HomeMy WebLinkAbout021-190-065BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
,, .
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 2pm)
Office: 530.538.7601 Fax:
Permit No: B16-1966 Issued: 11/3/2016
APN: 021-190-065
Address: 593 PETERSON AVE, GRIDLEY
Owner: ROBINSON FRED DWAYNE & SUZANNE
Permit Type: SFD-CUSTOM/MODEL
Description: REPL SFD (3882) COV (1077)
AREA
1
538.7785 www.ButteCounty.net/dds
Flood Zone: None SRA Area: No
(kFr Front: 20' Centerline of Road:
{� Rear: 25 SRA:
Side:. 20 AG:
!q Other: 25
1. Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY TII'E COUNTY BEFORE PROCEEDING
inspection Type
IVR DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout ;
120
Setbacks
131
Do Not Pour Concrete Until Above are Sign d
Pre -Slab
124 /
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Coach Info
Manufactures Name:
Date of Manufacture:
Do Not Install Floor Sheathing
or Slab Until Above Signed
ShearwallB.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129 r
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408 C 7 -2 -
-2 -Do
Do Not Insulate Until Above S . ig d
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813.
Fire Sprinkler Test or Final
702
Swimming Pools
.�
Inspection Type
IVR INSP . DATE
T -Bar Ceiling
145
Stucco Lath
142
Swimming Pools
Setbacks
131
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
Pre -Deck
505
Pool Fencing/Alarms/Barriers 503
Pre -Plaster
507
Setba OFFICE CO'P'Y'
Bloch Bldg Permit:
Tied j
Perml ' Address:
Unde', '
Sewe',
Unde',- GAS By:� Date:
Manq ~Electric By:
Conti
Skirti•_.
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Final '538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
"PROJECT FINAL io l I
*Project Final is a Certificate of Occupancy for (R identi O y)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF 1,4SUANCE. IF WORK HAS COMMENCED, YOU MAY PAY OR A 1 YEAR
RENEWAL 30 DAYS`PRIOR TO EXPIRATION
i
a
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR'INSPECTION (IVR)#:530.538.4365 '
OFFICE #: 530.538.7601 FAX#:530.538.7785
ICA I'P Oil N I A•, www•ButteCounty.net/dds
Total Fees: $5,734.98 Fees Paid: $5,734.98
Balance Due: (None) Job Value: $416,518.50
Site Address: 593 PETERSON AVE
Owner:
Permit NO: B 16-1966
APN: " 021-190-065
ROBINSON FRED DWAYNE &
Issued Date: 11/3/2016 By DAA
Permit type: RESIDENTIAL
593 PETERSON RD
Subtype: SFD-CUSTOM/MODEL
GRIDLEY, CA 95948
Expiration Date: 11/3/2017
Description: REPL'SFD (3882) COV (1077)
Occupancy: R-3 Zoning:AQ-
Contractor
Applicant:
Square Footage: 20
GRAVISON CONSTRUCTION
GRAVISON, TOM
B3i,68ig Gafige RemdUAddn
164 RIVERVIEW DR
164 RIVERVIEW DR
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
5306245722 I.
5306245722
0 1,077 4,959
LICENSED CONTRACTOR'S DECLARATION - =
'OWNER/ BUILDER DECLARATION"_
Contractor (Name) State Contractors License No. / Class / Expires
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
GRAVISON i 543288 / B / 10/31/2018
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section
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 the
permit file a signed statement that he or she Is licensed pursuant to the provisions the Contractors'
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i
�
in full force and effect.
is iness and
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
� -
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
•
X
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 theproperty, or my employees with wages as their Bolo compensation, will
❑
Contractor's Signature t Date !
do U all of or U portions of the work, and the structure is not intended or offered for sale
(Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who, through employees' or personal effort, builds or Improves the
property, provided thatthe improvements are not intended or offered for sale. If, however, the
building or improvement is sold within one year of completion, the Owner -Builder will have the
WORKERS' COMPENSATION DECLARATION
- -
I HEREBY AFFIRM, UNDER PENALTY OF PERJURY one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
burden of proving that it was not built or r
❑I
compensation, Issued by the Director of Indust ial Relations as provided for by Section
improved for the purpose of sale.).'
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
No.
- _ ..
1, as owner of the property, am exclusively contracting with licensed Contractors to
aconstruct
I have and will maintain workers' compensation insurance, as required by Section 3700 of
the project (Section 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
the Labor Code, for the performance of the work for which this permit is issued..My workers'
• contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
compensation insurance carrier and policy number are:
Law.). -
Cerner: FYFMP7 l Policy Number. Exp. Date:
❑ I am exempt from licensure under the Contractors' State License Law for the following -
❑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 laws of California, and agree that, if I should become subject to the workers
,
oompensallon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date'
provisions.'
X
PERMIT APPLICANT' DECLARATION
Signature Date '
By my signature below, I;certify to each of the following:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
I am U a California licensed contractor or U the property owner` or U authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
act on the property owner's behalf"'.
I have read this construction permit application and the information I have provided is
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
correct.
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
.
t agree to comply with all applicable city and county ordinances and state laws relating
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
. - ,
'
to building construction.
I authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California, Licensed Contractor, Property Owner' or
Authorized Agent": 'requires separate verification form "requires separate
CONSTRUCTION LENDING AGENCY DECLARATION : `
I hereby affirm under penalty of perjury that there is a construction lending agency for the
authorization form
performance of the wont for which this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
I
e'
A
Name of Permittee, [SIGN] Print Date
Lender's Name & Address City State Zip
i •
FEE INFORMATION
„
Total Fees: $5,734.98 Fees Paid: $5,734.98
Balance Due: (None) Job Value: $416,518.50