HomeMy WebLinkAboutB16-2919 062-640-010BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
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
MeN, seavices Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
Permit No: B 16-2919 Issued: 3/6/2017
APN: 062-640-010
Address: 65 STARCREST LANE, BERRY CREEK
Owner: THOMAS, DOREEN
Permit Type: FIRE SUPPRESSION -RES
Description: FIRE SPRINKLERS RES FORb16-2308
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ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
11
Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
1 l 1
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 /Unde inin
612
Tiedown/Soft Set System
611
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
ShearwalUB.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
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
Plumbing Final
813
Fire Sprinkler Test or Final
702
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
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals
Permit Final 802 t
Public Works Final 538.7681
i, *Project Final is a Certificate of Occupancy for enti Onlp /
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY F R A YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
"PROJECT FINAL
i, *Project Final is a Certificate of Occupancy for enti Onlp /
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY F R A YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Fire De artment/CDF
538.6226
Env. Health Final
538.7281
Sewer District Final
"PROJECT FINAL
i, *Project Final is a Certificate of Occupancy for enti Onlp /
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY F R A YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR)#:530.538.4365
OFFICE #: 530.538.7601 FAX#:530.538.7785
' www.ButteCoul tY.net/dds
_PROJECT INFORMATION
Site Address: 65 STARCREST LANE
Owner •
Permit NO: B 16-2919
APN:. 062-640-010
THOMAS, DOREEN
do U all of or(, portions of the work, and the structure is not intended or offered for sale
WORKERS' COMPENSATION DECLARATION
Permit type: MISCELLANEOUS
. -
Issued Date: 3/6/2017 By CLG
Subtype: FIRE SUPPRESSION -RES
property, provided that the improvements are not intended or offered for sale. If, however, the
Expiration Date: 3/6/2018
Description: FIRE SPRINKLERS RES FOR b16-
have and will maintain a certificate of consent to self -insure for workers'
Occupancy: Zoning: U 85
Contractor
Applicant:
Square Footage:
FOOTHILL FIRE PROTECTION INC
FOOTHILL FIRE
Building Garage Remdl/Addn
4000 ALVIS COURT -
4000 ALV IS COURT
0 0 0
ROCKLIN, CA 95677 =
ROCKLIN, CA 95677
Other Porch/Patio Total
9166633582
9166633582
0' 0 0
1 If%0LI00r% f%r1LITMAf-Tf1rnIQ r%0f%I AM ATlilll
-' f%%AILIC-M 161111
r1Cr5 r1C1F+1 A�ATIf%Ll
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?
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license it
in full force and effect.
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).):
Contractor's Signature Date
��
❑I, as owner of the property, or my employees with wages as their sole compensation, will
do U all of or(, 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
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
E]I
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, am exclusively contracting with licensed Contractors to
the project (Section 7044, Business and Professions Code: The Contractors' Stale
❑construct
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 carrier and policy number are: -
Law,),
Carrier. ZURICH AMERICANPolicy NumbWC551'177A Exp. elCM/2017
❑ I am exempt from licensure under the Contractors' State License Law for the following
• ❑reason:
I certify that, in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers'
X -
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X
PERMIT APPLICANT DECLARATION
Signature I Date
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 PENALTIESact
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 i TTORNEY'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
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).
Lenders Name and Address ` -
X
i —.Name
of Permittee [SIGN) Print Date
Lender's Name & Address City I State Zip
• ( FEE INFORMATION
Total Fees: $255.00
Fees Paid: $255.00
Balance
Due: (None)
Job Value: $2,000.00