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1v / ..,� fnD. Drake�'�. -j 459 Cimarron Dr., lot 84, Joshua Tree#2 ] ChicoP�� r Permit #5729=78 (new single 'family) M4At M -1P rmit #7 (0 clearance fireplace) SF Contr: Gore & White,Chico Permit #363-79P .�_ (•plb5/5729-78)SF Cont ��ly % P-Ermit elland AC, Chico co 6- 79M (mech /5 72 9- •�ca,Q (p/�/ wt + CorJW: Fox E le PErmit #1329-79E(ele/5729-78)SF 007-350-007 06-1399 r. ZARATE F - , RANK 459 CIMARRON DR, CHICO. ; Cont: t } , " HVAC C/O 8071-2572 ; ', , a. - !007-359 -007 MISCELLANEOUS Room',Addn-First Stry LIVING ROOM ADDITION _ 400'; 459 CIMARRON DR ZARATE FRANK J & EL, r S 0 { Ln BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds ,. PROJECT INFORMATION Site Address: 459 CIMARRON DR Owner: Permit No: B07-2572 APN: 007-350-007 ZARATE FRANK J & ELA, Issued Date: 06/23/2008 By KCG Permit type: MISCELLANEOUS 459 CIMARRON DR Subtype: Room Addn-First Stry CHICO, CA 95973 Expiration Date: 06/23/2009 Description: LIVING ROOM ADDITION - 400' Occupancy: Zoning: RI 0( Contractor Applicant: Square Footage: DAN DAVIS DAN DAVIS Building Garage Remdl/Addn 4283 RANCHO ROAD 4283 RANCHO ROAD 400 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 894-5317 (530) 894-5317 400 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $279.95 DBMSC Room Add -1st Story 250sf $419.93 DBSMIP Residential $2.60 PW DRAINAGE $87.41 Total Charged: $865.59 Fees Paid: $865.59 Balance Due: $0.00 Receipt No: B7778 LICENSED CONTRACTOR'S DECLARATION _ OWNER / BUILDER DECLARATION _ Contractor (Name) State Contractors License No. /Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DAN DAVIS 565364 / B / 04/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Sepion 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and eff CL 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 violation of Section 7031.5 by any applicant for a permit subjects X I 06/23/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION _ _ _ _- I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law down not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundredllars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ®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 Workers' Compensation Laws f California, and agree that if I should become subject to the workers' X 06/23/2008 compensation provi ons of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 06/23/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pro rty ow r or am authorized to act on the prope owners behalf. CONSTRUCTION LENDING AGENCY 06/23/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for NaMe of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR: Agent for OwnerAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION* * NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ' A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds gm I PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTOR OWNER INFORMATION Last Name 5. 0 ea First Name Mailing Address Zip City Fax �r7 State CA Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name Address 5. 0 ea City ,. State .,�73 Zip Phone �yy S3 y7 Fax �r7 E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone, Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APP /CANT SIGNATURE X Zk /.0/, PROJECT LOCATION API On7 3 0 Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING,AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Livi Garage Open o ❑ Structure Built without Permits /� ✓ ❑ Proposed Change of Occupancy (^ (Note previous use): _J For office use only: Zoning - Flood Zone SRA I Yes o Occ. Type Const. eTp� (!)*102-0ff �.US_p I q46959 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds 0 "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2572 Location: 459 CIMARRON DR Parcel Number: 007-350-007 Owner Name: ZARATE FRANK J & ELA, Description: LIVING ROOM ADDITION - 400' Date: 12/18/2007 By: GLB Sub Type: Room Addn-First Str Phone: The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS 1:1 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 1:1 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 �,. Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ � 1:1 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 . ❑ D Other: El El Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. /1 , I Signature of Property Owner: A _ (L Date: 12/18/2007 FILE FROM : DAUIS BUILDERS FAX NO. : 5308945371 Jun. 23 2008 01:20PM P1 DAVIS BUILDERS DAN DAMS 4283 RANCHO ROAD CHICO CA. 95973 530-894-5317 ATT. Kourtni at B.C.B.D. June 23, 2008 12:07 pm. I Dan Davis of Davis Builders give Tim Anderson of Anderson Construction permiton to pay for and pick up the permits for the Zarate addition on Cameron Way Chico CA. DanDavis IN: 0131,11,46ye-A COUNTY �I JUN 2 3 2008 DEVELOPMENT SERVICES - �,- .23 Zoog BUTTE COUNTY FEE SUMMARY 7 County Center Drive . Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 12/18/2007 2:08 pm Permit Number: B07-2572 Job Address: 459 CIMARRON DR Contractor: DAN DAVIS 4283 RANCHO ROAD CHICO, CA 95973 Fee Description Account Number Fee Amount Paid Date Pmt Amt PW DRAINAGE CSD 775 - SUDAD Ditch 1821-0-280-1011975 $0.00 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/18/2007 $75.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $419.93 DBF Room Addition - First Stor 0010-440001-4210500-1010 $279.95 12/18/2007 $279.95 DBSMIP Residential 1001-0-280-1011298 $2.60 778.18 $355.65 Printed By: Gwyn Benedict Balance Due: $422.53 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. Thesefee ay nge during the plan checking process. Signature: Date: 12/18/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Jun 11 OB 03:41p BUTTEp. 2 COUNTY BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM JUN 2 3.200$ (One foray per Building) DEVELOPMENT School District: Chico Unified School District Building Permit Number: B07-2572 SERVICES Tax Rate Area No: �� ' 0 CID Aasessoes Parcel Number (s): 007.350.007 Junsdictten: County Property Owner (s): ZARATE FRANK J & ELA, Project Location/Address: 459 CIMARRON DR CHICO T)'pe of Development Residential Development: No Yes © Sq. Footage: Opp No n owing Mobile Nana Addidad 5appk_rrtel :r. Cr. i7ento existing Units Installatien eulcrs:o ca Pemal a "0 Founsadon lasytcionl sq. ft. Net total sq. rt. Deed Restricted Sq. Footage: 0 Aucn sone cmi M Dead Rastric! cn and Wtica of Unted Uca :c ,N nor. Commerciali'Industrial: =New = Addition Sq. Footage: 111c!uGina .ergr ea 9 Project Description: LIVING ROOM ADDITION .400' 6/1 112008 _(2uio�n &4_muc5t_ Bullrg pa t Representative Dam District lndentification No. N ' + 1� _School District certifies tiara Payor) (Street Address) (city) (State) (Zip Code) (Phone Ntunber) has complied with the requirements of Resolution No. by payment of S IF representingsquare feet. AB 2926 S FULL.W.TIGATION S School District Representative Date. Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by sumittiug a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will probibit you from challenging the imposition of the fees in any court action. suirsequent to the School Districlpresea the signing this BuWe r-ounty Schools Impuct F ea r-ertilication borm, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California. Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on.tpe:schooi'district's schools. White (School Disuict) Yenluw (Building Department) Pink (Applicant) DDS School Fee Font rend 3.10.08 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B07-2572 Date: 12/18/2007 Location: 459 CIMARRON DR Parcel Number: 007-350-007 Owner Name: ZARATE FRANK J & ELA, Phone: Description: LIVING ROOM ADDITION - 400' Signature of Applicant: FILE Date: 12/18/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 Q0. O O 0 0 0 � f��p National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2572 Location: 459 CIMARRON DR Parcel Number: 007-350-007 Owner Name: ZARATE FRANK J & ELA, Description: LIVING ROOM ADDITION - 400' Date: 12/18/2007 By: GLB Sub Type: Room Addn-First Str Phone: By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of.land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Z - VA FILE Date: 12/18/2007 ' T Butte County Department of Development Services ur naEn N O `T E -S � f 7 County Center Drive, Oroville, CA 95965 ' (530) 538-7601 www,bul etounty.neV4q' RESIDENTIAL r 007-350-007 I1 ► 06-1399 ., 4 APN 7ARATE,: FRANK— Pew t:" 459 CIMARRON DR, CHICO ' Owner. STORY,HEATINGWAIRCont Site Addre: Z-H VAC C/O ' Contractor. Type'of Permit:, . i M 7 S SPECIAL CONDITIONS j' CHECKED BY i a Ste, Q FLOOD CERTIFICATE EQUIRED • Q FIRE SPRINKLERS REQUIRED , Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS + Q SUB-STANDARD HOUSING LETTER { Q ENCROACHMENT PERMIT - Q REINSPECTION FEE PAID OENV HLTH CLEARANCE /2-z 1 _Qj� . DATE JOB FINALED: s' SIGNATURE - =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE Lj PERMANENT FOUNDATION SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Gmd Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat rj or LPO Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Ctmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electilcity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers ' -_DATE ID E C K S•C O V E R S -C A R P O R T S •G ARA G ES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4b1rs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors T Electric 8 Fang; Sills-AnchrsStuds4Was Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls yo- yy °'r 0 