HomeMy WebLinkAbout070-360-011��O-, � G� � �I
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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