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HomeMy WebLinkAboutB17-1431 038-190-002. a BUTTE,COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 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 requestc-d Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds Permit No: B17-1431 Issued: 7/14/2017 APN: 038-190-002 Address: 9007 STANFORD LN, DURHAM Owner: HULSE TYSON A & HULSE LAUREN C Permit Type: ELECTRIC PANEL RES Description: PANEL UPGRADE (200 ALL PLAN REVISIONS MUST BE APPRO Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Eufer Ground 216 Masonry Grout 120 ' 0-9, a -6c• vtc v 5FV2 -L 7,5,1 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 _ Do Not Install Floor Sheathing or Slab Until Above Signed ShearwalVB.W.P.-Interior 134 ShearwalUB.W.P.-Exterior 135 RoofNail/Drag Trusses 129 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 AREA 5 Flood Zone: AE SRA Area: No SETBACKS for Zoning. AG. SRA. PW Front: Centerline A Road: Rear: SRA: Street: AG: Interior Total Setback from Centerline of Road: 1 BY THE COUNTY BEFORE PROCEEDING 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 905 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 1n.�t"fit, OFFICE COPY Blockinni "" Setbacks I � '(��= �1 Li31, '--i�� 'Bldg Permit:""' ,� Tiedown/SoilAddres�BV� /5�4�tsy7 � Permanent Fc urs Undergroundl:'., Sewer , GAS By ;;;, ?�C�'► Date l' Under rounds ly- r w f ManometerElectnc""""` Date Continuity Tel {ice_ y •t' Ty 1 'J Skirting/ tes/Landn s —6 TO— Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkler Test or Final 702 1 Fire De artment/CDF ' 5=8.6226 t Env. Health Final 528.7281 T Sewer District Final "PROJECT FINAL G P. *Project Final is a Certificate of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION o y sty or county requres a perm o cons c , a er, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (cemmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i •permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors in full force and effect. State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and A Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. X ' 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).): - Ell 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 - (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar 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 burden of proving that it was not built or improved for the purpose of sale.). • ' . 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.). EI am exempt from licensure under the Contractors' State License Law for the following . reason: X { provisions. r Owners Signature Date X f' r - ". PERMIT. -APPLICANT DECLARATION... - 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. 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 CONSTRUCTION. LENDING AGENCY. DECLARATION' for inspection purposes. California Licensed Contractor, Property Owner' or, _ Authorized Agent": 'requires separate verification form "requires separate , t '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 ' c Names of ParmiMaa r31GN1 PA.# nae Contractor's Signature Date ..'� WORKERS' COMPENSATION: DECLARATION-' I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 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: K Exp. Date: E] 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 Lenders Name & A00reSS City State Zip r -t' FEE INFORMATION,.E�• t - Total Fees: $156.00 Fees Paid: $156.00 - Balance Due: (None) Job Value: $1,000.00 T COUNTY DEPARTMENT OF DEVELOPMENT SERVICES a BUILDING PERMIT il.BUTTE 24 HOUR INSPECTION (IVR)#:530.538.4365 OFFICE #: 530.538.7601 FAX#:530.538.7785• C N 1 A• www.ButteCounty.net/dds s _ - +PROJECT'INFORMATION s 4#- I '. ' site Address:, 9007 STANFORD LN Owner. Permit No: B 17-1431 - APN: �� 038-190-002 •. HULSE TYSON A & HULSE LA Permit type: MECH ELECTRIC PLUMB 9007 STANFORD LN Issued Date: 7/14/2017 By DAH - Subtype: ELECTRIC PANEL RES DURHAM, CA 95938 Expiration Date: 7/14/2013 Description: PANEL UPGRADE (200 AMP) 9162072264 Occupancy: Zoning: Contractor _ Applicant: Square Footage: OWNER BUILDER HULSE TYSON A & HULSE Building Garage Remdl/Addn ` 9007 STANFORD LN 0 0 0 ' DURHAM, CA 95938 Other Porch/Patio Total 9162072264 0' 0 0, LICENSED CONTRACTOR'S DECLARATION. OWNER/ BUILDER DECLARATION,,.' Contractor (Name) - State Contractors License No. I Class I Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for - OWNER BUILDER . / / 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: An that 't t lru t It o y sty or county requres a perm o cons c , a er, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the (cemmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i •permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors in full force and effect. State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and A Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. X ' 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).): - Ell 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 - (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar 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 burden of proving that it was not built or improved for the purpose of sale.). • ' . 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.). EI am exempt from licensure under the Contractors' State License Law for the following . reason: X { provisions. r Owners Signature Date X f' r - ". PERMIT. -APPLICANT DECLARATION... - 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. 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 CONSTRUCTION. LENDING AGENCY. DECLARATION' for inspection purposes. California Licensed Contractor, Property Owner' or, _ Authorized Agent": 'requires separate verification form "requires separate , t '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 ' c Names of ParmiMaa r31GN1 PA.# nae Contractor's Signature Date ..'� WORKERS' COMPENSATION: DECLARATION-' I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 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: K Exp. Date: E] 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 Lenders Name & A00reSS City State Zip r -t' FEE INFORMATION,.E�• t - Total Fees: $156.00 Fees Paid: $156.00 - Balance Due: (None) Job Value: $1,000.00 T Butte County Department of Development Services FORM NO PERMIT CENTER DBP -18 awM�=mss. 7 County Center Drive, Oroville, CA 95965 Main Phone 530.538.7601 Fax 530.538.7785 www.buttecounty.net/dds ELECTRIC SERVICE OUESTIONAIRE In order to insure that you get timely assistance and the type of permit you need, we request that.all applicants for electrical service upgrades, retags, 2nd services, etc. answer the following questions: 1. What is the service for? F -LL GT111LJ�L 'tNN�L LO GI -WD 100 -- UO kv, 2. Are there any structures on the parcel? DNS qoLk5r. , 01\jE- Df-YKL -t=J 3. Will this be for commercial use? NJ h 4. Is this a mobile/modular home? If yes, will the service be on a pole for the mobile? NO 5. Is this a 2nd service on the parcel? N D 6. Have you contacted PG&E? � € s 7. What size (amps) is the service? 20 8. Is this a 3 phase service? ND 9. Are you doing any other work? `1-S , Wt -Si-: rCi�:MVC-L If you need additional room to answer these questions, please uEe the area below or the back of this page: Thank you. Revised 12.19.2016 Page 1 of 1