HomeMy WebLinkAboutB16-1782 040-310-093BUTTE Cj
DEPARTMENT OF DEVI
INSPECTION CARD M)
24 Hour Inspection Line (IVR) : 530.53
Development Services cannot gua
Office: 530.538.7601 Fax: 530
Permit -No: B16-1782 Issued: 2/21/2017
i
APN: 040-310-093 Ij
Address: , 39 SPEEDWAY AVE, CHICO
Owner: SMUCKER QUALITY BEVERAGES INC
Permit Type: FIRE SUPPRESSION -COM
Description: FIRE SUPPRESSION - COM FOR B 1;6-1727,
ALL PLAN REVISIONS MUST BE APPROVE]
I I
. Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
i
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
Manufactured Homes
Setbacks
131
Do Not Install Floor Sheathing or Slab Until Above Signed
SheatwalUB.W.P.-Interior
134
ShearwalUB.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
218
Sewer
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
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
,
UNTY i
OPMENT SERVICES
ST BE ON JOB SITE
i
365 (,Cut off time for inspections is 2pm)
ntee inspections on the date requested
18.7785 www.ButteCounty.net/dds
AREA
5
F1oodlZone: None
I SETBACKS for
SRA Area: No
i
Front Centerline of Road:
i Rear:! SRA:
Street AG: i
i
Interior I
Total Setback from Centerline of Road:
i
i
BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
,
i
i 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
i
Manufactured Homes
Setbacks
131
Blockin /Unde 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:
Finals
Public Works Final
538.7681
Fire De artment/CDF
538.6226
Env. Health Final
538.7281
Sewer District Final
**PROJECT FINAL
"Project Final is a Certificate of Occupancy for (Residential 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
r i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES { f
BUILDING PERMIT l
24 HOUR INSPECTION (IVR)#:530.538.4365
o OFFICE #: 530.538.7601 FAX#:530.538.7785 (.
' www ButteCounty netldds I
,•CALIF ORNIA • i
t
` _13- t z I-,' PROJECT INFORMATION. F a
Site Address: 39 SPEEDWAY AVE i Owner: Permit No: B 16-1782 -
APN:.- , , 040-310-093. SMUCKER QUALITY BEVERA
;Permit type:. MISCP O BOX 3841ELLANEOUS Issued Date: 2/21/2017 By CLG
Subtype, t FIRE SUPPRESSION -COM CHICAGO, IL 60654 Expiration Date: 2/21/2018
' Description: - FIRE SUPPRESSION -COM FOR .5308995000 Occupancy: Zoning:
,Contractor ,I, .
Applicant:
Square Footage:
f ' !FOOTHILL FIRE PROTECTIONI INC
BENTZ, OWEN
Building Garage Remdl/Addn
4000 ALVIS COURT •
30 SEVILLE COURT
0 0 0
ROCKLIN; CA 95677
CHICO, CA 95928
Other Porch/Patio 'Total
t 91666335825303457296
0 0 0
` �LIC ENS ED'CONTRACTOR'S DECLARATION
OWNER / BUILDER
DECLARATION „
Contractor (Name) ( State Contractors License NO. / Class I Expires
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
pertnil 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 with Section 7000) of Division 3of the Business and Professions Code, and my license i
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in full force and effect. • . ! '
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
X•. 'I
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
• *(, r
not more than rive hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
Contractors Signature Date
i t,
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
• "" �-WORKERS': COMPENSATION! DECLARATION h.
_ _
I , 1
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one ofRhe following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
burden of proving that it was not built or
compensation, Issued by the Director of Industrial 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: ` -
�
.
❑ I, as owner of the property,
p p rty, am exclusively contracting with licensed Contractors to
-
I have and will maintain workers' compensation insurance, as required by Section 3700 of
'Hie
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 -
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 arei •
Law.).
