HomeMy WebLinkAbout040-110-0031. 11
40-11-3
° Ben Youngs
r
SIS Garden Rd.,,app.400'W.of,Esquon
Rd:, lot 92 port., Durham
-contr:..Champion Construction, Chico
Permit #2592-78B P E(adLdI r e &
family room/SF) 6 a '7
1:040=110-003 -04-1268 4 a
UNGS
BEN'rt
�,.
L629 GARDEN-RD,"' 4.
DUR1VI
_ HA
u
Cont: OWNER
i r
'ROOF
- ♦ - F. �' „fit.[. �'�'. o
S J
r
Il
1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 IOROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP041268
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: APN: 040-110-003-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1629 GARDEN RD DUR
Date: Contractor:
Map Index'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
De:ncription: RE -ROOF COMP 40 SQ.
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: YOUNGS BEN L & SUZANNE M
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 State License Law (Chapter 9 commencing with Section
1629 GARDEN RD
7000) of Division 3 of the Business and Professions Code) or that he or
DURHAM, CA
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
95938
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: YOUNGS BEN L & SUZANNE M
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
Labor Code, for the performance of the work for which this permit
is issued.
;
❑ I have and will maintain workers' compensation insurance, as
I
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Engineer:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
12( 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,
Valuation: $0.00
C@nSUS Code:
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./7
Date: �J
1
I,C�1c�l ^ 1' IQ 5�O��
&-ee*VC�' /� �/
Applicant:AINtovnk
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 Bette County Cody a.nrvor
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)0
Resolutions t o work indicate ve for which fees have been paid.
�'. S-��
By:�o �^ Date:
Name:
PERMIT EXPIRES ON: S^ S -QS"
Address:
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 county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: �(/ Signature: Aelv
^
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
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.netldds
PERMIT NO.
BP041268
LICENSED CONTRACTORS DECLARATION
1 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' APN: 040-110-003-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1629 GARDEN RD DUR
Date: Contractor:
Map Index'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: RE -ROOF COMP 40 SQ.
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: YOUNGS BEN L & SUZANNE M
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 State License Law (Chapter 9 commencing with Section
1629 GARDEN RD
7000) of Division 3 of the Business and Professions Code) or that he or
DURHAM CA
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
95938
applicant to a civil penalty of not more than five hundred dollars ($500).):
f�a - I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: YOUNGS BEN L & SUZANNE M
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect'
the work for which this permit is issued. My workers' compensation
insurance
Engineer:
carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Or I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
Census Code'
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:
AmcunO ?eeeluez',S -220."
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation,. damages as. provided for in. Section 3706 -of -the- Labor.
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code anrver
I hereby affirm that there is a construction lending agency for the
of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions t o work indicatje/�}�-3ygJ,ove for which fees have been paid.
(q��
By. Date: S- S-64
Name:
V ca t�
PERMIT EXPIRES ON: �^ S't�S
Address:
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 county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
balil �l/ S
Signature: -
Print Name:^
B
Date: ✓
J
e Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
CJ
DATE:
APN:
ZONING: 14-0
OWNER'S LAST NAME:
OWNER'S FIRST NAME: PHONE.
12— ZP
STREET'AD S FAX:
G
CITY. ZIP! o� E-MAIL:
SITE ADDRESS:
CITY.
N S CRO STREET: _
17 402
TRACTILOT P
APPLICANT NAME:
PHONE:
STREET ADDR Si
PAX
CITY. ZIP-
E-MAIL•
CONTRACTOR NAMP:
PHONE
STREET ADDRESS:
PAX
CRY. ZIP:
E-MAIL,
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
PAX
CITY. ZIP:
LICENSE NUMBER:
E-MAIL•
DESCRIPTION OR SCOPE OF WORK:
e-
❑ 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 fees 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.
For office use only:
Notes:
Application Received by: Date:
Receipt number: d 2 °°
Amount Receive
PS -<x2"-'?- e
2592-7.8B,P,E
PERMIT NO.