DATE POOLS 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 Lung; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries Terminals-l-isted - 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr ` 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding; Diving board or Slide 4P da° o'er mss` Pool Drawing RESIDENTIAL (Single & Duplex) GATE UNDERFLOOR DATE PLUMBING ; 1 ZoningSetnacKs-i=asements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ft4 DRtii 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth " 5 Stemwalls Wain; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftp -Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntitn 16 Insulation o'•" e`� o'd 0`� DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs-Nailitig Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,"Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsS &' Bearing" 23 Hangers -Post Caps-Anchrs-�Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flu"4F lc Throat Clmc 26 Attic Acc; Sz &'Rmz Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Class PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int)Ext Wall psis 38 Insultn-Walls-Ceilings 39 Infiltration -W alis -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrncdns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , Q CU or QAL AC Wire Sz ua [:ICU or EJ AL 48 Range Circ oa Q CU or[:] AL Oven Circ ya Q CU or Q AL Insulated Neutral El Yes El No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirnes pnls-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector o'' vJ41 o' 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail "Prtctn 56 Shwr Pan; Test, Fust fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping DATE MECHANICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loetn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptci-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler INSTALLATION CEat CA'E (Page 4 of 12) CF -6R Site Address � Permit Number INSTALLER COWLIANCE STA INSTALLER COMPLIANCE STATEMENT The building was: ✓ Tested at Final ✓ ❑ Tested at Rough -in FOR EDUCT LEAKAGE INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are property 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 on nero ducts. ✓ 103 CT LEAKAGE REDUCTION Procedures for field vermeaton and diapnaslic destine of air d2wribution syslems are available in RACI. Annen&r RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM Q 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating Ca i in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: 100 x (Line # 1)/ (Line # 2) ❑Pass 13 Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change-Oirt. - Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 Sy stem for Duct System Alteration and/or Equipment Chan ' e-Out Enter Reduction in Leakage for Altered Duct System 6 ine # 4) Minus—(Line # 5) —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System -Pass if Leakage Percentage 6% for Final. 8 .< 100 x iae #5)1 Line # 2)11 TEST OR VERIFICATION STANDARDS: For ❑ Pass ❑ Fail Altered Duct System and/or HVAC Equipment Change - Out Use one of the followia four Test or VeriFrcation Standards for compliance: 9 . Pass if Leakage Percentage <.15% [l 00 x [ _(Line # 5) /(Line # 2)j] i 10 .Pass ifLeakage to Outside Percentage < 10% 1100 x [__ (Line # 7) / (Line # 2)jj P'T'ass 13. Fail Pass if Leakage Reduction Percentage > 60% [100 x [bine # 6) / (Line # 4 11' and )n ❑ Pass ❑:Fail Verification Smoke Test and Visual ection ❑Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification bv Smoke Test and Visual Ins -on ❑ Pass 13 Fail rags u erne of fl.rnes # 9 thmnah it 12ass ❑Fail ✓ ❑ I, the undersigned, verify that the above diagnostic test results were performed in conformance with the credit 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Du Plenums and an for compliance Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency stands d lenurns and Fans comply with Installing gbcontractor (Co[ Name) OR Genes Contrytor (Co. Name) OR Owner Signature: Copies to: BUILDING DEPARTMENT, LEERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance. Forms December 2005 NSTALLA'l ION CERTIFICATEage 3 of 12) CF -6R Site'Addresp O t Number L( c An installation certificate is required to ble 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 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type k . heat um) CEC Certified Mfr. # of FFUF, y Name and Model Identical (A, �) Number i systems (2CF-IR value) Duct Location (attic, etc.) Duct or Piping R -value Heating . Load Btu/hr) Heating Capacity Btu/hr Cooling Load (Btuft) Cooling Capacity 5� I 1 rf� ,i Cooling Equipment Equip Type (Pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S Efficiency t (SEER or EER) (3CF--IR value) Duct Location attic, etc. Duct R -value Cooling Load (Btuft) Cooling Capacity 5� I 1 rf� ,i l . > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER incompliance credit for high EER air conditioner is claimed. :(�l, 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 (Force CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. "i Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: �•��` Copies to: BUILDING (DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCI)PANCV I j Residential Compliance Forms ' April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 LICENSED CONTRACTORS 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. 