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007-340-003
John D. Drake 3149 Silverbell Rd., lot,24, Joshua Tree#2, Chico P'T'l—t '#12 6 e- 7 9 B -n. 1 . . sing e famil.W— contr: Gore/6 White Plbg., Chico Permit #1571-79P(plbg.for #1296-79) 44- 899 :03T)'Ort Contr,:/ M('0'C(eelland AC PErmit #3358-79M (mech/1296-79)_ Cgntr: Fox ctrIc 79) P rmit'#3616;-79E (ele/1296— 007-340-003 06-1157 MAYER 3149 SILVERBELL RD, CHICO Cont: GALLAGHERS HEAT/AIR HVAC 4 .40 -7- 0 M �' ! UU7-340-003-� 06-1157 T NOTES-MAYER'.. 3149 SILVERBELL RD, CHICO °U Cont: GALLAGHERS HEAT/AIR HVAC = L APN: Permit No. Owner. Site Address: Contractor. Type of Permit: X SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED. ' FIRE SPRINKLERS REQUIRED. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS s SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. DATE JOB FINAL ✓ 7, SIGNATURE: e=OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING " 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Alr Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpp 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-Fisc Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 StemWalls Main; Steel-Blockouts-Wrapped 57 Test Tull & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs ' 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas.Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz AnchrsSz Test 11 Wtr Pipe; Test-Anchrs-RgltrServlce Test 12.E16cUndrgmd DATE MECHANICAL 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & VnUtn 63 Condensate Drain & Ovnflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pitirm If Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IF IN A L 18 Walls Studs-Nailirig Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings -.19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof)' 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops,`Fiirred CeilingsStairs-Chasers-Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & BeamsSz'&-Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchni Crinctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type AFlue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs &Labels 26 Attic Acc; Sz & Rinx,Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Editing DoorsSill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Pit cfn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs' 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding-Nalling Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3° drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls In Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 Cimc Drnge Planters El Yes ❑ No �� A �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pirn Appinc-Frplc-Clmc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lespctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz , ❑ CU or ❑ AL 98 Address Posted AC Wire Sz , 0 C or ❑AL 99 Fire Sprinkler 48 Range Circ ya ❑ CU or ❑ AL Oven Circ pa [:ICU or ❑ AL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o=OK n ur,e nu MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION Lj SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd "Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C KS -C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-DnnctrsSteel 3 Decks, Glyders/Joists-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-RRrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis g .415, DATE JPOOL.S - 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5'.Crcitng Egp-Pool Ightg Boxes-Encisrs-pnlboardsansultn to Main Conduit 9 Health Dept Appnrl . 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or. Slide Pool Drawing CERTIFICATE OF FIELD YERIFICATION & DIAGNOSTIC TESTING {Pape 1 of-&) CF -4R Projestpddres-3 3149::SilV&b6Il:Rd `Chi&'CA 95973 DueiPrenurition T•�-tResults(CPM@ 25 Pa) BuiI&is ldarre BuilderConisl Iristailing'�Confraclor: Telephone PlanNumbsr HERS Rs%r Home:Enalas:s Telephone :760=768=3228: Sam p le rr r.