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Home My WebLink AboutB17-0214 062-560-002BUTTE 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 3pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds Permit No: B 17-0214 Issued: 2/6/2017 APN: 062-560-002 Address: 111 QUARTZ HILL LN, BERRY CREEK Owner: THOMPSON, SHERRY L. Permit Type: DEMOLITION Description: DEMO MH DOUBLE WIDE. Flood Zone: None SRA Area: Yes 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 71_IE_� Pools 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 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 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 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 Env. Health Final 538.7281 Sewer District Final **PROJECT FINAL TS -project rmai is a cernncate of uccupancy for (ttesittennai uniy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Carrier. Policy Number: Exp: Date: ElI 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 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 ILENDING AGENCY DECLARATION . I hereby affirm under penalty of perjury that there is a censtructior. lending agency for the performance of the work for which this permit is issued (Section 3C97, Civil Code). Lender's Name and Address - 1 am exempt from licensure under the Contractors' State License Law for the following reason: X Owners Signature Date PERMIT APPLICANT DECLARATION By my signature below, I certify to each of the following: I am L) a California licensed contractor or U the property owner' or U authorized to ,act on the property owner's behalf have read this construction permit application and the information -I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating ,to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or ,Authorized Agent": 'requires separate verification form '"requires separate 1 authorization form Lenders Name & Address city. State Zip' ' t FEE.INFORMATION t Total Fees: $305.00 ' Fees Paid: $305.00 Balance Due: (None) �. Job Value: $1.00 1 s a lfit � I t1 1 ; 1 � I ContractorApplicant: r Square Footage: BUTTE ;COUNTY + ! r THOMPSON, SHERRY L. Building 'Garage Remdl/Addn I DEPARTMENT OF DEVELOPMENT SERVICES r ' ;PO BOX 782 BUILDING PERMITi BERRY CREEK, CA 95916 OtherPorch/Patio Total 5303003673 j24 HOUR INSPECTION (IVR)#:530.538.4365 ® e -','LICENSED CONTRACTOR'S DECLARATION [OFFICE #: 530.538.7601 FAX#:530.538.7785 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 www.ButteCounty.net/dds ' • C A L I F O R N I A• 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 C_ ode, and my license i PROJECT INFORMATION Site Address: 111'QUARTZ HILL LN r I i '.1 - 1 owner: - Permit NO: B 17-0214 APN: • - 062-560-002 i THOMPSON, SHERRY L. I have and will maintain a certificate of consent to self -insure for workers' Permit type: MISCELLANEOUS improved for the purpose of sale.). PO. BOX 782 Issued Date: 2/6/2017 By JMD Subtype: 1, as owner of the property, am exclusively contracting with licensed Contractors to I' BERRY CREEK, CA 95916 Expiration Date: 2/6/2018 Description' -DEMOLITION DEMO MH DOUBLE WIDE 5303003673 Occupancy: Zoning: U Carrier. Policy Number: Exp: Date: ElI 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 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 ILENDING AGENCY DECLARATION . I hereby affirm under penalty of perjury that there is a censtructior. lending agency for the performance of the work for which this permit is issued (Section 3C97, Civil Code). Lender's Name and Address - 1 am exempt from licensure under the Contractors' State License Law for the following reason: X Owners Signature Date PERMIT APPLICANT DECLARATION By my signature below, I certify to each of the following: I am L) a California licensed contractor or U the property owner' or U authorized to ,act on the property owner's behalf have read this construction permit application and the information -I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating ,to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or ,Authorized Agent": 'requires separate verification form '"requires separate 1 authorization form Lenders Name & Address city. State Zip' ' t FEE.INFORMATION t Total Fees: $305.00 ' Fees Paid: $305.00 Balance Due: (None) �. Job Value: $1.00 1 s a lfit � I t1 1 ; ContractorApplicant: r Square Footage: OWNER/BUILDER W THOMPSON, SHERRY L. Building 'Garage Remdl/Addn I 0 0 0 ;PO BOX 782 BERRY CREEK, CA 95916 OtherPorch/Patio Total 5303003673 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 OWNER/BUILDER / / r 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 C_ ode, and my license i Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and _ in full force and effect s ' ' t• - i { { Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. _ ` 1 X Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ) • I not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will ❑ Contractors Signature Date • i - 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 tb 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 F777WORKERVZOMPENSATION! . (HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - 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. •' • 1, as owner of the property, am exclusively contracting with licensed Contractors to Section 3700 construct the project (Section 7044, Business and Professions Code: The Contractors State 1 have and will maintain workers' compensation insurance, as required by of Elthe Labor Code, for the performance of the work for which this permit is issued. M_ y workers' 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 compensation insurance carrier and policy number are:: ' Law.). - Carrier. Policy Number: Exp: Date: ElI 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 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 ILENDING AGENCY DECLARATION . I hereby affirm under penalty of perjury that there is a censtructior. lending agency for the performance of the work for which this permit is issued (Section 3C97, Civil Code). Lender's Name and Address - 1 am exempt from licensure under the Contractors' State License Law for the following reason: X Owners Signature Date PERMIT APPLICANT DECLARATION By my signature below, I certify to each of the following: I am L) a California licensed contractor or U the property owner' or U authorized to ,act on the property owner's behalf have read this construction permit application and the information -I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating ,to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or ,Authorized Agent": 'requires separate verification form '"requires separate 1 authorization form Lenders Name & Address city. State Zip' ' t FEE.INFORMATION t Total Fees: $305.00 ' Fees Paid: $305.00 Balance Due: (None) �. Job Value: $1.00 1 s a lfit � I t1 1 ;