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007-350-005 �� 02-3279,"-.r
°MEIGS,'ALAIN
;�' 3181 SILVERBELL RD.; CHICO ,
COt&'GREENE & SON ROOFI INALE
RE -ROOF
i
r tl�
_ t
J
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Z. PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER—ZONING
rjl r
BUILDING PERMIT
OWNER
S.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
r J
1.1
CONiRACjOf'SNAME
I
TELEPHONE
COM O MA NG ADDRESS
a
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS J
Energy Plan Checking Fee
$
PERMIT FEE
$ 7
LOT NO.
SUBDNISIows NAME
PARCEL MAP
- PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
sFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilifiies ❑ Installation ❑ Other
Describe Work: �<, � y'.. ti 'A 61 Pfi _2 _< 4
i
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home JTFGJWJ
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service ZOO. OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. �7 r r%
OWNER -BUILDER DECLARATION'
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service To
46.00
CCU000A
WEE200A
NEW CONST. DWELLING OCCUP.
OR AODNS. ( a ACC.
SO
3.54
UT
pp RESID MULTBIRANCI.OUTLET
97.50
PowER APPARATUS
a SINGLE OUR CIR.
Ex. Occup. OUTLET
R,
Bn� (P o
NS
FUCED APPLNS. OR
Ex. Occup.ourLFTs RES10. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insur ce cardier and policy number are:
Carrier �'� J�p
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
„�(,Iit/!�
Policy Number 243 — go 42 9 3 u7
(The above sections need* fot be goif the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X� Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. P
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte -County Code and/or
indicated ab a for which fees h de
/
By
PERMIT EXPIRES ONITE•D.D.S.-B.
the applicable provisions
Resolutions to do work
been paid.
— f
Date
Date
rReceiptNo. G�% C(/
CANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 z-
(1hev.12/96) APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
S'
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
S �
ERS NG O ESS 1
.OWN70,
L
v
CONTRA 'S NAME
ee
wAZL 41 At9;"
TELEPHONE
CONI TO 5 MA NG ADDRESS
y �J�
CONSTRUCTION LENDER
Fireplace
LENDER'S Mau SS
Total Valuation $
rev
ARCHITECT OR ENGINEER
_-
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
-�
Plan Checking Fee $
BUILDINGADD SS�� �� j
O
Energy Plan Checking Fee $
$
PERMIT FEE $
Cd
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UblifiQes ❑ Installation ❑ Othery /C�%�OD�
Describe Work: Oy= D//� (_�rd�l-!� 1_2 ,6- "4
� — U 4 1
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service .11A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in Il11 force and effect.POWER
License Class I Lic. No. �®=�j
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
ZIL—I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com ensatio insur ce c�ier and policy number are:
Carrier_ �
Policy Number �/ -4 —)/a% 5®
(The above sections need n� completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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 ith those provisions.
X Date �� �� ��
Signature of Ap licant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh .
Main Service 200A TO 1000A
46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a Acc. BLDs. 3.5QFr;
NEW galpT MULTI.OUTLET 97,50
APPARATUS
8 BINDLE OUTLEr CIR.
Ex. Occup. OUTLET OR FWWRES
ZO Q 100
BAL Q .50
Ex. Occup. ourEiFrs AEs�''ID.Gea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE r G(%
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
U
This permit is hereby issued under the applicable provisions
Of the Butt unty Code and/or Resolutions to do work
indicate b ve for which fees a been paid.
By Date /i a�
PERMIT EXPIRES ON5 -a -3
Date
Receipt No. ��
WHITE•D.D.S.•B. CANARY- SES OR INK -INSPECTOR GOLDENROD -APPLICANT
VA
COUNTY OF BUTTE — DERARTMENT 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.
