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HomeMy WebLinkAbout007-330-00202 'JoDrake . 4815 Waterford Dr., Joshua Tree#2, lot 2 , Chico i - "beimit-#4530'78B(n duplex)- � Cgntr :, Lamb .& Rice, CWico P ormit##1163-79P'(sprinkler sys') dupl r"i►: ` y Fj, p f I c t X07 �rMrM� ���� ?MIT NO. 4530-78B PERMIT EXPIRES ),)WNER John Drake f, k,ONTR. owntor 44-053-73 port. ,,-i-OCATION (A.P. rti 485 Waterford Dr., lot 2, Jodua"Tree#2', Chico Temp. Power Pole Called PG&E _jAaj),.,'Elec. Serv.- Called PG&E Temp. Gas Servjn—ix.-'V–%v Called PG&E JOB FINALED Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'g2 PLUMBING Interior Lath Ventilation Permanent Door Closer Final 15--11-7 Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MO�B16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ` `f V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 s APPLICATION AND PERMIT y�aa ;i�, - autnonce representuuves or the Lounry o1 tsutre to enter upon ine above-mentioned property for insp ction purposes. Date�� !Ti'gnature of P�/iit r Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B4:t@LIC WORKS By mate Buil tng permit expires Date %�� BUILDING 0.SQ. Owner .� �. � FT. OCC. BUILDING VALUATION � �� ©® Mailing Address / ID r. Cid Telephone No. sik0 3 (0 ©zR ' eta O v WY ca V c ©lrz, Contractor Mailing Address Fireplace a A OL001 wz� Total Valuation 5- m Telephone No. Permit Fee 17,y, d0 Building AddressS k, Plan Checking Fee&/or Penalty Permit Fee -Zs.a® s o� tC. C3 i PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �" T,0,9 v a,* # A®— C14 tG Repair drainage or vent piping 1,50 /�u �7 A. P. No. G! _ ©�'3 - ` eeK�> -'� in u; Water piping 1.50 Each gas water heater or vent 1.50 Fdee' 4_e Sa 'on Fire Dept. Fire Zone Use Permit o`i Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans D laration 60' R/W I Improve en Each additional outlet .30 Building sewer 5.00 I ns Parc A proval Plans A proval N Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPe0ov OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. I DWELING OR ADDNS. % ACCLBL GS.CCUP. 4') 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: T NEW RESID.CONSTRANCH CIRCUITS) NON-RESID, (BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS6, NON- RRESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES 5 �@j Ex. Occup. FIXED APPLNS. OR p•�OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Tj� I certify that in the performance of the work for which this Tpermit is issued I shall not employ any person in any manner as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT % FILING FEE $3.00 Heating Groj000 e7u, Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and • State Laws relating to building construction, and hereby Land Development Fee $ s(yc TOTAL PERMIT FEE $ pp (^� autnonce representuuves or the Lounry o1 tsutre to enter upon ine above-mentioned property for insp ction purposes. Date�� !Ti'gnature of P�/iit r Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B4:t@LIC WORKS By mate Buil tng permit expires Date %�� This`set of plans and specifications MUST be NOTE._AII Materials & Workmanshipr Shall Be in :kept on the 106at dll times and R is unlawful to Accordance' with Recognized j Good Practices and make any changes or alterations on same without of a quality prescribed for the Specified use in the written permission from the Department of Public Uniform Building, Plumbing & Mechanical Codes and Works, County of Butte. the National Electrical Code. + ' Septic s astern d location of build- ti ' ing drays stub#out t dr t 0 6e " Buiree ounty Health ( DeptS; .Re' q meats: r ; t i!1 V . 2,6'arN� .. _. _ 1. �Fj�• '/ ,BArN _ .:2 ,�,�. ' � , _u 711 , • r4/ Cot ,. ,; (�. Cp( �� 1 _._ _.. 2 t i The Bld ' - ' t side g• ►Setback shall be 5 ft. from the pS'iTe�+KQ' Property line and 5 ft: fro centerline'of the road, fitting a maxis- mumofa3ft. 4Ak e ve overh out of all,easements, BUTTE COUNTY . ,. ,. /.., LT�.. , ., /J �� / .%� ANG DEPARTMENT - - ...:. a�, .1:1,„ �.. / : �✓ %~ �.;' k'"�,;/•� r.. . ... „itr', 'Pia�:n.,.� 'h �'i +•�+ 14 In obL 0 F. t/:Z. ,:.