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Home My WebLink AboutB16-2308 062-640-010 (2)I� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 'JUST 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.ButteCounty.net/dds Permit No: B 16-2308 Issued: 12/7/2016 APN: 062-640-010 Address: 65 STAR CREST LANE, BERRY CREEK Owner: THOMAS, DOREEN Permit Type: SFD-CUSTOM/MODEL Description: NSFD CABIN (384) STORAGE (180) AREA 2 SRA Area: Yes Front: 20' Centerline of Road: Rear: 10 SRA: Side: 10 AG: Other: 10 Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 131 l 7 7r Foundations / Footings 111 Fire S rinkler Test or Final Pier/Column Footings 122 Pools Eufer Ground 216 I- t7.1 Masonry Grout 120 404 `t7i�`ktain!, 506 Pre -Deck Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Pre -Plaster 1 Gas Test Underground/floor 404 Gas Piping Underground/floor 403 131 Underfloor Framing 149 Tiedown/Soft Set System Underfloor Ducts 319 613 Shear Transfer 136 Sewer Under Floor Plumbing 412 1 n-,5 Under Slab Plumbing 411 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Do Not Install Floor Sheathing or Slab Until Above Signed ShearwalUB.W.P.-Interior 134 Model Name/Number: ShearwalUB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Insignia: Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 AL Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Pi2ing House 403 Gas Test House 404 L •Zd 12 Shower Pan/Tub Test 408 Do Not Insulate Until Above Signed Permit Final 802 1 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire S rinkler Test or Final 702 Swimming Pools 1. 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 Fencin AlarmsBarriers 1 503 Pre -Plaster 1 507 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: Finals Public Works Final 538.7681 Fire De artment/CDF 538.6226 r Env. Health Final 538.7281 Sewer District Final 1 "PROJECT FINAL *Project Final is a Certificate of Occupancy entia Only / PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY IOR A YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION f r BUTTE .COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:530.538.4365 ii• OFFICE #: 530.538.7601 FAX#:530.538.7785 • C A L I F O R N I A www.ButteCounty.net/dds Contractor Applicant: Square Footage: t OWNER/BUILDER THOMAS, DOREEN Building Garage Remdl/Addn :1900 ORO DAM BLVD E #12- 384 0 0 OROVILLE, CA 95966 Other Porch/Patio Total 9546083990 0 0 384 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. f Class I Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for OWNER/BUILDER / / 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, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter g improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' - in full force and effect. - 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. 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).): Contractors Signature Date F-1 I, 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 WORKERS'' COMPENSATION DECLARATION (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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 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 ❑I 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 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ;his permit is issued. My workers' compensation insurance carder and policy number are: Carrier. - Policy Number: Exp. Date: 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 ❑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 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. ' PROJECT INFORMATION Signature Date Site Address: 65 STAR CREST LANE I am L) a California licensed contractor or U the property owner' or U authorized to Owner: Permit NO: B 16-2308 APN: 062-640-010 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN THOMAS, DOREEN. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Permit type: RESIDENTIAL I authorize representatives of this city or county to enter the above -identified property 1900 ORO DAM BLVD E #12-189 Issued Date: 12/7/2016 By JMD Subtype: SFD-CUSTOM/MODEL I hereby affirm under penalty of perjury that there is a construction lending agency for the OROVILLE, CA 95966 Expiration Date: 12/7/2017 Description: NSFD CABIN (384) STORAGE (180) 9546083990 Occupancy: R-3 Zoning: RR_x; Contractor Applicant: Square Footage: t OWNER/BUILDER THOMAS, DOREEN Building Garage Remdl/Addn :1900 ORO DAM BLVD E #12- 384 0 0 OROVILLE, CA 95966 Other Porch/Patio Total 9546083990 0 0 384 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. f Class I Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for OWNER/BUILDER / / 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, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter g improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' - in full force and effect. - 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. 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).): Contractors Signature Date F-1 I, 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 WORKERS'' COMPENSATION DECLARATION (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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 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 ❑I 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 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ;his permit is issued. My workers' compensation insurance carder and policy number are: Carrier. - Policy Number: Exp. Date: 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 ❑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 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 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 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 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 2097, Civil Code). Lenders Name and Address X Lender's Name & Address' City State Zip - ,x.......,.r;� ;FEE INFORMATION Total Fees: $8,431.89 Fees Paid: $3,466.00 Balance Due: $4,965.89 Job Value: $43,972.32 1 "t,'.. 4M� :-,'*.r>r'+/,l,w.s. '�"Y�s--; c$ �.-gib 1 •�sii"'' .,.i of �� g:: � �� •i'rs ��i •�`'� t {n .,fig �%A�'n� ��v-i_••y 3.. Y 7 � .ate � �)-"�$ .�-�+��'�4 _ �, �� f ` � ti�>:.:.�,-�"'y'�' ✓.• � �� ' �"�,, � ti. ate+,. �� ^"•�ft- .. -. ,� f, _��'! ley � 1 � +� .T'. � .+C � �•' �R � �- .it• wyri�r I t , f �j yy �� BAR t ..............� • .�'p� + r• i 1 .i�q_ ''�` .. + -- `�' i ""�„ `ea.t'� � A r:'�7.J.. � tF 4 1. tii' .\ I;„ ' �, r�� '�' • �,;� � Yp`.,/ Z. �F� r ; ", ° �v�,(•L.•,�(�; I t'`Gr Ir . �. �.. � 1A� � �� %ii!• � :L ` '1 - � M� h �� ih.�•�i.�p'` Y�r )�+S F �� - 4'. � ��'•� i• �' �•+1 I �y�'1 + ' •i. ..e�f'� r •�3''�j4 ` i.�,+.i'di�r,�',��X�j 4• 7� �� ^+ i` � �i� � '� i ` :� )'�• it � �}r�. dftP��l AM TON- f 5 1} �aey, IA r 0 14d 5 1} �aey, IA r 0 14d t �� I,•,s* �v��. ,, ��' `y;y 3.� �//,tea ,��? . Al rl U, r. Ile .r 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 3pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax:530.538.7785 www.ButteCountV.net/dds Permit No: B17-1119 Issued: 6/5/2017 APN: 021-120-004 Setbacks Address: 1319 BLOCK RD, GRIDLEY Owner: LITTLE MATT Permit Type: RE -ROOF RESIDENTIAL Description: RE -ROOF - RES 24SQS COMP AREA I Flood Zone: None SRA Area: No 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 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 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 1 507 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: f Finals Public Works Final 538.7681 Fire De artment/CDF 538.6226 Env. Health Final 538.7281 Sewer District Final **PROJECT FINAL ? -rrolect anal is a i-ermicate o► vccupancy for Ixestaennai vinyl PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION N 4 Contractor Applicant: ,a square rootage: ROGER'S ROOFING ROGER'S ROOFING Building Garage RemdVAddn - 1061 INDIANA ST 1061 INDIANA ST 0 0 0 GRIDLEY, CA 95948 GRIDLEY., CA 95948 Other Porch/Patio Total ' 5308464560 5.308464560 - 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 ROGER'S ROOFING 853159 / C39 / 1/31/2019 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, - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (commenting with Section 7000) of Division 3 of the Business and Professions Code, and my license i permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors in full force and effect. 