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030-430-003
00-3 030-430-003 05 0456 DENAREND, E-1-1 UD -u 0 1617 LETA LN, ORC)\IITLIlr 11 '-?-1 (-Os Cont: ABLE PLUMBING AND EL C/O FLLcriuc PANEL ME Q BUTTE COUNTY 0 .0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT 0 0 -76 24 HOUR INSPECTION #: (530) 538 36 (OROVILLE) (530) 891-2834 (CHICO) 0 0 - OFFICE M (530) 538-7541, 0 UR 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: 02/17/20 . 05 APN':'030-430-'003-000 the Business and Professions Code, and. my license is in full force and, effect. SS: License Class 7 License'N6mbe,: GZ 77C Site Addre 161.7 LETA LN ORO -- Date: -?4t ?L0.57 .Contractor: C- k,- Mapindex: OWNER -BUILDER DECLARATION Des cription: service p6nel change (eJec) I hereby affirm undb� penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031..15., Business and. Professions Code: Any city. or, county which requires, a permit to construct, alter, improve, demolish, or repai(any structure, prior , Owner:. PENAREND ELI &-FRANCINA Jo its issuance�� also -requires the applicant for such permit to file a '16.1 7.LETA LN'--',,, signed staternerit that he or she is lice nsed;pu rsua nt to the provisions of the Contractor's . State License Law (Chapter 9 commencing with Section CA 7000) of Division 3 of the Business and Professions Code) or that he or she is eiem�t therefrom and the basis for the alleged exemption. Any violation of'Section 701.5 by,any applicant for,,a. permit subjects the applicant to a �civil penalty of not more than five hundred dollars ($500).):, perty, or my employees with wages as their El 1, as owner of the pro sold compensation, will do the work, and the structure is not intended or offered for sale, (Sec. 7044, Business and Professions Applicant- ABLE PLUMBING AND ELECTRIC )de. Jhd'Coritractors. State-Licen�se-Law does not apply to an Cc owner of property, who builds or improves ihereon, and who does, such work himself or herself or through his� or her own employees, P.O. BOX. 7909. provided- that such improvements ai�e not intended or offeredJoir sale. Ifhowever, the building or improvements I are sold within ond CHICO, CA.,.." . year of �completio6, the owner -builder will have the burden of-, 95927 proving that he.or'she did not build or improve for the purpose of. sale.). �530-899-90091 LI I, as owner of the property, am excJusively contracting -with li6ensed,contraciors to construct the. project (Sec., 7044, Business and Prolessiohs Code. The Contractors' State License Law doe -s' not apply to an.owner of property who builds -or improves thereon, and,who contracts for*such projects with a contractor(s) licensed Contractor:. ABLE PLUMBINGAND ELECTRIC pursuant to.the Contractors'. State License Law.). 0 1 am Exe�npt'under Article 3 of the Business and Professions Code P.O. BOX 7909 CHICO, CA. Date: Owner: -95927' 530-899-9009 WORIKERS'COMPENSATION DECLARATION I hereby affirm under,penalty of perjury one of the following declarations: Q I have and -will maintain a certificate of.consent to self -insure for , License,#: 627760 workers' compensation, as provided for by.Section 3700 of the Labor Cod.e,� for the performance of the work for which this permit Z is issued. I have' and will maintain, workers': compensation insurance, as required by'Sedon 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued... My worke,rs'compensation Engineer: insurance carrier and policy number are:,, Carrier: f2� S 1: -Policy#:' 00-9 �Tcl 1 (51 '0 S.F. r Total Square Ft: [D I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to. become subject to the.workers' compensation laws of California, Census Cod compensation provisions of Section 3700 of the. Labor Code, I shall forthwith comply With, those provisions. and agree that if I should become subject to the workers' Date: A/7 Applicant: 70 WARNING: Failure to- secure workers' compensation coverage is hundred thousand, -dollars ($100;000), in addition' to- the cosi of unlawful, and 'shall' subject an -employer to,.criminal penalties and one compensation,: damages as provided foFiin Section. 3706 of. the Labor- code,,interest, and attorney's fees. This permi b provisions of the Butte County Cc e and/or dONSTRUCTION-LENDING AGENCY t i�,Kreyissued u e e� ca el do es h 4b6en paid. A I hereby affirm that there: is a constructibri le4ng'ageincy'for the -- Resolutio to ork indicit abo e for ich fe . a berformance of the work for which th.is permit is issued (Sec 3097 Civ) By: Da . te Name: P ERIVII� �XPIRES ON: Address: (Date) 0 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.. EI Attached are.copies of the required E.P.A. notification forms. I �ere�y ce I have.read this application that the above information is 6orrect, and that I am4he owner or the duly authorized agent of the owner. I ' agree to,comply,with.