Carrie, ZURICH AMERICANPolicy NumbExp. EISM/2017
'
I am exempt from licensure under the Contractors' State License Law for the following
ElE]reason:
I certify that, in the performance of the work for wFAch this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers' '
compensation laws of Califomia, and agree that, if I should become subject to the workers'
X
compensation provisions of Section 3700 of the Labor :ode, I shall forthwith comply with those
provisions.
Owner's Signature Date
X
PERMIT APPLICANT DECLARATION
SignatureDate
By my signature below, I certify to each of the following:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
I am (_) 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
I 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
1 hereby afirm under penalty of perjury that there is a consW.tion lending agency for the
authorization form
performance of the work for which this permit is issued (Section 3097, Civil Code)
Lender's Name and Address
Lender's Name & Address Cit- State Zip .
FEE INFO
Toeal Fees: $1,218.00
I Ba:ance Due: (None)
• r
t
[ATION
Fees Paid: $1,218.00
Job Value: $15,525.00
y ±
I
1
i
j
I �
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 2p m)
Development Services cannot euarantee insoections on the date reauested
Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
Permit -No: B16-1781 Issued: 2/21/2017 FloodiZone: None SRA Area: No
SFTBACK§ for Zoningi AG- SRA. PW
APN: 040-310-093
Front Centerline of Road:
Address: 39 -SPEEDWAY AVE, CHICO I
i i Rear: l SRA:
Owner: SMUCKER QUALITY BEVERAGES INC
i Street,: AG:
Permit Type: FIRE SUPPRESSION -COM Interior
I
Description: FIRE SUPPRESSION - COM FOR B16-1725- Total Setback from Centerline of Road:
;
ALL PLAN REVISIONS MUST BE'APPROVED BY THE COUNTY BEFORE PROCEEDING
1 i '
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 Pi ing Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Blockin /Unde inin
612
Tiedown/Soft Set System
611
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
417
Manometer Test
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
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final ,
813
Fire Sprinkler Test or Final
702
Swimmin2
Pools
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
i
Swimmin2
Pools
Setbacks
131
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
Pre -Deck
505
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
131
Blockin /Unde 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:
Finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
"PROJECT FINAL "1
-rroJeci rmM 15 a a.eruucaie m vccupuncy for kxesmentim vmy/
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
r ; BUTTE, COUNTY
P
DE_ ARTMENT OF DVELOPMENT SERVICES
BUILDING PERMIT t
14 HOUR INSPECTION (IV11)#:530.538.4365 • 1
a o { OFFICE #: 530.538.7601 FAX#:530.538.7785
-CALIFORNIA •'; www.ButteCounty.net/dds
t
PROJECT. INFORMATION
Site Address: '39 SPEEDWAY AVE i Owner: Permit No: B 16-1781
APN: 040-310-093 SMUCKER QUALITY BEVERA
Permit type: _ MISCELLANEOUS P O BOX 3841- t Issued Date: 2/21/2017 By CLG
'Subtype: FIRE SUPPRESSION -COM, CHICAGO, IL 60654 Expiration Date: 2/21/2018
Description: • FIRE SUPPRESSION - COM FOR 5308995000 Occupancy: Zoning:
Contractor •
Applicant:
Square Footage:
FOOTHILL FIRE PROTECTION INC'
BENTZ, OWEN
Building Garage Remdl/Addn
4000 ALVIS COURT
30 SEVILLE COURT
0 0 0
ROCKLIN, CA 95677
CHICO, CA 95928
Other . Porch/Patiov Total
.9166633582 ) i
5303457296
0 0 0
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
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 g
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i
. Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in full force end effect. • !, ,
Professions Code) or that he or she is exempt from licensure 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
X' r t
not more than five hundred dollars ($500).):
Contractors Signature Date
1:1I, as owner of the property, or my employees with wages as their sole compensation, will
do (, 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 loan 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
-"`'4`;WORKERS'.aCOMPENSATION'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
❑I
compensation, issued by the Director of Industrial 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.: l -
I, as owner of the property, am exclusively contracting with licensed Contractors to
• ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of
conslrucfthe project (Section 7044, Business and Professions Code: The Contractors' Slate .
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.).
