HomeMy WebLinkAboutB16-1222 040-310-093I �
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BUTTE COUNTY
PARTMENT OF DEVELOPMENT SERVICES
'ECTION CARD MUST BE ON JOB SITE
ur Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 20m)
'eloament Services cannot euarantee inspections on the date reauested
I Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
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AREA
5
FloodlZone: None SRA Area: No
'SF.TRACKS for Zon*nq! AG- SRA- PW
Front i Centerline of Road:
Rear: SRA:
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Street AG:
Interior
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Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE'APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP 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 Signed
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 -
Blockin nde inin
612
Tiedown/Soft Set System
611
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
417
Manometer Test
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rou h 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
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
i Swimming
Pools
Inspection Type
IVR INSP DATE
T-Bar'Ceiling
145
Stucco Lath
142
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i Swimming
Pools
Setbacks
131
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
Pre -Deck
505
Pool Fencing/Alarms/Barriers 1
503
Pre -Plaster
507
Manufactured Homes
Setbacks
131
Blockin nde inin
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Underground Electric
218
Sewer
407
Underground Water
417
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 Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
"PROJECT FINAL 2 11
-rrolecc rmai is a ceranca[e of Uccupancy ror (Kesraennal 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
BUTTE COUNTY
_ # ! DEPARTMENT OF DEVELOPMENT SERVICES j
Y t BUILDING PERMIT I
4 2'4 HOUR INSPECTION (IVR)#:530.538.4365 1
o ® P OFFICE #: 530.538.7601 FAX#:530.538.7785
wAiw.ButteCounty.net/dds
•C'A LI FOR N.IA• -
L PROJECT INFORMATION
Site Address: X39 SPEEDWAY AVE I ' ' Owner ` . , Permit NO: B16-1222
APN:040-3.10-093 4 t SMUCKER QUAL'ITV BEVERA
Permit type: 'MISCELLANEOUS P O BOX 3841 ; Issued Date: 2/21/2017 By CLG
Subtype: FIRE SUPPRESSION-COMh CHICAGO, IL 60654 Expiration Date: 2/21/2018
Description: FIRE SPRINKLERS - COM FOR 5308995000 Occupancy: Zoning:
Contractor t
Applicant:
Square Footage:
f FOOTHILL FIRE PROTECTION INC
WOOD, BRET
Building Garage Remdi/Addn
4000 ALVIS COURT
4000 ALVIS COURT
0 0 0
ROCKLIN; CA 95677
ROCKLIN, CA 95677
Other Porch/Patio Total
•9166633582
s
«`9166633582
0 0 0
LICENSED CONTRACTOR'S DECLARATION
o OWNER / BUILDER
DECLARATION
Contractor Name State Contractors License No. / Class / Expires
(Name) P
,
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
FOOTHILL FIRE 783132 / C16 / 8/31/2018,
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 to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
• (commencing wilhSection 7000)'of,Division3'of, the Business and Professions Code, and my license i
1
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in full force and effect. t I "' I I E
-
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
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Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
• �! r y r•,; ; I
not more than Ove hundred dollars ($500).):
Contractor's Signature' Date
•l,
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1I, as owner of the property, or my employees with wages as their sole compensation, will
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 that the 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
74_,ax WORKERS COMPENSATION - DECLARATION :.
_
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I REREBYAFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' , ,
comP ensation issued bY the Director of Industrial Relations as provided for by Section
burden of proving that it was not built or
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 have and will maintain workers' compensation insurance, as required by Section 3700 of
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.ZURICH AMERICANPolicy NumbExp. gC1/2017 '
❑I certify that, in theiperformance 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. .
X
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION1ENDING AGENCY DECLARATION
yI hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Section 3097, Civil Code). .
Lenders Name and Address '
I, as owner of the property, am exclusively contracting with licensed Contractors to
construct 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
contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License
Law.).
❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
Owners Signature Date
PERMIT APPLICANT DECLARATION
By my signature below, I certify to each of the following:
I am L) a California licensed contractor or L) the property owner' or, L) authorized to
act on the property owner's behalf**.
have read this construction permit application and the information I have provided is
correct.
I agree to comply with all applicable city and county ordinances and state laws relating
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
authorization form
Lender's Name & Address. City State Zip
- FEE INFORMATION
Total Fees: $1,219.00 Fees Paid: $1,219.00
Balance Due: (None) Job Value: $26,000.00
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