-, up Number 14 : Calculstiad(Nominal: V ❑ Cooling' ❑ Heatine)or V ❑ Measared Ran glowg Eniar Total Fan glow is CFk1: Com Iianc,--Meihod Prexr ipLive ClimalsZone Certifying3ignature (Eledronicall si ned)•. 05/3:1/07 Data. 3ampIsHouse Number 28 Firm Enalasys .Corp HERS Provider CPBCA'. 3lrert 8.ddtes'a: Ciiy�@taterZlp: Copies to: EUMDER, HERS PROVIDER AND BUTLDTNG DEPARTMENT RERrj' RATER CD NIPLI A NC E 8TAT EM ENT !'hr house ❑ Traded +( X7 Appm and as pari oFssmple testing, but was not lml:-d Aa be HERS rater providing diagnoa-t_testingand fi✓ld verification T mrtify batThe house i entified on this form complis W0 thediagnoati: iesledcrmplisn�;e ruirerttenlaas cher lel mon this t`orm. The HERS rater must checks nd verify thstihe nekJ distribution system is fully ducted and correct tape is us+�d"kefores CF -4R maybe released on every ted building. TheHERS ratermustnotrelytheC QuntilaproperiycompletedandsignedCF-SRhasherrreevedfort>Fmplaandtev^ed buildings. ❑ The i nm l ler ha, provided a copy ofCF fF, (Nstallalktr Certificate). ❑ NewDi;tribution sys-L m is fully ducted(i.e, does not umbuilding cavities asplenurre or platform rdurns in lieu ofducu). ❑ New s,,slcrra wh= cloth backed, rubber ad M,si tie duct tape is ira talW, mastic and draw bands are us- ed in combinalion wi th clot h backod, rubber adh _-iv v d uel tape to s~al lost- at duct connpclions. V r..MTNiivl IM REQUTREMENTS FOR DUCT LEATfAGEREDUCTTON COMPLIANCI? t-,REDTT ,P%xdve,pr fkeJd verjSt&Iox and di ag;wvz resfjxg ojrn'r di, ibx1;o t sWjemsa a a►a;lab/e is Redd AppeYub;c RC4.3. D.ucl DIagncclie LcakageTesLing P,--uII- NEVtr CONSTRUCTION: DueiPrenurition T•�-tResults(CPM@ 25 Pa) Measured Values I Enter Tested Leal ageF low i n UM: 2 : Calculstiad(Nominal: V ❑ Cooling' ❑ Heatine)or V ❑ Measared Ran glowg Eniar Total Fan glow is CFk1: 1000 3 Pam, i(Leakage Percernags56% f 100s ( (UneY11)/ (LineW2)]] ❑ bs ❑ Fail ALTERATIONS: Duct Spatecm andror HVAC likulpmeut ChangeOut 4 EntrTe;ledWck gsPlowinC.FMfromCF-6R:Tire•TesstofExirtingDurASy�mPriorz D urs System Alteration and/or Equipment Change -0u. E ntzr Tesled Lea ►NeFbw in UK Final Test of New Duca 3ysm., or Altered Duct sys-tem for Dud StirstcmAIteration and/or EquipmentCbange-Out. 58 6 Enter Reduction in LeaLmge for Altered Durzt System ( (Lined 4) Minus (Lined S)] (Only if Applicable) 7 EniarTes dLeskageFbw inUlvftoOut,ide(Only itApplicable) 3 E mire New Dud System -Pas.? i f Leabge Percentage �5 6% 100x f 8i X Pass ❑Fail =OR VERMCATTON STANDARDS: For Altered Duct System andlor TiVAC 14pipment Changeout Use one of the follaw`12Z four Teat or Verifltstlon St Rud srdsfor co haute: 9 P ifL�kagePeroentage5 15% (100x [-(Line W5) 1(LinsW2)]] ❑ Paso ❑ Fail 10 Paw ifLQabgeto0utaide.Percentsge5 10%[100x f (Lineal?)/ (Li nefi2)]J ❑ Dasa ❑ Fail II PawifLealn eReduction%rcpntage26Q%[100:r and Verification b 3moke7estandVisualIn tion ❑Pass ❑ Fail 12 Pass if Sea] in of all Aocesaibla.Leal<s and Vet ifiwion by Smoke Test and Visual I nzpeuibn ❑ Paso ❑ PGII Pass if One of tines #P tbrouzb 4 12pass : " UC Pa ST ❑ Pail Re6dextiv QVKpLa*te ,q'arras April ZVVJ 900/£OOO sed 9 3eaH szagbetZeg vv6T vet: 0E9 Xtra z0:zT nes e00z/1E/s0 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R t Number Site Address Permi 3149='Silvi?rti'ell:Rd''Cfiii :CA'95973 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10- 1 03(a). HVAC SYSTEMS: Heating Equipment Equip Type kl?.heatpump) t:EC Certified Mfr, Name and Model Number q of Identical Systems Efficiencyt (AFUE, etc.) (2CF-3Rva1ue) Duct Location (attic etc. Duct or Piping R -value Pealing Load Btu/hr Heating Capacity. (MUlhr Package AC + Ga . Amaria;. 1 a 0% Attic. 0:0 29000 0 Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number :: of Identical systems Efficiencyo t (SEER or EER) (2CF-1R value) Duct Location (attic, etc.) Duct R -value Cooling Load (Btu/hr) Coolin„ Capacity (Btu/hr Package AC +'.Gas . Amaria;. 