X Date 1 v
Signature of P Ag nt
Receipt No. 33
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This p it is hereby issued under the applicable provisions of
the tt County Code and/or resolutions to do work indicated
a ve f whic fee
s ha a been paid.
d.ECT R4)-F—PUBLIC WORKS
By Date 7
Building permit expires Date 6 veto
BUILDING
Owner
p }�� �A �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 602,F- 4 R l TC- PL,0 1 'P, e
Mailing Address �'j Box 45& V
`"1-
Fireplace
Total Valuation
GNrli� GA
�Jr��pp�
Permit Fee
Building Address/Lv4e,���L(�.v,
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ed
Each Trap 1.50 42. l7Q
oT �� 7-
Repair drainage or vent piping 1,50
4 0 5 ,3 -73 A*0
A. P. No. `Yf" " J
Zoning 8 Planning
Water piping 1.50 A
Each gas water heater or vent 1.50,5
F
ftri'tatrtTFi
I Fire Dept.
I Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 j)
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
s�'d
Parcel A proval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIESF] OTHER ®/
permit Fee $
$ G
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family [j3"" 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 ADDNS. ACCLLING BLDGS.CCUP. Y\ 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professi ns Code under the name
of:
NEW CONSTR BRANCH IL
CIR T
NON-RESID, BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS e
NON-RESID. SINGLE OUTLET CIR,
Ex. OCCUD(OUTLETS OR FIXTI.RES BAL:
FIXED APLNSstyle
EX. Occup.( OUT ETS P(RESID,)REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Q Classification G—):;
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.
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.
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 1 v
Signature of P Ag nt
Receipt No. 33
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This p it is hereby issued under the applicable provisions of
the tt County Code and/or resolutions to do work indicated
a ve f whic fee
s ha a been paid.
d.ECT R4)-F—PUBLIC WORKS
By Date 7
Building permit expires Date 6 veto
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 / / 2-9
APPLICATION AND PERMIT
authorize presentatives of the County of t3utte to enter upon the , ;This permit is hereby issued under the applicable provisions of
above -m ed
property for inspection purposes. f,�.(, 1 ,, , the Butte County Code and/or resolutions to do work indicated
�f above for which fees have been pai
X /G Date RECTOR OF LIC WORKS
IL�Signature of Permitee or Agent
Receipt No.
V47 a-7- 4/ By Date 7 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B*14d+Rg permit expires Date __3
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUA
N
Mailing Addre
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
/7 Ly
Te p o7+
!o
/ e y �O Z
Permit Fee
Building Address
Plan Checking Fee &/orPenalty
Permit Fee
�-+
C:5
PLUMBING
No.
@
FEE
Is ja(a
PERMIT FILING FEE
$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 4lf-OS3 7,3 0�f�
ae oning 8. Planning
Water piping
1.50
Each gas water heater or vent 1.50
F64
St titin
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I ParcelEach
Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg--Ptan -*,e=d 1
Parcel ApEroval
Plans Approval
Lawn sprinkler system 2.00
NEW
ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
Z�5 04 u) f,�AZ 7 7—z 2
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE
$3.00
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
/_ \
'T JJ V
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. Y) 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
sty;
j,� e / f %
Q/� �/ICL� a"_
NEW RESID,CONSTBRANCH CIRCUITS)
NON.R ESI D. BRANCH CIRCUITS)
2.50ea
NEW CONSTR POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES a ��
FIXED APLNS.
EX. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. -J�/�-��-:;1/ Classification -Do
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.
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 ❑ workiforlwhicli;this-lf
permit is issued I shall not employ any person in any manner's
so as to become subject to the Workmen's Compensation Laws of
California. I",t
PERMIT FILING FEE
$3.001.3-00
Heating S
, Vo
vo -
Cooling
Ventilation
Hood"# 2.00
Permit Fee $
TK—i
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 buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize presentatives of the County of t3utte to enter upon the , ;This permit is hereby issued under the applicable provisions of
above -m ed
property for inspection purposes. f,�.(, 1 ,, , the Butte County Code and/or resolutions to do work indicated
�f above for which fees have been pai
X /G Date RECTOR OF LIC WORKS
IL�Signature of Permitee or Agent
Receipt No.
V47 a-7- 4/ By Date 7 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B*14d+Rg permit expires Date __3
5huonn onend d® '109
Blin9 90 1d.N100
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.
av
X Date
Signature of Par •tee or Agent If
Receipt No.
White-D.P.W. - Yellow-Assesso - 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.
DIR C OR OF PUBLIC WORKS
_�ry✓��
.1711-4
Date/0 SCC
Bv*d#FWpermit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor
Mailing Address — ��✓� �,
Fireplace
Total Valuation
elephone No.
