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007-370-021
Cont Reed FrancisEle h PE it#1371-80Er(ele/752 -' )S' 7-37-21 V Ryder Homes 3021San ' Dr., lot 21, Almond Tree L Sub, Chico ^ Permit #75-79B(new single family) e M Contr : Al Diet Plumbing, Durhkam Permit#400-80P lbg/752 79�)S Contr: Tony Jes e, Ch' Permit#1032-- M(mech/7 -E79)SF Cont Reed FrancisEle h PE it#1371-80Er(ele/752 -' )S' 7-37-21 4115-90B HURST, Gary 3021 Sandi Dr, Chico .(woodstove/sf) - ^ 007-370-021 00-2186 HURST, GARY 3021 SANDI DR. CHICO CA CONTR: OWNER,1! tM L /0/// 99 P 30SQ. W/SHEET 07-370-021 03-ARNESON, JOHN 021'SANDI DR, CHICO ont: PF REILLYEPLACE I NALED WINDOWS .607-370-021 03-0934 BARNESON, JOHN - 3021 SANDI DR, CHICO MiSC. WIRING BLDG. PREP 007 370-021 06-1877 BARNESON, JOHN 3021 SANDI DR, CHICO /) Cont: MCCLELLAND AIR /� HVAC g.25-oCa DI ai ' -_ j , � �1� . _.�` —.. �, t�� � :s V Q , �. 007-370-021 ' 06-1877 �) S ,f ..BARNE"SON, JOHN. M t — `—� „njwl, 3021 SANDIDR,CHICONOTECont: MCCLELLANDAIR HVAC t RESIDENTIAL I APN: Permit No. a Owner. f Site Address- �. Contractor. t� Type of Permit D 3-o93y Stu FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDM(JNS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPEC71ON FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: �� _ �r v 'L✓/ SIGNATURE- +=OK 0 = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer Loctrt Test; FalUCIO-Concrete 4 Wtr; Loctn Test-Easeinent Needed -Regulator 5 Elec Loctn-Dlrncs-Dmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Hat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpadng-Marriage Une 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowr)s Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers o'r c?lip MISCELLANEOUS- ` --DATE DECKS-COVERS-CARPORTS`GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Jotsts-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Wtrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-R as Tnisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ezt; Steps -Doors -Landings 12 Braced Wall pnls DATE JPOOLS 1 Setbacks -Easements 2 Soils;-CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men-Uning 4 Elec Rcptds/Lting; D-rstance-GH 5 Elec Fool Long; 1$ volts-GFI 6 Elec.Enclsrs; Conduit Entries-Terminals-Usted 7 Elec Bonding; Metal w1T_CrcItng EgpHtr 8 Elec Grndng; Eqp w/5' Crdtng Eqp-Pool Ightg Boxes -Enclsls-pnlboaidsansultn-to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr. Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing a = Not OK RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SailsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 SWmwalis Main; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchm 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV-, Fall-Fitting-Test-2-viray CIO -Sewer Test 10 UF, Gas Pipe; Sz AnchrsSzTest 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupportansultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & VnUtn 16 Insulation DATE 15RAMING 17 Sills Proper Materials & Anchm 18 Vl As Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls ovef Girders fir Nailing 20 Draft Stop in Walls (rat proof)' 21 Fire Stops; Fiirred CeitingsStairs-Dhasers Tubs 22 Headers & Be -i iisSi &•Bearing - 23 Hangers-P•osf'Caps-AnchrS-rimctns 24 Ceiling Joisf-Rffr Ties-Purlik-Roof Brac TnrssShthg 25 Frplc Ties or Type A Flue=F ' Ic Throat Clrnc 26 Attic Acc; Sz &Rimi pitch-6raft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doom -SID kit & Dimensions 28 Garage Fire P`tcbi Framin9 C Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Risedtun-Landing-Fire Pdcbt 32 Piywd on Roof Ovrhng-Attic Vnts-Rftr Outrgm 33 Siding -Naffing Veneer - 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Are a• Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 tnsultn-Walls-Ceilings 39 1 nfiltration-W alis -W n dws d d4 d �a DATE JELECTRICAL 40 Fxtr & Tmsfmu Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fshtrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ya Hcu or QAL AC Wire Sz toCU or DAL 48 Range Clic 00 CU or DAL Oven Circ Q, Insulated Neutral Hcu"AL Yrs D No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirrres pnis-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr LI -Spa t -t 52 Smoke Detector Single & Duplex) DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prfctn 56 Shwr Pan; Test, Fust fir -Tub Acc 57 Test Tutt & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchm 59 Fire Sprinkler, Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pitfrin if Furnace in attic 00 �� dr s' DATE IFINAL 66 Ext Steps -Door & SideLt Pdctn-landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv4lr-Duds-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frptc or Stove, Cimc-Hearth 75 Elec Outlets at Wood PnI, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air-Gap-Dooking Cimc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Dud In Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRY; abv fir Mech Prtctn; LPG Apptnce Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GF) Ramex Prtctn • 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrdn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb, Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Reptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Iitspcfns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler � a � Date: 8/18/06 Job#:06425 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address 3021 Sandi Drive, Chico Builder Name McClelland Heating and Air Builder Contact Telephone McClelland Heating and Air (530) 891-6202 Plan Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample Gr up Number Values Compliance Method (Prescriptive) Climate Zone 11 Certifying Signature +nq �n /�j , Digitally signed r yam' y` by Mervyn Martin Dale: 2006.08.210912:24 -07'00' Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip:Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ El Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. 0 The installer has provided a copy of CF -6R (Installation Certificate). ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ E3 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: v' El Cooling %*'❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 1200 ✓ ✓ 3 Pass if Leakage Percentage <_ 6% [ 100 x [_(Line # 1) / 1200 (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct Sy stem Alteration and/or Equipment Chan a -Out. 108 Enter Reduction in Leakage for Altered Duct System [(Line # 4) Minus 108 (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ V/ Entire New Duct System - Pass if Leakage Percentage <_6% 8 100 x 108 Line # 5 / 1200 Line # 2 ❑Pass 11 Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <_ 15% [100 x [ 108 (Line # 5) / 1200 (Line # 2)]] 9 0 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage 5 10% [100 x [_(Line # 7) / 1200 (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [100 x [_(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if,One of Lines # 9 through # 12 pass E) Pass ❑ Fail Residential Compliance Forms April 2005 007-370-021 �i=i 03-0934, �. - BARNESON, JOHN 3021 SANDI ' MISC. WIRING BLDG. PREP V 1 S 4 - fnti Ao[f SAX2 VX 316,0- 6a-+r +r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 ) 538-754t��iT_No'. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL offNUMBER ZONING BUILDING PERMIT OWNER`` H lR r MPs n TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME {� TELEPHONE CONTRACTORS MAILING ADDRESS 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 , A rr s Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other JVVF7J4 ( SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ,M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ y1 . 0e Describe Work: 801 L0 iN4 p Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service PGOA OR LESV OR S 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,Z 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. ❑ 1, 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. ❑ 1 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 19K 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ILof X Date t A n � Z (ki 3 Signatura6f of Applicant - 19. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. h Main Service 200A TO 1000A 46.001 NEW CONST. OWEWNG OCCUP. SC OR �fJ ( a ACC. BLDS. 3.5Q FT. O EW CNS. ►NOON-aaln ' MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FORURES SAL @ 1. 0 FIXED APPLNs. O Ex. Occup. otmtTs .,D. ER 0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ t%.a MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ „�. D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have B" L e_� By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. r�,/� Date ./ _ '(Date)' Receipt No. 1'4.7515An 1�i' I'* �rL) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 NCKIVII 1 114U. BP061877 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF -ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/04/2006 APN: 007-370-021-000 theBusinessand Professions Code, and my license is in full force and effect A,;, ���, 1�1 LicensZWI�7_ :(�(,J license Number: Site Address: 3021 SANDI DR CHI C.LDate:Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW HVAC UNIT Contractors' Stale 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, prior Owner: BARNESON JOHN L III & ROSARIO N 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 Slate License Law (Chapter 9 commencing with Section 3021 SANDI DR 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 CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95973-0444 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' Stale License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such. projects with a "conlraclor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I 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: Carrier:_�_1! �✓i/u/� Policy #: ❑ 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 of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: Applicant: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 Contractor: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST.. CHICO, CA 95973 (530) 891-6202 License #: 345121 Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: j1 �� $` q-zo This permit Is hereby issued under. the applicable provisions of the Butte County Code a Resolu o s to do w rk IndlCal d ove r which fees have been paid. By: (,1 DDate: ?- PERMIT PIRES ON: _ '1✓ -fF Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct; and that I am the owner or a duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge ft Is unlawful to alter the substance of ny official form documen of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpose Print Name: �� "/ K� Signatur ocaDate: C. ❑ Owner ❑ Contractor ' O Agent for Owner Agent for Contractor A C R, lrlinn Pprmit 01-16-04 De 1 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061877 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF -ANY COUNTY OR STATE LAWS. Y LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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. so � Ste, 1n License Cla s : " License Number:yI Date: S u (& Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally 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, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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).): O 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 penally 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: �5 �/� Carrier: —47 ju40 :%❑Policy #:--I/- 0 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 08/04/2006 APN: 007-370-021-000 Site Address: 3021 SANDI DR CHI Map Index: Description: NEW HVAC UNIT Owner: BARNESON JOHN L III & ROSARIO N 3021 SANDI DR CHICO, CA 95973-0444 Applicant: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 Contractor: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST.. CHICO, CA 95973 (530) 891-6202 License #: 345121 Architect: Engineer: Total 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 Resolu'o s to do w rk Indicat d bove r which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.)Date: T By: v Name: Q� PERMIT PIRES ON: Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or a 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 ny official form docume of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpose Print Name: _r �( Signatur Date: C / "f c!la ❑—owner O Contractor O Agent for Owner Agent for Contractor o f, P.