1 1.3:0 Attic r0:0 29000 .30000 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. +� [X- 11, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with !heEnergy Efficiency Standards for residential buildings, and 3) equipment that meets or, exceeds the appropriate requirements for manufactured devices (from fne Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Gallagfier's`Air. Signature: ��� Date: 05131!07.: (Electtpiiioallysigried):. Copies to: BUMDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 900/40010 z v 14eaH szayfietZeg yv6T fib£ 0£5 Xtra 60'-ZT nHS LOOZ/T£/SO INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number 3149 ..'S rtiell Ril : Chic .GA 95973 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ Cx_ .ested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: !X. Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used Inspect Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ✓ ❑ DUCT LEAKAGE REDUCTION Procedures forfieLd verification and diagn ostic tesfino o air distribution systems are available in 844-111 A endix RC4 3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM C; 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ IX Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 c.`mjton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating 1000 Capacity in Thousands of Btu/hr ou: ut, enter total calculated or measured fan flow in CFA4 here, 3 Pass if Leakage Percentages 6% for Final or <- 4% at Rough -in: 100 x (Line # 1) / Line # 2 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Chance -Out Enter Tested Leakage Flow in CF1vt from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or E ui ment Change -Out. 58 Enter Reduction in Leakage for Altered Duct System 6 r (Erne # 4) Minus .58 ine # 1 (Only if A licable ..........::.. ......_... 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage :5 6% for Final 8 100 x ine # 5 / :.1' Line # 2) ] Pass i Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage :9 I S% [ 100 x [ (Line # 5) I (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentages 10% [ 100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >:60% [100 x L_(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual [ns eefion ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection i°: ❑ Pass ❑ Fail Pass if One of Lines # 9 through # I? ass r_:Pass ❑ Fail ✓ EI, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit [, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Galla liersAir: Signature: Date: 05131!07..: ((Eleclronically:ed) Copies to: BUrLDTTVG DEFARfl1'11;s�iggn�1V1', ITERS RATER (IF APPLTCABLE) BUMMIG OWNER AT OCCUPANCY Residential Compliance Forms September 2005 900/SOoin srd S 4e0H szaubetteg T1,6T bg£ 0£S XVa SO ;ZT nHS LOOZ/T£/SO INSTALLATION CERTIFICATE (page 5 of 12) CF -6R Site Address Permit Number 3149': SilvertielliRcl�'Ctiio;CA 95973': ✓ �: THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix R1. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Access is provided for inspection. The procedure shall Location consist of visual verification that the TXV is installed on ✓ Yes O No the system and installation of the specific equipment [X: ❑ Outdoor Unit Model shall be verified. Cooling Capacity Yes is a ass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # OF Location Roof; Outdoor Unit Make Amann':: Outdoor Unit Model APG18'W7,01A': Cooling Capacity 3.00.00'. Btu/hr Date of Verification 0510.11.07; Date of Refrigerant Gauge Calibration 04%151b.7.: (mustbe checked monthly) Date of Thermocouple Calibration 04%15)07 (must be checked monArly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above)_ Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2, Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Tretum, db) OF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF imheat Charge Method Calculations for Refrigerant Charbe Actual Superheat = Tsuction, do — Tevaporatoi, sat °F Target Superheat (from Table RD -2) °F Actual Superheat—Target Superheat (System passes if between -5 and +5°F) `F Temperature Split Method Calculations for Adequate Airflow ,Z.Uf l..H—d is nnf ...-0nr» if ddonrinfo Airflnw nodi} is fnlro)l Actual Temperature Split = T return, db Tsupply, db -F Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -3 °F and -100°F Residential Compliance Forms April 2005 900/9000 zrd g 4e2H szarlbeTTeD Db6T ir9£ 0£S XV,1 90:ZT nHS LOOZ/T£/SO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT . 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061157 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby' affirm under penalty of perjury that I licensed under provisions of Chapter -9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/17/2006 APN: 007=340-003-000 the Business and Professions Cade, and my license is in full force and effecLicense Class: Number: -T7-)51 �� License Number: Site Address: 3149 SILVERBELL RD CHI Date*S � Contractor: 11 Map Index: Description: HVAC CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MAYER SCOTT J & MARSHA LYNNETTE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 3149 SILVERBELL RD the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95973-0312 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 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 does Applicant: GALLAGHER'S HEATING & AIR such work himself or herself or through his or her own employees, PO BOX 35 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of LOS MOLINAS, CA 96055 , proving that he or she did not build or improve for the purpose of 800-892-3556 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 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 such projects with a contractor(s) licensed' Contractor: GALLAGHER'S HEATING &AIR pursuant to the Contractors' State License Law.). PO BOX 35 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOLI NAS, CA 96055 Date: Owner: 800-892-3556 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 777334 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 5 a e 1;:�a C Tie Carrier: n Total Square Ft: 0 S.F. Valuation: $0.00 Policy #: D 1 dQ 13 (ZS S ❑ 1 certify that in the performance of the work for which this permit is Census Code: 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 provisions. Date: Applicant: hWA�l 11--, WARNING: 6TFailure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 60 CONSTRUCTION LENDING AGENCY This permit is h reby issued under Ih licable provisions'of the Butte County Code and/or �utions I hereby affirm that there is a construction lending agency for the Res t o work indicated ab • ve f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Byf / /� Date: PERMIT �— - —D ( Address: EXPIRES ON: L / (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectioqnses, PrintName: J�n n/ fSignatur Date: s Q A/ / ❑ Owner ❑ Contractor El Agent for Owner O Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROViLLE: (530) 536-7636 • CHICO: (530) 841-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF'APPLIC•ATION Website: www•buttecouuty.uettdds `PLEASE PRINT CLEARLY— A PLICANT SIGNATURE For office use only-. CONTRACTOR OWNER Last Name Address _�b list Npe Address 3 qj / D Cly Phone 3� Lot ## StateP E-mail Phone Lic. # Class Fax E-mail A PLICANT SIGNATURE For office use only-. CONTRACTOR f NameNVAC, s avqG Address _�b WORKER'S COMPENSATION City : C?S State CA21,�&Osc� Zp' Phone 3� Lot ## Fax E-mail Approved: Lic. # Class A PLICANT SIGNATURE For office use only-. ARCHITECT/ENGINEER Name s avqG Address WORKER'S COMPENSATION City • as State Zp' Phone Lot ## Fax Email Approved: State License Number A PLICANT SIGNATURE For office use only-. APPLICANT NAME Name C 11C1 s avqG Address P Ac WORKER'S COMPENSATION City � C • as State ]z5�oC�--c'— Map Boole Phone�• Lot ## Fax E-mail Approved: A PLICANT SIGNATURE For office use only-. API C/)nl (J V Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license con"ctors, a certificate of worker's compensation must be shown at the time of permit Issuance. Map Boole Page Lot ## PlannerDate Approved: LOCATION API C/)nl (J V Pro rtAddres City , Cross Street WORKER'S COMPENSATION Policy Number -11-3 Carrier 54 -e -+,f If hiring anyone other than license con"ctors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address Descri tion or Scope of Work: U `a )e --8' Sq, Footage - 0 Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION T Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action onlin application after expiration, a new application, plwis and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the pertttit and no construction work has been done. Filing foes, plan check ices for work plan checked and other department costs are not refundable. c 0 Received by: Amount: SSS Bldg SRA Receipt#: L��6S5� Sheriff 0. AW SMIP Date: Other Sr- / 7-Q� Tn"l "sr, I' -1296--79B , _ ERMIi NO. ti. 3��d�Iiy � , ¢ PERMIT EXPIRES OWNER John D. Drake ' t owner CONTR. 