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HomeMy WebLinkAbout035-420-010i Sunbeam Const.Co. 3502—/O 5315 Margo Lane, lot 136, Crestwood ' Sub�k2, Oroville ¢yj. .. ?K;` Permit #3877-79B,P,E,M(new single s x: TM family) r B07-1445 035-420''-01.0 MISCELLANEOUS• Private Garage/Shop ATTACHED STORAGE 18X16 - AS BU 5315 MARGO LN +'a '. CHIAW SAECHAO ' B07-1446 035-420-010' _ MISCELLANEOUS Re -Roo REROOF 20 SQ 5315 MARGO LN . �r,� �� , � � , � -� "- --- -� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds ' PROJECT INFORMATION �B07-1445 Site Address: 5315 MARGO LN Owner: Permit No: APN: 035-420-010 CHIAW SAECHAO , Issued Date: 08/07/2007 ' By TMP Permit type: MISCELLANEOUS 5315 MARGO LANE Subtype: Private Garage/Shop OROVILLE, CA 95966 Expiration Date: 08/06/2008 . Description: ATTACHED STORAGE 18X16 - AS' Occupancy: Zoning: R1 Contractor Applicant: . Square Footage: CHIAW SAECHAO Building Garage Remdl/Addn 5315 MARGO LANE 288 OROVILLE, CA 95966 Other Porch/Patio ' ' Total (530)534-7586' ' 288 FEE INFORMATION ' DBF Garage -Wood Frame Plan Clie $233.56 DBINVES'Investigation Fes @ 60 $210.20 ,DBMSC Garage/Shop/Strge Wood F $350.34 t . DBSMIP Residential $0.69 r Total Charged:. $794.79 • Fees Paid: $794.79' Balance Due: $0.00 Receipt No: B4132 -,. •,'LICENSED_ CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION - Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such peril to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects X _ 08/07/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; - 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansalion insurance carrier and policy number are; Carrier: Policy Number: - Exp. Date: (This section need not be completed if the permitis or onsundf red dollars ($100) or ess. 0"ICERTIFY 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' compensglion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ' J X ( 8/07/2007 Signature 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 - 1 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 Please check one of the following: E�yT, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE L1 COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 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 Contractors 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 Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this A L 08/07/2007 Owner's Signature Date I hereby certify that I have read this application and slate 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 pro syn the property ers behalf . ir or am authorized.,\/1r, l — a 11 . 08/07/2007 0 Owner 'E] Contractor OR. Agent for OwnerEl Agent for Contractor FILE COPY N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT T11VE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY*` OWNER INFORMATION Last Name 0 First Names+ (� ` Mailing Addresss S 0,Y City t9 i L to Zip l'I s -q 1. Phon 3 o S3 — SSC4 Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # .S. Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax StateZip I Phone Fax E-mail State License Number APPLICANT INFORMATION Name W hair/' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PERMIT NO. "n , BIN # . PROJECT LOCATION AP# Vav '� n . O Property Address City Dypv' SR c. 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: Sq FT- Living Garage Open Co ❑ Structure Built without Permits �''```''' ❑ Proposed Change of 0ccupan� (Note previous use): For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. I Butte County Department of Development Services TIM SNELLINGS, DIRECTOR ) PETE CALARCO, ASSISTANT DIRECTOR "" ' " - " 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit,and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). ,NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY PL N TTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. LR NO) 2. I ((V -IAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: a NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE . TYPE OF WORK Description: ATTACHED STORAGE 18X16 - AS BUILT Reference Number: B07-1445 Applicant Name: CHIAW SAECHAO Owner's Name: CHIAW SAER4 AP # : 035-420-010 Signature of Property Owner: V Date: — --c�� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: fly Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1445 Location: 5315 MARGO LN Parcel Number: 035-420-010 Date: 7/3/2007 Owner Name: CHIAW SAECHAO Phone: Description: ATTACHED STORAGE 18X16 - AS BUILT �I Signature of Property, Owner: Date: 7/3/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530)'538-2140 Fax www.buttecountv.