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. 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).): Contractor's Signature Date a • � a I, 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 WORKERS' COMPENSATION DECLARATION' (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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - 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 ❑I 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.). r 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 State 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 carter and policy number are: Law.). 1- . Carrier. STATE policy NumbggfiZ319 Exp. 17M/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 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 ]I am exempt from licensure under the Contractors' State License Law for the following reason: provisions. Owner's Signature Date BUTTE COUNTY PERMIT APPLICANT DECLARATION �^ By my signature below, I certify to each of the following: DEPARTMENT OF DEVELOPMENT SERVICES 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 BUILDING PERMIT AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN correct. 24 HOUR INSPECTION (IVR)#:530.538.4365 I agree to comply with all applicable city and county ordinances and state laws relating i • to building construction. OFFICE #: 530.538.7601. FAX#:530.538.7785 authorize representatives of this city or county to enter the above -identified property • CALIFORNIA • - www.ButteCounty.net/dds .' .Authorized Agent": 'requires separate verification form "requires separate PROJECT INFORMATION performance of the work for which this permit is issued (Section 3097, Civil Code). Site Address: 1319 BLOCK RD . Owner: Pero it NO: B 17-1119 APN: 021-120-004. LITTLE,MATT Permit type: MISCELLANEOUS. 1215 BLOCK RD Issued Date: 6/5/2017 By JMD Subtype: RE -ROOF RESIDENTIAL GRIDLEY, CA 95948, Expiration Date: 6/5/2018 Description: RE -ROOF - RES 24SOS COMP Occupancy: Zoning: A40 Contractor Applicant: ,a square rootage: ROGER'S ROOFING ROGER'S ROOFING Building Garage RemdVAddn - 1061 INDIANA ST 1061 INDIANA ST 0 0 0 GRIDLEY, CA 95948 GRIDLEY., CA 95948 Other Porch/Patio Total ' 5308464560 5.308464560 - 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 ROGER'S ROOFING 853159 / C39 / 1/31/2019 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, - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (commenting with Section 7000) of Division 3 of the Business and Professions Code, and my license i permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors in full force and effect. 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. 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).): Contractor's Signature Date a • � a I, 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 WORKERS' COMPENSATION DECLARATION' (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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - 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 ❑I 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.). r 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 State 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 carter and policy number are: Law.). 1- . Carrier. STATE policy NumbggfiZ319 Exp. 17M/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 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 ]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 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. 