Carie,. ZURICH AMERICANPolicy NumbWC551377A Exp. q9t/2017
❑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 lawslof 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
,❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
provisions.
Owner's Signature Date
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 L) 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.
I
to building construction. '
I authorize representatives of this city or county to enter the above -identified property
CONSTRUCTION LENDING AGENCY DECLARATION
for inspection purposes. California Licensed Contractor, Property Owner' or
Authorized Agent**: 'requires separate verification form 'requires separate
I hereby affirm under penalty of perjury that there is a construction lending agency for the
authorization form
Performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's. Name and Address
-
X ,
u.•.. _ -6 0......:M .. r0.C. t1A n..•..
Lender's Name & Address
• I
r'
CityState Zip
FEE INFORMATION
Total Fees: $1,218.00 Fees Paid: $1,218.00
Balance Due: (None) Job Value: $15,525.00
H
i
'BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
NSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is
Development Services cannot guarantee inspections on the date reque
j Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
A ALL PLAN REVISIONS MUST BEIAPPROVEI
. Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
I
i
Do Not Pour Concrete Until Above are Signed
Pre -Slab f t i
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
Manufactured Homes
Setbacks
131
Do Not Install Floor Sheathing or Slab Until Above Signed
ShearwallB.W.P.-Interior
134
ShearwallB.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
218
Sewer
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
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final n
813
Fire Sprinkler Test or Final
702
I
AREA
5
FloodlZone: None
Zoning!SETBACKS for
SRA Area: No
i
Front! Centerline of Road:
i
Rear: l SRA:
Street• i AG:
Interior
Total Setback from Centerline of Road:'.
1 BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
T-BarCeilina
145
Stucco Lath
142
I
I
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
f
Manufactured Homes
Setbacks
131
Blockin /Unde inin
612
Tiedown/S6ft 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:
Finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL PVT -l-
-rrolecr rmaj is a t ermicace of occupancy for tKestaennai Amy)
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
'i LICENSED. CONTRACTOR'S; DECLARATION
Contractor (Name) . State Contractors License No. / Class / Expires
FOOTHILL FIRE 783132 / C16 / 8/31/2018
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.' , = I � !
it Y • i i. ' . .
Contiactor's Signature Date
1- WORKERS'+COMPENSATION , DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of 6e following declarations:
❑Ihave .and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
No.
❑' I have and will maintain workers' compensation insurance, as required by Section 3700 of
tha Labor Code, for the performance of the work for which this permit is issued. My workers'
compensation insurance carrier and policy number are:
Came, ZURICH AMERICANPolicy NumbWC5513774 Exp. CIGM/2017
I
❑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'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
OWNER/ BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for
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'
Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).):
❑1, 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' Stale 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
burden of proving that it was not buil: or
improved for the purpose of sale.).
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' State License
Law.).
❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
provisions.
Owner's Signature Date
X
r 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 L) a California licensed contractor or L) the property owner' or U authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
.k _ ;
BUTTE COUNTY t
correct.
"" �` <• Y_ t DEPARTMENT
OF DEVELOPMENT SERVICES 4
"
to building construction.
BUILDING PERMIT;
`I authorize representatives of this city or county to enter the above -identified property
-CONSTRUCTION' LENDING AGENCY DECLARATION
24 HOUR INSPECTION (IVR)#:530.538.4365
D ®
OFFICE #: 530.538.7601 FAX#:530.538.7785
' authorization form -
performance of the work for which this permit is issued (Section 3097, Civil Code).
www.ButteCounty.net/dds
Lender's Name and Address
•CALIFORNIA •
` t
PROJECT
INFORMATION
4
Site Address: 39 SPEEDWAY AVE
Owner: !
Permit NO: B16-1291
APN:.: .. 040-310-093 ,
SMUCKER QUALITY �BEVERA
Issued Date: 2/21/2017 By . CLG
Permit type:. , MISCELLANEOUSP
O'BOX 3841 1
Subtype: ;'' ; FIRE SUPPRESSION -COM
CHICAGO, IL 60654
Expiration Date: 2/21/2018
Description: FIRE SPRINKLERS FOR B16-1287
5308995000
Occupancy: Zoning:
,Contractor
Applicant: -
Square Footage:
FOOTHILL FIRE PROTECTION INC
BRET WOOD I .
