HomeMy WebLinkAbout035-420-013Sunbeam Const.Co.
5297 Margo Lane, lot 133, Crestwood
Sub#2, Oroville
Permit #387 -794,P,Ej(new in2le
family)
ro
B06-2375 033_51420=013
MISCELLANEOUS Re -Roof
REROOF 16 SQ.'S COMP
5297 MARGO LN
JOHNSON, ETHEL D LIVING TRUS
Agri
BUTTE COUNTY -
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION 4:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE 4:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
` PROJECT INFORMATION_ -
Site Address: 5297 MARGO LN
APN: 035-420-013
Owner:
JOHNSON, ETHEL D LIVING T
Permit NO: B06-2375
Issued Date: 10/05/2006 By TMP
Expiration Date: 10/05/2007
Permit type: MISCELLANEOUS
Subtype: Re -Roof
5297 MARGO LN
OROVILLE, CA 95966
Description: REROOF 16 SQ.'S COMP.
Occupancy: Zoning: RI 0(
CONNELLY'S PROFESSIONAL SERVI CONNELLY'S PROFESSIONA Building Garage Remdl/Addn
5490 DEBBIE AVE 5490 DEBBIE AVE
OROVILLE, CA 95966 'OROVILLE, CA 95966 Other Porch/Patio Total .
(530)533-1516 (530)533-1516
FEE INFORMATION
Re -Roofing $110.00
.LICENSED CONTRACTOR'S DECLARATION -
Contractor (Name) State Contractors License No. / Class / Expires
CONNELLY'S PROFESSIONAL 601524 B C-39 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter
(commencing with Section 7000) of Division.3 of the Business and Professions Code, and my license
is in full force and effect.
X 10/05/2006
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I 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.
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
L J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date: _
(This section need not be competed if the permitis or on7— a hun rhollars ($100) or
❑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'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
10/05/2006
Signa u 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 INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY ;
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
I otas Cnarged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B401
OWNER / BUILDER DECLARATION,':F
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a peril 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 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];
Please check one of the following:
❑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 License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the 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 improvement is sold within one
year of completion, the owner -builder will have the burden of proof 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 Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
Owner's Signature
10/05/2006
Date
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
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
prop rt owneowner or authorize he f arty owner's behalf.
/ .C 10/05/2006
Owner M, Contractor OR: Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Websitc'www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER INFORMATION
Last Name
Mailing Address
i t Nam
(vii arty =
u
CityQtyli k_State
Zip{(
Phone _ fS i
Zip q
Mj
Phone n O —L496
7
Fax
E-mail
Planner
CONTRACTOR
Name
Address r
i
City �'o�) Ili
State
Zip{(
Phone _ fS i
Fax 3 3S0
E-mail
Lic.60 �-L/
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Planner
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Flood Zone SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
&, 2-31�s
BIN #
PROJECT LOCATION
AN lJ� l /—/20 .. a /
6
Prope�nLtAddress
J2 n
C'
.
Cross Street
WORKER'S COMPENSATION
Policy Number
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:
G' ZW sC -1 a / c r cn
l&
Sq FT- Livi g Gar ge pen Cov
❑ 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.
��/�j��
Received b� Amount: /10,0cO, Bldg
SRA
Receipt � r Sheriff
3-4 I SMIP
Other
;�ioro4
IDate: /O ��s66';:1 Total I I
PERMIT NO. 3874-79B,,P,E;M
J.
PERMIT EXPIRES
OWNER Sunbeam Const. Co.
owner
CONTR.
LOCATION (A.P. 35-13-121 port.
5297 Margo Lane, lot 133, Crestwood Sub#2,
Oroville
� 3
u
"
f y
Y
Temp. ower Pole
Called PG&E
Temp. Elec. Serv.
/Called PG&E
T mp. Gas Serv. Z///
Called PG&E ZcJ 3
JOB Z2- �p
FINALED
(Date) 1cD 01
(SignatuldT
r - -
Closer
MOBILEHOME UTILITIES ` L✓E�c" Pedestal
rvice
Water Piping Sewer Gas Piping
BILEHOME INSTALL� - - - - - - - - - - - - - - Support Elec. Continuity
'AN \ Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
7 .