� -all ting to building'donsiructiort. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 'I hereby County and siafe'laws,i6lar authorize representatives of Butte County to enter upon the above mentioh6d property for inspec ion purposes. Print Name: Signatu�e: Date: Owne r for C3 Contractor Ll Agent fo Owner- gent, C6niractor B. C., Building P6rmit 01--16-d4 Pq i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#:,OROVILLE: (530) 538-7636 - CHICO:'(530) 891-2834 #: (530) 538-7541 A FEE WILL BE REQUIRED A T TWE OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Last Narne Dev�c�'q,etAA VV ro\�e) irst Name r T2-eck Address city .City State StateCA, zi'Ct,5_q (-5- Phone Fax lax E-mail Lic. # 627R, APPLICANT SIGNATURE X For office use only: CONTRACTOR Name VV ro\�e) Address 17'!�(5_ city 64- ( "C 0 State Zip Phone I )? -3 570 Ig -57 Fax E-mail Lic. # 627R, 1 Class C(C) APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name VV ro\�e) Address 17'!�(5_ City 64- ( "C 0 State Zip Phone I )? -3 570 Ig -57 Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANTNAME Name VV ro\�e) Address 17'!�(5_ city 64- ( "C 0 State.CA zip ?"zw Phone rg I )? -3 570 Ig -57 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone I SRA Yes No Occ. Type Const. Subdivision Name Map Book, Page Lot # Date Approved: OVERFOR SUBMITTAL REQUIREMENTS PERMIT NO. PBI 4 LOCATION AP# Property Address C't Cross Street WORKER'S COMPENSATION Policy I Number oogs-ti -(OL �-7 r -s Carrier rIlhirifig anyone other than license0con tractors, a certificate of compensation must be shown at the time of permit issuance. com LENDING AGENCY Name., Address K:\FORMS\BUILDING FORM.S\BIdgAppISubRqmts.do6 . . Page 1 ot 2 Description or Scope of Work: E Sq. Footage El Structure Built Wthout Permits El Oroposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION, Applications for which a.permit has not beenissued 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. - The request must be ma ' de 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 departffient,costs are,n6t refundable.. Received,by- Amount: Bldg yl Receipt #: Sheriff. SMIP Other Date- C.XO Total rxr_ V 1-41 _V� SUBMITTAL & PERMIT 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 ACCEPTED. ALL PLANS MUST BE LEG113LE AND KINK F-1 I . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! El 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets , of stamped and signed calculations. 0 3. Engineered truss details and layouts in duplicate (if required). No faxes! F-1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ;n 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings, _n 6. Manufactured homes: (A) -Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. El 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 enginee . n 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). EJ 9. Site plan and business license approval from the City of Biggs. r_1 10. Letter of intent for non-residential buildings. El 11. Detached Accessory Building Form filled out by the owner (if required). n 12. Hazardous Material Form (for Commercial Buildings only). 0 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon,redeipt of the following items.) 0 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). r_1 2. Impact Fees. El 3. California Department of Forestry plan approval (if required). M 4. NPDES Form.� El 5. Encroachment Permit for driveway from the Public Works Dept.,(construction approval prior to occupancy). El 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. El: 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. r_1 11. El Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 othef department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY RIEVElOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: ................................. ............................... ............ ....................................... ................ .. ............................ ................. .................. ... ... ..... . - .. .............................. ................... :::::: ........... ................ ........................... tavair .................... -.- .......... .............. Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2- - I . .1 . � I I . I I -1 � . . I I . -. I � I I . I - I . , � � - . . , . � I I I , . I . : - - - ....'. - ", .. I I- , I 1. I - . 11 � - I . � - -1 . I" . .,. I � I . I — I . . I , I 1. .1 -1 - . , . '. . , 1� � - � , � , , . . � . . . ... . I . 1� � - � . - � I I . . . � . I . . � �� . 1. . 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I . ` 51:, - . - ',� �tt�;.-,!,�.�.�7-��-C:,v -,"", ""' iw Aj. � . ...... �.w,.-:-,- � i.-"-:,. ';.", .-:I. , , . i, ... - - I ,.A�.�7�..,:r!",�..,�--.,:,.,�.-,.�.��;..)