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007-370-025
er Homes 1160 30 Sandi Dr., lot 25, Almond Tree Sub, ico Permit I 27-79B(new sigle family) Contr: Al Dietz P robing, Du a� Permit#402-80P(plbg 72-79 Contr: Reed Fra s C`lc P rmit#624-8 (ele/7 7 F _2�-Conti: ony Jessee, Chico Pe it#1580-80M(mech/7527-79)SF 007-370-025 PERMIT#95-0978 THOMPSON, Kathy 3030 Sandi Dr., Chico Cont: Four Seasons Roofingg:��y�9�/ Reroof/SF `,007-3`7Q"025 �f r PERMIT#96-0556V- "THOMPSON, Hank&'Kathie 3030 Sandi Dr. Chico4,;/7, x Cont; Gary White Const. F-Add',,Livingrm & Kitchen/'SF�y y� 007-370-025 PERMIT#96-2451 THOMPSON, Robert & Katherine .3030 Sandi Dr., Chico Cont: Lambert,'s',Masonry Pellet Stove Insert/SF/�Aq I u ` 0 0 3 70 �o aS 117 -7N r rot% r 1 " .007-370-025 PERMIT#96-2451- THOMPSON, Robert & Katherine ,3030 Sandi Dr., Chico, Cont: Lambert's Masonry/ Pellet Stove Insert/SF %� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/,/'� PERMIT NO. APPLICATIONAND PERMIT 4,<z ASSESSOR PARCEL NUtYPER �,� f Qa�` GC/•/�) ZONING BUILDII�IG P ERMIT OWNER ROBERT H. & KATHERINE A. THOMPSON 393 2184 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3030 IQ SANDI DR CHICO 95973 CONTRACTOR'S NAME LAMBERT'S MASONRY TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace A 1500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3030 SANDi DR MCO PERMITFEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other +s `.� Describe Work: P �' Pr r, _i'C+ C P ((1 S p 1 � t+ Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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: ❑ 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 �.A to construct the project. ❑ 1 am exempt under Sec. Business and Professions, Code for this reason NEW CONST. DWELLING OCCUR \ SO. OR ( 8 ACC. / 3.5¢ FT. NEW CONST. MULTI.OUTLENS. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( . SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. (oFIXEEDrs P S D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 � � 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 41 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,_,,,,,,.�/a"-. X 40UA;lp _ / _ Date Signature of Applicant - `.Owner/ ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures -over stories -in height.` Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 55. HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. fj By Dat X PERMITEXPIRESON (Date) �/3 Receipt No. C7 06 Z'�7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION / 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT .001 ASSESSOR PARCEL N� 10 C% ZONING - BUILD( G PERMIT OWNER ROBERT H. & KATHERINE A. THOMPSON TELEPHONE 893-2184 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILINGADDRESS 3030 � ' SANDI DR CHICO 95973 CONTRACTOR'S NAME LAMBERT'S MASONRY TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace A 1500 CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3030 SANDI DR CHICO PERMITFEE $ 55.001 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IS Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other X ( Describe Work: �e (I�� `T( (I�ICIC� n s� r'I— Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLOS. ) SO. 3.5Q F7. CNS. NEW CONST./ MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q +.50 BAL .00 Ex. Occup. (oFFIXED ELETS (RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. __�,_,�,,tt _ XR.�i!lB7ttsN��rJ Date Sigrfature of Applicant-"Ownero ❑ Contractor ❑ Agent 'An OSHA permit Isequired for excavations over 60" deep and demolition or construction of structures over, 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC I CONST. TYPE TOTAL FEE $ 55.0 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. Date ZZ PERMITEXPIRESON Z -Z I (Date) Receipt No. d(j WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •rcS JOB FINALED (Date) Signature �t RES DENTIAL • _ _ 007-370-025 PERMIT#96-0556 THOMPSON, Hank & Kathie 3030 Sandi Dr., Chico r Cont; Gary White Const. ti Add Livingrm & Kitchen/SF 907 } 4 t� T 4 t •rcS JOB FINALED (Date) Signature �t V=OK O = Not OK Not Applicable '=Not Ready 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/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ /'L'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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; SizeSpacing-Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Dat