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HomeMy WebLinkAbout070-360-011��O-, � G� � �I - I--1 BUTTE COYNTY . 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 PERMIT NO. BP042795 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: 09/23/2004 APN- 007-360-011-000 the Business and Professions Code, and my license is in full force and effect. I Site Address: 735 WATERFORD DR CHI LiLicense Numbe License lass :.. r: Dater � Contractor: t Map Index: OWNER -BUILDER DECLARATION Description: RE ROOF 29 SQ.. COMP I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THOMAS TERESA 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 735 WATERFORD DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95973-0451 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 j 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).): O 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 Applicant: THOMAS TERESA A Code: The Contractors' State License Law does not apply to an t owner of property who builds or improves thereon, and who does II such work himself or herself or through his or her own employees, 01 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 '1 proving that he or she did not build or improve for the purpose of ri 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: G 8r R ROOFING not apply to an owner of property who builds or improves thereon, t and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2587 NORD AVENUE O 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 } (530) 894-6537 Date: Owner: WORKERS' COMPENSATION DECLARATION License M 773913 I hereby affirm under penalty of pert'ury 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 / I `•'JI L b6r Code, for the performance of the work for which this permit Architect: ISissued. Engineer: I have and will maintain workers' compensation insurance, as 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 policy number are: Carrier: C if, -VAI VRA11k Total Square Ft: 0 S. F. Policy #: �) ��� y C�_l D �I Valuation: $0.00 Census Code: ❑ 1 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 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. t Date: Applicant: j 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 attomey's fees. C,0CONSTRUCTION LENDING AGENCY This permit is hereby issued under the liczble provisions of the Bntte Cnunty Cods ?nNor Resolutions to do ork indicated above f r which fees have been paid. 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.) By. Date: Name: PERMIT EXPIRES ON: Address: Date ❑ I 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 substanc of any official form or document of utte County. I hereby authorize represe tatives of Butte County to ent upon the above mentioned property for inspection purpo s. j9 A Print Name: Signatur Date: ❑ Owner ❑ Contractor Agent for Owner a4gnt 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 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042795 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: 09/23/2004 APN• 007-360-011-000 the Business and Professions Code, and my license is in full force and effect. License lass: License Number: I Site Address: 735 WATERFORD DR CHI Dater Contractor. l// 9 -Q 1 Map Index: Description: RE ROOF 29 SQ. COMP 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 Business and Professions Code: Any city or county which requires a Owner: THOMAS TERESA 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 735 WATERFORD DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0451 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 intended or offered for sale (Sec. 7044, Business and Professions Applicant: THOMAS TERESA A 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:& R ROOFING not apply to an owner of property who builds or improves thereon, .G and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2587 NORD AVENUE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 894-6537 Date: Owner: License #: 773913 WORKERS' COMPENSATION DECLARATION 1 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 L r Code, for the performance of the work for which this permit Architect: s issued. Engineer: I have and will maintain workers' compensation insurance, as 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 policy number are: Carrier:�/1� Total Square Ft: 0 S. F. Policy #: 1i, �% Valuation: $0.00 Census Code: ❑ 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 workers' compensation laws of California, 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: 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 undertheaqplicable provisions of the Butte County CMp anrVor 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.) Resolutions to do ork indicated ab e f r which fees have been paid. BY Date: Name: PERMIT EXPIRES ON: 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 substanc of any official form or document of.Butte County. I hereby authorize represe tatives of Butte County to ente upon the above mentioned property for inspection purpo s. 0,14--l— Print Name: i Signatur q, 2 Date: ❑ ❑7Agent for Owner ❑-fCgent for Contractor ❑ Owner Contractor i G & R ROOFING . 