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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. X ' 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 t '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