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HomeMy WebLinkAbout030-260-021030-260-021 05-1501 SBC w ORO DAM BLVD OR 1 �E� Cont: DUDLEYS EXCAV O _ CONCRETE POUR CON r t r :+1 �jn r iyYt 5 T y � y � i MASONRY WALLS N E S W 1 st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS (Occupancy, Area, Property) Gypsum Board 1st Layer 2nd Layer Walls Ceiling NOTES COMMERCIAL 030-260-021 05-1501 SBC W ORO DAM BLVD, OROVILLE i Cont: DUDLEYS EXCAVATING CONCRETE POUR CONDUIT i `OFFICE COPY r ss���,�Ci� GAS Meter By Date ELECTRI/j'f4we--Date.'4-/'�—"2 Meter By 01-17 JOB FINALED (Date 111 G� Signature V=OK O = Not OK - = Not Applicable = Not Reedy Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report 2. Fig., Main; Soils -tiler Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins COMMERCIAL 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1t' Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. H.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. (NOTE: An entry must be made each Date FRAMING (Continued) _ 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lam cert. -Placement -Support 51. Steel Buildings-Purlin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access time you visit the job site) 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date dard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of OceuDancv time you visit the job site) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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. C' 7:7 7 License Class : Lic se Number- Dale: <� ` V Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 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 Stale 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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.). ❑ I, 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 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 is issued. P— have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code,'for the performance of the work for which this permit is issued. My workers' compensation insurance ca rier and policy number are: n Carrier: Policy 3 /,, 62 5-p- 0 p ❑ 1 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: d Applicant: WARNING: 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 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP051501. Issued Date: 06/09/2005 APN: 030-260-021-000 Site Address: Map Index: Description: SBC -PLACE CONDUIT, POUR CONIC PAD, SET METER PEDEST Owner: SBC 3750 MORROW CHICO, CA 95973 Applicant: DUDLEYS EXCAVATIONG PO BOX 901 GERBER, CA 96035 530-385-1445 Contractor: DUDLEYS EXCAVATIONG PO BOX 901 GERBER, CA 96035 530-385-1445 License #: 694077 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This pe ihs-h reby ' sued under the applicable provisions of the Butte County Code and/or Resolution o o Indicat d above for which fees have been paid. �> By; lDate: PERMIT EXPIRES N: O "' ❑ 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. ❑ Notification in accordance with'Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ 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 subs y offic' document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectioe purposes. Print Name:cl r-1 �Signature. �- Date: ' (0 ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor u. u. nunamg vermn u1-iu-uv pg i • I k-4 I--, . I 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last NameJ /� ( First Name Address %t% 4 AJ City 6D State Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name D �— Address�b © � City State Zip/ 2� l�Cd Phone�� < Fax E-maild Li . Classi PPLI ATURE X (U, [ u/--� For office use only: ARCHITECT/ENGINEER Name C}'iv U� U/ Address Address City City State Zip Phone Phone Fax E-mail E-mail State License Number PPLI ATURE X (U, [ u/--� For office use only: APPLICANT NAME Name C}'iv U� U/ Flood Zone Address SRA City No State Zip Phone Subdivision Name Fax E-mail Page PPLI ATURE X (U, [ u/--� For office use only: API D2�� Zoning C}'iv U� U/ Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. bt�• Ido) BIN # LOCATION API D2�� Pro e d ess C}'iv U� U/ Cross S eet WORKER'S COMPENSATION Policy Number 6 Carrier_) 0i 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 Page 1 of 2 Description or SS pe of Wo : P>>� ,oOv,� C . Sq. Footage ❑ Structure Built without Permits ❑ 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. by, Amount: I - a-5 Bldg SRA ReceB��e / Sheril CEJ( SMIP Date: 9 0 Other ) 5-�' Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS to 472 �� LL-C,.The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) 0 (�`` Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and si � ed calculations. f i V ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required): ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from'the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\BIdgApp1SUbRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051501 B. C. Building Permit 01-16-04 pg 1 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: 06/09/2005 APN: 030-260-021-000 the Business and Professions Code, and my license is in full force and effect. C' License Class : License Nu r: 77 Site Address: Date: � ' (7 y Contractor: Map Index: Description: SBC -PLACE CONDUIT, POUR CONC PAD, p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SET METER PEDEST 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 to its issuance, also requires the applicant for such permit to file a Owner: SBC signed statement that he or she is licensed pursuant to the provisions of 3750 MORROW the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 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).): Cl 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 offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property' who builds or improves thereon, and who does Applicant: DUDLEYS EXCAVATIONG pp such work himself or herself or through his or her own employees, PO BOX 901 provided that such improvements are not intended or offered for GERBER, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 96035 proving that he or she did not build or improve for the purpose of 530-385-1445 sale.). ❑ I, 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, and who contracts for such projects with a contractor(s) licensed Contractor: DUDLEYS EXCAVATIONG pursuant to the Contractors' State License Law.). PO BOX 901 ❑ 1 am Exempt under Article 3 of the Business and Professions Code GERBER, CA 96035 Date: owner: 530-385-1445 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 694077 ❑ 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 is issued. Architect: T 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 ca vier and policy number are: Carrier: 1 G AJ 0 Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 ❑ 1 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. 6, Date: Applicant: WARNING: 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 code, interest, and attorney's fees. �? (� 1?i-'�� r( CONSTRUCTION LENDING AGENCY This per�}itis� reby ' sued under the applicableprovisionsofthe Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutioh o o c indicat d above for which fees have been paid. Name: D BY: Date: PERMIT EXPIRES N: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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 subs y offic" document of Butte County. I hereby authorize representatives ofButteCounty to enter upon the above mentioned property for inspectio purposes. � Print Name: r , Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner VAgent for Contractor B. C. Building Permit 01-16-04 pg 1