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 larding 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 Lender's Name & Address City State Zip i FEE INFORMATION Total Fees: $128.001- Fees Paid: $128.00 Balance Due: (None)'' , Job Value: $12,000.00 Butte County Department of Development Services PERMIT CENTER • _ 7 County Center Drive, Oroville, CA 95965 • ° Main Phone (530) 538-7601 Fax (530) 538-7785 n.uo.rua u.+cu www.buttecountY.nctiddc I COOL REROOF INFORMATION SHEET Project Address: G c (C P1�� 'z'• // Slope of Roof —%2 # of Existing Layers _2 Existing Roofing -Material K 3= t^ ns.— 11 is u.n• .. ..Ileo M M=W • nf- omposiuon o Tile Shake o Shingtc o Built upflumen n Metal is Other ear off existing o I Overlay ow.Shealhing n FORM NO DPi-3 The Callfomla Energy Commission (CEC) has adopted new requirements.for re-roofing:projects. Beginning Januar 1. 2010 when more than 50% of.the•exterior, surface of the -roof or more than +1;000 -sq. ft. of roof is replaced, whichever is less, the.new.roofing area must meet the roofing•product'Cool Roof" requirementsW,§152(b)1Hi,152(b)1Hit; or 152(b)l HiiL For roof slopes of greater than 2:12: Roofing products-wlth-adensity ofksgjhan. lbs/sq.ft: (.e. Rooring.produds,wilh a densityo .blbs/s%fl. or moref(.e. Asphalt shingles) shall have a minlinurn &year aged solar Concrete, dayltles or slate) shalthave a• min 3-yegIr reffedanee of 0.20'aridle.min1muin 6&rtial eintltan6e'of aged solar•rellectanoe of 0.15 and a minimum!fhermal 0.75, or. a Solar. Reflectance Index (SRI) of 16. o emiltanee of 0:75, or a SRI of 10. or check alternotoi(alt)' or checkraltemato,(alt) Note: Manufacturers specification for Cod Roof compliance when. required.shali be,provided4or•lnspector: Packag g•materiats w/CRRC•labels•must be left on the job site to demonstrate compliance with'lhe specificauowfokhef cool roof ratingrltappucabte. ALTERNATE (ALT)A esmatives-to §162(b)1HI ends§t52(ti) 1�l �S�„�teerp� lope.( ,oath > 2.12) Altemafives to the Cool Roof reuirement ma be.one of Uie�(oll Building withTetleastR:30cl$'pq gi lahon 'ln climatMone 1%.R.3 orgreaterroof, r n .a 1 ecksuabon aft o •(apj5roidmafely>11 (or m'ore)�ffitdo-010vm in) alt o above.ven ed attic. Ezlsung ucls Insulatedwith R-6ond,KER.S. Buld ng has no WAg ducts . 01e-atlic aft o duct tested to verify ducts are sealed alt (evaporative eooung'duot diemm alto Building with a radiant barrierin atUcmeeting the requiremebts alto nstda on ,verroofdeckor at,,least V.. Inch a r -space is ofg151(f)2;added to ihe.,roof dedcovefan attic Other Exceptions • Roofing area covered by bullding Integrated; photovoltaic panels and solar thermal panels are exempt from the.below Cool Roof orlterta. • Roof consquctlonsslhat have thermal mass over the roof membrane with at least 25 lb/421s exempt from the bbIC* Cool• Roohcrit6ria1 ~ • Butte County' areas-Tvl h# Climate'7ondII per r-24 Par"i"B, 9 Cefifdmte'Energy Code. Bafwe,*Beriy'Cieel- iggs;.C—ter%Amro Powerhouse, Cherokee, Ch/co, Cohosset, Dayton. De Sabla, Durharn. East Biggs, Fores(Renc9h, Gridley, Honcuf.1atsie 0mvl0q. Lage Wyandotte, Las Plumas; Magaffa, Nelson, Nord, OroviNe, ONYN. East, Palermo, Paradise, Pentz, Richardson Springs, klctivale; south Orovi6e. ThemrhaGto TThermallto,Aher6a Themhah2o Fore6a . TTQer.:Ureek,Poweihorise. slid CLIMATE ZONE 16 (ONLY) Cool roof requirements apply ONLY when-RooMg products with a density of 5lbs/sgA. or more (i.e. Concrete, day tiles or slate) shall have a minimum 3 -year aged solar reflectance of 0.15, and a•minimum thermal emiltance•of 0.75, orraiSRI ofA0. or checkaftemate (alt) as appflcabte. INSTRUCTIONS FOR COMMERCIAL PROJECTS - • Commercial roofs on Beds with a slope of 2:12 or less must meet ft 2008 Building Energy Efficiency Standards by being a certified Coot Roof. A cony of 1. clwod e�Niirx d by the aWcart trust aGZfr03ml thlS'1�At]tk2tlon. • Overtays'Utetet7oeed` 100'pourjds,? pe�,agiiare must tie: accojn{�an(ei1`by calculations performed by a California. licensed Civil or Structural Englneer: All overlaj�is must be approved by the Bidding O eta( and other requirements