Permit Fee
Building Address �-
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�o a7 —J—,s 4 G
Repair drainage or vent piping 1.50
A. P. No. .rQs ,� -�-%� a•�)�
oning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
aaaiiati,on
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
PIA 9 ec'd I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES E3—OTHER
Permit Fee $
— 'J 7
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00•OD
e00V OR LESS 5•00
Main service 100 AMP OR LESS
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADO'L 100 AMP 2.50
Main service OVER s O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST AC SCUP. 51 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:
NEW CONSTR. MULTI. UTL T
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 6
NON•RESID. SINGLE OUTLET CIR.
Ex. Occup (OUTLETS OR FIXTIIRES B L@;
Ex. Occup.(OUTLETSP(RESID.)FIXED LNS.REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No��(��36J Classification
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.
161 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
Is
TOTAL PERMIT FEE$
li
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
av
X Date
Signature of Par •tee or Agent If
Receipt No.
White-D.P.W. - Yellow-Assesso - 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.
DIR C OR OF PUBLIC WORKS
_�ry✓��
.1711-4
Date/0 SCC
Bv*d#FWpermit expires Date
.;
PERMIT NO. .—.---.:1299-79B
'�" �
•
PERMIT EXPIRES //••
`
'• John D.. Drake
OWNER
owner
+CONTR.
-fF 44-053-73 port.
;LOCATION (A.P.
)
v+
3181 Silverbell Rd., lot
27, Joshua Tree#2,
Chico
r
- 'i 'ty,
`
_ ,.
v �`. `'til
•
b Temp. Power Pole AJ 2,,,l /7
y
9'
Called PG&E '
' Temp.-Elec. Serv. " Z
Called PG&E.
`
Temp. Gas•Serv.
Called PG&E'—
'
JOB %1
4 FINALED
(Date)
+
F (Signatur )
L
j _
Relnf. Steel I Final /0 / �`7/ -7 1 L ' ir
oono seam
COUNTY OF BUT YE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
,
•.
&2F IWV
Motors
BUILDING BUILDING (Cont'd)
Test
PLUMBING
Setback
e, Firewall G�--��—'
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows J
3rd Floor
Cooling
Stemwall
Slab
Siding
Roof Sheathing
To out
Water Piping
Ducts
Piers
Roaliag
Sewer
Ventilation
Garage
Fdn. Vents
Fixtures—
'
Footings
Stemwall
Garage Vents ��•�
Insulation s/
Water Htr.
Heaters
Elec. Service
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structures
Appliances
Gas Piping
Tem . Gas
& Test g'
Slab
Final <S -
Sanitation
Support
PatioFIREPLACE
Elec. Continuity
Final
Drainage
'Footinas
Fnnflnn / .41
�. r,.—ft— ._
Relnf. Steel I Final /0 / �`7/ -7 1 L ' ir
oono seam
FIRE SPRIMELERS
Motors
Framing _-
Test
Water Htr.
Stucco otZmb
Final
Subpanels
Mesh 44<& 4 22, LMECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown '�
Cooling
oe
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent i
Door Closer .��
FinalMEMO
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
P 9
DATE
REMARKS OR
CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
ERSET
qqAA f COMPANY
@f1 LICENSED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date 19
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 ] I
Manufacturer011- � Thickness/Type / 2 R Value ✓ a
CEILINGS
Batts: Manufacturer Thickness R Valcu/rye
Blown: Manufacturer Thickne sl Nog. Ba s 1� '� Wt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer
SLAB ON GRADE
Thickness/Type R Value
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickn s/Iype��(('�� R Value (� R
GgE RWL
�� � "'" `�1j`+LICENSE NUMBER
o �j 1
B T TLE DATE v— `L -7a
INt CO NITRACTOLICENSE NUMBE�B TITLE2 A `DATE 2 2
SAVE ENERGY INSULATE!
L� ( DATE)
ACCEPTED RSET COMPANY .
.---(Authorized Representative)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 /a 9 g-2
APPLICATION AND PERMIT w
,
Owner �/ Y�3��'
SQ. FT. OCC. BUILDING VALUATION
�%
O��
Mailing AddressEt
P 6.4
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 /a 9 g-2
APPLICATION AND PERMIT w
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.
