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HomeMy WebLinkAbout069-630-004BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 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: B07-0543 Issued: 03/20/2007 Address: LARIAT LOOP 4 5 Area: OROVILLE Owner: THURMAN, & THURMAAPN: 069-520-053 Applicant: TJ COWLES Map Page: Permit Type: Electrical Description: TEMP POWER FOR 069-630-004 APPR'D SU Eufer Flood Zone: None SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE s 132 ttions / Footings 111 )lumn Footines 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 JD-Q.of In4411 Siding/Stucco_ or Roofing Until Above Signed OFFICE COPY M Address I GAS M Meter, By Date ELECTRIC— M Meter By (/'( Date( Final 809 813 802 Inspection Type IVR INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbac s 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 Mobile Home Final 802 *Project Finalis a erh nate o Occupancy or (Residential Only)- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS 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: LARIAT LOOP Owner: permit No: B07-0543 APN: 069-520-053 THURMAN, & THURMAN INC Issued Date: 03/20/2007 By KEJ Permit type: MISCELLANEOUS 3210 HERITAGE RD Subtype: Electrical OROVILLE, CA 95966 Expiration Date: 03/19/2008 Description: TEMP POWER FOR 069-630-004 AP (530) 589-1081 Occupancy: Zoning: PUD Contractor Applicant: . Square Footage: TJ COWLES Building . Garage Remdl/Addn 3210 HERITAGE OROVILLE, CA 95966 Other Porch/Patio Total (530)624-7627 FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2243 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractpr (Name) State Contractors License No. Clas / Expi s �(� I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ., 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 AFFI UNDER PEA TY OF PE JURY that I am licensed under rovi ions of Chapter 9 commencin t Secti n 70 ( g ) o Division f 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 full fo effect of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the ] P basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 03/20/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Con ctors Signa re Date —11. 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). VE 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: tion 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 WorkIsompansation insurance carier and policy number are; � Z� thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor s License Law.). Cartier:J2­ Policy Number: Exp. Date: be (This section need not competed if the permit is or one hun re ollars ($100) or I ss. I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Isof Califomi nd a e that if I should become subject to the workers' X 03/20/2007 compensation isio of S on 37 0 f the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. - X 03/20/2007 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 SignatureJ Date WARNING: FAILURE SECURE WORKERS' COMPENSATION 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND t is the issuance of this permit. ereby acknowledge that issuance of this permit does not authorize the a walk, street, or subsidewalk. I hereby authorize representatives of Butte use or occu ntoafla);rized ATTORNEY'S FEES. County to rntioned property for inspection purposes. I hereby certify that I am the Property r to act on the property�o s behalf. CONSTRUCTION LENDING AGENCY �jj. 03/20/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Pee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Contractor OR; Agent for Ow a Agent for Contractor DO wnerT11:1 FILE COPY - Lenders Address City State • Zip w �q • 5 �o. C) 65 BUTTE. COUNTY DEPARTMENT OF DEVELOPMEN RVICES BUILDING PERMIT APPLICATI N OFFICE #: (530) 538-7541 FAX #: (530) 538-20 A FEE WILL BE REQUIRED AT TIME OFAPPLI TION Website: www.buttecounty.net/dds� **PLEASE PRINT�C^yyL_EARI;Y* OWNER INFORMATION Last Name' _ ^ V_T-X A,\ First I teo Mailing Address o-2—to t-F*-v—t TA -&e City Jl l State Zip J �� Phone _ Fax S -Z 712— E -mail _�� l��I���► co PERMIT NO. BIN # PROJECT LOCATION AP# © Gq- 6 3.00 -60 4 Property Address City ©(Lm o 1 LClk Q -!;,q 6, to 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. 0 Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name Flood Zone Address Address City I No State Zip Phone State Fax E-mail Uc. # Fax Class PERMIT NO. BIN # PROJECT LOCATION AP# © Gq- 6 3.00 -60 4 Property Address City ©(Lm o 1 LClk Q -!;,q 6, to 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. 0 Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City I No State Zip Phone State Fax E-mail State License Number PERMIT NO. BIN # PROJECT LOCATION AP# © Gq- 6 3.00 -60 4 Property Address City ©(Lm o 1 LClk Q -!;,q 6, to 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. 0 Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Address I Yes I No City Type Const. State Zip Phone Fax E-mail PERMIT NO. BIN # PROJECT LOCATION AP# © Gq- 6 3.00 -60 4 Property Address City ©(Lm o 1 LClk Q -!;,q 6, to 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. 0 Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const.