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HomeMy WebLinkAboutB17-0224 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 Office: 530.538.7601 Fax:530.538.7785 www.ButteCountv.net/dds Permit No: B 17-0224 Issued: 2/8/2017 APN: 062-640-010 Address: 65 STARCREST LANE, BERRY CREEK Owner: THOMAS, DOREEN Permit Type: LPG TANK (ABVGRND) Description: INSTALL PROPANE TANK 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 III 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 �( 7 •�.' �� Gas Piping Underground/floor 403 ;q r Z • v,t Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Blocking/Underpining 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 r - OFFICE COPYt- i" Bldg Permit: 6t 7'bZ Z K 1 Address:rtrt i - • '~dove N - Signed Ski rtin /Ste s/Landin s 610 GAS B y -Date: ;Electric By: - Date: 2 fl Date of Manufacture: Model Name/Number: Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkle 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 507 Manufactured Homes Setbacks 131 Blocking/Underpining 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Under round Electric 218 Sewer 407 Underground Water 417 Manometer Test 605 Continuity Test 602 Ski rtin /Ste s/Landin s 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Finals j Public Works Final 538.7681 Fire De artment/CDF 538.6226 Env. Health Final 538.7281 Sewer District Final "PROJECT FINAL b -rrolecc rmas is a t-ernncate of occupancy for tKes� ennayunlyp PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY F A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT. 24 HOUR INSPECTION (IVR)11:530.538.4365 m I ® OFFICE #: 530.538.7601 FAX#:530.538.7785 - • CALI FOR N !1A • www.ButteCounty.net/dds 1 "PROJECT INFORMATION Site Address: 65 STARCREST LANE, ` t Owner: ' Permit NO': B 17-0224 APN:. 062-640-010 THOMAS, DOREEN Issued Date: 2/8/2017 By CLG Permit type: MISCELLANEOUS - PO BOX 221 S4type: LPG TANK (ABVGRND)f (BERRY CREEK, CA 95916 Expiration Date: 2/8/2018 Description: INSTALL PROPANE TANK Occupancy: Zoning: 11 R5 Contractor. Applicant: Square Footage: SOB THOMAS, DOREEN Building Garage Remdl/Addn PO BOX 221 0 0 0 BERRY CREEK, CA 95916. Other' Porch/Patio Total F i 0 0 0 1 L'ICENSED: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 OB ./ / 1' 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am, licensed under provisions of Chapter 9 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' (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 and effect a r I i 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 f not more than five hundred dollars ($500).): _ Contractors Signature Date r,' ❑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 WORKERS'. COMPENSATION lDECLARATION (Section 7044, Business and Professions Code: The Contractors' State License Law does not - I._ apply to an owner of property who, through employees' or personal effort, builds or improves the ons: properly, provided that the improvements are not intended or offered for sale. If, however, the I HERE6Y AFFI�M UNDE� PENALTY OF PERJURY one of the following decfarab 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 this permit is issued. My workers' compensation insurance carrier and policy number are: _ 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. 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 L) the property owner' or L) authorized to act on the property owners behalf I have read this construction permit application and the information I have provided is N 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 authorization form X . X 1, 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' Slate License Law.). - ❑I am exempt from licensure under the Contractors' State License Law for the following reason: 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 I SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perl'ury that there is a constructior, lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name and Address Lenders Name & Address City State Zip FEE INFORMATION,' Total Fees: $124.00 Fees Paid: $124.00 Balance Due: (None) Job Value: $1,000.00 SITE PLAN Owner Name. Site Location Contact name Flood Zone: Assessor's Parcel Number: l ` l If 13( G Butte.County Department of Development Services PERMIT CENTER . 7 County Center Drive, Oroville, CA 95965 Main Phone 530.638.7601 Fax 530.538.7783 WWW.buttecounty.net/dis a®® -© LII �� FORM NO D ❑D Permit #: gid aaa�- 1 310.06 - �� E� L Z-(�4 Gj-�% /so/�� � vi Scope of Work: Page a..-- a a Butte County,