44-053-73 port. ,,LOCATION (A.P. ) 31.49 Silverbell Rd., lot 24, Joahua Tree#2, Chico Temp. Power Pole a Called PG&E Temp. Elea Serv. f Called PG&E Temp. Gas Serv. Called PG&E JOB - FINALED lJ (D e (Signature) . "Willi. 0LWWl rinai iV i Fixtures '&..— Bond B IRE SPRINKILE Motors - FramingTest Water Htr. Stucco 4 0z Final Subpanels Mesh MECHANICAL , Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish / Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec- Pedestal Water Piping Sewer Gas Piping MQ1I6E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILPING, ING BUILDING (Cont'd ..,- . PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor , Main B16g. Restroom Finish 2nd Floor Footings 04Z ZZWindows 3rd Floor Stemwall Siding ' To out 01 -� Slab Roof SheathingWater Pi in Piers Roofing Sewer Garage Fdn. Vents r —= Fixtures Footings Stemwall Aw Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footin E CT AL Masonri Walls I Throat Rou h <.5 "Willi. 0LWWl rinai iV i Fixtures '&..— Bond B IRE SPRINKILE Motors - FramingTest Water Htr. Stucco 4 0z Final Subpanels Mesh MECHANICAL , Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish / Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec- Pedestal Water Piping Sewer Gas Piping MQ1I6E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) I— µ r RES IDEAT IAL ENERGY CC\SERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSEERVATION REQUIREMENTS HAVE BEEN IT 1-) L D IN bW4N' NF C. � CE ITH CU� E Gam' JENE!§ CONS E 14 9 RVAT ION S 0 �,1J �� , (129) -13 �O'� BUILDING PERMIT N0. A.P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not,,applicable)- INSULAT ION : P� GLAZING: r '" Slab Edge. Single Glazed Fdn. Walls U PA Special (Insulated) tol . Floors CERT. &LABELED WDS. Walls & SLIDING DRS. v 5 Ceiling/Roof bK. WEATHERSTRIPPED DRS. Ducts y'ES BACK DAMPERED FANS Circulating Pipes Ny INTERMITTENT IGNITION DEVICES '-,C-: 75 r ` APPROVED HEATER CERT.. APPLIANCES 1� APPROVED WTR.HTR. ';ES .a I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE.TO, THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (please printf. Signature of Insulation Applicator State Contractors License No. General eontj�."� /Owner nt) Signatureof8`�^_ ft _'_ ^-_-_-_--"=/Owner yse P'Datentractors No. PHIS CERTrFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO "REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN -A CONSPICUOUS LOCATION -WITHIN THE DWELLING.. Ei E?4 S E T RR -nn CQMPANY aH LICENSED CONTRACTOR Phone: 342.4764 P.O. Box 628 — Durham, California 95938 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 LOCATE AT: Street Lot Number Tract No. EXTERIOR WALLS / Manufacturer Thickness/Type - R Value CEILINGS Batts: Manufacturer Thickness R Value 4 G Blown: Manufacturer Thickness No.egs Wt./Ba Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer _ GEN T B INS L ION NT B ( DATE) ACCEPTED Thickness/Type R Value A'v Dg' `a—: LICENSE NUMBER Oma^ ( j'x� TLE 30WDATE / ICENSE NUMBER TITLE 6WLtJLj DATE -- SAVE ENERGY - INSULATE! HE H OMPANY (Authorized Representative) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _1e219&--� /A 7 authoriz resentatives of the Co my of Butte to enter upon the abo entio ed proper y for i p tion purposes. X Date ignature of r or Agent eceipt No. �5 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. DIRECTOR OF PUBLIC WORKS By 5:::� � a Date :7-2-o—? i BtMding permit expires Date —J_1 C) BUILDING Ownero.W D D � SQ. FT. OCC. BUILDING VALUATION Mailing Address (f_ / 4441 Contractor Mailing Address Fireplace Total Valuation g Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee Z 7 s Z% Di PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 if r7� Repair drainage or vent piping 1.50 �r y A. P. No.