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1445 Date: 7/3/2007 Location: 5315 MARGO LN By: GLB Parcel Number: 035-420-010 Sub Type: Private Garage/Shop Owner Name: CHIAW SAECHAO Paradise Parks & Recreation 6626 Skyway, Paradise CA 95969 - (530).872-6393 Description: ATTACHED STORAGE 18X16 - AS BUILT Zhone: The above permit application has the following Clearances required prior to ermit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit plication. Yes No DRAINAGE DISTR TS Ther malito Irrigation District, 410 Grand Avenue, Oro ' le CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - ( 0) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 959/6 (530) 895-4711 ❑ Chico Area Recreation District, 545 Va ombrosa, Chico CA 95926'- (530) 895-4711 Durham Park & Recreation Distric 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Pa District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 0 ❑ Paradise Parks & Recreation 6626 Skyway, Paradise CA 95969 - (530).872-6393 SCHOOL DISTRICTS Biggs Unified School Di rict, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified Schoo istrict, 1163 East 7th:Street, Chico CA 95926 - (530) 891-3006 Durham Unified hool District; 4920 Putney Drive; Durham CA 95938 - (530) 895-4675 ❑ 0 Gridley School istrict, 429 Magnolia, Gridley CA 95948.:(530) 846=4723 Marysville hool District, 1919 B Street, Marysville CA -95901 - (530) 741-6000 ❑ El Oroville ementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 0 Orovi e Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ F Par dise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ecorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ E] City of Biggs Planning Department, 3016 Sixth. Street Biggs CA 95917 - (530) 868-5447 ❑ Other: M Other: Other: Signature of Property Owner: < Date: 7/3/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-1445 Date: 7/3/2007 Location: 5315 MARGO LN By: GLB Parcel Number: 035-420-010 Sub Type: Private Garaee/Shop Owner Name: CHIAW SAECHAO Phone: Description: ATTACHED STORAGE 18X16 - AS BUILT By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. Signed: r Title: QWVW-,-r FILE Date: 7/3/2007 BUTTE COUNTY FEE .SUMMARY a7 County' Center Drive 0roville, CA'95965" Department of Development Services Phone (530) 538-754.1 Fax (530) 538-2140 4 Permit Number: B07-1445 Job Address: 5315 MARGO LN Contractor: Printed: 7/3/2007 4:08. pm Fee Description Account Number Fee Amount Paid Date. Pmt Amt DBINVES Investigation Fes (a, 60 0010-440001-4210500-1010 $210.20 DBMSC Garage/Shop/Strge Wood F 0010-440001-4210500-1010 $350.34 DBF Garage -Wood Frame Plan Che 0010-440001-4210500-1010 $233.56 7/3/2007 .$233.56 DBSMIP Residential 1001-0-280-1011298 % $0.69 794.79 $233.56 Printed By: Gwyn Benedict Balance Due: $561.23_ At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fee may change duan the plan checking process. Signature: 1 Date: 7/3/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530)538-7601 Telephone www.buttecounty.net/dds (530) 538-7785 Facsimile www.buttegeneralplan.net ADMINISTRATION * BUILDING * PLANNING July 24, 2007 Chiaw Saechao 5315 Margo Lane. 66 Assessor Parcel Number: 035-420-010 Building Permit Number: 07-1445 Thank you for submitting the plans for your building -project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. Plan Review Comments: ,r t� Y O 1. Indicate on submitted plans how sill plate i attached to existing porch.slab. 2. Indicate size of ceiling joists if they are not a rafters shown on the submitted plan. "L X -2- 3. 3. You may come into the office and add these items to the submitted plan sets. �k Ov, If you wish to discuss any of these requirements, please call (530) 538=7541 between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Carl Nelson Plans Examiner Aoki 3(>: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT + 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds - PROJECT INFORMATION• a Site Address: 5315 MARGO LN Owner: Permit NO: $07-1446 -APN: 035-420-010 CHIAW SAECHAO Issued Date: 7/3/2007 By GLB Permit type: MISCELLANEOUS 5315 MARGO LANE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 7/2/2008 ` • Description: REROOF 20 SQ (530) 534-7586 Occupancy: - Zoning: R1 Contractor Applicant: Square Footage: CHIAW SAECHAO Building Garage Remdl/Addn 5315 MARGO LANE OROVILLE, CA 95966 Other . Porch/Patio Total • (530)534-7586 a � n 'FEEINFOP0 ATION . DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 r Balance Due: $0.00 Receipt No: B3756 ?