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HomeMy WebLinkAbout065-410-011\n Greslie // //--Z. Z--` 77� 65-41' 11 Steve �✓�L�' 145 Jack Pine W"' lot 109, PP��3, Magali r i contr: Robeet Griffin, Paradise -• Permit #1182-77B,P,E,M(new single family 065-410-011 04-2113 PIERCE, PAULA ANN 15005 JACK PINE WY,•MAGALIA Cont: MCCLLAND AIR ; A�. HVAC UNIT/ADD LP LINE 4 F: I 1 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. BP042113 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 Issued Date: 07/16/2004 APN: 065-410-011.-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 15005 JACK PINE WAY MAG effect. ' 1 License Class - 0 License Number. `'1 S- f'Z Map Index: Date: S Contractor: M GCI.�GLU A,fl> Description: NEW HVAC UNIT W/ ADDITIONAL GAS LINE 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 Owner: PIERCE PAULA ANN Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 15005 JACK PINE WAY to its issuance, also requires the applicant for such permit to file a MAGALIA, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95954-9712 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 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 Applicant'' PIERCE PAULA ANN 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 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 Contractor: MCCLELLAND AIR CONDITIONING INC 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.). 690 THUNDERBOLT STREET ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 Date: owner. (530) 891-6202 License #: 345121 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 Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier. '.�STATk —11 ?'� Total Square Ft: 0 S. F. Policy#: — 2 Valuation: $0.00 ❑ 1 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'p/-y) compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Lo V — U Date: 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 and/or I hereby affirm that there is a construction lending agency for the Resolutions t do work indicate a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: 1F � / By: \ �% __.,, � Date• ' 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 !Pe 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 OP. y official forth o ument f Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose se Print Name: .JC.OiT' t + , r=.(1 Signature:'dw,"14 Date: `7 —16-0 LI ❑ Owner ❑ Contractor 0 Agent for Owner Agent for Contractor .!'..`z BUTTE;COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 o o OFFICE #: (530) 538-7541 Du N� A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name l: 9X—first Name Address l ,5 V IMR PAA City M A I State Zi r Phone Fax 6-7 3 -y2 (60 1 E-mail Fax ' 61"3-7 APPLICANT NAME CONTRACTOR Name State Address 60 Phone City`C'D E-mail State Zipt'35-T73 Phone 1_ b Z Fax ' 61"3-7 E-mail Planner IDate Approved: Uc. # Class_ APPLICANT NAME ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Map Book Fax E-mail Planner IDate Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail -AJJW,Ik,. For office use only: Zoning Property Address 5 C� ae, ti Flood Zone Cross Street SRA I Yes I No Oct. Type Const. Subdivision Name Map Book Page Lot # Planner IDate Approved: PERMIT NO. BP BIN # LOCATION API ) 5 Property Address 5 C� ae, ti Cit Cross Street WORKER'S COMPENSATION Policy Number -1 j -Z Carrier STATL;' r -b+" 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: Ldrrt t Sq. Footage ❑ 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. 1 �4 , Received by: � Amount: � f Bldg SRA Receipt #: Sheriff SMIP Other Date: i A. - -1 OVER FOR SUBMITTAL REQUIREMENTS Page 1 of 2 REV 6-16-04 KAFOR.MBUILDING FORMS\BldgApplSubRgmts.doc 9 1l!82,=77 -3-,P E M PERMIT NO. PERMIT EXPIRES :r"oI/ e �"OWNER Steven Greslie CONTR. Robert Griffin, Paradise LOCATION (A.P. 65-41-11 145 Jack Pine Way, lot 109, PP#3, MAgalia fi. 4 . try ~ j • v .J 1 Temp. Power Pole Called PG&E 7 y Temp. Elec. Serv. Called PG&E /f2 a 40 Itj { Temp. Gas Serv. Called PG&E V/j 0 Bi FI ALED' (Date) (Signature) r y y .r i THIS IS TO CERTIFY THAT 1NSUI&ATION HAS BECN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE125. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT,: 145 Jack Pine Way1Q 9 StreetLot Number Tract No. EXTERIOR MALLS i 'ManufecturerC��%/�//i/-/T PF(Thickness/Type � /Z- R Value CEILINGS •s Batts: Manufacturer Thickness R Value / Blown: Manufacturer Am e r i g a r d Thickness 5 No. Bags__ Mt./Baggy a Sp. Ft. Covered 1 5 0 0 R Value 1 9 FLOORS Manufacturer7eel-) Thickness/Type _� 1�2 R Value SLAB ON GRADE Manufacturer Thickness/Type ' R Value . ' Width of Insulation Inches FOUNDATION WALLS Manufacturer Thtckness/Type R Value GENERAL CONTRACTOR - //V LICENSE NUMBER'.