�y�pp��i%J 147neV 1 Zonine h lanning Water piping 1.50 Each gas water heater or vent 1.50 Sa>�l't 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 M I g. Plans ec'd Parcel rovol Plans Approval 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 loo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR AODNS. ACCLLING BLDGS.CCUP. s) 20sgft 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: NEWCO ID ` BRANCH CIRCUITS) 2.50ea SID, EW RE/MULTI-OUTL T NEW CONSTR POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L ,� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 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. ❑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. PERMIT FILING FEE $3.00 Heating 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 $ TOTAL PERMIT FEE authoriz resentatives of the Co my of Butte to enter upon the abo entio ed proper y for i p tion purposes. X Date ignature of r or Agent eceipt No. �5 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. DIRECTOR OF PUBLIC WORKS By 5:::� � a Date :7-2-o—? i BtMding permit expires Date —J_1 C) . i The Bldg. Setba k shall be ft. from. the NOTE.—All Materials & W rkmanship hall Be in side property li ie and 50 ft. from the Accordance with Recognize Good Practices and centerline of the road, per ittirt'g a maxi- �� of a quality prescribed forte Specified use in the mum of a 2 ft. a v&-overha but entire 9 1 Uniform BL4Iding, Plumbing & Mechanical an out of all easements. Codes I National Electrical Code This'set of plans and specifications MUST be kept on the job at all t mes and it is nlawful to make any changes or a-erations on sa ne without writ+en permission fiviri the Depart m nt of Pub - j lic Works, County 6Z utte' I1 I location of build- 1 Sep#ic stem and Ing dr in stub-H®al#h be as per Dept. fig' Butte county, quire ents. 1 7`T i BU' ECOUNTY ' BUILDI G D� PARTMENI AP R- VEQ ✓. ��� COUNTY OF a, - 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 i spection purposes. X Date ~ Signature Pe�jtee or Agent Receipt No . f/L��/rK53�3373 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 ve f which fees PaveXeen paid. E OR OF PUBLIC WOR (By DatC_-VL7 Building permit expires Date /90 BUILDING Owner JoµJ Qeav-e SQ. FT. OCC. BUILDING VALUA Mailing Address Telephone No. Contractor 610 (?�E + W14iTE Fly% M 6 , Mailing Address R'(, 4 Bob( 4%% v Fireplace Total Valuation Gi'l-1 Lo LA , jZ`� Permit Fee 10 Building Address 7 �/ g 31Al 1(L&e�L� �v, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 S 40 Each Trap S 1.50 ,00 �/ ' Lor"W ' Z C#I eo Repair drainage or vent piping 1.50 V45 2 _ 73 /� A. P. No. J (, OQ-% Zoning &Planning Water piping 1.50 �,s® Each gas water heater or vent 1.50 �,SO F C. Saw44a+ion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 BWo-P4.enrRec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESE] OTHER Permit Fee $ ,�3 .$ PL,ul46, roe yePt- 1Z,?&_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 �/ [E Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR A.D.S. ACCLBLDGS.LING CCUP. Y) 22sgft 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: /`te�� 45;Qe l�"�V�/\ ((A 11,414 - N.ON CONSTR. BRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS B NON •RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXT11RES g L 1� 0¢ FIXED APPLNS, OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Classification dv_"'-3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 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 1 1 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 i spection purposes. X Date ~ Signature Pe�jtee or Agent Receipt No . f/L��/rK53�3373 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 ve f which fees PaveXeen paid. E OR OF PUBLIC WOR (By DatC_-VL7 Building permit expires Date /90 ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '' OrpviIle, California 95965 �- Telephone: 534-4541 ����.