Building ' Garage Remdl/Addn
4000 ALVIS COURT
•30 SEVILLE CT
0 0 0
ROCKLIN, CA 95677
CHICO, CA 95928
Other Porch/Patio Total
1-9166633582
I
5303457296
0 0 •0
'i LICENSED. CONTRACTOR'S; DECLARATION
Contractor (Name) . State Contractors License No. / Class / Expires
FOOTHILL FIRE 783132 / C16 / 8/31/2018
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.' , = I � !
it Y • i i. ' . .
Contiactor's Signature Date
1- WORKERS'+COMPENSATION , DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of 6e following declarations:
❑Ihave .and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
No.
❑' I have and will maintain workers' compensation insurance, as required by Section 3700 of
tha Labor Code, for the performance of the work for which this permit is issued. My workers'
compensation insurance carrier and policy number are:
Came, ZURICH AMERICANPolicy NumbWC5513774 Exp. CIGM/2017
I
❑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'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
OWNER/ BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for
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'
Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).):
❑1, 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' Stale 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
burden of proving that it was not buil: or
improved for the purpose of sale.).
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' State License
Law.).
❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
provisions.
Owner's Signature Date
X
r 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 L) a California licensed contractor or L) 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
I 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
-CONSTRUCTION' LENDING AGENCY DECLARATION
for inspection purposes. California Licensed Contractor, Property Owner' or
Authorized Agent**: 'requires separate verification form "requires separate
hereby affirm under penalty of perjury that there is a construction lending agency for the
' authorization form -
performance of the work for which this permit is issued (Section 3097, Civil Code).
-
Lender's Name and Address
X
M- ..i 0-;"- rair]idl 0.in• RAZ
Lender's Name & Address' City State Zip
f
FEE INFORMATION -
Total Fees: $1,219.00 Fees Paid: $1,219.00
Balance Due: (None) Job Value: $50,000.00
i I
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BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
INSPECTION CARD INIUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 2pm)
Development Services cannot guarantee Inspections on the date requested
Office: 530.538.7601 Fax:530.538.7785 www.ButteCountv.net/dds
Permit No: B16-1281 Issued: 6/15/2016
APN: 040-310-093
Address: 37 SPEEDWAY AVE, CHICO
Owner: SMUCKER QUALITY BEVERAGES INC
Permit Type: DEMOLITION
Description: DEMO (9600) WOOD FRAMED BLDG
Flood Zone: None SRA Area: No
Front: Centerline of Road:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Insvection Tjge
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
ShearwallB.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
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
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
Swimmina
Pools
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
Swimmina
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
Underjzround 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:
Finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL
-rroleci anal Is a ♦,eruucate of occupancy for Ixesiaennai vinyl
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
I
BUTTE 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)
Development Services cannot guarantee inspections on the date requested
Office: 530.538.7601 Fax: 530.538.7785 www.ButteCountv.net/dds
Permit No: B 16-2733 Issued: 12/30/2016
APNA40-310-093 I
Address: 37 SPEEDWAY AVE, CHICO
Owner: SMUCKER QUALITY BEVERAGES INC
Permit Type: SOLAR ROOF -COM I
Description: INSTALL 376.35KW ON EXISTING COM
AREA
5
Flood Zone: None SRA Area: No
SETBACKS for Zoning- AG. SRA. PW
Front: Centerline of Road:
Rear: SRA:
Street: AG:
Interior
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Tvve
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 A0ove are Signed
Pre -Slab . "`SL-
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 /Unde inin
612
Tiedown/Soft Set System
611
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
Manometer Test
605
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
Do Not Insulate Until Above Signed
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
Manufactured Homes
Setbacks
131
Blockin /Unde 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
Skirtin Ste s/Landin s
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL , (-
-rzujeci rmm Ja a %.V III ICU LC U Ucwpancy wr kiceswenuaI Umy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. I F WORK HAS COMMENCED, YOU MAY PAY FOR A i YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT -
24 HOUR INSPECTION (IVR)#:530.538.4365
OFFICE #: 530.538.7601 FAX#:530.538.7785
www.ButteCounty.net/dds
» ; LICENSED CONTRACTOR'S DECLARATION- i -`_
Contractor (Name) State Contractors License No. / Class / Expires
ALTERNATIVE 853351 / C10 i 1/31/2017
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
in full force and effect. '
i
,X
Contractors Signature Date
r WORKERS' COMPENSATIOMDECLARATION .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
F -1I have and will maintain a certificate of consent to self -insure for workers'
compensation, Issued by the Director of Industrial Relations as provided for by Section
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:
Cartier: CYPRESS Policy NumbALWr710B11 Exp. (WW2017
Eledify 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'
oompensatlon 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.