8 NZ97- � License Class: �d License Nu/mb�er,.,, '! Date: (0—� Contractor: 61 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 permit to construct, alter, improve, demolish, or repair any structure, por 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 the Contractor's State License Law (Chapter 9 commencing with Section 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 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 such work himself or herself or through his or her own employees, 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 proving that he or she did not build or improve for the purpose of sale.). ❑ I, 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 pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: w AMI,tM ■vu05111V = Wl i ❑ 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 the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I.- -I .IA e� WARNING: Failure to secuezAorkers' 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. PERMIT NO. Issued Date: 06/12/2006 APN: 007-350-007-000 Site Address: 459 CIMARRON DR CHI Map Index: Description: CHANGE OUT HVAC UNIT Owner: ZARATE FRANK J & ELAINE 459 CIMARRON DR CHICO, CA 95973-0301 Applicant: STORY HEATING & AIR 3060 SILVERBELL RD CHICO, CA 95928 530-899-9293 Contractor: STORY HEATING & AIR 3060 SILVERBELL RD CHICO, CA 95928 530-899-9293 License #: 842922 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work inygd�iglanI dd above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.). ' By: t 1f C f ll�� Y1� V �(V �t�i )rn / n Jr`'' Name: Date: �i�' V t :� r 1 � PERMIT EXPIRES ON: "�L( Address: ❑ I 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 1 am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate 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 repregentatives of Butte County to enter upon the above mentioned property for inspection purptes� J^ 7-MMRfflIW,A151r/.I i11111IF/��sA1[%W Date ❑ Owner ❑ Contractor AAgent for Owner ❑ Agent for Contractor BUTTE COUNTY 6EPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. IIIkI4.I:7 t3. u. rsunaing vermu ui-ib-uv pg i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Bprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/12/2006 APN: 007-350-007-000 the Business and Professions Code, and my license is in full force and effect. a 2—o License Number�4Z9� : Site Address: 459 CIMARRON DR CHI License Class: Vate:�O�Contractor: V4 Map Index: Description: CHANGE OUT HVAC UNIT 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: ZARATE FRANK J & ELAINE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 459 CIMARRON DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95973-0301 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 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 Applicant: STORY HEATING & AIR Code: The Contractors' State License Law does not apply to an 3060 SILVERBELL RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95928 sale. If however, the building or improvements are sold within one 530-899-9293 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 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 Contractor: STORY HEATING & AIR not apply to an owner of property who builds or improves thereon, 3060 SILVERBELL RD and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). CHICO, CA 95928 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-899-9293 Owner: License #: 842922 -Date: WORKERS' COMPENSATION DECLARATION 1hereby affirm under penalty of perjury one of the following declarations: -• O 1 have and will maintain a certificate of consent to self -insure for 1 workers' compensation, as provided for by Section 3700 of the Architect: Code, for the performance of the work for which this permit lLabor is issued. Engineer: O I have and will maintain workers' compensation insurance, as 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: Carrier: a otal Square Ft: 0 S. F. Policy #: 71 b _ [� p (.r r� Valuation: $0.00 Census Code: III ❑ 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 the