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
authorize representatives of the Qounty of Butte to enter upon the
ab oned pr erty for ' ection purposes.
X %O Date-���3r�
Signature ee or Age/n�t G
Receipt No. / ��Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
Venti Iation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $ spa
TOTAL PERMIT FEE Is
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 F PUBLIC WORKS e
VD
e (ding permit expires Date
BUILDING
Owner �/ Y�3��'
SQ. FT. OCC. BUILDING VALUATION
�%
O��
Mailing AddressEt
P 6.4
1
6 ..
�O
Contractor D
Mailing Address
Fireplace ►��"�
pG ^
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
Z%
PLUMBING No.
@
FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
27
Repair drainage or vent piping
1.50
„%)
A. P. No. % i!Po.�TJ Zoning & ming
Water piping
1.50
Each gas water heater or vent 1.50
S Sa� on Fire Dept.
Fire Zone Use Permit
Gas piping system 1 -5 outlets
1.50
EQA
Parking
Elans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet
.30
Building sewer 5.00
M
/ Idg. Plans Recd
Parc roval
PI pprovoI
Lawn sprinkler system
2.00
NEW,R ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Single Familyff Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L loo AMP
2.50
OVER
Main service OVER e
AMP OR LESS O
25,00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( 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:
T
NEW RESID, BRANCHMIILTI-OCIRCUITS
NEW CO ID BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS 6
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIiaES B �@
FIXED APLNS.
Ex. Occup. ( OUTLETS PRESID.)REA) 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 California.
Permit Fee
$
MECHANICAL No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
PERMIT FILING FEE
J$3.00
Heating
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.
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
authorize representatives of the Qounty of Butte to enter upon the
ab oned pr erty for ' ection purposes.
X %O Date-���3r�
Signature ee or Age/n�t G
Receipt No. / ��Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
Venti Iation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $ spa
TOTAL PERMIT FEE Is
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 F PUBLIC WORKS e
VD
e (ding permit expires Date
RES Ilibff IAL
ENERGY CCNSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATpIONS
— (loc at ®
BUILDING PERMIT N0. �L�'A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls M
Floors
Walls 01�
Ceiling/Roof 0',(—
Ducts i'E�`-D
Circulating Pipes Nu
APPROVED HEATER
APPROVED WTR. HTR.
GLAZ ING :
Single Glazed
Special (Insulated) N
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS. `!ES
BACK DAMPERED FANS SES
INTERMITTENT IGNITION DEVICES ,C- D
CERT. APPLIANCES
0
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
Signature of (please print)
Insulation Applicator
Genecal /Owner
Signature of
State Contractors
License No.
OVDate
tractors
ense No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPAR'1T1I:N'f PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN .A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
yah
i
�f
r r.
N
r i
L NOTE:—All Materials Workmanship Shall Be in
N%3
Accordance with Reco ized Good ractices and
The Bld . Setback all be X ft. from the of a quality prescribed or the S ecifd use in the
side property line nd 50 ft. from the Uniform Building, Plumbin &Mechanical Codesand
centerline of the ro d, permitting amaxi- the National Electrical C de.
mum of 5 2 ft. save overhang but entirety I
out of 1 easemen s. I
This set of plans and s 3ecifications MUST be
kept on the job at all tim _s and if is unlawful to
make any changes or alf et a4sons on sam6 withoki
writ$on permission from fl e.Aepartment of Pub.
.9 Rc Works, County of Bu qj
� ocation of build- �
Septic syste { b {O be }� R�
ing drain alth DeP _ 1
Butts County.
' ents.
quire►r
1 �
. r
t�L 'CSL 46aq--7
77
86TTE COUNTY
8UILDING_DEPARTMENT
APPROVED
Z,# -L I Nn NO 1 S /fie I C Gns 3 3 z-il V nI-1 e; O r
t
f
t�L 'CSL 46aq--7
77
86TTE COUNTY
8UILDING_DEPARTMENT
APPROVED
Z,# -L I Nn NO 1 S /fie I C Gns 3 3 z-il V nI-1 e; O r