2587 NORD AVE CHICO, CA 95973-8759 PHONE: 530-894-6537 FAX: 530-345-7143 CELL: 530-518-7760 TO WHOM IT MAY CONCERN: I, FRANCES E. RIOS, OF G & R ROOFING GIVE AUTHORITION FOR FLORENCE Q. BEESON TO PURCHASE PERMIT AND LICENSE FOR G & R ROOFING. OU T Y � FRANCES E. RIOS od NIL. 3656-79B,P,E,M PERMIT NO. _ PERMIT EXPIRES Ray E. Johnson, Jr. OWNER CONTR. owner LOCATION (A.P. 44-38-102 port. ) aterford Dr., lot 11, North.Park Sub, y/ Chico b • Y • '1 f 6 Temp. Power Pole ` Called PG&E '- lec. Serv. Called PG&E Gas Serv. / JOB FINALED- (Dat (Signature) a ,A Scratch 0 t COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS Service �— BUILDING INSPECTION RECORD Cooling Temp. Pole BUILJDIN9 BUILDING (Cont'd) PLUMBING Setback /, Firewall Soil Piping Forms C Parapets - 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings , Windows 3rd Floor Stemwall Siding To out SlabRoof She thing '� _ t� Water Piping Piers Roofing Sewer Garage ) Fdn. Vents Fixtures Footings 1 Garage Vents �— Water Htr. t� StemwaII Insulation Heaters ----= Slab Prov. for physically Appliances Carport p handica ed Conformance of ex. Gas Piping &Test v Footings structure Temp. Gas - Slab Final Sanitation Patio FIREPLACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rou Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framinq Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 0 t Heating Service �— Brown j Cooling Temp. Pole Finish Ducts O Underground ------ Interior Lath Ventilation Permanent �— Door Closer -' Final —✓ Final --- �� MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ERSET _ COMPANY ®ia.. LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date To THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOC TED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer. Thickness/Type R Value !� CEILINGS Batts: Manufacturer Thickness. � R Value Blown: Manufacturer Thickness No. Bags Wt./Bag �• Sq. Ft. Covered '13642 R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY LE DATE INSU j TIO ONTR CTORJ�� LICENSE NUMBER TITLE DATE ! SAVE ENERGY - INSULATE! (DATE) ACCEPTED AJERSET,H COMPANY Representative) /vg RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLER IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT �C>T (location) ' BUILDING. PERMIT N0. 565A .— %9,8 A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPRMIM PT.ANC (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors ff Walls ' -// Ceiling/Roof Ducts ✓ Circulating Pipes APPROVED HEATER APPROVED WTR.HTR.' CLAZ ING : Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTEi;UAITTENT IGNITION DEV -ICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name Signature of (please print) General Contractor/Owner Date ate Contractors License No.((o,C�C(� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SMALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNiFY OF -BUTTE - DEFARTMENT OF PUBLIC • 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 i : APPLICATION AND PERMIT ' BUILDING Owner C -� �� —7�� SQ. FT. OCC. I BUILDING VALUATION 0.00) Mailing Address e2n U 7 d 7 Oc� G c O �` Tel hone No - / C�Vy Contractor Mailing Address Fireplace Total Valuation ,gyp Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee QC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 pZ D0 v✓1 j �/{,Q 5�, lj Q Repair drainage or vent piping 1.50 A. P. No. !�i — 3S - /67;Z��°'�� Zoning & PI g Water piping 1.501570 Each gas water heater or vent 1.50Zy ,5 Fees Qr4akton Fire Dept. Fire Zone Use P nnit Gas piping system 1 - 5 outlets 1.50 1� EQA Parking I Parcel Plans Declaration 4r rl�a 60' R/W Improvements • Each additional outlet .30 Building sewer 5.00 �1dPSlMd Parcel royal Pla ppoal Lawn sprinkler system 2.00 NEW.5d ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ 1 ItJ $ 12 ISZ Ax,Q g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r::� 0V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 ( i Main service EA. ADD•L 100 AMP 1.00 / CQU OR ADONS. l ACCL - / P 4) 22sq ft 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 of: - NEW CONST R MU NCH CIL T NON-RESID. BRANCH CRCUITS 2.50ea 1 NEW CONSTR. POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 50@25 FIXED APLNS.style Ex. Occup. ( OUTLETS P(RESID )REAP 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 $ $ MECHANICAL No. @ 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. 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.Permit PERMIT FILING FEE J$3.00 ,660 Heating m a -- Cooling Ventilation Hood 2.00 p� Fee $ ,QD $ I 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 authorize representati es of the County of Butte to enter upon the above-mentioned ope ty for inspection purposes. j n Y 1 � .� Q _ r,-.- P ., 1�. I�`1 Land Development Fee TOTAL PERMIT FEE off This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abovor which fees have been paid. /„ r A D OF�PUBLIC WORKS SI ture of P rmitee or pnt Date Receipt No. , %in -7 r White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Dae _ CJ e - 1 This set of plans and specifications MUST be ' kept on the job at a!I times and it is unlawful to make any changes or alterations on same without wrtften permission from the Department of Pub- lic Works, County of Butte. i Septic system and location of build- ing drain stub -out to be as per J Butte. County Health Dept. ,' Re- i quirements. I � x ' -r.4rAgVe.1v O �i T 6" . � � a 6-G • w~._-.,.se.•w a -tiny..._-.. ' —_ -__ ,��'' �II L The Bldg. Set ack shall be 5 ft. from the x7 6 14�� OUTTE col Ar side property line and 50 ff.--fromhe centerline of the road, permitting a maxi- °�'' BUILDING DEPARTME{1 mum of o 2 ft. eave overhang but entirely APPROVED out of all easements. ,4 L V / N d .. � A—_ A -1- 4 . --J a NN.S o' Al --/,kf, 4.7 dF ✓E'L Q F:1 t p s