HomeMy WebLinkAbout062-190-018AP 62-19-18
J. Adams
NE Corner Lakeside Way & Forest Inn
Drive, Berry Creek
>(FIRE REPORT/dwelling)
1306-2439 .'062=190-018
MISCELLANEOUS Electric Panel
%,REPLACE ELECTRICAL SERVICE
292,LAKESIDE WAY-��J'/0'_t9-
KUHN FRANK E & HELENE M'+
a
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES "
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B06-2439 Issued: 10/16/2006
Address: 292 LAKESIDE WAY BERRY C
APN: 062-190-018 Permit Subtype: Electric Panel
Owner: KUHN, FRANK E & HELENE M
Applicant: ll.Q rut ? ( �—
Description: REPLACE ELECTRICAL SERVICE
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
t
Ins ection Type
IVR INSP DATE
Set acs
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
OFFICE COPY
Address
GAS
Meter By
ELECTRIC
Meter By_4krz�
Date
Date/,,/P-
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803 fjJ,
Mechanical Final
809
Plumbing Final
813
Project Final
801
I
PERMITS BECOME NULL AND VOID 1 YEAR
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
- - 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
Site Address: 292 LAKESIDE WAY
Owner:
Permit No: B06-2439
APN: 062-190-018
KUHN,
FRANK E & HELENE M
Issued Date: 10/16/2006 By KCG
Permit type: MISCELLANEOUS
13778 WALTER AVE
Subtype: Electric Panel
REDDING, CA 96003
Expiration Date: 10/16/2007
Description: REPLACE ELECTRICAL SERVICE
Occupancy: Zoning: TM1
Contractor
Applicant:
Square Footage:
PAUL'S ELECTRIC
PAUL'S
ELECTRIC
Building Garage RemdUAddn
625 MISSION OLIVE ROAD
625 MISSION OLIVE ROAD
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
(530) 589-4100
(530) 589-4100
= FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B522
LIC NSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Cont r (Name State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
L'S ELE RIC CSLB-376492 / C10 / 06/30/2007
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 A IRM UNDER PE LTY 0 PERJURY that I am licensed under provisions of Chapter 9
commen '
( g with a ion 700 f Divi r 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 ful orce an c .
of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the
1 P
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
11 0/16/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Ontractor's Sign re Date
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
WORKERS"61OMPENSATION DECLARATION
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
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 Contractor's 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 need not be competed if the permit rs or one hundred ($100) or ess.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
EfbTI T IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SSUED. I all not employ any person in any manner so as to become subject to the Workers'
Compe tion laws of California, and agr a that if I should become subject to the workers'
X 10/16/2006
comp Batton provisions of Sectio 370 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
pr Bions.
0/1 2006
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
Sign ture Date
WARNING: FAILURE TO SECURE WORKE PENSATtON COVERAGE IS UNLAWFUL,
WARNING: FAILURE TO SECURE WORK"PENSATION 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, 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 t suance of this permit does not authorize the
a
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or sub 'eco .1. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property Vins ction purposes. I hereby certify that I am the
o
pro wner or am au orized to act on theo e behalf.
CONSTRUCTION LENDING AGENCY
XL_ A _ l 10/16/2006
1 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 01 Contractor OR; DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES PEPE
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION L
Website: www.butteco6nty.net/dds BIN #
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
rit Na
Mailing Address
�.
City j
Phone
Stat rA
Zip
Phone
Fax
E-mail
CONTRACTOR
Name
Addres
City YL0✓r cc P
State e
--��
Zip �_
Phone
Fax
E-mail
Lic. #
Claims
C� v
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zig.,��GG
77
City
Fax
State
Zip
Phone
Page
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State64
Zig.,��GG
77
Phone
Fax
E-mail
For office use only:
AP# (96 O— Z>/?
Zoning
GGd��
Flood Zone SRA I Yes No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map Book
Page
Lot #
Planner
Date Approved:
PROJECT LOCATION
AP# (96 O— Z>/?
Prop_e- Adpress
GGd��
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
wa(e
l i t
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
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.
.Received by' )6. Amount:"J . Bldg
SRA
Receipt #: Sheriff
c%► e-�� SMTP
Date:10� �' 06 Other
Total
+
•
1
R
;
1
+`
7 l C
�,� � �I1 I�i,�
r
i
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BUTTECOUNTY DEPARTMENT OF _PUBLIC WORKS 0 kQ '1-i
SPECIAL INS-PECTION, REPORT
Owner: J
Address:_1740_3
Tenant:_
Building Location:
Type of Inspection requested:
1. Housing / ! 2. Financing
A.P. (,, 0'
ZCeDate of Inspection
Inspec
3. Change of Occupancy to
Other (specify)_
Preseut use. of build
A. Sanitation Jiousingl
1. Vater closet:
2. Lavatory-,
7.
Bathtub or Sh!7tJP,r
4., Kitchen sink: _ �—
a. Hot and cold vcher to fixtures:
6. Heating facilities:
7. Natural light and ventilation: --
8. Romn and space requirements:
Vii. Bedroom window or door for second exit::_
10. Infestat°on of insects, vermin., or -rod• nts:_
11. Connection to sewage disposal.:
12. Cornectlon to water supply.
13. Rubbish and garb -age fac:zlittes: .�
14: Comments: '�-' ---- - -
B. Structural
1. , P12rs and fnntinac-
2. Floor con
3. Wall cors
4. Ceiling a
5. F irc.pi.ace
6. Cmm=tenr s:
C. Electricac
.�..i . SeZl'iC;: ^nd F,'1"C�ilnd: .
2. Receptacles:-- c J _...._..__________._ _._.._..__.w._.._..._..___
3. Fus-ag: c��_-
4. (.cP�tL1:^i:tg: L���.r}� G9�Cl�fi� .� rv[i .1s�.l �2 _ -V_ - —i-,, -
D. Plumbir� .
Cao"lii: and►e±:teal:
2. s vate-r heater:
3. Cas hcaEing ve.-xu s:
4. Comments: /JAL- oil�T�fLvu�.�r'�7
E. Other i
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Comm-ercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements :-----
7. Zonir.�,:
8. Comments: —
G. Field Problms or Violations
1. Problema� ;violation ( ivP ccsmplete c�esc iption) :
2. ,
What
fction
taken (give complete de'scripti.on) ;`�-o
3.
What
action
recommended:
7-7A. nformation only - fit.2.
B. Hold for ten (10) days, then write letter.
Write letter.
77D. Other•
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,\ACRES BURNED
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AGENCY PROTECTICIN
1ACRES F41,
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TOTAL
� 9 UN ARRIVAL (CDF f1rect ProtL-Ctlon Aria only)
LJ Y-uUATION '-!RE OCHER (CO To ;,T)":
'!ZE
S 1 DISTANCE (Origm vo head)
/c. i FEEF
WEATHER*,;Est. at scene)
LIJAECPON Ft1(3M iEMPFRATURE.
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