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HomeMy WebLinkAbout039-460-033PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1 6 INSPECTION RECORD BUILDING APPROVALS ~ W im aZ 0(6 F.iQ 0ILZ) J O IL UJ � W Z~ rn w Z - rc O EF z O K �� O W F' Za OW -H I ~J '�a W irU Om U wJ QU' Q arc ULL QV J IL Ixa Q z SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE JRiffUl I/e7!'1 fJ; IMI W-1 it PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL ELECTRICAL APPROV A L.q PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL re/f[ll//►wW»;?011 SIG. DATE �i r` 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. BP062143 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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 09/07/2006 APN: 039-460-033-000 'the Business and Professions Code, and my license is in full force and effect. License Class Licen er: ? : � Site Address: 9347 HOLLAND AVE DUR /Date: Map Index: Contractor: Description: ELECTRICAL PANEL UPGRADE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JACKSON RUSSELL C & MICHELLE M 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 9347 HOLLAND AVE the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 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 95938-9681 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 Applicant: GOODMAN SERVICES owner of property who builds or improves thereon, and who does pP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 4070 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or improve for the purpose of 530-345-5003 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: GOODMAN SERVICES pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 4070 95966 Date: owner: 530-345-5003 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 673423 ❑ 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: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the LabOr Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. Valuation: $0.00 X I 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 ;f, forthwith com ly with those provisions. 7 11'' Date: — 2_2 Applicant:_A� az V W WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor `code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d work indic ted aliiove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: ` [y lJ U 1 -`7' O CD Name: i \ C� _(D7 Address: PERMIT EXPIRES ON: `– Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505,25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all couAty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ot0cW;ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose . ",/\� Print Name: T .✓ tY/✓� Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor 4+ B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name J a C C5� first Name Address l —� 140( City StateG� Zip ,3$ Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name abloomb/1' City Address N/' Rw0-)L9 Zip City Fax State ZiP959g Pho a 30 73�r� 0 Page Fax E-mail Date Approved: Lic. #673 VI Clast�L, APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail IAPPIC4NT SIGNATURE X \ For offlce use only: Zoning Flood Zone City SRA .I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. M BIN # PROJECT LOCATION AP# /� - l 0 Property Address City 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 Page 1 of 3 Description or Scope of Work: GCS ��c< Sq FT- Living Garage Open 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 required. 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. r 4 t` co Received by: v Amount: S� Bldg Receipt #:161220 ehe(K *151 SRA Sheriff SMIP �-1�W (� % Other Dater IC. b. Total REV 8-12-05 SUBMITTAL 8 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 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!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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 AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 3 z � - PERMIT NUMBER - B 8J-72 P 68-72 E 64-72 PERMIT EXPIRES �4C-U 4 OWNER Wes Jackson i' Louis Thacker, Durham CONTR: 4 r LOCATION (A.P. 39-46-28 � i w/s Durham -Nelson Hwy.. -so. Durham -Dayton Rd., � Durham n ,— S-7� c S .Ae � i COUNTY OF BUTTE Department 'of Public Works BUILDING INSPECTION RECORD Zoning Setback 72— `% / Forms 2— % Z� Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall. Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS % Z— 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT i IACPermittee Owner fr '" ' ��* /�/ S t. ! L7 A. P. No. Mailing Address ��% -' /�� /^ /liE�is�l + 'r /' Fire Zone Zoning Contractor L i // / E / /j1 'If /' /G019 /'— Sanitation J Planning a .f� Mailing Address �` f Gam' 34 2-- " �r/ f' �f L Plans Fees W.C. BLDG. Address �/!' 4L,, `'y� ^�-h� �""lG / Encroachment NEW © ADDITION O REPAIRS 0 OTHER 0 Others Single Multi USE OF STRUCTURE Family []f Duplex 0 Dwelling 0 Others �� f VI r �%n I F O U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN .5000 oa Girders joists - 1st Floor ter' Joists - 2nd Floor 1, Fireplace Joists -'Ceiling Total Valuation /?(./ �j 6r(/ 0 &V Exterior Studs Permit Fee �(7� Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee (JQ Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under'the�prov signs of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof ...� ..� ..'.................................:..'.......................... License No:;? x' 1l� FClassification......,,,,[ts`„ and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption................................................................................................................................. ................................. .................................................................................................:.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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 authorize representatives of the County of Butte to enter upon -.,the. above-mentioned property for inspection purposes. X........................................................................... Dace ................................ SIGNATURE OF PERMITTEE ORAGENT Receipt No.,,,,,,,,! 0 ` 'j -5 ........................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS i By...................................,..:'......`.......................Date ........................:.... Permit Expires Date •.,,,•,,,.......................... Permittee Owner /v/r Mailing Add Contractor Mailing Add BLDG. Add COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING P E R M I T A. P. Na.1141,- 0 L ` 1 DESCRIPTION OF WORK t. NEW ADDITION F-1 REPAIRS 0 OTHERS: Remarks: USE OF STRUCTURE Singl a Multi RESIDENTIAL Family 0 Duplex Dwelling OTHERS: A-01 / Remarks: PERMIT FILING FEE No. @ Fee $2.00 Each fixture or trap or set of fixtures on one trap 1.50 Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 S v Each gas water heater or gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE $ •,�_ 0 A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under tF�e_provision•s' of Chapper 9, Div. 3, of the State of California Business & Professions Code under the name styleof ......,L v-....%s......r............................................................................................................................................................................... License No. Z, iClassification........... w'C ......... and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption ............................. _................................................................................................................................. .: ............................................................................................................................................................................................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. X-�f� Dace // ........................................•...... .................. ......................... SIGNATURE OF PERMITTEE OR AGENT This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. / 6Lj DIRECTOR OF PUBLIC WORKS By ...... < Date Receipt No...... `......•...... ................. - - .... COUNTY OF •BUTTE J DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965✓/ `_~ PHONE: 533-1230, Ext. 259 APPLICATION AND JELECTRICAL PERMIT J� Permittee Owner !/ /fir? /�,/j )y(.- �j %,%f r/ �/� <Gi 6e�P� A. P. No.—� Mailing Address /'C� r/ % -S 5�� ! �j� Y /� //+r_,•r / Yr �!/ Contractor n��/ Mailing Address n BLDG. Address l if S r <a 71114 DESCRIPTION OF WORK NEW Q ADDITION F-1 METER SERVICE t OTHERS: Remarks: PERMIT FILING FEE No. Fee $2.00 ? GU Supplementary Filing Fee 1.00 Main Service , /;12 or (more than Sub -panel' f.�less) 12) Each f' V Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each :..50 Li Light Fixtures g First ZD .20 Each Additional 10 USE OF STRUCTURE Single MultiHood, Family Q Duplex Dwelling Q OTHERS: �li(� l'i'yl ��O Remarks: % Receptacles... Switches & Fixture Outlets � First 20 ,ecs Each Additional . 10 / O � t� Exhaust Fan or F.A. Fuca Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pump Water Pum Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under, the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name styleof...... ...�....L� .?!....::� .... �.�................................................ __ License No.,-� Z,?a /1,,,,�Classification ..... , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec, 7044). 0 Basis, if any, for other statutory exemption....................................................................................................._.._..........._..... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of ,tthhe.County. of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. propertysfor inspection purposes. 7?' DIRECTOR OF. PUBLIC WORKS ...................................................................................Date ........................................ SIGNATURE OF PERMITTEE OR AGENT " ' /? B " . -�t-• ......................... Date /• 1 r 1 ReceiptNo.....................................................................