�� APPLICATION AND PERMIT//! Owner_ Mailing Ad ress Telephone No. Contractor M e tie Ilan c 4 . e - 7A- e Mailing Address 1 e6 fA /j�Q Tel1 11 No. Building Address () '�( / NEC 6111 _hC-F q 5 -5 -lc A. P. No. 6,57 3 RV0-T •_ Zaning & Planning Pws I vle I 611144 Lien Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements BI Parcel Approval Plans Approval NEW Eif ADDITION ❑ UTILITIES ❑ OTHER Single Family 01 Duplex Mobil Home ❑ Others ElIA-5,49-11 da0 ,oma fi hod _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION 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 sprinkler system Permit Fee NEW CONSTR BRANCH CIRCUITS T NON -REBID BRANCH CIRCUITS ELECTRICAL PERMIT FILING FEE Main service soov OR LESS 100AMP OR LESS Main service EA.ADD•L 100 AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 4' ACC. BLDGS. $3.00 5.00 2.50 25.00 1.00 CONTRACTORS LICENSE LAW NEW CONSTR BRANCH CIRCUITS T NON -REBID BRANCH CIRCUITS 2.50ea I am licensed under the provisions of Chapter 9, Div. 3, of the NEW CONSTR. POWER APPARATUS 1 NON.RESID. (SINGLE OUTLET CIR.6 1� State of California Business & Professions Code under the name Ex. Occup{OUTLETS OR FIXTIIRES BAL@C AL�10 stW.FIXED / /1 / Ex. Occup. (OUTLETS P(R NIS 'D.)REA) 2•00 L l �!/" ( 40/7lJ -fes Temporary service 10.00 a a VQ�a gsGJ Mobile Home Facilities 15.00 n `_c)0 Misc. Wiring 6.25 License No. s��/�-� Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability VI orkmen's Compensation. have placed on file with the County of Butte a certificate of IN 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. , ! tr I certify that I have read this application and rstete that the' above 1,s information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize r resentatives of the County of Butte to enter upon thel above -me i ned property for inspection purposes. a X Date fI ignature of Parmitee or Agent ,wok "A (a " '�'�'aIrK �g�-y P141 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No.J @ FEE PERMIT FILING FEE $3.00 3.01 Heating 01 c,o — Coolinq / .j Ventilation Hood 1 1 2.00 Permit Fee $ $ loeD Land Development Fee $ "''TOTAL PERMIT FEE$ /T (p 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. IRECTOR�-2UBLIC WORKS By 14 Date ? 7 BuUding permit expires Date �� �� 9� G sraoK` ���e�a 40®Ldaa �,una ao �,Nn COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -' OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-me'oned property for inspectionpurposes. X Date Signature of Permitee or Ag t avReceipt 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 or which fees have been paid. D ECOF PU LIC WORKS Q Y Date Buiidiflg permit expires Date " a©'C� BUILDING Owner h� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation ! r ���G � Te ephone No. Permit Fee Building Address l �G vZS t3 PlanChecking ng Fee&/or Penalty Fee Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ) j Ao7— I7 kw�[;v p� G' �G6 Repair drainage or vent piping 1.50 A. P. No. —GLS' o�T j Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees 9ani-tatrUn 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 ans ec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ .$ -- 72 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family Jpq Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW L I UP. 4 OR ADDNS. A L GI ) 2�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 of: JJ & X L1=C' r NEW CONSTU TI.OUTT NON.R LRESID BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES g L� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / �^ License No�C��.3L..� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $37 12? 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. 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. 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-me'oned property for inspectionpurposes. X Date Signature of Permitee or Ag t avReceipt 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 or which fees have been paid. D ECOF PU LIC WORKS Q Y Date Buiidiflg permit expires Date " a©'C