CONSTRUCTION LENDING AGENCY DECLARATION
I 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).
Lender's Name and Address '
L
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
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'
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).):
El1, 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
burden of proving that it was not built or
improved for the purpose of sale.).
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 State License
Law.).
. ❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
Owner's Signature Date
PERMIT APPLICANT DECLARATION
By my signature below,' I certify to each of the following:
am L) a California licensed contractor or U the property owner` or L) authorized to
act on the property owner's behalf"'.
I 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": 'requiies separate verification form "requires separate
authorization form
X
Lender's Name & Address City State Zip
FEE INFORMATION
Total Fees: $825.50 Fees Paid: $825.50
Balance Due: (None) Job Value: $1,130,000.00
PROJECT
INFORMATION
,Site Address: 37 SPEEDWAY AVE
Owner:
Permli NO: B 16-2733
APN:'. 040-310-093
SMUCKER QUALITY BEVERA
Permit type: - MISCELLANEOUS
P O BOX 3841 -
Issued Date:
12/30/2016 By DAA
Subtype: ` •SOLAR ROOF -COM .
CHICAGO, IL 60654
Expiration Date: 12/30/2017
Description: INSTALL 376.35KW ON EXISTING
5308995000
Occupancy:
Zoning:
Contractor
Applicant:
Square Footage:
ALTERNATIVE ENERGY SYSTEMS INC
LANCE KNOKE
Building
Garage RemdUAddn
13620 HWY 99 -
13620 HWY 99
0
0 0
CHICO, CA 95973
CHICO, CA 95973
Other
Porch/Patio Total
1. 5303456980
5303456980.
0
0 0
» ; LICENSED CONTRACTOR'S DECLARATION- i -`_
Contractor (Name) State Contractors License No. / Class / Expires
ALTERNATIVE 853351 / C10 i 1/31/2017
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
in full force and effect. '
i
,X
Contractors Signature Date
r WORKERS' COMPENSATIOMDECLARATION .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
F -1I have and will maintain a certificate of consent to self -insure for workers'
compensation, Issued by the Director of Industrial Relations as provided for by Section
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:
Cartier: CYPRESS Policy NumbALWr710B11 Exp. (WW2017
Eledify 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'
oompensatlon 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.
CONSTRUCTION LENDING AGENCY DECLARATION
I 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).
Lender's Name and Address '
L
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
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'
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).):
El1, 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
burden of proving that it was not built or
improved for the purpose of sale.).
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 State License
Law.).
. ❑I am exempt from licensure under the Contractors' State License Law for the following
reason:
Owner's Signature Date
PERMIT APPLICANT DECLARATION
By my signature below,' I certify to each of the following:
am L) a California licensed contractor or U the property owner` or L) authorized to
act on the property owner's behalf"'.
I 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": 'requiies separate verification form "requires separate
authorization form
X
Lender's Name & Address City State Zip
FEE INFORMATION
Total Fees: $825.50 Fees Paid: $825.50
Balance Due: (None) Job Value: $1,130,000.00