�'1; COUNTY OF BUTTE ^DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: '534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P- x Date Signature of Permitee ar A ent Receipt No. 1, P-)7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PU LIC WORKS By Date Btti-kkM permit expires Date BUILDING Owner ��� ��� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation � 1 Telephone No. Permit Fee Building Address_ W I os Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,OD Each Trap 1.50 O r Repair drainage or vent piping 1.50 A. P No. -- D -_ > Zoning & Planning Water piping 1.50 S Each gas water heater or vent 1.50 ,ate F s Y Savitaftri Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 8 Parcel A ravel Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ 6 $ r dg 3 6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 2.50 OVER eoov Main service 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR A.D.S. ( ACCLBLOGS.LING Ccup- Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: C�D�' (,('�N SLG • "Ew RE D, BRANCHMULTI-OCIRCUITS) NON -REBID (BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS &, NON-RESID. (SINGLE OUTLET CIR. @ 254t Ex. Occun(OUTLETS OR FIXTIIPES Ig L 1 � Ex. Occup (OUFIXEDTLETTS RES (RESID.) S. OR EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / License No. G Classification Tc, Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P- x Date Signature of Permitee ar A ent Receipt No. 1, P-)7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PU LIC WORKS By Date Btti-kkM permit expires Date •• - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 5$4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permmitee or A r t Re ipt No. �" �; q? White-D.P.W. - Yellow -Assessor - Pink -Inspector - boldenrod-Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a veer f which fee have been paid. I TOR OF PUBLIC WORKS d By V;7 /��7 %OBuilding permit expires Date � BUILDING Owner _J '�v>-E SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 17011C I IV IL+ Mailing Address DILIVE H -WY. Fireplace Total Valuation �00 VI lel CA II G,`51; C l�py y� �,3�5a—�/3p Permit Fee �� / Building Address $5j Vel TIEefbe-D (P4. Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 LaT4, Jos"P, C-15 Z G (Z Repair drainage or vent piping 1.50 ,r 4--053 _ y•� F�j. A. P. No. �t ! J Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F4 s SdniSaiFer+ Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg- Z IF Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ EGCClUlGAI, ` Lj —"18 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 F fj0 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 OVER Main service OVER 25.00 AMPP OR LESS Main service// EA. ADD•L 100 AMP 1.00 ONEW CONSR ADDNST %ACCLBL GDWELING 4) 22 sq ft 13 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 1 NEW RESID,CONSTt BRAN H CIRCUITS) NON -REBID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES Ig L@j Ex. Occup C FIXED . OR .2 00 OUTLETTSS ((RRESEST D,) EA/) Temporary service 10.00 Mobile Home Facilities 15.00 License No.1�F)J 3�� Classifications `;,� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 41. 5 14-71 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Sertion3700 of the California Labor Code which requires every employer to be insured against liability for W rkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ % authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permmitee or A r t Re ipt No. �" �; q? White-D.P.W. - Yellow -Assessor - Pink -Inspector - boldenrod-Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a veer f which fee have been paid. I TOR OF PUBLIC WORKS d By V;7 /��7 %OBuilding permit expires Date � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7, County Center Drive on- Oroville, California 95965 6&f—;r Telephe: 534-4541 APPLICATION AND PERMIT aut ize representatives of the County of Butte to enter upon the ab a -m toned prooppertyy for inspection purposes. Date l/�' % Signature of Permi ttee or Agents Receipt No. Ig 5.2 / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a e fo which fee have been paid. R TOR OF/PUBLIC WORKS v By '����G'�'+✓ Date %/ %O Building permit expires Date % 7 BUILDING Owner SQ. FT. OCC. BUILDING VAL3A111ON Mailing Address (� V�7 G Telephone No. Contractor C C Mailing Address a Fireplace Total Valuation c� Tel hone � �3P73 Permit Fee Building Address �oZ Plan Checking Fee &/or Penalty Permit Fee 44 PLUMBING No. @ FEE OI5 �Zio PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ,/,/_Or•a+ -73 �P-T A. P. No. `f'�" ;J ✓ Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 6e+rtt[aTTb?i I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration Parcel Map 1 60' R/W Improvements additional outlet •.30 Building sewer 5.00 f3Jag 0.1nna Pg,' .4 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ,d ,�Z,,. ELECTRICAL No. @ FEE �' (l�✓'3CJ--7� ® PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service/ EA. AOD•L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLDGSCOUP. Y) 2¢Sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Ntleof; NEW CONSTR RANCH TLET CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS/ 2.50ea NEW CONSTR POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g �� FIXED APPLNS. OR Ex. Occup•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 0G&. 