
An aPPlicatim f0'r a buffifing peruit has been mbmftW in your name listing yomelf as the builder of property
improvements specified.
For Your PrOteCdOl; You should be avrdre dig
a permit Building p=2it3 = not required tD 6e signe ag aoW=-bM'dee YOU M-0 the reSpOnSIbID party Dfrecord on such
d by Property owners unless they are personally perf0ruffig their
own work- If your wDdlc is being performed by someone other than yoursey
liability if dw person applin for the proper permit in his or her nam . , you may protea yourself from possi.
Conhar-tDrS am required by 13W to be licensed and bonded b� the State of Califc)ruia and tO have a business
license from the city or counly' 'hey are also Mquired by law to Put d irli num er all p ift forw h
apply. 2e ce= On hic they
Ifyou Plan to do your ov'm wOd; With the CXCe0On ofvmiom trades that you plan to subconfraa, you should
be aware of &a f0J10wing inkum-dion. fDr your benefit and protecti,=-
If you employ or otmWise enpp any persons other than, Your kmlediate flimily, and the. work (Including =ta�
and offier costs) is $300 or more for the' entire PrOjec4 and such pm -sous are not lic'Cused as conuacton or
subCOntraCtOM then You May be an employer.
subjea Z an employw, you D= rnister vd& 'he State and F"derd Govemmmlft as am employer and you an
+ If you M
D srahl obligations including state and Mexal income, tax withholdin& fidwal socW swmity tu�e;
wc)d= wmP==!= kmrance� disabiUy bi=d= Cost; and ummpjoy� compensation conkiburdons.
+ 'Then may be ffimncW rift f0r You ifyou. do not emy out these, obligations, and these rWm am espacially seriow
With reSpCd to WOrker-3 coMpegLqation inguranCe.
+ For more sPeci& 112fiMmiation. about your obligations under Fed_� Jz% cm&,Ict &e btemal Rwenur Service
a4
ifyou wisk die U -S- Small Business Adminisftztjon). For MOM SPecific infimnation about your'obligations und=
Staft Lffw� contad the Department ofBeneflt Payments and do Division of Industrial Aocklents.
If the, Structure is intended for sale, prOpmty owners v,,ho are
work personally or dirotigh their OVM employee , not licensed conftactOrs are
wiff allowed to perfDZ3n their
condhimL 'Out a lice:rised COn1rWt0r Or sub=3h-dCtOr, only under Ihnited
A ftqu= practice Of UDEce'nse'd P=Ons PTofmbg to ba contraotDrs is to seeure an ctovnier builder" building
POnnk enU=Mly b3plyjillg 9W The pMpnly Ovmw is providing his or her own Labor and m2t=W Personally. Building
P=Mft are not requked 10 be signed by property Owam Unless ffi-7 are P`W&Ming 9)Zir OVM WOdC P=DnaUy.
hdomati= ab"11 U0ensed 00131raCftrs may be obtaiaW by cmtw� the Contactors S
am8vtc� CA. 95914.
4OUJI11TIMily or at 1020 N Street Sacr tft License Board in your
Please cOMPIMe tbP- aOw= Builder Venficabon- On the reverse side of ft fDrm So did we can con&m tb2t you
am zvlm Offfiese Inalftm 7he building p=oft v&l not be issued until &e, ver&cation is retum3t&
NOTF--
115 ownw -3w1dM -Wann&wn Is requ&edby Secf'ou -IR930 Of&e G-IPIII& H.M &SVIV G,&
Bu -&-c- Count
y Depar&nent ofDevelopment Sei-;ices
ADMINISTRATION * BUILDING * GIS * PLANNING
1 County Center Drive
Oroville, CA 95965
-7541 Telephone
(530)538
(530) 538-2140 Facsimile
July 16, 2003
Refujio and Teresa Rodriguez
1369 Larkin Rd.
Gridley, CA. 95948
RE: Building Code Violation
Location: 1369 Larkin Rd., Gridley, CA.
AP # 024-080-070
Dear Refujio and Teresa Rodriguez:
This , is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced
location, as follows:
Failure to obtain the required permits, inspections and approvals from this office for the addition to an
outbuilding.
Since permits and inspections are required for the above work, please submit three (3) complete sets of plans,
apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and
you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing
work is inspected and approved.
It is * the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active Code Enforcement Program which provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of
citations ., fines and the recording of a Notice of Violation including a description of the action necessary to abate
the violation.
You have thirty UO days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please
contact Scott Rutherford or Michael Vieira in this office at the address'or telephone number listed above.
ely,
AAA /4-1-
Sco Ruthe Ord
Chief Buildi 9 Inspector
I
SR: 1�
cc: Assessor
In
70
JON 0
1151-" 7B
916-67E
Wls Larkin Rd. 2nd house no. LET -e 7; e y -e r
Gridley
(add garage covered wal
U U'1 '1 h LU U N 1 Y 1Jz V ZL'Urivir ll 1 13zn v 1,4.r.0
Complainant:
Address:
Phone Number:
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Commenis from Inspector:
iq
RE9:YEST.,FQR INSPECTION PermiVNo.
Location: — - 13(ot? tAe4A1 1`264�)
Owner: Contractor:
Call j Phone:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE -
INSPECTION
Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Temp. Service
Job Status
Stucco Lath
Gas Piping/Test
Main Service
Corrections
Permit Renewal
Stucco Brown
Temp. Gas
Underground
Final
Verify Utilities
Woodstove
Sewer Piping
Well Circuit
Ex Mobile Site
Brace Panel
Water Piping
POOL
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
Final
Final
Final
Corrections
Ready for
I
I
I Final
Inspec.on:
Date: Comment:
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