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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 