i Cana B-1 Date Card B-1 Da 1 Card B-1 Date POOLS Plans OK except #'s t 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability t 3. Pool Structure; Steel -Connections -Thickness f 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 4 1 ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDE FLOOR (Plans) OK except #'s 1 Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Qnd -'LL' Ftg. Depth f +Ft_q Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth ,±._F ta porches 8 Decks; Soils Steel-/ /Ftg. Depth '9:-3 mwalls, Main; Steel-Blockouts-Wrapped &,': t mwalls, Garage; Steel- Bloc kouts-Wrapped .. 6a. Downs and Special Anchors lab; Steel -Wrapped --A-Piers-Fireplace Ftg.-Steel 9 D -w t- Fall -Fitting -Test -2 Way C/O -Sewer Test 1jf,14F-6-j"ipe; Size -Anchors - yard gas piping: size -test -++ r"rte• °E;.^; Test -Anchor -Regulator -Service Test --i2 Flo, is l tnderground _43,4enams & Ducts; Clearance -Material -Support -Ins. --14--' t Is -Anchor Bolts -Joists -Vents -Cripples 46-fkeeess & Ventilation Ulation I Date Card B-1 Date t Card B71 Date Card B-1 Date Card B'1 Date PLUMBING (Permit),OK except #'s - - - 16. _Water Htr.: Vent -Ai 17. Water Pipe: Test & 18. D.W.V.; Test-FPKi 19. Shower P Test 20. Tesl,T,6'b & Showe r:cess, m_bustion Air -Baffle -chor_Nail Protection------------------------ Is & Anchor Nail Protection - First Floor -Tub Access- - . Second Floor -Tub Access Pipe: Size & Anchors -------- - ----- ------------------------------------------ard•--------------- Date Card B-1 Date CB-t Date Card B-1 Date Card B-1 Date ELECTR,I.dAL (Permit) OK except #'s- 2 ,.jure & Transformer Clearance -Ins. Protection ---------- -------------------- -------- 3. Elec. Receptacles Spacing -Lights & Switches at Doors --------- - ------ -- - ---------------------- ---- -- - - - - �d-1 ize Boxes & No. of Conductors _Stapled -- �SfRo x Installed Close to Edge of Studs & C.J. - wp Ground made up wrMech, Fastners-Bond Gas & Water ----------------------------- --------- ---------- .. .._ ppliance Circuts in Kitchen & Conductor S1ze,GFl --------------------------------------- ---- --------- -- Q-6vbfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al --------- - - - - -------------- .. 29. Range Circ / ! ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes O'No ------------------- -------------------------------------- -....................... .. 30. Service -Riser Conductors & Ground -Main Disconnect --- - --- 31. Equip_ Clearances Panels_ Motors_ Mech. Equip 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------- - - ............................... ..................... ... . ------------'------ Card rd ......6'j .... _ e-- ....... ........ ..B............. .. Date B -t GS Date Card-B-_1__ ard .. Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------- ------------- -- ...................................... ... ....... 35. Vent Fan: Exhaust above insulation --- --- ----._.... ------------ 36. ------ ._36. Condensate Dram & Overflow: Size & Grade 37 Furnance-Vent: Access -Comb. A r.Return.A r Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ...... ............ ......... - --- --- -------------- --- ------- _.- .. ......... .. D -ate Card B-1 Date Card B -t - _.. _.. ... . . .. . . . . .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - . ... ... ... .. ---- - --- .......... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing-PlateS-Sound _._ ... ..I .... ................ ...... . 41. Bearing Walls over Girders & Floor Nailing ........... ............... .... ................ ... .. 42. Draft Stop in Walls (rat proof) ...... ....... ... I............ ......... _ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --- - 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. ngers-Post Caps -Anchors -Connectors _ 4VPlng. Joist-Rftr. ties- Purlin-roof.Brac-Truss-Shthng.-Rfng. _- 4 fireplace Ties or Type A Flue -Fireplace Throat clearance 4i3. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49',Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - --------- ' 94. Garage Fire Protection Framing -Property Line Firewall & Openings -------------- -- - - - 5?EExt. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53��`�ta-irs: Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 59. pyl-ywood on Roof Overhang -Attic Vents Rafter Outriggers 55!Siding-Nailing Veneer -- -- ------ 56. co Mesh -Drip Screed -Fd. Vents-Underflr. Access 144�azing Area -Glass Protection -Skylights -Plastic ear Walls: Nailing -Bolts '-- ---- ------------ --- Ai Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date. / 5 Card B-1 LSDate Card B-1 Date Card B-1 Date - Card B-1 Date F14L (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings - --- -------- --- - - - - -- • 6 Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------------------------- ------------------------- 64. -room Exiting---- 6 . G.F.I. & Bath Fixtures & Tub Access -Spa .... -- --_..------------- &6'Elec. Trim & Subpanel: Breaker Sizes & Labels 7. Stairs & Rails ,6d-�place or Stove: Clearances -Hearth -------------t - 69 lec. Outlets aWood Panel; Int. & Ext. . _ .... .... - . - - - -- --------------------------- 70VRit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance i 1. Elcrc. Outlets_ & Receptacles at Kit. Counter Garage Fire Door_Swing -Land ing-Close r - ..... . ------- ---- -- - ----- - ;-3--A-C Duct in Garage -Damper ...... ..... --...---------------------- --------- -7.-. lr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----- -------- -------------------------------------- -- ---- Plb.. Elec. & Mech. Equip. Listed for Location .... . . - --------------------- 7,§L.F_lec. Receptacles in Garage: (G.F.I.)-Romex Protection - - - -- --------------------------------- 7�Insulation-Foam-Looked in Attic _ ❑Yes uard Rails & Deck Construction -Post Caps -- -------------------------------- Fdn. V nts & Crawl Hole Door -Drainage & Wood -Earth Cle ance Looked under Floor ❑ Yes --------------------------- �86-F owing insllcl Drive ❑ Yes 01 No: Walks ❑ Yes ❑ No: lanters ❑ Yes ❑ No Stucco Brown -Finish 82 A C Unit: Disconnect. El ;cal, Plumbing --------------------------- --- ---------------------------------- Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings __ _ _ _ ed4/�G�aler Well: Disconnect. Electrical. Plumbing --- - - 86 Exterior Elec. Trim: G_F.I_Receptacle-Underground- - - tsfi/Ventilation Throughout House . - -------------------------------------- i GI ss Protection r re ct ions 'rom Previous Inspections - -- s --- ---- -- ----------- Test -Meters Tagged: Gas-Electr c _3D -water & Sewer Connected -C/O to Grade -HD Approval . -- . .------------------------------------------- 9 .Energy Compliance Certificate -Other Certificates j-- -- - ---------------- ------ Date 6 L / Card B -t %s Date - ------Card-- 1-- Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION V/ -- `•7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 9 ` OSS ASSESSOR PARCEL NUMBER 007-370-025 ZONING R1 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION (, 16 632 OWNER'S MAILING ADDRESS 5,000 CONTRACTOR'S NAME GARY WHITE CONSTRUCTION TELEPHONE 1891-5444 CONTRACTORS MAILING ADDRESS 2643 MONTERRY AVE, CH1120 Fireplace CONSTRUCTION LENDER UN04OWN Total Valuation $ 21 .632 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 021283 Plan Checking Fee $ 146.50 Energy Plan Checking Fee $ 23.00 ARCHRECT OR -ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 3030 SANDI DR CHICO PERMITFEE $ 414.50 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New S Addition )a Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _LIVING ROOM & KITCHEN Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 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 ism full force and, effect. License Class Lic. No. 02> OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.O. OR ( 8 ACC. BUDS. ) 3.5Q FST. 10 .76 CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) L p i.50 BAL .00 Ex. Occup. ( OUTLEETS RESID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 30. Contractor 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.) -11�I rtthat in the performance of the work for which this permit is issued, I shall n t employ any person any manner so as to become subject to workers' c pensation laws of C Iif ia, and agree that if I should become subject to the w kers' compe sation pr ions of section 3700 of the Labor Code, I shall f ith compl with th se visions. X Date _ Signat f App1 t - ❑ O er Contractor ❑Agent An OSHA permit is req fired for excaIrationlover 60" deep and demolition or constructionj� of structures over 3 in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating CO Cooling Hood 6.50 6.50 Ventilation PERMITFEE $ 20.50 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 517.7 HAZ. D. FEES I IMP I FLOOD CDF PARCEL PO HD SUE This permit is hereby issued under ttie of the Butte County Code and/or indicated above for which fees have ByA,19,r�ate—Lt PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ! �C� hoD.D.S.