—_.i
PERMIT EXPIRES
Ben Youngs
OWNER
~CONTR. Champion Const., Chico
LOCATION (A.P. 40-11-3 )
S/S garden Rd., app.400'W.of Esquon Rd.,.
lot 92, Durham
A
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv. '����
Called PG&E
JOB
FINALED
(Date)
(Signature)
7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms / 3 —7 V Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
5temwalI
Siding L -J
To out
Slab
Roof Sheathing %-/Z-%
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings 6191ZA-
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping & Test "�%
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing — 1Z���
Test
. Water Htr.
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling r Temp. Pole
Finish Ducts Underaround
Interior Lath
I Ventilation Permanent
Door Closer
I Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping
Sewer Gas Piping
ERAILAZA669= - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping
Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
iC S�% / Q
/ /%fili% 4-L fiLG� l_Gi / �6/� !. / D�d� Aof'Ic r7 /,V 'd,
aid
V
0114aY
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF ,93UTTF_ – DEPARTMENT OF PUBLIC WORKS
y; 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICAT,IONAND PERMIT
BUILDING
Owner&V S-
SQ. FT. OCC. BUILDING VALUATION
to/F,0, 003
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace ..
Total Valuation
Telephone No.
1,
Permit Feezoo, 0o
Building Address -rte
Plan Checking Fee&/or Penalty
Permit Fee
-o Gt/, ,� d!- (!�, '
PLUMBING No. @ I FEE
All- "f
PERMIT FILING FEE $3.00 pd
Each Trap 1.50 .ov
D
Z
epair drainage or vent piping 1.50
A. P. o. Q .- ��--.�j Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Wes Ion
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
plans
ParcelEach
Declaration
I Parcel Map
60' R/W
I Improvement
additional outlet .30
Building sewer 5.00
Uk-l'Icins Recd
Parcel Val
Plans 4roval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $ Q
$ Q C
,�
�� `vim ,W/
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 Bp
Single Famil Du lex Mobil Home
9 Y P ❑ ❑ Others ❑
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD•L 100 AMP 2.50
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. OR ADDNST ( ACCLBLDG 4) 22 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Profes ions Code under the name
style f: ;.
NEW RESID. MULTLO L T 2.50ea
NON-ESIBRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUR{OUTLETS OR FIXTURES BAL@1
BAL21
EX. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 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 $ zo
$ Zl
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.. -/
Signature of Permitee or Agent
Receipt No. 21,77 �
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 f hich fees have been paid.
a9ffiCT FDate—
Elf
WORKS
By �' ev 17f
,ryBuilding permit expires /��
071
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 53.4-4541
APPLICATION AND PERMIT
ge,
BUILDING
Owner/ ?F 's
SQ. FT. OCC. BUILDING VALUATION
Mailing Address290k
' y A
T o e
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building ddress
PlanCheckingFee &/or Penalty
Permit Fee
Vle,21ZEE:
PLUMBING No.1 @ FEE
)�
C/
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
O �
A. P. No. !
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
PtresI
Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
B d ec
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ • ADDITION ❑ UTILITIES ❑ THER ,&
Permit Fee $
$
ELECTRICAL No.. @ FEE
4E7�
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP LESS 5.00
Single Family Duplex oome Others
❑ Mbil H ❑ ❑
Main service EA. ADD - 100 AMP 2.50
L
Main service. 100 A O e 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
•/�
_^ /�' ~`
6_y,::7
-NEW LING CCUP. B) 120 sq ft
OR ADDNST ACCLSLOGS.
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 RESIDo [BRANCH CIRCUITS)
NON.CONS \ BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. Occur) (OUTLETS OR FIXTURES 1 5 ��
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 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 $
$
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.
�j 1 certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
$
TOTAL PERMIT FEE
t
authorize representatives of the County of Butte to enter upon the
above -menti ed proper y for inspection purposes.
te
Signature of Permit a �-A-geennt
Receipt No. !
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 for which fees have been p 'd.
DI ECTOR OF, UBLIC WORKS
�,9
B Date'
i5 _2 ---7c5
Building permit 9*pkms Date
a