ILDING BUILDING (Cont'd)
PLUMBING
Setback
��i f
aRestroom
Soil Plpin
%Z
Forms
Parapets
1st Floor
Main Bidg.
Fin1 01
2nd Floor
Footin s
3rd Floor
Stemwall
Sidi.
To out
Slab
l Roof Sheathing
Water PI in01 -
Z
Piers
Roofing c,,
Sewer
Garage
Fdn. Vents �---� .—.o
Fixtures
Footins
Stemwall
Garage Vents %
Insulation Z'
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sic ly
handicap,ed
Conformance of ex.
s
Appliances
Gas PI in & Test
Temp. Gas
-
%- a
Slab
Ina 2i
SaqJt&tIon
Patio
FI RfEPL CE
Inal
Footings
Footin
E
E RIC
Masonry Walls
Throat
Rough
/ 2- 3l
Reinf. Steel
6�� �'7?� Final
Fixtures
4:2>:412-0
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANI L
Grd. Fault Prot.
S
Z �C>
Scratch
Heatino
Service
Brown
Cooling
Temp. Pole
Finish
Ducts T / % 7
1 Underaround
Closer
MOBILEHOME UTILITIES ` L✓E�c" Pedestal
rvice
Water Piping Sewer Gas Piping
BILEHOME INSTALL� - - - - - - - - - - - - - - Support Elec. Continuity
'AN \ Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
PLUMB I N G
Check List
P
:mit
Unde floor Stage
D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7)'Rough-in Locations.
(8) Wrapping. (9) Test - including "Ts". (.10) Additional test not
;required.*
11 Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
FI,; (6) Dissimilar metals. (7) Service regulator installed or not required.*
Ej Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
FramSta e To Out
D-.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
(14) Additional 2nd floor test not required.*
�ater: (1) Pipe Test. (2) Mixer Valves. '(3).Support. (4) Roof drains.:
"s: (1) Size. (2) Materials. (3) PR Valve -Drain.
Water Heater: (1) Vent. (2)..Location. (3).PR Valve Drain.
Fina
D.W.V.: (1) Connected to sewer system. (2) Special systems.
k.ater: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
s: (1)'Test. (2) Connectors.
Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
Fixtures: (1) Approved. (2) Stability. (.3) Clearances. (4) Trapped.
(5) Connect -ions. Cross -connections. (}.Dishwasher Air Gap.
5/79.
ME•CHAN•ICAL
Check List. •
❑ Permit
® U7Combustion
Stage
Supply Plenum: (1) One-story. (2)•,Clearances. (3) Combustible
oial. (4) Insulation and vapor barrier. (5) Access. (6) Catch
tacles and registers. (7) Fire -stopping. (8) -Boots. (9) Supply
s. (10) Gas lines and plumbing cleanouts.
1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
Insulation. (7) Clearances - ground, crawlspace, cleanouts,
ing, etc.
Air: .(1) Size.
❑ Refrigerant Piping: (1) Material.,(2).Support. (3) Fittings. (4) Insulation.
Fram' Sta e
Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances.
(4) Combustion 'air.
Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4)Cap.•
(5) Termination.
�u_Cts: (1)-Materials.'(2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire' Damper.
Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
eating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
Cooling: (1) Accessibility. (2) Support. (3) -Controls. (4) Pressure relief
valves. (5) Class 2'refrigerant.
5/79
0
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
(location)
BUILDING PERMIT NO. A:P. NO.
THE FOLLOWING'HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Walls
Ceiling oR of
Ducts /F
Circulating Pipes
APPROVED HEAHT.__c 9
ER
APPROVED WTRWTRHTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. --`
WEATHERSTRIPPED DRS. �S
BACK DAMPERED FANS Gf e
INTERMITTENT IGNITION'DEVICES
CERT. APPLIANCES —
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO.
THE COMPLETENESS OF THIS.CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
�aLicense No.