workers' compensation laws of California, J J and agree that if I should become subject to the workers' [ 7y compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. col1 OC Date: i� 1� 0 G applicant: WARNING: Failure to secu orkers' 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. I CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol do s to do work' d' ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �I it Date: Name: By : rn /� PERMIT EXPIRES ON: Address: Date {❑ I 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. ' Ijhereby 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 Butte County to enter upon the above mentioned property for inspection purp es. dp Pint Name:Signature: Noff Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor t3. u. rsunaing vermu ui-ib-uv pg i BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Nameirst Namef� r^ , L Address 1 �+ G H Q r y ©h City f ia' d l ZipG7,I,pt? Phone a EFa E-mail APPLICANT INFORMATION CONTRACTOR Name ll Address c, f ia' d l City C I c i E-mail Stat e�0� Zipq '5q73 Phone%(P-731-,p3 Gj Fa�530- S`I9-.$53 E mail State License Number APPLICANT INFORMATION ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Lot # Fax E mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office use only: Zoning Propert Address y15'l C HaV�ro Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PROJECT LOCATION API# o « Oyer v Propert Address y15'l C HaV�ro it & co Cross i trey-ev be < ( P -d SRA WORKER'S COMPENSATION Po' licy�J�lmb00 Carrier if hiring anyone other than ficensff contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ctzan L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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 permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. on Page 1 of 3 REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total Page 1 of 3 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS . The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate: ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor, plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11: Building Permit Application Without Required Clearances Form , ❑ 12. Hazardous Material Form (for Commercial Buildings only). t Remaining items needed to issue the permit. Additional items maybe required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits A Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 PERMIT NO. 5729-78B PERMIT EXPIRES OWNER John D. Drake. - K .CONTR. owner ^LOCATION (A.P. 44-053-73 Rort_ ) .459 Cimarron Dr., lot 84, Jeehua Tree#2', Chico Temp. Power Pole Called PG&E Elec. Serv. Called PG&E Temp. Gas'Serv. Called PG&E JOB FINALED (Date)op (Signal re) ?0^ R•9SI�DENTIAL ENERGY UNSERVATION STANDARDS, CONSTRUCTION COMPLIANCE CERTIFICATE t, THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN •CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT ; -la��Z LM -� cVMNQ?"J (locat o a BU ILD ING PERMIT NO. ctn �f 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 Floors Walls OK Ceiling/Roof CA<— Ducts `F_t) Circulating Pipes Nl7 APPROVED HEATER `►�5 APPROVED: WTR. HT.R. m GLAZ ING : Single Glazed Special (Insulated) roj . CERT. & LABELED WDS. S & SLIDING DRS. WEATHEL'tSTRIPPED DRS. `! BACK DAMPERED FANS �S INTERMITTENT IGNITION DEVICS- CERT.. APPLIANCES v1�5 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 rint)Insulation Applicator State Contractors' S License No. Signature of ( se nt) G_mk e tee tot /Owner 0 Date ._r_ 8`'/'1% e Contractors cense No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO - REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS WCATION WITHIN THE DWELLING. ;■ 'CO'dNTY OF BUTTE — DEPARTi ,4710F PUBLIC WORKS BUILDING INSPECTION RECORD BUULDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms .� Parapets - 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water PI in -� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents `��� Insulation Water Htr. Heaters —" Slab Car ort p Footings Slab Prov. for phsicaily handicap ed Conformance of ex. structure Final Appliances - Gas Piping & Test Tem . Gas Sanitation Patio FIREPLACE Final Footings Footin EC RICAL Masonry Walls Throatr — Rough ,'� Reinf. Steel Final a Fixtures '�"'' Bond Beam FIRE SPRINKLERS Motors Framin ✓ Test Water Htr. StuccoFinal 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 MOBILEUOIgE INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE RENWAKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) INSULATION (Batted or Blown) Date / L 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 LO ATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer J QThickness/Type v R Value / CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer _�. Thickness No. Bags 