�'T LICENSED CONTRACTOR'S DECLARATION: �`' ' � ' „•• i "OWNER /BUILDER DECLARATION'y`. Contractor (Name) State COntraCtofS License No. /Class / EXpires 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 permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 7/3/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE EI ` 'WORKERS' COMPENSATION'DECLARATION ' COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR, OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. ' improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ' ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this -permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not a completed if the permit is oris or onehund�llars ($100) or less.) ' ❑ 1 AM EXEMPT under Section B. & P.C: for this reason: EfI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers" Compensation laws of California, and agree that if I should become subject to the workers' X f compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions X f 7/3/2007_ I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to 91ter the above mentioned property for inspection purposes. I hereby certify that I am the pro er or am aul n d to act on th roperty owners behalf. CONSTRUCTION:L' ENDING AGENCY. F. -CONSTRUCTION: 7/3/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REO_ UIRED AT TIRE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name First Name Mailing Address City Sta eC Zip 5 Phon ,-3 G S Y--75;941 Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # -s Class APPLICANT.INFORMA TION A R CHI TECT/ENGI NEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT.INFORMA TION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE L L, PROJECT LOCATION AP# 2!; Property Address Sacs City (DY V". It PERMIT �4 NO. bl BIN # . 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: 2 Yc9 u S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupang�, n (Note previous use): 1�/ \`\ For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. I ' 3877-79B,P,E,M PERMIT N0. , PERMIT EXPIRES Sunbeam Const . ' Co . a's JOWNER CONTR. owner S �;,� LOCATION (A.P. 35-13-121 port. f. 0 '511 5315.Margo Lane, lot 136, CreStwoodSub#2, Oro. All::. s 44 • T T� i J ;t ,Temp. Power Pole Called PG&E e r Temp. Elec. Serv. Called PG&E { Gas Serv. Called PG&E - /emp. OB S� Q FINALED O (Date) ° (Signal e) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'R•ECORD �en, BUILDING BU DING (C nt' UMBING Setback N Firewall Z fi Soil Piping Forms Parapets / 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemw SidingTo out Slab �' Roof Sheathing Water PI in Piers Rooting -Sewer .5--I-? Garage Fdn. Vents Fixtures Footin s Garage Vents Z Water Htr. Stemwa l l Insulation VA Z Heaters Slab Prov. for ph sic y Appliances .4.� Carport handica ed Conformance of ex. Gas Piping & Test d Footings st r zTemp. Gas Slab Ina l 2 Sa ation Patio FIR LA � final s Footings Footing ELE TRI AL Mason ry Walls Throat Rou h'*-' Reinf. Steel F7 Final Fixtures 5 Z v Bond Beam FIRE SPRINKLERS Motors Framing r Test Water Htr. Stucco Final Subpanels Mesh MECHANIC Grd. Fault Prot. Scratch Heating liz Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath on 5rViAM ftTLanent DoorCloser Ina S 2 final MOBILEHOMEUTILITIES ...----.-- lec. Service Elec. Pedestal Water Piping Sewer Gas Piping IdUJILEHOME INSTALLATION --- - -- - -- - - - - -Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /z ii 79 .��tJZ;,T P V\ (NOTE: An entry must be made on this form each time you vislt the job site.) ME C HAN•ICAL Check List • �-ITnderfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5). Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: .(1) Size.. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. th raming Stage �Ieating: (1) Approved appliances. (2) Accessibility. (3) Clearances.. (4) Combustion air. ©-�nt and Connector: (1)•Approved. (2) Size. (3) Clearances. (4) Cap. - (5) Termination. ED -Ducts: (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. Fina l Heating: (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 P L U M B I N G Prinit - Under FYoor Stage D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. Wrapping. (9) Test - including "Ts". (.10) Additional test not required.* E Water: (1) Sizing. (2) Materials. (3) Support. (4.) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping: FramingStage To Out .W.V.: (I) -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.%; Q Water: (1) Pipe Test. (2) Mixer Valves: '(3) Support. (4) Roof drains. - __G Wat` (1) Size. (2) Materials, (3) PR Valve Drain. er Heater: (1) Vent. (2).Location. (3).PR Valve Drain. EfF inal D.W.V.: (1) Connected to sewer system. (2) Special systems. Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. Gas: (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. ff"Ffixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (-6j—Bross-connections. ��ishwasher Air Gap. 0 5/79 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) BU ILD ING 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/Roof Ducts" CirculatinA Pipes APPROVED HEATER• APPROVED WTR. HTR.j�-Xa— GLAZING: .Single Glazed Special ( Insulated) L•JG� CERT. & LABELED WDS. & SLIDING DRS. `�- WEATHERSTRIPPED DRS. C! BACK DAMPERED FANS. INTERMITTENT IGNITION DEVICES - CERT. APPLIANCES_s 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 License No. r /Owner 'Name please print) Signature of �- Ge , ��.. M.