9,s�g Mobile Home Facilities 15.00 License No. ',//( r�7J ��� Classification/ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE r. I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. /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 Workmen's Compensation Laws of California. PermiOf:F6e1 „ $ $ MECHANICAL`"" No @ FEE VER ilArIF'LING11FEE V $3.00 Bd ' .Pleating /%� ,� 100 Cooling... + f �;1 jeeit, 4ez Ventilation Hood JP4 2.00 •OU Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and Slip Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ of Opt aut ize representatives of the County of Butte to enter upon the ab a -m toned prooppertyy for inspection purposes. Date l/�' % Signature of Permi ttee or Agents Receipt No. Ig 5.2 / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a e fo which fee have been paid. R TOR OF/PUBLIC WORKS v By '����G'�'+✓ Date %/ %O Building permit expires Date % 7 12 A, i CIE;'Ilzil1110116181Z n®N =j N,� smuoM ®11eQd dc) '1dcQ addno dA AANnoo z r . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Cent;3r Drive - ,Oroville, California 95965 •• Telephone: 534-4541 �j�V APPLICATION AND PERMIT / BUILDING Owner JOHN D. I'�RAKE SO. FT. OCC. BUILDING VALUATION Mailing Address PARMAC RD. CHIC O, CA. 95926 T�pp�a—e��31 Contractor IAMB &RICE LANDSCAPING Mailing Address 2294 CEANCTHUS AVE. CHICO, CA. 95926 �5�+ Building Address y.85 41ATERFORD (LOT 2 'CHICO. CA. r A. P. NO. ��-'f���� d�� �� `. ELECTRICAL Zoning& Plonning F s Main service Saartat+eR Fire Dept. Fire Zone Main service Use Permit EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Parcel Approval Plans Approval NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ � 12 Fj ��'. Single Family ❑ YARD SPRINKLING SYSTEM �b-7 8 Duplex ® Mobil Home ❑ Others ❑ DUPLEX CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name stye of: LAMB & RICE LANDSCAPING License No. 311135 Classification C-27 Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sarinkler system Permit Fee BALD o¢I ELECTRICAL PERMIT FILING FEE Main service eoov oR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER eoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. � OR ADDNS. DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR n,n N_RFci n_ �MULTI.OUTL T ARANGH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE .� • v� FEE EX. OCCURIOUTLETS OR FIXTIiRES BALD o¢I EX. OCCUp. � OUTLETS P(RESID )READ 2.0� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECIiANICAL PERMIT FILING FEE I am aware of the provisions of Section 3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is ��� ,. a � r. �� • Date Signatur� f8 rr)i�e ort gent Receipt No. ,�V(l' / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permitis hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ahoy which fees have been paid. RE TOR .QF PUBLIC WORKS /%� gy i�l��iw""' Date � ��� �/ Building permit expires Date / ���7� ` RESIDENTIAL -ENERGY. MNSERVATION STANDARDS„ ' CONSTRUCT'ibN COMPL]ANCE CERTIFICATE. ' THLS I.S`a TO' CERTIFY THAT 'ENERGY C6NSERVATION REQIftkbiEN'TS %HAVE•' AEEN ' INSTALLEb 4N CONFOAMANCE WITH CURRENT ENERGY CONSERVATION RLGIJLATIONS AT T2EE # � C_o� (location) _��-��..�� BUILD, ,IN 'PERMIT NO. '� � :� A.P . NO. AA � • msiA% lvmr r.mi n;r betty uvrM Twig it.T.Fn 0o,Pro AP�RnVF.D• PLAfiIS:i t DECLA1tk "14AT • ALL REQUV;Tb ITEMS AS NOTEb- AMA'HAVE BEEN fNSTALLEb. =.� IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS ANTI -AGREE TO r THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulttt,iofn Applicator Nanie_ '��M f`(.please print) 4 r. Signature of + ` .'Insula tion Applicator ---- j State Contractors ' License No. ,,. Ve t) 1;, '1.„Signature of PJDatetractors o. J•.fr .. i. `firth'. . r r THIS CERTIFICATE MUST BE ON FILE: WITH Tilt BUILbtNC `DLPAR'1'MEN'r PRIOR TO PXQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. _ _ .... .. r .elt' .. a �.t.t.,. ••� .. '.� ' flgkRS-E T. RR -RR' COMPANY ial y LICIINSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date ___19 _ To THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS / Manufacturer C/ Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Valu�J _ Blown: Manufactureroe') Thickness �A—, No.Ba Wt./Bag Sq. Ft. Covered s R Value ,M FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer - Thickness/Type R Value Width of Insulation Inches =FOUNDATION WALLS Manufacturer ��� �Thiicck(nne`sss//(Tyype R Value �j�/� GENEj;A4. CONTIRlgJrTQ�i w <! !4'SI`+ �JV. V{ LICENSE NUMBER OW" BY nj DATE )_INSU TILICENSE NUMBER Y TITLE �LLI���,v DATE SAVE ENERGY - INSULATE! • I DATE) y ACCEPTED S COMPANY (Authorized Representativ T6:STIL3I`iG DLPnRi?EN7 Lei i RON'%MZ. T1 AL HEl ALTH Sewage and/or {tia_er. and/or Additn ear- ce(s) r-laz- are approved for: Sewage Disposal. Water .Supply . bold up final for: pater Supply / V'Final Clearance ok for: tinter Supplyl Clear���ce is for a -bedroon r mo ile hame Other dd' ti on (s). will be Sanit?rian. Date