2-1 Wt./Bag Sq. Ft. Covered /%� �C� R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value -Ow�IC d� GE AL CO T AC R LICENSE NUMBER B T TLE DATE INSUL/ ION C NT`RdAtCTOR - l ICENSE NUMBER ,)DS 61��/�iA � �_' TIT E R I ^� I ` /j DATE SAVE, ENERGY - INSULATE! (DATE) ACCEPTED HERSETH COMPANY lAuthorized Representative) ERSET ' ^.q COMPANY .: qRpn '. LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date / L 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 LO ATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer J QThickness/Type v R Value / CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer _�. Thickness No. Bags 2-1 Wt./Bag Sq. Ft. Covered /%� �C� R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value -Ow�IC d� GE AL CO T AC R LICENSE NUMBER B T TLE DATE INSUL/ ION C NT`RdAtCTOR - l ICENSE NUMBER ,)DS 61��/�iA � �_' TIT E R I ^� I ` /j DATE SAVE, ENERGY - INSULATE! (DATE) ACCEPTED HERSETH COMPANY lAuthorized Representative) COUNTY OF BUTTE 4r_ — DEPARTMENT OF PUBLIC 7 County Center Drive- — �.roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WO SS�a9-�� authorize representatives of the County of Butte to enter upon the abo ntioneddlproperty f r inspection purposes. X Date f;�:.,2-'7R Signaturee or Agent Receipt No. Zd Of*_ - 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 -IF -)PUBLIC WORKS By r Date B ding permit expires Date /�_ —7 BUILDING Owner JpfJ�f �, ����� SQ. FT. I OCC. BUILDING VALUATION 1493q I T 20680 Mail ii n/gg A/d�d�r\ess P-0. �% x 144S L��rs .17 / ,14 6 13 Tel j'�Q (��} p qD Contractor Mailing Address Fireplace Total Valuation `0�3 U Telephone No. Permit Fee 1.99,00 Building Address S� ��M �� D�e�vE PlanChecking ng Fee&/or Penalty Permit Fee /03, 00 Fee D9 OC PLUMBING No. @ FEE u-r�o� S�nlx PERMIT FILING FEE $3.00 Each Trap 1.50 Z-0 r '�rJs'/ V,4 • %QiFfr 01_ &V160 Repair drainage or vent piping 1.50 �,{ �-Os3-�73 A. P. No. `f J o�r R ` Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F65efW. Sa Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans claration Parcel ap 60' R/W Impr ements Each additional outlet .30 Building sewer 5.00 .�R Parce Ap roval I 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 100 AMP 2.50 Main service OVER 600V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST ( ACCLBLDGS.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: NEW RESID,CONSTBRANCH L T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIPES 5 L25 FIXED APLNS Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li nse No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No.i @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of th.e California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I ave placed on file with the County of Butte a certificate of rkmen'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 buildinq construction, and hereby Land Development Fee $ 5 Oe TOTAL PERMIT FEE Is /3310,4 authorize representatives of the County of Butte to enter upon the abo ntioneddlproperty f r inspection purposes. X Date f;�:.,2-'7R Signaturee or Agent Receipt No. Zd Of*_ - 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 -IF -)PUBLIC WORKS By r Date B ding permit expires Date /�_ —7 I J0514L1A TREE .. 5U50/05/0N UNIT 2 .This set of plansand specifications MUST b® : NOTE:—AII Materials & Workmanship Shall Be_ in kept on the job at all times and it is.unlawful'to Accordance with Recognized Good Practices and make any changes or alterations on same without of d quality prescribed for the Specified use in the written permissi : rom-tke-De -of -Uniform-Building,--Plumbing=& Mechanica : des and lic Works, Cou ty of B tied the National Electrical Codes zc I*L The Bldg. Setback shall b% 5 ft. from the side property lin t. from the cen a --Hine of the road, pe itting a maxi -I mum of a 2 ft. eave overt ng but entirely' out .of all easements, 101 ,zf i 3= v Septic system and location of build. ing drain stub -out to be as per Butte • County Health Dept. Re- v 6` quirements. N ra) 0 ` 0 I 17 IV Zb'ocp ' 11 e Master Plari on file _for building i 11 ns. 5 2 R, 78 BUTT co U-11,14 i )I BUILDING DEPARTMEN-I APR 0V E D �. . '.Ir, •'.'.., ,i , .•r •,', 'r"•, n../ I , ✓ ,•l.i l,,••''�' �'I'� •Y� •'•rli,••� .'., , I / ' .. ... r . '!,' f ✓!. U. V ,.��'/ T Y, .0 ri i;�r�'�I';' ,•'r LJ ..J p �/ / /,.r rrL..l ., ; ' "• ',r ,1 •.,•r ��r p,�;'•. ,r; w.