—if n1_1R-nd nn 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.neVdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name n first NaO 1 a lj.� Address city/60 State L A- Zipotjr .7'3 �JJ 77 Phone rL L47 S(17 ' Fax E-mail APPLICANT INFORMATION CONTRACTOR Name L 1 a lj.� Address Zipg City Fax States: at , Zi Phone �� FOF# Fax Qf;l `•�� E-mail s Lic. #� Clas�_ 26 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City ] Address Zipg City Fax State Zip Phone FOF# Fax E-mail Address State License Number APPLICANT INFORMATION Name 4 „ / Li G L " iZ cam.• Address City ] State /1_ Zipg Phone �/; "f Fax E-mail MURRY 1271Z For office use only: Zoning Flood Zone Property Address SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page FOF# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP#0r� - 02 Property Address City Cross Stregt WORKER'S COMPENSATION Policy Number 23 Carrier . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 escription or Scope of Work: LAJ J 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 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. 14 Received by: Amount: �5.� Bldg SRA Receipt #: �5GSheriff �0,A) SMIP Date:$_ '0G. Total 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 /N 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). Remaining items needed to issue the permit. Additional items may be 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 to occupancy). ❑ 6. prior 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 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 KAFORMBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 NOTES C� RESIDENTIAL 007-370-021 V03-0711 PERMIT NO. BARNESON, JOHN k 3021 SANDI DR; CHICO" _._...- t Cont: PF REIEL REPLACE WINDOWS r 03 ©734 11 i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature t J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special. MH Support Sketch . 3. Sewer; Location -Test -Fall -C/0 -Concrete Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. • / P Nat. or % /" L "ft./ P LPG 7. 7. Well Clearance & Disconnect 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector - Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals ' 11. Verify #'s with Office ' Date Card B.1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. - Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 48. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Fireplace Ties or Type A Flue -Fireplace Throat Clearance 19. D.W.V.; Test Fittings & Anchor -Nail Protection 50. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 22. Gas Pipe; Sixe & Anchors 52. 23. Fire Sprinkler; Test 53. Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 25. Elec. Receptacles Spacing -Lights & Switches at Doors 57. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 59. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Shear Walls; Nailing -Bolts 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 61. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Insulation -Walls -Ceilings 34. Clothes Closet Light -Shower Light -Spa Light 63. Infiltration -Walls -Windows 35. Smoke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 64. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Smoke Detector 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4r ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 0) 538-7541 0111ff t 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O 007—ZONING � BUILDING PERMIT OWNER O TELEP ONE SO. FT. OCC. BUILDING VALUATION .OWNERS UNGKESS (/ MA1121 CONTRACT E u TELEPHONE CONTRACT 5 MAID ADDRESS _5, � � ` G� LL'' ``JJ / (/ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ` % �/' /� 1/ (� V Ener Plan CheckingFee Energy $ $ PERMIT FEE $ L� LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ emodel ❑U``tilities ❑ Installation ❑ Other 0_� Describe Work:/f >�� %�'%�(/%G�✓f ��i7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A 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 f I or e�1$nd effect. /� License Class ` Lic. NO. �% / % 6 3 OWNER -BUILDER DECLARATION- 1 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 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. 1 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 in utpnce and policy number are: Carrier (,� car 'er Main Service zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT; IIO"�}Ro�lpT' MULTI -OUTLET 97,50 a Ps �WELRLE OPUfL�ETT CIR. OUTLET OR FocrURES Ex. Occup.BAL 20 @ 1.00 @ .w Ex. Occup. DPUTIEETSPRESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Cb;L (The above sections need not be 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 wit those provisions. X Date 119--- d , .Sig ature of Applcant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAT. D. FEES IMP I FLOOD I ClD PARCEL Po I HD ISSUE I Ll This permit is hereby issued under of the Butte County Code and/or indicated above for which fees h By e PERMIT EXPIRES O '" the applicable provisions solutions to do work been paid. Date ate Receipt No. WHITE-D.D.S.-B.D. C N RY-AS E O I K- NSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 4 7 County Center Drive o Oroville, California 95965 • Telephone (530) 538-7540 _ (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER,',- 370 -� i ZONING BUILDING PERMIT OWNER r� L. TELEPHONE 2- SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS - 30-1- riv , CONTRACTOR'S NAME low �J� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace ' LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS//'��1 61II;,, L tCn CA JITT773J Energy Plan Checking Fee $ $ / PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 'rUF%J2-L-SklXf& _ SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ,M Addition ❑ Remodel O Utilities ❑ Installation ❑ Other ❑ Describe Work: B JI L O !,4 C+ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 600VOR LESS Main Service 200A 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. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: R- 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 200A TO 1000A 46.001 NEW CONST. DWELLING OCCUP. OR ADDNs. --- ( a ACC. sins. SO 3.50'a NON-RESIUT. MULTI -OUTLET g7.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL @ I.50 Ex. Occu . oLrT>FTs AE�sID,DEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ,3 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. ❑ 1 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) l 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Aof X ^l-_. Date ' F40/� 2003 Signatur of App Icant - 5k Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 _ Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. o FEES IMP FL000 CDF PARCEL PD HD IS E This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By ✓` J `^ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date sle Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dec 17 02 11:3aa p.2 I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES M NO ❑ 2. I HAVE X HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: - PROPERTYOWNER: L _ r9o, ,e _&c; SOCIAL SECURITY NUMBER:_ . DATE! 1 A- 12003 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourrseh° you may protect yourself from possible liability if that person applies for the proper permit in his or her name: ' - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. N the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an""ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community. or at 1020 N Street, Sacramento, CA. 95814. PIease complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sina:rel , r✓ � Michael C. Vieira, C.B.O. v Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. p.1 Assessor Name Asmt # 007-370-021-555 Fee # 007-370-021-000 IBARNESON JOHN L III & R O SAR I O N Status JACTIVE Status Date Addr13021 SAN D I DR Tax 000 INORMAL OWNERSHIP TRA 1062-199 Addr2 I CH I CO CA 95973-0444 Situs 13021 SAN D I DR CH I CO Addr3 Base D t Addr4 33f891 Land7772,863 � Timber Preserve S tractors � AgPres Comments 10737002100 CONVERTED 09/08/88 Fixtures 0 r— E tal G rowing 0 Creaking D oc# 1985R 2520289 Datel Date r7o Notes Current D oc# 2002R 0064035 D ate 11 /22/2002 r' Bonds Total L&I 105,754 0 Killing D oc# Dake Fix. R r— multi S ileus 0 Flag1 MH PP Asmk D esc LOT 21 ALMOND S uplCnf � FIag2 PP 0 Zoning I R 1 00 D well 1 F 910 M H Exempt 7,000 Acres/S g Ft 0.26 N /CP6-7— F Asmk PP Pen Net 991754 F Tax PP Pen R /C# Appeal Pending T /R D k F Split Pending R /C S tat PHY OWN. EXP TAX HON ATT SIT I ,SPR I PCL �' Find _ .. ... ." - -t;,� _.s.;�viyrr,v... •-.a!r w:s«r�rr �v.'�Qb�`fi'S[+yjf.J�^�i*l[ypv.'`a'yp�fn��'�/sd'Jr �4.3S+atTy�..�,�i-'wsv{.�:!�%rtnFa..>.,..r;��. � h �Tw'h..r%,�..,,1.."�'� r r 00-2186 F 0 -021T, GARY ANDI DR. CHICO, CA R: OWNER COMP 30SQ. W/SHEET •f t 4 9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 E MIT NO. (Rev. 12/96) APPLICATION AND PERMIT C �W" ' /f ASSESSORPARCELNUMB ..� z "12 , i BUILDINGPERMIT OWNER Z 2 TELEPHONE 43- 3 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS n ;�0nKC' n. 1'-) Ce, 959-73 CONTRACT 'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ n ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS C&I ZS M � CJry � t C- �/ 1A 1 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ( Duplex ❑ Mobilehome ❑ Other SPECS Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �l 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 Main Service zo.A 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O'r 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 ServicDWELTO 46.00 NEW CONST. DWElEL LING OCCUP. CU SO OR ADDNS. & ACC. BUDS. 3.50FT. NON -REO. SIDRANCH MULTI.OUTLET CIRCUITS 1 97.50 OWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 BAL .00 FIXI Ex. Occup.OUTLETS REESID.OFR.A -5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ 1 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions. X r: ; Date z ,/� J Signature of Xpplicant - p Owner ❑ Contractor ❑ Agent An OSHA permitis required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. E IMP FLOOD ..". CDF PARCEL .. Po HD S ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedrabove for which fees have been paid. A A By( g ?/its Py t'%1,ir�a Date PERMIT EXPIRES ON �/ n to ReceiptNo. ey WHITE -D.D.S.-B'D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7F� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C_�`' 1W (e ASSESSOR PARCEL NUMB - _ ® ["� I ...... -� , BUILDING PERMIT OWNER 31.13IOLN-E 3(43- 3 SO, FT, OCC. BUILDING VALUATION o .OWNER'S MAI ADD SS �� ' ® • ©� CONTRACTt�S-NAME TELEPHONE CONTRACTTOR'S/„MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS •� �./1J' ss _ LccU ice„ ` V�1/tJ�'� l/��d/IV �/V// 1l Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDN510N'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CC — l -o*0 '� Rho Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W f @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service AORLESS 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.P License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Lay ffor'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. IHood ❑ 1 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 insurance carrier and policy number are: Carrier Policy Number (T>4 above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those iDrovisions. X Date C V Signet re of ppl cant - Owner ❑ Contractor ❑ Agen An OSHA p rmit is requi d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. SO OR ADDNS. ( a ACC. BUDS. 3.50FT; NEW NONREBIDONST.MULTI-OUTLET CIRCUITS @7.50 OWER APPARATUS b SINOLE OUTLET CI R. 20 @ , 00 Ex. Occu OUTLET OR FIXTURES BAL @ .50 FIXI Ex. Occup. UnFTs R6ID.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ %t-'3 CONST. TYPE TOTAL FEE $ �'� .o 0 HA2. D. E IMP FLOOD CDFpggCEL I'D HD I U This permit is hereby issued under of the Bu County Code and/or indicate above for which fees have By dWIXE& c PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo.0? Cil WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `fi i OWNER -BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally pl to provide the ajor labor and materials. for construction of the proposed :., property im ovement : YES. NO 13 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.proyi4e the proposed construction: NAME: ADDRESS: CITY:_ . PHONE: "CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired • the following person to coordinate, supervise, and provide the major work: ' NAME: . ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: -�,PR' SOl SpA NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER F . . a OWNER BUILDER INFORMATION Dear Property Owner: i An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and. to have' a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. . If Y401& to ddyour own'work, with die exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including -materials and other costs) is $300 or more for the entire. project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4Mic y, ��, C. Vi ira, C.B.O.r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California HeaU/r and Safety Code. OVER �7�4�'� '.l.y..w."(^.•� ;•+f�iy�,a�,�.+`.zy�.lte'"�r++:*.� s ,r:."t.� :ateea� �aS.r a�z .11`rr,.'.�%itia}} i,ypppplp, :., y n.�.a t`^•' w .�, t 7-37-21 ; ' 4115-90B -HURST, Gary 3021 Sandi Dr, Chico (woodstove/sf) i f' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cdurify Center Drive 'r Oroville, Cal Vornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 774 NO. �. ' 4d) ASSESSOR PARCEL NUMBER 7_ ZONING _ BUILDING PERMIT OWNER .1 TELEPHONE FT. OCC. BUILDING VALUATION ASO. Est OWNER'S AILING ADDRESS '3021 Sandi Dr., Chico 95()26 CONTRACTOR'S NAME Owner TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace A 1 t1.000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 27.5 PLUMBING PERMIT Filing Fee 10.00 10911 'Zp1ndi T)r- Miro Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 21 SUBDIVISION NAME Almond Tree PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition [I Remodel❑ Utilities❑ Installation❑ Other® Describe work: WoodstOVe _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification F -1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2/20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUSa OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SzAL@AL@3030 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 131 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sajd County in consequence of the granting of this perm//fi�t. pp Date 11 Z*0 /7V Signature of Applicant — Owner ❑ Contractor El Agent F-1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height./ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE E TOTAL FEE $ 2%.50 HAz CUA PARK SCHL PAR PD HO Issu This permit is Hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. - f DIRECTOR OF PUBLIC WORKS f By, ,..., ' r. ,�1,�i1 Date Al 9�� xr� - C .PERMIT EXPIRES Date $4311 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPOCATION' IND PERMIT ASSESSOR PARCEL NUMBER 007-370-021 ZONING _ , BUILDING PERMIT OWNER Gar TELEPHONE SO. FT. OCC. BUILDING VALUATION Est. _341-1_326 OWNER'S AILING ADDRESS 3021 Sandi Dr., Chico 99926 CONTRACTOR'S NAME TELEPHONE " CONTRACTOR'S MAILING ADDRESS Fireplace A $1.000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10_00 Permit Fee $17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 21 SUBDIVISION NAME Almond Tree PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ .Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Woodstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2/zOsgft NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@500 30C. FIXED APLNS. Ex. OCCUp. OUTLETS (RESID,)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I I shall not employ any person in any manner so as to become subject �t to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa" Countyi consequence of the granting of this perm't. %� Date Signature of A pliant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27,50 HAz I CUA PARK I SCHL I FLD PAR .PD HD Issu This permit is nereby issued under sions of the Butte County Code and/or work in ted above for which DIR OF P By PERLOT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS ii p�J Date Receipt No. 84311 WNI TE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I OWNER COUNTY OFFBUTTE - DEPART" PUBLIC WORKS -BUILDING DIVISION �• 7 COUNTY CENTER DRIVE - OROVILLE`C» L9F(RNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,c.� Permit No. r� A� �� / lJ� s 7 A. P o. 7' Proposed Building Use Building Inspector 11 -Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. .5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........ ............................ 12. Park fees paid ..................................................... 1.3. School District fees paid .............. 14. Sanitation approval from - Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be•required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to tit Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other , il Applicant �� N44Of �- Date ?vIf If Copy of plans sent Health Dept., Fire Dept., Other \. Date The following data must be submitted prior to permit issuance: (Circle new item\not checked above). 1. Index permit for a 2. Additional itj6mg. required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..da`' Contractor, designer, owner, was advised of above required data by_phone_nnall—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date "'i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,.Cali,forbia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 00 —370 -dam/ ZONIN I BUILDING PERMIT O WNE �� TELEPHONE -3 SO. FT. OCC.1- BUILDING VALUATION OWNER'S M LING ADORES 02 Ste✓ .i �-` L CONTRA CTOR'S NA T LEPHONE CON AC OR'S MAILING ADDRESS Fireplace / CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / Q / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME !(i �^<c' T�A�MAPWater piping 5.00 Each gas water heater or vent 5,00 USE OF STRUCTURE SDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets . 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NevAddition❑ Remodel❑ Utilities[]Installation[]Other Describe work: of r.CiOt�DS%7� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 10001 OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effec-. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contracl- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. A00'L too AMP 2.50 NEW ✓� CONST, DWELLING OCCUP. OR ADDNS. ACC. BLDGS. ) ,�22SQft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 12.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES p 20050t 1.20050t ALO EX. OCCup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xu'�i. 1� 3d Signature of Applicant — Owner 29 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0' occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL I FLD I PAR I PD Ho ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By oeourT avorec!e n_._ the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. _ 7524-79B PERMIT NO. PERMIT EXPIRES Ryder Homes OWNER CONTR. auier LOCATION (A.P. 44-38-1 port. 3, 3021 Sandi Dr., lot 21, Almond Tree Sub, Chico — d . 5 i. I?t� i% 4�7 i. . 1 4 Temp. Power Pole' ' Called PG&E 4tgnV' Elec. Serv. f Called PG&E I Temp. Gas Serv. Called PG&E JOB FINALED — (Date) (Signature) C THIS IS ib CERTIFY THAT 1NSMATION US 1EEN INSTALLED IN CONFORMANCE WITH THUXURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: 21 Chico Street Almond Tree Estates cry EXTERIOR MALLS Manufacturer J M Thickness/Type 3 2 R Value 1 1 CEILINGS Batts: Manufacturer J M Thickness 711 R Valua 2 2 Blown: Manufacturer U n i t e m p Thickness 611 No. Bags 23 Nt./Bag 4 0 Sp. Ft. Covered 8 9 0 R Value 22 FLOORS Manufacturer Manufacturer FOUNDATION MALLS Thickness/Type R Value Thickness/Type R Value Manufacturer Thickness/Type R Value . GENERAL CONTRACTOR LICENSE NUMBER By TITLE DATE INSULAT i7 CONTRACT . %N TNSULATION LICENSE NUMBER 2 12 4 6 1 BY TITLE Vice Pres. DATE 4-21-80 RRRTnVMTTAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 21, Almond Tree Estates, ChIco (location) BUILDING PERMIT NO . S off - 7 �T R 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 _ Id A • Fdn. Walls Floors N / A Walls R.11 Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WATER HEATER GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVIC CERT. APPPLIANCES 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 NICHOLSON INSULATION CO.. INC. 117 „ (please print) Signature of . Insulation Applicator General Contractor/Owner Name Signature of General Contractor/Owner to Contractors ense No. 212461 please print) Date N State Contractors License No. a7y�� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. UNDERFLOOR 1. Plans 2. Setbacks --Easements Permit No. 3. Soils --Footings & Stemwall--/ / Fill Required--Steel==Block-outs--Elec.Ground W. Piers --Fireplace Footing & Steel 5.': Plumbing'-Drain--Fall=Fittings--Wrapped in.Concrete 42" test/ / 6. Gas Pine --Size & Test 7. Water Pipe --Test & Anchors --Regulator 8. Electrical 9.. Plenums & Ducts--Clearance--Material & Support & Insulation 10. Girders--Sills--Anchor Bolts--Joists--VeAZts--Cripples 11. Sign Job Card ALL OF ABOVE COs?PLETED / / EXCEPT 7-4 ... ... ' _ Signed: Date: ABOVE LISTED CORRECTIONS COiIPLETED SIn-N JOB CARD Signed: Date= -. -1- FMIItiG 1. Plans 2. Sils--Pro er :Material and A .oY GAep&E 3,.14ai1.s-- uds--NaiknQ & Spac - & Br _<--PA.-e 4w/ -Be ring Walls over Girders &.F ' Draft top in Walls rat �roof 6. Fi Sto s --Furred Ceilings--Sia--ChIVz-a,es- Nead'/r & Beam --Size & Bearing ,an, rs-- 2At �--Anilkrors--Conn ctors_ N/ C 'li g Joists Rafte? Ties . Purl i s Roof BrIdin Truss Sheatjf R2 1 -�aee-Tie-s or Type Flue --Fir throat Attic Access --Size & Romer: Protection ll/'Bedroom Windows or Exiting Doors --Sill &fit. & D se _ons Garage Fire Protection Framing 14: "r^^ R^^a•--+-Mon Walls --1 hr. Fire --2 hr. Fire 116/.Ext. Doors --One 3''- Check Garage T6'—.Sdroop Rls.2_ �2u 1 . Plwood on Roof Overhang--Atti Vents --Raft e OLtriggers ✓d. ailing- Vender T00T4%, _ Sltll "o Mesh Drip Screed & i u��ents & T'aar"1 - "cess Glass Protection if required 21. Sian Job Card ALL OF ABOVE COZHPLETED/ / EXCEPT Xj 6 ABOVE LISTED CORRECTIONS CO'_MPLETED Signed: A05564" -?z Date: /� SIGN JOB CARD Signed : / � M�M- 46-R- Date: r Signed: A05564" -?z Date: /� SIGN JOB CARD Signed : / � M�M- 46-R- Date: - wj �. PLUH3LiG-.-Ab0ve Floor -- Jater Heater--Ve cess --Co �on Air 2 (dater Pioe--T Anchors--lta' Protection Drain Pi e--Tt--Fittin_-s Lnchors--Mail rotection bower Pan- Tes First floor --Tub Access u o =s cod Fla r -u c e s s 4?" Test Ga.s Pi e --Size & Anchors S i^a Job Card _ ALL OF ABOVE C(THPLETED EXCEPT _ Signed, Ll105ZMWdZ -Date: ABOVE LISTED CORRECTIONS COMPLETED Date: n M, ELECTRICAL --Above Floor Permit No. ante & Insulation Protection at Flush Light Fixtures .,,.Elec. Receptacles Spacing --Lights & Switches at Doors Sze Boxes & No. of Conductors- -S tanled- _9- 2 Apoli- ce Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga.•, Cu or Al, Breaker Size [Q Amp,-- _ Insulated Neutral, Yes [_77 . No Q 8 Range Circuit Q ga. Cu or'A1,'Breaker Size = Amp. --Oven Circuit ga. Cu or Al, 11 ALL OF ABOVE COLC'LETED L% EXCEPT b - - - .... _ .......-_.. _.-... Sinned- M4SZ6W&29 Date: 3 2 ,f o ABOVE LISTED CORRECTT-ONS COMPLETED Date: .. --- MECIUNMAJ.--Above Floor - _ _ - _Permit No. A.C! uccts--Insulation...& Support ... - - - - - ----- -- - -: - - - - --- VOff t Fan --Exhaust Above Insulation CUK:C-ondensate Drain & Overflow --Size & Grade Furr-ace--Vent--Access-Conb.Air--Return A"_r Vent --115V Outlet s is c�c�ess & P fnrm ; Furnace in Attic G 6. Sim Job Card J9 r t Signed:Date: W'_/ftd ABOVE LISTED CORRECTIONS COMPLETED Date: FINAL Pezmit; 1110. 1. Plans 2. Eng --7- ce St2ZlS. T_uor Ct O i:i'._`lii4ht Protection 3. S=7 -e Detector 4. Furnace --Scents, Clearances, Combustion Air, Connectory'n Garage -Height & l• fech.Protection 5. Bedroom Exiting 6. G.F.I. & Bath Fixtures Y. Electric Trip & Sub Panel- -Labels S. Stairs & Rails 9, Firenlace or Stove --Clearances, Hearth 10. Electric Outlets at Wood Panel --Int. & Ext. 11. Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance 12 Electrical Cutlets & Receptacles at 'Kitchen Counter 13. Garage Fire Door --Swing & Landing, Closer 14. A.C. D-yct is Cara -e --Dormer 15. [later Heater --Vents, Clearances, Combustion Air, P.R.V., Connector �n Garage -Height & Mech.Protectior. 