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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