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