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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: Page 1 of 1 RPvicPrl 7.7n.?n1 S