listed within AppendhcChapler115. California Building Code. A sm i fi ation from the, rmfina marurfadurer mM armrrnany this application .The specification should list the fire class of the material, a description of the materials or layers that must be Installed, the Cool. Roof -certification (if required because of the slope of the rooQ. and installation requirements. ■ Packaging materials w/CRRC labels must be ft on the job site to demonstrate compliance with uta specification for the cod roof rating if applicable. -- — - 1•egree that -the informallo p vlded on thisdo nt•is,a le—and—true. Applicants Signature: Date: �9 _—� '- CF -BR -ENV -W- ROOFING MWAUAMON CERT(RCME (Revbed for rwft mW CF OR-EW41 Fmetopa — Rooft 01ge11Cy: Permit Rernber. :m:=�:*h8"bmmL Orta per�ra has re�poum►tbrQrabe�tdorf df9te Rarrrs do , each peramr shd n andalgra a oere �pb/e foftpoitb bob w A l A y wM dta*b0a w t� di6C WbD e�mm Ow rt ry ATTIC ROOF INSULATION ANDIOR ATTIC RADUW BARRIER Mawak BMW Namx mawat BMnd Nene 7mokrtasa (Utt =):7dmm d Ra "M( VaWe O §ttdliardmt4ado tr�ae�titsrfderds4arb>sr mmmm O §tow. Mandatory Vapor berries t www in CBnmts Zane t8 RggWon of Roofing Rsodsrcb CRRC Ftodm t Mmaft.aaQ Dr=dNAcde! pwamd Roof ism tcf d Solo Apd 8dw 7bomW ID Asti. Skm M t. rna cRRc Prodrtot m NrenOerrmrs be a�Otr�istAafiasr uta GbWRbo/Rat47g GPrex�s Reed Di'edorya _ _-- -- ---- -_ -- wstsdoahcots - _..._._. 2 71re wa/gMhh lbs perapt�e rbetal<the �prvQttd �e �. Clteckboac /fMaAgedR�kxeO�tsa�a�b9dvadus tfsErtBUte erlaauosrt�ataw, lbcbratb 4 4. Mhe abed mgm* oe land ava6bi* b to Cool RadRaft Owmft Rated Pmdi d Daecby bion tree bbe kWmgx* noe vow ftm the dbeobary arra time the epsr�bn (Ot2�t7(ptht$al—Q.?� bD oblaln s wl�xdaraa � vakre. _.9-Q4 EVK A M V C A M t3OKngWIF E,ROM7HER00 O O UC RML AWr _ O iria roof area covered by btdl� 6 raffid pitdRdvaf�lo panels and bid M Wegreted soW Woe and paft& ars maemptirass the above Codd O Rods OMMUMCOM M MM Mass CM the md mmr&M vfs a WeW d at taad 26 (blp2 ds trcm Sia *M Coo! 7b fl8dd(.batiEgd,bhe0d�nwst0eappAsawBrs � ot20rt�sscroasgra�rodlaraiboe ateernrt�ann� �l>�a�►§tiet�sartara+aa tt�C, theoaaBrrg da atmdnumPlgnesrted Coaf� a � Root coattnu av:a9r t�tNtR+Crt AdtieCF�i tr t� ba rsssdemde„odtes to m compopy MUM s�sa<c>e.,er�dcarara000rdre�eer�+� Re Porwms ftmhm C= Ucelme: 0809 go;*— ltfafh Coneaagwq: k dmra On'da•liutrtn.ty t)t'rK.�JFtt ip 131hti�,WFP'it'ii: E�3f�M5JFor�no :!01gM Rc +essl itr l:►eflUos� Ccrlltk afc t;F 6R -ENV di ad 14 KiS y �uTrF Butte County Department of Development Services PERMIT CENTER •� y• 7 County Center -Drive, Oroville, CA 95965 ouN4 Main Phone (530) 538-7601 Fax (530) 538-7.785 w%%tiJ.but tecou ntv. netldd s Declaration of Installation for Smoke Alarms and Carbon Monoxide Alarms FORM NO DBI -0.1 The newly adopted 2013 California Residential Code requires the installation of Carbon Monoxide Detectors in dwelling units and in sleeping units within which fuel -burning appliances are installed and in dwelling units that have attached garages. The. policy for Carbon Monoxide Alarms in Butte County states: "Any permit obtained in which the value of work exceeds $1000 associated with a Residential Group R Dwelling Unit or Sleeping Unit shall conform to the following 2013 California Residential Code requirements for Smoke and Carbon Monoxide Alarms (Section R314 & R315)." 2013 California Residential Code requirements for Carbon Monoxide Alarms: R315.1 New construction: An approved carbon -monoxide alarm shall be installed in dwelling units and in sleeping units within which fuel -burning appliances are installed and in dwelling units.that have attached garages. R315.1.2 Power supply: For new construction required carbon monoxide alarms shall receive their primary power from the building wiring where such wiring is served from a commercial source and shall be equipped with a battery back-up. Alarm wiring shall be directly connected to the permanent 'building wiring without -6 disconnecting switch other than as required for over - current protection. Exceptions: l._In dwelling units where. there is no commercial power supply the carbon monoxide alarm may be solely battery operated. 