HomeMy WebLinkAboutB17-1367 024-290-013I
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
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: B17-1367 Issued: 7/6/2017
APN: 024-290-013
Address: 95 HOLLIS LN, GRIDLEY
Owner: ONYETT G & A REVOCABLE TRUST
Permit Type: REMODEL
Description: KIT REMODEL, CABINETS, ISLAND
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
I
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
ShearwalUB.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 �I
Gas Piping House 1
403
Gas Test House
404
Shower Pan/Tub Test 1
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
507
Manufactured Homes
Setbacks
131
Blockin nde inin
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Underp,round Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Skirtin /Ste s/Landin s
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 22
*Project Final is a Certificate of Occupancy for (Rel
Re denti PO y)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAYF R A I 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.ButteCounty.net/dds
Permit No: B17-1367
Issued Date: 7/6/2017 By JMD
Expiration Date: 7/6/2018
Occupancy: Zoning: R 1
Contractor Applicant: Square. Footage: -
THOMPSON CONTRACTING THOMPSON Building Garage Remdl/Addn
1368 SOUTH WALTON AVENUE 1368 SOUTH WALTON 0 0 0
YUBA CITY, CA 95993 r YUBA CITY, CA_ 95993 Other Porch/Patio Total
5309444613 5309444613 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
THOMPSON 969459 / B / 6/30/2019 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 demolish, or repair any structure, pdor 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 AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 improve, file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'
in full force and effect. � State License
ense 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
X 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 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
ElI 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.
. r
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. EVEREST Policy Numb t7R nnn17716171 Exp. WNU 1a
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
provisions. -
,- X -
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
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:
Owner's Signature - Date
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**.
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct.
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t 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
CONSTRUCTION ILEN DING,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 ix
Name of Permittee [SIGN] Print Date
Lender's Name & Address City State Zip
FEE INFORMATION r . -
Total Fees: $447.00 Fees Paid: $447.00
Balance Due: (None) Job Value: .$30,000.00
PROJECT
INFORMATION
Site Address:
95 HOLLIS LN
Owner:
APN:'
024-290-013
ONYETT G & A REVOCABLE'.
Permit type:
MISCELLANEOUS.
95 HOLLIS LANE
Subtype:
REMODEL
GRIDLEY, CA 95948
Description:
KIT REMODEL, CABINETS,
Permit No: B17-1367
Issued Date: 7/6/2017 By JMD
Expiration Date: 7/6/2018
Occupancy: Zoning: R 1
Contractor Applicant: Square. Footage: -
THOMPSON CONTRACTING THOMPSON Building Garage Remdl/Addn
1368 SOUTH WALTON AVENUE 1368 SOUTH WALTON 0 0 0
YUBA CITY, CA 95993 r YUBA CITY, CA_ 95993 Other Porch/Patio Total
5309444613 5309444613 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
THOMPSON 969459 / B / 6/30/2019 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 demolish, or repair any structure, pdor 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 AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 improve, file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'
in full force and effect. � State License
ense 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
X 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 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
ElI 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.
. r
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. EVEREST Policy Numb t7R nnn17716171 Exp. WNU 1a
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
provisions. -
,- X -
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
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:
Owner's Signature - Date
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**.
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct.
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t 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
CONSTRUCTION ILEN DING,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 ix
Name of Permittee [SIGN] Print Date
Lender's Name & Address City State Zip
FEE INFORMATION r . -
Total Fees: $447.00 Fees Paid: $447.00
Balance Due: (None) Job Value: .$30,000.00
i
'l Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive;, Oroville, CA 95965
Main Phone 530.538.7601 Fax 530.538.7785
www.buttecouniv.net/dds
SCOPE OF WORK
FORM NO
DBP- 14
SITE APN: 1 dt1 `.0M O I PERMIT NO: )7— el� Z
SITE ADDRESS:
DETAIL SCOPE OF WORK:
ova Slc�.ril
1VV Z_
t Le vi
PREPARED BY: �� DATE: � — a 17
(PRINT NAME)
SIGNATURE:
TITLE: (ov, L rye."
FOR OFFICE USE ONLY
RECEIVED BY:
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