� o r r/Owne /.���.xDate State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE. POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Permit# INSULATION CERTIFICATION Number and Street City County Crestwood Sub Unit 2 LA 136 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Stand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Brand . Name Certainteed Thickness (inches) 31st Thermal Resistance IR Value) ll CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Valui) Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) 81 rr —Number of bags 22 1 Weight per bag 25 ib Area Covered fft 1140 Thermal Resistance IR Vilue) 25 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 (141 Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLAMATION I hereby certify that the above insulation was install9d in the building at the above location ir. conformance with the Current regulations setting Energy Conservation Standards for new Ges'idential buildings (located in Title 24 of the California Administrative Code), I S UPMEMI CONSTRUCTION CO. ¢ LICENSE #IS3200 General Contractor (Builder) License Number (MEGOIRY T.-VISMCA S,griatureand 'rille/ Hakkins lnplat-ion.- 378407 Sub Contr ctor (ln�tlbn Applicator) License Number 3-10-80 4 V Signatu7re and Title Date CERTIFICATE REVIEWED BY Tate ice) BIN -029 nspert on 1. I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X I Date A:1 'gnature of Parmitee or Agent Receipt No. �`� 3 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 above,�€ar which fees have been paid. d aDREmTO4R OF PUJ.LIC WORKS Building permit expires Date— BUILDING � �-v-i ��i� Y , Owner Cn SQ. FT. OCC. BUILDING VALUATION T' 617, bt7 Mailing Address Telephone No.� 00 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee C9O Building Address �J?GQ �g PlanChecking Fee &/or Penalty Permit Fee oZ,C» QF PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 :F ,QO Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. 3-r T Zoning & P nning Water piping 1.50 —D Each gas water heater or vent 1.50 b Fees We ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 'p Parking I Parcel EQA Plans Declaration Q��� P r 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ,B dg. P1� c'd AV Parcel royal Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ q, 6 -C /1 Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,cra B00V OR L Main service 100 AMP ORESS LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (D SC.CUP. S) 12 2 sq ft ,eCS 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 CONSTRESID, RANCH CIRCUITS) NON -REBID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES B L@; APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 (OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JUI am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I 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. ❑WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. permit is issued I shall not employ any person in any manner Ts' I certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 aj 0c7 Heating Cooling 3 bn Ventilation Hood 1 1 2.00 �o Permit Fee $ ;U -x $ p2 op 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 Land Development Fee $ j ,C10 TOTAL PERMIT FEE $" authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X I Date A:1 'gnature of Parmitee or Agent Receipt No. �`� 3 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 above,�€ar which fees have been paid. d aDREmTO4R OF PUJ.LIC WORKS Building permit expires Date— This set of plans end specifications MUS SS" kept on the job at all times, and it is unlawful tc make any changes or alterations on same WithOW written permission from the. Department of ` lic Works, County of Butte. N 2o' 'Q• S C. - �vL The B ldg. Se&., k e asfer` Plan oti file dor► ma 1--)Z-,4n/ v 1+ - 4 S s® sideerty c shag be 5 f . the - centep ne of heyne road�d e50 , f}, rOM - mnm of a permitting f rOrr� the out o f all 2 as aqua overhang but ant exi= ®asements. ly :.�Uf�l_!� • � CO �i�UC'i/ON ���,e�tJY 7 / L/IO/I M LO�®[ OCA N 9 . ZI � 13UTTG COUNTY WILDING DEPARTMINT APPROVED. OiQ06//SLE, OTTS CO., CAZIMI IA z ®r eo,, r m 7 O V� y r ' 0 C � z t O ' 0 . z N 'p- ITLA ry AeeA 7. L4( ALL I )j1 jot t 00 1 �iJ• ' � I FLAN7SION iil.aFS� .- BUILDING PLAN APPROVAL Date: ! Oandscaping:d!� ARGO I�AfV� F 531S- MAR��o LANE y�/+i-� SCALE: - - -- APPROVED 1Y: DRAWN BY DATE: REVISED MN ir. ....0 K. 420.- w ACe D At YLCAM, -N - — - -71 10 2�,t'L�jx 10 OG%P, ��A0. i y t F bit r 1,L)kv iMOtte f� I froo'T't � To Mares to 9 i t , L CO� ir _IL OWNER J/afl�D APN O3, 4 O 10 BPAf S�,H e T 77 i i t , L