Gen i Contrzae to /� Name � 1 7sz Tl
(please print)
Signature of
Geta ra _G r r/Own r Date 6
,p State Contractors'
d �s License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
III
Permit# ,.
INSULATION CERTIFICATION
Number and Street City County
Crestwood Subs Unit 2 Lot 133
Subdivision Lot Number
DESCRIPTION OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass
Brand Name Certainteed
Thickness (inches) 311
Thermal Resistance (R Value) 11
CEILING
Batt or Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance IR Value)
Loose Fill Type Fiberglass
Brand Name. Certainteed
Minimum Thickness (inches) 8a rr
Number of bags 18 Weight per bag _ 25 Ib
Area Covered (h2) 912
Thermal Resistance (R Value) 2-5-
FLOOR,ELEVATED
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOOR, SLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value) _
HEATING SYSTEM Gas Furnace
Make
Model Description
_
Rated Bonnet Capacity
DECLARATION
1 hereby certify that the above insulation was installed in the building at the above location ir, conformance with the
current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the
California Administrative Code).
SUNBEAM CONSTRUCTION CO. LICENSE #153200
General Contractor (Huilder) License Number
•I CA Signature and rill? J Date
�c,i'•?Cha •,
Haw ins Insulation Co._ InC_ 378407
Sub on ractor (Insulation Applicator) License Number
3-10-80
Signature and Title Dale
CERTIFICATE REVIEWED BY Late
BIN -029 —(.IttiTTing Inspection (j:ice) -
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
3,7��79
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
S' nature of Permitee or Agent
Receipt No. 2-5/ 3 G
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
a for which fees have been paid.
IR C R OF UBLIC WORKS %
Date "' 5 - "
Building permit expires Date
BUILDING
Owner �� �
SQ. FT. OCC. BUILDING VALUATION
l
Mailing Address �� Bo tG♦2, 1i� �
4=:0J $bo �
(.�. Grr /rte
Telephone No.
- `" v- 6Y
�p a � eCY0
.
Contractor
Mailing Address
Fireplace
Total Valuation , 00
Telephone No.
Permit Fee C7o
Building Addressy`�Q
Plan Checking Fee&/or Penalty
Permit Fee ,00
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 (?6
Each Trao 1.50 p
C i..�d Sv v7 3 oadowLico
Repair drainage or vent piping 1.50
A. P. No. ,s �T'
3 3 —
• 'zoning & P nning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. -C'.
Sa I Ion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA Parking Parcel
Plans Declaration
60' R/W
Each
Each additional outlet .30
Building sewer 5.00
/
. Pcd
Zglans Re
Parcel A royal
Pla s Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $ CSD
$
ov-yQp
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,Oo
Main service 100 AMP OR1 OR SLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS. ( ACCL DWEV CUP. Y) 20 Sq ft O
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of:
NEW CONSTR BRANCH CIRCUITS)
NON.CONS ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo{OUTLETS OR FIXTI1RES g L 2591�
Ex. Occup.( OUTLETSP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ (o (p,s
$ (Q,
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of,
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
PERMIT FILING FEE $3.00 COD
Heating gyp V 00
Csr
Cooling
Ventilation
Hood 2.00 C`TO
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
�0
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
S' nature of Permitee or Agent
Receipt No. 2-5/ 3 G
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
a for which fees have been paid.
IR C R OF UBLIC WORKS %
Date "' 5 - "
Building permit expires Date
P6V be
'his def of pians and speci '-.
Kept on the job at all 'times and_ it is uhiav✓ful td
make any charges or alterations on same wifh6v _
written permissionm .the�Dep'artmeetlO 2
lig Vdorks, Cc�itn; ®'Mt
.� 312• .
CLGI1,4T/OA/ 3/Z. Z
.:.' :. or building.
See Master Plan on file f.
900E
yiG'-G •• 1• .7. L.
_ o
�59b
LOIC
The Bldg. Setback shall be 5 ft. from the
side property line and SO ft. from the OUTT9 COUNN'
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely tJILDING DEPARTMEM
out of (Al easements.
��= - =����®�®6i/LLE, i�UTiE C'O., CALlIO�Tia✓/A