., ..,:-, . , " - " ,- I - . -1 �- '. I - w �,I-,,I�.;�c�----,-,-,- ---,:��.-:"�, I .I. '.. � . � !�� �, ., :, ":' -. " �. �%. -,� . , - . - :,: - 001 't� , ..., , , . ;- , I . , . . I I I - . I I . . . . � . . NOTES'. -RESIDENTIAL PERMIT NO. 030-430-003 05-0466 DENAREND, ELI OVILLE 1617 LETA LN, 0, RZ M N Cont: A13LE PLU' 'Bi -6 AND EL C/O ELECTRIC PANEL EFFICE Copy Address OFF17 y Addre�ss�... r ss , G S AS M M rB eter By ------- � Date CT CU8 ELECTRICL) M t r B _t8 Meter By Date�� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 7A VERIFY EP _US ERMIT CONDITIONS SUB -STANDARD HOUSING LETTER n r t4 4 OK 0 = Not OK - = NotApplicable = Not Ready MISCELLANEOUS MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1 . Zoning Req u i rements-Setbacks- Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. -Sewer; Location -Test- Fal I -C/0 -Concrete 7. 4. Water;,L6cation-Test-Easement Needed (Sketch) Zoning Requ irements-Setbacks- Easements 5. Electricity; Loceition-Clearances-Grnd-/, /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. P Nat. or/ L "ft./ P LPG Ext.; Steps -Doors- Land i ngs 7. Well Clearance & Disconnect 8. Utility Clearance Gas; MH Test- Demand -Valve 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res- Panel boards- Ins. to Main Conduit 5. Electricity; MH Test Health Department Approval Date 6. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s, Enclosure; Fencing -Alarms 1 . Zoning Requirem6nts-Setbacks-Easemenis 2. Footings; Size-Spaci ng- Marriage Line Exits 3. Gas; MH Test- Demand -Valve -Con nector Card B-1 Date Card B-1 4. Electricity; MH Tbst-Grossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Date 2. Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 7. Electric 1. Zoning Requ irements-Setbacks- Easements 9. Siding; Nai I ing-Veneer-Stucco- Mesh 2. Footings; Size -Spacing -Marriage Line 11.. Ext.; Steps -Doors- Land i ngs 3. Blocking 7., 4. Gas; MH Test- Demand -Valve 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res- Panel boards- Ins. to Main Conduit 5. Electricity; MH Test Health Department Approval 6. Water; MH Test 11. T Water and Sewer Connected 12. Enclosure; Fencing -Alarms 8. Gas and Electricity Tagged Date 9. Exits Date Card B-1 Date Card B-1 License Decals' 11. Verify #'s with Office Date Card B-1 Date Card'B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Req u irements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Dec king - Bracing -Stairs- Rai Is 4. - Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Col um ns -Con n,ectio'ns-Spl ice- Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-RftrS7Trusses 9. Siding; Nai I ing-Veneer-Stucco- Mesh 10. Roof; Shthg-Roofing 11.. Ext.; Steps -Doors- Land i ngs 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1 . Setbacks -Easements 2. Soils; Compaction -Structure Stability' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term i nals- Listed 7., Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 = OK 0 = Not OK - = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1 . Zon ing-Setbac ks- Easements- Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Sternwalls, Main; Steel - B lockouts -Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrap ped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Reg u lator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance- Material -Su pport- Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration-Walls-Winclows 27. Romex Installed Close to Edge of Studs & CJ_ Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral Q Yes J No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels- M otors- M ech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing- Land i ng -C losure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V in Garage; Above Floor-Mech. Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 81. 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces- P lates-Sou nd 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection-Skyl ig hts- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration-Walls-Winclows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protect ion- Land i ngs 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance- Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing- Land i ng -C losure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. 1 nsu lation-Foam- Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 83. Following lnstld./Dnve J Yes U No/Walks U Yes CJ No/Planters CJ Yes J No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle- U nderg round 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Gracle-HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4 -LICENSED CONTRACTORS DECLARATION I heriby affirim'under penalty of p.eq6ry that I am.ficensed under proyislonsV Chapter 9 (commencing with Section 7000) of Division 3 of Issued'Date: 02j17/2b05`APN'- 030-430-003-000.,.