2. in existing dwelling units a carbon monoxide alarm is permitted'to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. R315.1.3 Interconnection. Where more than one carbon monoxide alarm is required to be installed within the dwelling unit or within a sleeping unit the alarm shall be interconnected in a i manner that activation of one alarm shall activate all of the alarms in the individual unit. Exception: ' I. 1. Interconnection is not required. in existing dwelling units where repairs do not result in the removal of wall and ceiling finishes, there is no access-bv means of attic, basement or crawl space,: and no previous method for interconnection existed: R315.2 Where required in'existing dwellings: Where a permit is required for alterations, repairs or additions exceeding one thousand dollars ($1,000), existing dwellings or sleeping, units that have attached garages or fuel -burning appliances shall be provided witha carbon monoxide alarm in accordance with Section R315.1. Carbon monoxide alarms shall only be required in the specific dwelling unit or sleeping unit for which the permit was obtained. R315.2.6•Alarm requirements: No person shall install, market, distribute ','offer sale or sell any carbon monoxide device to the State of California unless the device and instructions. have been approved and listed by the State Fire Marshal. K:\NEW WEBSITE\Building\Building Forms & Documents\2014\2014 Foirris - Completed\DBI\DBI- 01 Declaration for Smoke & Carbon_Monoxide Detectors — REV'D — 8.13.14 —AKM.doc Page 1 of 2— Carbon monoxide alarms required by Sections R315.1 and R315.2 shall be installed in the following locations: 1. Outside of each separate dwelling unit sleeping area in the immediate vicinity of the bedroom(s). 2. On every level of a dwelling unit including basements. R315.1.5 Multiple -purpose alarms: Carbon monoxide alarms combined with smoke alarms shall comply with Section R315, all applicable standards, and requirements for listing and approval by the Office of the State Fire Marshal, for smoke alarms. Butte County's Interpretation of 2013 CRC, Sections 314 & 315 'for Smoke Alarms & Carbon Monoxide Alarms: Where alterations, repairs or additions exceeding $1,000 in valuation, existing dwellings shall be • retrofitted with smoke alarms and those that have attached garages or fuel -burning appliances shall have carbon monoxide alarms installed. Existing smoke alarms can be replaced with dual function alarms for Smoke and Carbon Monoxide and in most cases will comply with the aforementioned code requirements for Carbon Monoxide Alarms. DECLARATION OF INSTALLATION UNDER THE PENALTY OF PERJURY As Owner/Contractor, 1/we affirm and declare, under the penalty of perjury, under the laws of the State of California, by our signatures below as Owner/Contractor, that I/we will comply prior to final inspection with Items A & B as specified herein: t A. Both Owner/Contractor have read and clearly understand the aforementioned 2010 California Residential Code (CRC) Carbon Monoxide Alarm requirements. B. Both Owner/Contractor are responsible for installing Carbon Monoxide Alarms prior to final inspection as per the aforementioned building code and maintaining such installation. Smoke Alarms will also be installed prior to final inspection as per the 2010 CRC, ok nd C ArPon Mono i alag& r o nst�lled in the ollo g cations QA r s ar- y Owner's name (print): Q Owner's signature: Date: U r I 17 Contractor's name (print): Contractor's signature: Project Address: CSLB License: _ _� 31 ! -n Date: 1 ^ I :,) Permit #-` — ill y K:\NEW_WEBSIMBuilding\Building Forms & Documents\2014\2014 Forms - Comp1eted\DBI\DBI- 01 Declaration — for— Smoke— & Carbon_Monoxide_Detectors REV'D 8.13.14 AKM.doc '✓; .� _ Page 2 of 2 t ,