• r "�7�"'..r r i.. •J' ' �I ' �'Y r' • i� r 'C1; '-V / ,' ,.i':�'iN,�rrb , r ✓ E;—All Materia ,�C� WcAinakp� NOT This set of plans and specificatio s,r��< Acco ance w %ogni ed `'Procticesyar'J�--�-� kept on the job at all times and int is unlawful a of a quality prescribed for the specified use in f, � Uniform Building, Plumbing & Mechanical Codes anu f make any changes or alterations on same withou` the National Electrical Cada. w�tt�ten permission from the Department of Puy the lic Works, County of Butte. . f 1 J r 3�' t t oaf•. The Bldg. Setback shall '`e 5 ft. from th'e side property line and, 50` ft. from 'the centerline of the road, Fiiri itting''a maxi- mum of a 2 ft. save ove hang but errtirel out of ail easements. r opt- K� �� ;84 d�a�yste� .L C oQ •9vi�e�®nO fy4t�o ;on of fb eq1th D Af s e/tl f r ' 0,0 ng :BUTTE C UN i _ � � . • _ • , � ���, �� • r::'BUILDING`DEPARY MEN ROV r r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -' 7 County Center Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT authori epresentatives of the County of Butte to enter upon the above en ned property for in p t' n purposes. ` i ature of Permitee or Agent Receipt No. Z O 5_/ & White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Blulge County Code and/or resolutions to do work indicated a e f which fees have been paid. I TOR OF PUBLIC WORKS ,Q By DateA Building permit expires Date� 79 BUILDING Owner J p � k SO. FT. OCC. BUILDING VALUATION Mailing Address . ®, o ,14 48 f Telephone No. 34z s Contractor W Mailing Address Fireplace S�jU Total Valuation Telephone No. Permit Fee S "� Building Address ' Plan Checking Fee&/or Penalty Permit Fee — PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 u P, ire Z C I4iC0 Repair drainage or vent piping 1.50 A. P. No. Y —QS7— 7 3 CP© CST•) 3 '� Zoning $Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W. . gmtMitarr Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Blda Elam- o• --'d- F Parcel Ap rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $11 $ ' P _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family e Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST'I ACC`BLDGS.LING Ccup- 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 le of: style NEW CONSTR MULTI.OUTL T NON•RESID BRANCH CIRCUITS)i 2.50ea NEW CONSTR (/POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g @@j Ex. Occup. FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Licepe No. Classification Misc. Wiring 6.25 Yam 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 ❑ ezWo kmen's Compensation Insurance. ertify 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 buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ — authori epresentatives of the County of Butte to enter upon the above en ned property for in p t' n purposes. ` i ature of Permitee or Agent Receipt No. Z O 5_/ & White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Blulge County Code and/or resolutions to do work indicated a e f which fees have been paid. I TOR OF PUBLIC WORKS ,Q By DateA Building permit expires Date� 79 COUNTY OF BIJJTTE — 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. ��� X Date Signature of ermi�tjee or/Agent Receipt No. opt Z2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the PiK*Q County Code and/or resolutions to do work indicated a ve f which fee have been paid. R fbR OF PUBLIC WORKS Dat 2,5 7 Building permit expires Date O BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Addre s Telephone No. Contr cto Mailing A dress (,Isl V Fireplace Total Valuation /1fl eleor�1 � Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE T $3.00 Q Each TraD 1.50 epair drainage or vent piping 1.50 O G �� A. P. No. �f ✓ Die Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe ire 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 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2 Permit Fee $ $ ELECTRICAL No. @ I FEE PERMIT FILING FEE J$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 OVER600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWE•BLDGS,LING CCUP. '6) 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 st le of: p '` J`. ,/l NEW CONSTR.ULTT NON-RESID. � BRANCC H C CIRRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON -RESID. SINGLE OUTLET CIR. EX. OCCuo(OUTLETS OR FIXT"RES BAL@1 EX. Occup ( FIXED TS (REAPPLS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �1 / License NoA 19ao t!, 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 aw a of the provisions of Section3700 of the California Labor Code ich requires every employer to be insured against liability for orkmen's Compensation. 