`�� the Business and Professions Code, and my Ii cerise is:i.n full force and efie't Lirc. C, mber 7 ense Class 'License Nu Site Address:.,161T_LETXLN ORO Date:'_U_12L�_ Contractor.' Ma*p-Indek:,2'1 -.'OWNER-BUILDER DECLARATION. poscription.,siarvide panel change.(elelb), I hereby, a'ffirm'undei� penalty, of, perjury that I ani exempt from the Contractors' Staie License Law'for the following reason' (Sec. 7031.5 Business and Professions Code: - Any city or county which requires'a Owner: DENAREND ELI & :permit to construct, alter, improve, demolish, or repair any structure, prior _FRANCINA to .-its issuance, also requires. the applicant for such permit to -file, a 1617 LETA LN signed statement that he or she Is licensed pursuant to the provisions of :OROVILLE, CA,, the Contractor's State License Law (Chapter 9 commencing With Section 95965-3022 7060 Business and Profession' .) of Di vision. 3 of the _ s,Co de) or, that he or. she is exempt therefrom and the basis for the alleged exemption. Any vi 'Iafi'n'of Sectio -n-7031.5 by any.applicant for a permit subj6cts'the 0 .0 applicant to a civil penalty of not more than five h,,undred.dollars ($500).): 0 , 1, as owner of the property;,or rn I y. employee's. with wages as,tHeir o ru re is: not s Id,:compensation, will''do the woirk, and th� st' ctiJ Business and Professions intended or offered for sale (Sec. 7044, 1 E U BING AND ELECTRIC. Applicant:'AbL Pt'" 'M Code: The Contractors' State License: Law does, not apply to an owner of propeqy.who builds or, improves thereon'. and who does such work himself or herself or through hi or her own employees, �s ;P.01 BOX'7909 pro�lded that such improvements are not intended or offered for - CHICO,:CA�� sale. If however. the building or imp�ovements are sold within -one Year. -of completion, 'the owner -builder Will have the burden of .95927 -`�,,proving th , at he.,gr she did not.build or improve for the purpose of 530-899-9QO9 s . ale.). a 1, as owner of the pr operty, am exclusively contracting - with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does riot apply to an owner of property who builds or improves, thereon,' and who contracts for such projects with a contractor(s) licensed Contractor: ABLE PLUMBING AND ELECTRIC purs6arit to the Contractors' State License Law.). Ll' I am Exempt under Aiticle 3 of the Busine ss and Professions Code P.O. BOX 7909 CHICO, CA.* Date:' ---Owner: 95927 .,WORKERS'COMPENSATION DECLARATION 530-899-9009 I hereby affirm'Onder-penalty of perjury one of theJollowing declarations: 0 1 have and will maintain a certificate of consent to self -insure for License #: 627760 workers' compensation, as provided for by"Section 3700 of the Labor, Cod6, fo� the'performance of the work for Which this permit is issue have and ��ill insurance, maintain workers' compensation as Architect: required by Section 3700. the Labor Code,. for the performance of- the work for which this permit'Is issued.. My workers' compensation Engineer: 1. I�SiJrance ca�rier lic�:number.ar' 'and po e: Carder: C6 Pol cit DI r,Z, Icy '�O S.F.-' Total.Square Ft: Q I certify thai.1n. the performance of the work for which this permit is Valuation: $0._00 issudd� 'I, shall. hot employ� any Oerson:. in any. manner so as to -to Census. Code:. become subject thb 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: 11-7. 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. 370� of the Labor code, interest, and attorney's fees. a CONSTRUCTION LENDING AGENCY� tereby issued u ca eyro /or This *permit i de h e?,T visions'of the BUtff._C6unt� Code I and. 0 trr Z�_ _ , e� ro' K. h le e� Resolutlo to d a or ch fees have been paid: ork ind I hereby Ing ag�ricy'for the. afflim that,thdirb is 6 construction. lend , C` ; . I_,!or 5 performance of the work for wh�ich this permit is issued (Sec 3097 iv.) By�. Date:, Name, LE�XPIRES PERM11 ON: Address:,' (Date) L1 I hereby certify that the use of this facility shall comply with Sections 25506, 25533, and 25534 of the California Health and Safety Code, which regulate the storage� handling and use of hazardous materials. L3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable.to the scheduled construction of this projecLI: 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 ar I n the owner or the duly authorized agent of the owner. . I agfee to c6mpli with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the.substance oflany official form or, document of Butte County. hereby authorize representatives of Butte County to enter upon the above mentioned, property for inspection, purposes. �7 6i \71 Signature: .Print Name: ca :Z /I A;� "57 Date: ent'for Contractor 0 Owner 'U. Contractor. Agent for Owner xg, �13. C. Building Permit 01716-04 pp .1