HomeMy WebLinkAboutB16-2071 040-180-0637
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INSPECTION CARD il'
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24 Hour Inspection Line (IVR) : 530.'5
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Office: 530.538.76011 Fax: 5:
PeimitNO B 16-2071
Issued; 3/3/2017
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Sewer District Final
`**PROJECT FINAL 2f>
I I 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 PSUOR TO EXPIRATION
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j BUTTE,COUNTY 1 '
DEPARTMENT OF DEVELOPMENT SERVICES k
BUILDING PERMIT;
__ .2`4 HOUR INSPECTION (IVR)#:530.538.4365
Da ® OFFICE #: 530.538.7601 FAX#:530.538.7785 1 ;
www.ButteCdunty.net/dds I
•C'At IFORNI.A•
PROJECT
-INFORMATION
Address: i
Owner:
Permit NO: B 16-2071
Site , 9447MIDWAY -
DURHAM PARK & RECREATI
APNi 040-180-063
Permit type: COMMERCIAL
P O BOX 364 {
Issued Date: 3/3/2017 By CLG
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Subtype: •- • • A-3 CHURCH '
DURHAM CA 95938 I
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Expiration Date: 3/3/2018 t
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Description: NEW REC CENTER PRE ENG
Occupancy: A-3 Zoning:PB
Contractor 1
Applicant:
Square Footage:.. t '
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TBD' . i
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-TYREE VANTREASE
Building Garage Remdl/Addn'
4,576 2,600 0
115 MEYERS ST STE 110
CHICO, CA 95928
Other Porch/Pado Total
5303420302'
0 0 7,176
• < •• LICENSED.CONTRACTOR'S DECLARATION
_ OWNER / BUILDER.DECLARATION
Contractor (Name) 'i State Contractors License No. / Class / Expires
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
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TBD ' I t
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
(commendn with Section 7000) of Division 3 of the Business and Professions Code, and my license i
9
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in full force and effect. •- i I
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
the to of
Any violation of Section 7031.5 by any applicant for a permit subjects applicant a civil penalty
not more than five hundred dollars ($500).): f '
e
I, as owner of the property, or my employees with wags as their sole compensation, will
EJ1,
Contractor's Signature' Date
1"I'
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
WORKERS' COMPENSATION j DECLARATION t
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
' + 1 '
I 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'
, burden of proving that it was not built or
improved for the purpose of sale.).
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, as owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' Slate
❑I have and will maintain workers' compensation Insurance, as required by Section 3700 of
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 carder and policy number are: 1 (
Law.). '
Carrier. I Policy Number: Exp. Date: S
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1 am exempt from licensure under the Contractors' State License Law for the following ,
❑ reason:
1 certify that, in the performance of the work for which this permit is issued, I shall not
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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'
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compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Provisions.
Owner's Signature Date
PERMIT APPLICANT DECLARATION
X!
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
act on the property owner's behalf *. _
UNLAWFUL,'AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
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 work forwhich this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
X -
Name of Permittee [SIGN] Print Date
Lender's Name & Address City State Zip
-FFF INFORMATION
"
Total Fees: $9,009.32 Fees Paid: $9,009.32 '
Balance Due: (None) Job Value: $879,070.40
J1
HOLDREGE & KU LL
CONSULTING ENGINEERS • GEOLOGISTS
Nevada City, California (530) 478-1.305 — Truckee, California ((530)•587-5156 — Jackson, California ((209) 223-0160 — Chico, California (530) 894-2487 — Oakdale, California (209) 845-1305
'Structural Steel Field Renort
Project -Phase #:
Task#
Project Name:
Date:
TDFR #:
70610-02PW
01
Proposed Jim Brinson Activity Center'
5/05/17
BRM -002
Project Manager:
H&K Rep:
Project Location:
Day of Week:
Weather: .
Shane Cummins
Brooks Martin
9441 Midway,Durham CA
Fr ida
Clear 70s
Client (name, address):
Client Representative (name, phone number):
Durham Recreation and Park District
James F. Brinson, David Shirah
9447 Midway Durham, CA
95938
General Contractor (name, address):
General Contractors Representative (name, phone number.):.
Slater & Son
Brandon Slater
Dan Watts
Specialty.Contractor:
Specialty Contractors Representative (name, phone number)-
RackleyInc.
Mike Boggs
Plans./ Specifications (name, date, by): .
W16GO293A Jim Brinson Activity Center,2/10/17 American Buildings
Project Briefing (date, with):
5/5/17 Dan Watts
Previously Reported (report #, date, by):
BRM -001 4/17/17 Brooks Martin
Field Memos (outstanding test):
Field Memos (general):
Field Welding Dyes ®no
High Strength Bolting ®yes -.❑no-
Nu l w tuescnoe wont compleiea auring ine aay;.any proolems ana inelr solutions):
07:00-12:00 1 (Brooks Martin) arrived onsite as requested by Dan Watts to perform special inspection during installation of high
strength bolts for the proposed steel framed building shown in the plans listed above. 1 contacted Dan Watts and he
provided a brief description of proposed site work.
I observed the contractor calibrate the torque wrench using a tension indicating device (Skidmore Whilhelm)
I observed the contractor install and fully tension % inch diameter A325 high strength bolts for the A, B, C, and D
connections located on lines 2, 3, 5, 6, and 7. The bolts were tensioned using the calibrated wrench method. The
installation appeared to be in general compliance with the contract documents. The remaining secondary framing
connections and connections using Y2 inch diameter A325 bolts appeared to be in a snug tight condition at the time
of this inspection.
TO THE BUILDING OFFICIAL: REGARDING SPECIAL INSPECTION
I hereby certify that the noted. portions of the work at the above address which required periodic and/or continuous inspection, and which I was
employed to inspect,, e inspected and,my opinion, and to the best of my knowledge, comply with the provisions of the approved plans and
specifications, exce a noted ?
Signature - — Date:5/05/17 Certification: ICC#5219596
Pagel of 1 .
_ . IICHICO-NAS%data%PROJECT170610 Durham Parks & Rec-GE11Ph02 CQAIDFR170610-02Pw 17-0505—BRM-002.HSB.F.doc. -
Held steel 2010c
Durham Recreation & Park District
P.O. Box 364
Durham; Galifomia 95938