HomeMy WebLinkAboutB17-2062 047-740-023I
BUTTE;COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 4
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is Zpm)
Development Services cannot guarantee inspections on the date requested
Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
Permit No: B 17-2062 Issued: 9/5/2017
APN: 047-740-023
Address: - 13962 LINDBERGH CIR, CHICO
Owner: RANDOLPH ROBERT &:SOPHIA
Permit Type: PERMIT TO COMPLETE
Description: PERMIT TO COMPLETE 03-0982
1 Flood Zone: None S;RA Area: No
SETBACKS for '' a
Front: Centerline: of Road:
Rear: SRA:
Street: AG:
` Interior
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFOI
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 nder
1412
.j2ining
Tiedown/Soft Set System
'611
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
ShearwallB.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
1417
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
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408
Do Not Insulate Until Above Sined
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
Swimmin
Tools
t=
PROCEEDING
Inspection Type
I17R INSP DATE
T -Bar Ceiling
i 145
Stucco Lath
:142
Swimmin
Tools
Setbacks
131
Pool Plumbing Test
304
Gas Test
; 404
Pre-Gunite
; 306
Pre -Deck
i 505
Pool Fencing/Alarms/Barriers
303
Pre -Plaster
`:.107
Manufactured Homes
Setbacks
31
Blockin nder
1412
.j2ining
Tiedown/Soft Set System
'611
Permanent Foundation System
13
0513
Underground Electric
:'218
Sewer
;407
Underground Water
1417
Manometer Test
x,505
Continuity Test
1502
Skirting/Steps/Landings
510
Coach Iirfo
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Final _38.7681
Fire De artment/CDF 138.6226
Env. Health Final -.538.7281
Sewer District Final
**PROJECT FINAL
-rrolect rmai is a t-ernncate of urccupancy for txesiaennai vinyl
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
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
Total
Site Address: 13962 LINDBERGH CIR
Owner:
Permit NO: B 17-2062 .
APN: 047-740-023
RANDOLPH ROBERT & SOPHI
"
Issued Dave: 9/5/2017 B DAH
Y
Permit type:: MISC
PO BOX 1687
Subtype: PERMIT TO COMPLETE
CHICO, CA 95927
Expiratiole Date: 9/5/2018
t
Description:, PERMIT TO COMPLETE 03-0982
Occupancy: Zoning: g _
Contractor
Applicant:
Square Footage:
OWNER BUILDER
RANDOLPH ROBERT &
Buildin€ Garage RemdVAddn
0 0 0
PO BOX 1687
CHICO, CA 95927
Other 34 Porch/Patio Total
5308091102
0 1 0 0
i F' LICENSED CONTRACTOR'S DECLARATION
'j e.-,!
'Vii" - r:;t OWNER /: BUILDER
DECLARATION
Contractor (Name) State Contractors License No. /Class /Expires
I hereby affirm under penalty of perjury that I amexempt 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: Any dry or couoly that requires a permit to construct, alter,
improve, demolish, or repair any structure, prior to its issnence, also requires the applicant for the
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I em licensed under provisions of Chapter g
permit file a signed statement that he or she is pursuant to the provisions of the Contractors'
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i
Secti r
State License Law (Chapter 9 (commenting with Sector 7000) of Division 3 of the Business and
is
in full force and effect.
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
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Any violation of Section 7031.5 by any applicant for a pe:mit subjects the applicant to a civil penalty of
-'
not more than five hundred dollars ($500).):
❑ '
I, as owner of the property, or my employees with wages as their sole compensation, will
Contractor's Signature Date
do (-j all of or U portions of the work, and the structure is not intended or offered for sale
(Section 7044, Business and Professions Code:'rne Contractors' State License Law does not
apply to an owner of property who, through emplavees' or personal effort, builds or improves the
property, provided that the improvements are not i ,tended or offered for sale. If, however, the
building or improvement is sold within one year or6ompletion, the Owner -Builder will have the
_
WORKERS=COMPENSATION DECLARATION" ' '`
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
ElI have and will maintain a certificate of consent to self -insure for workers'
burden of proving that it was not built or
improved for the
compensation, Issued by the Director of Industrial Relations as provided for by Section
purpose of sale.).
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
l
No.
I, as owner of thero e
p p Ry, am exclusively coriracfing with licensed Contractors to
DI have and will maintain workers' compensation insurance, as required. by Section 3700 of
construct the project (Section 7044, Business and'Professions Code: The Contractors' State
License Law does not apply to an owner of proper6',who builds or improves thereon, and who
the Labor Code, for the performance of the work for which this permit is issued. My workers'
contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
compensation insurance carrier and policy number are:
Law.), ! ,
Carrier. Policy Number: Exp. Date:
I
❑I am exempt from licensure under the Contract D: ' State License Law for the following
ETI certify that, in the performance of the work for which this permit is issued, I shall not
reason: M1
!
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'
X ,
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owners Signature Date
X._"..
:'i;.:v PERMIT_ APPLICANT DECLARATION ,.: ` "'
Signature Date
By my signature below, I certify to each of the b1lowing:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
am L) a California licensed contractor or U L -ie property owner' or U authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
. act on the property owners behalf'*.
I have read this construction permit applicationand the information I have provided is
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
correct.
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
I agree to comply with all applicable city and cc•upty ordinances and state laws relating
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
to building construction.
I authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California Licensed C:ntractor, Property Owner* or
Authorized Agent": 'requires separate verifica•Jon form "requires separate
::CONSTRUCTION LENDING AGENCY DECLARATION
I affirm hereby arm 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).
Lender's Name and Address !
X .
Name of Permittee [SIGN] Print Date
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'i
Lenders Name & Address City State Zip
i, FEE INFORMATION—
NFORMATION-
777
Total Fees: $271.32 Fees Paid: $271.32
Balance Due: (None) Job Value: (None) 1
Butte County Department of Development Services
PERMIT CENTER
7 County Center Drive, Oroville, CA 95965
• Main Phone (530) 538-7601 Fax (530) 538-7785
DEVEIORAtEN1 5ERVICES www.buttecounty.net/dds
ANTI-ENTRAPMENT"CERTIFICATION FORM
FOR SWIMMING POOLS & SPAS
FORM NO
The1ollowing form is required whenever a building permit is issued to construct
or repair (re -plastering) a swimming pool, toddler pool, or spa.
STATEMENT TO BE SIGNED PRIOR TO
FINAL APPROVAL
Verification of Compliance with the "Swimming Pool Safety Act of 2006"
(Health & Safety Code 115920 — 115929)
Site Address: _ /3%�oZ-intA belA � Or. G/af.4 95973
Property Owner: %t'pbGrtE GnAoPhone: 53D_901J_I /Zo
Owner's Mailing Address: _,0, box 16 97 G%�`G�A .1 %5927
I hereby certify that the swimming pool, toddler pool, or spa located] a the above-
mentioned address complies with the provisions or the "Swimming Pool Safety
Act.of 2006" and has been equipped with an anti -entrapment cover meeting
the current ASME/ANSI Standard A 112.19.8 as required under the
provisions of the law and have received additional informations on pool
barrier requirements.
Signed: /���(� Date: 0 6)l%Z-JZ0/%
Owner
Signed:'
Contractor
Company Name:
Date:
CONTRACTOR'S'IN FORMATION
California Contractor's License Number:
Mailing Address:
Phone:
Email:
r
Attachments: Swimming Pool Enclosure Requirements and Pool Barrier handout