16. Fire;oTalls & Openings --Area Separation Wails _ 17. Electrical Receptacles in. Garage (G.F.I..) Rcm-ex protect _ 18. Insulaticr.--Foam--Looked in Attic _--_ Yes 19. Steams at Er_t. Doors & Landings 20. Guard Rails and Deck Construction 21. Foundation Vents &_ Crawl hole Door --Drainage & Wood -Earth Clearances-- Look_d t;nde- Floor / / Yes 22. Following Installed: Drive..(_/,] Yes moo; Walks j_jj Yes 1[ ho; Planters or Win? Walls %/ Yes_ _%% No ---Creating Drainage Problems 7"% Yes �o 23. A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size --115V Outlet 24 Vents Above Roof--PlL-robing. Appliances, Fireplace --Clearance to Openings 25. Fater lZell-Disconnect, Electrical. PlurbinQ 26. Exterior Electrical Tri_n & G.F.I. Receptacle 27. Vertiia=-ion Throu-hout House 28. Glass Protection _ _- 29. Corr _t;ons from Previous Inspections_ 30. � 1V_s,W-deters Taeaed-Gas & Electric 31. Water Supply & Sewage Connected 32. Enemy COm_Dliance Certificate 33. Si 7r. Job Card ALL OF ABOVE ABOVE LTSTEr COR° F EXCEPT -4- Signed: r, Date: i-ned: UP Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling- 1NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '- `� Z ipp Interior Lath • r . Door Closer Final Final MOBILEHOME UTILITIES - - - - -- - - - - - - - - - - - - BUILDING INSPECTION RECORD Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATIOsN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping BUILDING BUILDING (Cont'd) PLUMBING REMARKS OR CORRECTIONS , NO Setback Firewall _ _ Soil Piping Forms Parapets 1st Floor Main Bldg. , Restroom Finish ? 2nd Floor Footings Z S Q Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fd6: Vents Fixtures Footings / 2S R Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for ph sically Appliances Carport Po .... handica ed Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab. Final '''"` " - Sanitation Patio FIREPLACE Final 7 Footings Footing ELECTRICAL Masonry Walls Throat Roucih Reinf. Steel •Final-• Fixtures Bond Beam FIRE SPRINKLERS Motors Framina Toot W-#-. u.. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling- Temp. Pole Finish Ducts Underground Interior Lath Ventilation.. Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - -- - - - - - - - - - - - - Elec. Service r Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATIOsN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE J �ZS�go 606 TO P00 P- r-00 k_G REMARKS OR CORRECTIONS , NO (NOTE: An entry must be made on this form each time you visit the job site.) :1J - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ¢ •7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 • APPLICATION AND PERMIT 'R91 authorize repre ntatives of the County of Butte to enter upon the above- tion prop rty for inspection purposes. X Date Z �' Signature of Peerrmitee or Agent Receipt No. �2 ` 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. DIRECT R F PUBLIC WORKS By Date _l 7 11 ilding permit expires Date -7_ �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Gz Zoo Mailing Addre s X-rff Itui Tele hone Q d Gj(� Q Contractor 1v_A Mailing Address Fireplace t _5z�1_0 Total Valuation 3 Telephone No. Permit Fee Buildi g Address . Plan Checking Fee&/or Penalty e0, Permit Fee g / , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 &AA S9 Repair drainage or vent piping 1.50 • / L n.ng Z & tanning Water piping 1.50 Each gas water heater or vent 1.50 FbCs W'C. Sa n Fire Dep . Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 6 /W 'Improvements E additional outlet .30 Building sewer 5.00 j g/ on�l " s Recd Parcel A rove 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•�D Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING Ccup- s) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal' is uslness & gPfssions Code under the name style of: eX- NEW RESID,CONSTBRANCHMULT CIRCUITS) NON -REBID BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 9 NON -RESID. SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTIIRES BAL011 FIXED APLNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N 0 Classification Misc. Wiring 6.25 ; ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability four Workmen's Compensation. have.placed on file with the County of Butte a certificate of Orkmen'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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ��— TOTAL PERMIT FEE $ authorize repre ntatives of the County of Butte to enter upon the above- tion prop rty for inspection purposes. X Date Z �' Signature of Peerrmitee or Agent Receipt No. �2 ` 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. DIRECT R F PUBLIC WORKS By Date _l 7 11 ilding permit expires Date -7_ �� ofaqu Uniform the Nai CA Cr materials & Workmanship Shall . Be in with the Recoani,zed Good Practices and P I prescribed In ev for 'rhe c M hanicalCodes and wept ch t t o{p/a -}- h@ hs �qCIO ald Y ch hbes t a// n� �-'Ci ° s, C �pQh fro a/tP�, � aha►;t ions ilding, plumbing & a M� a! Hectrical Code. fY °{ ew a the Dep °n $O a/aw s to A setback of 5 ft. from the \ property lines and a setback < of so#t, from the rid. y r 1 rlliu!+ IllI he desir VF c� structuTes err equipm' E a pt for a 2 ft. eave overhan / BUTTE CO UNTY BUILDING DEPARTMENT APPROVE v os{e /-76,N704110 / 6S r,1-7 TG -S See COUNTY OF BUTTE'S — UEPARTMENT OF PUBLIC WORKS . r -17 County Center Drive. Oroville, California 95965 N Telephone: 534-4541 W0, APPLICATION AND PERMIT UX ' tauulUnce IUlJIe5en1"G11Ve5 UI lrle t,Dunry DI tsuue to enter upon ine above-mentioned property for inspection purposes. x 4 aize Date Signature of Permit or Agent / Receipt No. e4 7/ / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is reby issued under the applicable provisions of the ButteCo ty Code and/or resolutions to do work indicated above for Ich ees have been paid. RE,CTGR OF PUBLIC WORKS / Building permit expireyPate BUILDING Owner 1Vb 2 ihmcS SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor JIQ,�Sfa Mailing Address �� )(72-2 Fireplace Total Valuation �Vq2 Permit Fee Building Address AND/ QR Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,00 Each Trap 2-& 16,60 /^ l., ( �� , %Cl /�/ Repair drainage or vent piping 1.50 Q� n A. P. No. '-fO • � - 3 0.7 (A04 �oning 8 Planning Water piping 2.60 2, 00 Each gas water heater or vent _W0 -2-00 Fel I VVC. I .sar31•>:at+oel• I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets -J40 S. C) EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Ws ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ �, QC7 $4-5 /- & / f �GyQ 7y-%� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LE55 5•�� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGSCCUP. S) 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: , ;7 c . / TLET , NEW I CONSTR. ( BRANCH CIRCUITS) 2.50ea NEW RESID.BRANCHMULTI.OCIRCUITS) NEW CONSTR. POWER APPARATUS 6 NON-RESID, (SINGLE OUTLET CIR. Ex. Occua(OUTLETS OR FIXTURES) B L 1@ Ex. Occup ( FIXED . OR • OUTLETTSS (RESRESID.) EA 2•00 Temporary service 10.00 v Mobile,Home Facilities 15.00 License No. Classification G Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. bave 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. MECHANICAL No. @ FEE 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 $ �S tauulUnce IUlJIe5en1"G11Ve5 UI lrle t,Dunry DI tsuue to enter upon ine above-mentioned property for inspection purposes. x 4 aize Date Signature of Permit or Agent / Receipt No. e4 7/ / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is reby issued under the applicable provisions of the ButteCo ty Code and/or resolutions to do work indicated above for Ich ees have been paid. RE,CTGR OF PUBLIC WORKS / Building permit expireyPate \ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �! 7 County Center Drive - Oroville, California 95965 /l • Telephone: 534-4541 APPLICATION AND PERMIT 3 =�U Signature of Pertea orent Receipt No. � S B Y Date White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner Paloffe i-+& SQ. FT. OCC. BUILDING VALU ION Mailing Address Telephone No. Contractor � 1 ,[1' Mailing Address � 1)020 �v�(_ FireplaceTotal Valuation C / *c) ( Telephone No. Permit Fee Building Address f OQ, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 jj _ LQ/ -#,;2-1 Repair drainage or vent piping 1.50 A. P No. �u-- �4 - p C Po27_ Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es Saa4a4@4 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 d Parcel Approvol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ❑ UTILITIES ❑ OTHER Permit Fee $ $ /ADDITION H, Palm17 _r012 P5P -752,4-7q ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family y Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGSCCUP. 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: `— 5 Z c NEW.NONR ESI D, CONSTR BRANCH CIR r (BBRANANCH CRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS B NON -RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES50��a BAL@1 Ex. Occup. (OUT ETS P(RESID )IXED ALNS.REA) 2.00 Temporary service 10.00 F^Ojuy ���j ^��� Mobile Home Facilities 15.00 License No.�i l? b�-I � Classification 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 for Workmen's Compensation. 17�tj I have placed on file with the County of Butte a certificate of Yom- 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. MECHANICAL iNo. @ FEE PERMIT FILING FEE $3.00 Heating 4'% /Y) /-370 7 VT .Qv Cooling ,C7o Ventilation Hood 2.00 , Permit Fee $ l3ooC� $ / 3 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 County of Butte to enter upon the above-mentioned property for inspection purposes. X,�- Date - Land Development Fee $ TOTAL PERMIT FEE $ / �. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. yEC OF PUBLIC WORKS 3 =�U Signature of Pertea orent Receipt No. � S B Y Date White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Driye =-OroviIIe, California 95965 Telephone: 534-4541APPLICATION AND AND PERMIT / authorize representatives of the County of t3utte to enter upon the above-mentioned propert for inspection purposes. X Date Signature of Permitee or A Receipt No.57C White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is erebyd issued under the applicable provisions of the Butte C nt Code and/or resolutions to do work indicated above for ich ees have been paid. CTOR OF PUBLIC WORKS BY Date V21I& Building permit expires ate / 1171,ygl BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor PEG D '/Z,2_AA1C' /.S E4,6c % Mailing Address 7�0 �/�V� AVE,Fireplace Total Valuation Permit Fee p- . Building Address �-1/V b EJj 3® �/ S y� , bp—. Plan Checking Fee &/or Penalty - Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 7� `�'� (;, L1V0Al2> / yae 17160 Repair drainage or vent piping 1.50 22Water A. P. o. —J�—/ A02,.J. Zoning & Planning piping 1.50 Each gas water heater or vent 1.50 F Ws C. SertFCarft7fl 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 �ldg.122en•rRec'd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ©' Permit Fee $ $ cL �d %� %J`Z LL" % ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p Main service 600V OR LESS 10o AMP LESS 5.00 Single Family ®/ Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 • Main service OVER P O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING /y OR ADDNS. ACC• BLDG 2�sgf O 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: ^ �' TLET NEW CONST FL BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS 2,50ea NEW CONSTSL POWER APPARATUSa, NON-RESID. (SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES 1 50@2S¢ BAL@1 EQFIXED APPLNS. OR X. CCU 2.00 Occup.(OUTLETS LETS (RESI D.1 EA� Temporary service 10.00 p Mobile Home Facilities 15.00 License No. .2 If5.22Classification 4° /d Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. e'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. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $. authorize representatives of the County of t3utte to enter upon the above-mentioned propert for inspection purposes. X Date Signature of Permitee or A Receipt No.57C White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is erebyd issued under the applicable provisions of the Butte C nt Code and/or resolutions to do work indicated above for ich ees have been paid. CTOR OF PUBLIC WORKS BY Date V21I& Building permit expires ate / 1171,ygl