5K I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 herebv Land Development Fee $ TOTAL PERMIT FEE is 7(7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ��� X Date Signature of ermi�tjee or/Agent Receipt No. opt Z2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the PiK*Q County Code and/or resolutions to do work indicated a ve f which fee have been paid. R fbR OF PUBLIC WORKS Dat 2,5 7 Building permit expires Date O COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT authoI i representatives of the County of Butte to enter upon the above- a tioned property for inspection purposes. XVlla-" Zl—)AT� Date;Z 179 Signature of Permitee or 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. IRECTOR PUBLIC WORKS By Date BYlilding permit expires Date BUILDING Owner ` SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address �� Fireplace Total Valuation Z, (11 Tele hone o��, �7 •S � Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. . N �-Q S 3 Y f _) Za „ &/Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe C. 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 A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER rim Permit Fee $ $ ,. _J�V_ S72q— 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP LESS 5.00 SinSingle Famil1471 y Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ -L Main service EA. ADDloo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGS.CCUP. 4) 20Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the of California Business & Professions Code under the name St L4 Gf• Yom( NEW CONSTR BRANCH CIRCUITS) NON.RESID ( BRANCH CIRCUITS 2.5Oea NEW CONSTR. POWER APPARATUS &, NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L25 X. CCUtate EOFIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 , S ,C—�/ �� � C (1�, ql,� (�12 Mobile Home Facilities 15.00 ��1�— License No Classification �Z0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 forW en'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. r MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating �'� Cooling Ventilation Hood 2.00 _)_d -T) Permit Fee $ $ 6S 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 $ l3 authoI i representatives of the County of Butte to enter upon the above- a tioned property for inspection purposes. XVlla-" Zl—)AT� Date;Z 179 Signature of Permitee or 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. IRECTOR PUBLIC WORKS By Date BYlilding permit expires Date via 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 -mention e property for inspepticn rposes. X Date 3 Signature of Per er/� 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. ECTOR OF BLIC WORKS By Date permit expires Date la 3 7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor F -:"o Mailing AddressFireplace w Total Valuation elephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. pPu- Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F`SdfirL�lTUft' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 ns ec Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER NR— Permit Fee $ 17 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 b O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP 22 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: NEW CONSTR (MULTI BR ANC OU NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occur) (OUTLETS OR FIXTI'RES, B L 100 FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r License No. 0 5 Classification G—/V Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 34, kr 2 4 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 forWo men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 $8.00 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 relatino to building construction. and hereby Land Development Fee $ 1.1-44 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above -mention e property for inspepticn rposes. X Date 3 Signature of Per er/� 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. ECTOR OF BLIC WORKS By Date permit expires Date la 3 7 v 0IUoDw( Whamm p / �3 31 z 1 VALTEM LEIUWn I 1 1 Rem Zr J / ROOK Pmb 0." *3' RFAADVE W/�l.- FOR � . ( ;7— oftwl►ICa 'To ADOt71DA1 D[ol r RMOVE UFPgk CABINET 1. SORT • r (Mi:heA bimr9 Rman bA trBedroom I I Af4etea ecll� I C, bedraom"Z Berf(mm ll go 4 0 I �:MAIMCI 1 �L- [T VAL csb� �5b 3 6-1 ..t REVISIONS �Uitl yl '. COUNTY DELI 2007 SERVICES 2-D — I .Mig WALLS ON ADDITION W/ %4 OSB. or PLYWOOD WuLLNf. V ON tahgs Po1D IV IN FEILD ALL EYTGRIOR Pad,6C4F1'Y7 ftf .544WIN(A h:, ed or OSB '?LuG At ft"L SWInmD PLUG UN05K PEAR EVE N C.araye II— 6AS ' : p �LF1iWCAL Anuli loo MIS I V, ( � I I FR/NN& arML A-3� ti8"4�.'1Yt'ILAL aru TOP 4WD oN Tek"6i Q 3 V Boats t147, 1t omm D.O. jo ZaRATE' oh" 3 o< 3 shom -- UD' go 4 0 I �:MAIMCI 1 �L- [T VAL csb� �5b 3 6-1 ..t REVISIONS �Uitl yl '. COUNTY DELI 2007 SERVICES 2-D — I .Mig WALLS ON ADDITION W/ %4 OSB. or PLYWOOD WuLLNf. V ON tahgs Po1D IV IN FEILD ALL EYTGRIOR Pad,6C4F1'Y7 ftf .544WIN(A h:, ed or OSB '?LuG At ft"L SWInmD PLUG UN05K PEAR EVE N C.araye II— 6AS ' : p �LF1iWCAL Anuli loo MIS I V, ( � I I FR/NN& arML A-3� ti8"4�.'1Yt'ILAL aru TOP 4WD oN Tek"6i Q 3 V Boats t147, 1t omm D.O. jo ZaRATE' oh" 3 o< 3 shom Y 0 lu w oot;pArOJUIOCW `t�Plb 'l� s l/3 ' Ulf 1 � Ito