�2��� L BY •TITLE 1yeA.-' 1V . DATE A10 .17:2 I S Ia0NTRACTQR, N I O L S O N INSULATTO (CENSE NUMBER 212461" T1TlE OWner DATE 11 x 7 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . Setback Forms Main BI Footi Water Piping DATE REMARKS OR CORRECTIONS �i 319 , All C, "Z. %maw., (NOTE: An entry must be made on this form each time you visit the job site.) r a _ _ •a COUNTY OF BUTTE — 0EPAA7M -NT OF PUBLIC WORKS 7 County Center Drive droville, California 95965 -Telephone: 534-4541 APPLICATION AND PERMIT OULIUI _v IeNresentauves of 1ne Loumy o1 rsutie to enter upon the above-mentioned property for inspection purposes. XA � Date 3 —�D —7 % Signature of PermiCteeee,or Agent Receipt No. A 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 paid. DIRECTOR OF B IC WORKS By 7F Building permit expires Date BUILDIN Owner —r tg-ue �.S SQ. FT. OCC. BUILDING VALUATION 13 7 1s -o r Mailing Address 2 p Telephone No. - Fireplace '7 S -C> _ Contractor Total Valuation 23(-CA4'— Mailing Address1014LLS ell— Permit Fee Plan Checking Fee &/or Penalty 40, n 0a 0, - T e hL e ria, (J Permit Fee $ O — $ Building Address PLUMISING No. @ FEE PERMIT FILING FEE $3.00 2.-- A41 . rNe� Each Trap Ct 1.50 5� Q� 7- 1_ ` Repair drainage or vent piping 1.50 Water piping 1.50 Y-Wificafion Only Each gas water heater or vent 1.50 A. P. No. /le ) — Zo n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. PT4F"s Recd Parcel Approval Plan proval Permit Fee $ '— $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. • @ FEE r PERMIT FILING FEE , $3.00_3— Main1 5.00 Main service 10001 OR 0 AMP ORSLESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 ONEW CONST.R ADDNS. ( ACCLBLNG DGS. OWE0P &) 22sgft NEWCONSTR. MULTI -OU L NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & D. (SINGLE OUTLET CIR. NON-RESIR 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: n _ _ Ex. Occup (OUTLETS OR FIXTURES) gqL E x. Occup ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 22 O� License No. -3-'R5__ � Classification 6� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ermit 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 $ 7/— $ - I certify that I have read this application and state that the above 17A information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a 0 F .r TOTAL PERMIT FEE Q3 4e $ ; �' OULIUI _v IeNresentauves of 1ne Loumy o1 rsutie to enter upon the above-mentioned property for inspection purposes. XA � Date 3 —�D —7 % Signature of PermiCteeee,or Agent Receipt No. A 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 paid. DIRECTOR OF B IC WORKS By 7F Building permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S F DUPLEX '&,MISC ONLY) • Bldg. Permit # m? Z 7 OWNER JacA.P. 4k C �- - q I- / l A • . GEivERAL 1. Zoning requirements (sideyards and parking). 2. Valuation. —3r• s�s3xs�t1X__ro .h3zR F n -r e,., .. ,.� (14 required). 7/ ( <&JI5M l T . rj ffGPUAC,6 }DETAIL. ,MIT 5zA1 AifA B. PLOT T .�!��] �` I •,� Complete p and dimensions. {� 2, etbacks, sideyards easements, etc. �JiD/Sllp �/VP1'1811%10 ~ 3. Other buil i•ngs or structures. �� S"Ourti1 4. Grading, fills, drainage. C. FLO IAN .oxComplete to scale plan with dimensions. 2. equire indows for light and ventilation (Sec. 1405). vz4equired windows for second exit (Sec. 1404) u14,Allowable glazing for energy requirements (20% max. per Sta a law) �2 5. uman im act Mass (Sec, 5406) .5 , !9©i` �'^ ReR om sizes, ceiling heights (Sec. 1407). '7• G.F•C.I•'s in athsndtrior outlets (Sec, -2-0=8}. g t fixtures, it: h ;; &�:' ticles, exterior receptacles for main nance of mechanical equi erg'' -L' • Locations ofater he.er, eating &cooling equipment other electrica c s equipment, and umbing fixtures. �arage firewall, door size, and closer (Sec. 503(d)(4))• 3'0" exterior exit door (Sec, 33034). 4e-Y2.'-ireplace location. Smoke detectors (Sec. 1413). D. ST RAL DETAILS ��''�O°i:ndation plan complete enough to construct building. !,2! or construction details complete enough to construct building. t E ations anal wall construction details complete enough to construct building. tion details complete enough to construct building. 5. Fireplace constn:ction. detail and calcs if over one-story in height. u icien a a an etails to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details•'Nec• 3305). cka; or 0`) . laroper roof pitch for roof covering (Chapter 32). E Rafter ties or bearing ridge beam. 8. Gara e door o ,rch header sizes. Adequate bracing. b - compere a.tion req>»rPd incl„rl,ing- ��,pppring walls e t e . �-� Two (2) exits on three I i 0