-B.D.CANARY-ASSESSOR (ate) fstolieys tNo. i l/ / PINK -INSPECTOR GOLDENROD -APPLICANT E �y .,.,�.;�Frc::sa f � , COUNTYOF BUTTE - DEPARTMENT`OFDEVELOPMENT SERVICES -BUILDING DIVISION ' 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET // N OWNER /c��62 it 1��� hiC �%��ry S 0 A. P. No. 007 -37 -2 Proposed Building ,Use N %� Building Inspector C- Date dt At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. ........... '......... . 2. Plot plans, 3/4 sets, signed by preparer of plans! .......................... 3. Complete plans, 3/4 sets, signed by preparer of'plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ 5. Hazardous Material Form . ........................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . .............. 11. Impact fees as shown on attached schedule. .............................. ....................... 12. California Department of Forestry plan approval/fees. ....................... . 13: Flood elevation letter (100 year flood C�aWrnia Engineer .............:::: . 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. •17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..P�a"�egIn`cto st 20. Pre -inspection for r required. . . to Building Inspector .ctor (Date) `21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use.......`...................................� 28. Mobilehome utility clearance . .......................................... t `~ 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed + and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................. : . ................. 33. .34. Whey g�issue the i r s as follows: M. 'I o owner. Mail to contractor. l/ Telephone � r Wand hold for pickup aeby OM Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air P Ilution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ m it C nt by _ Date Plans checked by Date Plans approved by Datey-=& Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Plot Phw Attached Floor Phm AMached GIddx Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A'4 �C'Q o b 7 37 -26 - Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for heel ome.—Other cZc�c� o Hold final for: Final clearance O.K. for: Environmental 8/92 Specialist " H't 1h �,T X51 � . � �d'Mf W�{�1�(1(�'� { � Ki�T 'l�••t:)i•/ci'tti. � i 1 by BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District %�� c.o Building Department No. C �-- A.P. Number Property Owner 00-7' 3T' 2,5" Jurisdiction: . = City County ,,e-- A' Property Location/Address jo -3 c7 Subdivison Lot No. k Residential Development f' � � Sq. Footage J O Q No. of Living MHI A dition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Q S,�► Bjd' Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification Nota `' Al School District certifies that (Applicant) a -s (Street Address (Phone Number) (City) ' (State) (Zip Code) has complied with the requirements of Resolution No. 6/9—;?X /9_ by payment of $ r,:presenting _3081 square feet. As 2926 $ FULL MITIGATION $ School District Representative - - Date Paid by Check # AJH Remarks: a— Bank Number s Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm Owner: Permil: No. ENERGY CERTIF ICAT ION 3030 Sandi Dr.,Chico LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 32"/W' CEILING Batt,or Blanket Type FIBERGLASS.BATTS IThickness(inches) Loose Fill Type Minimum Thicknes5(Incties) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name SCHULLER INT. Thermal Resistance(R Value) R15/R19 Brand -Name. SCHULLER INT. Thermal Resistance(R Value) R38 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation Co., Inc. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. yf bb--, M*y20, 1996 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attacfunents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are T cifica,lly approved by the State of California. / a I . F _ -/041 E(Please print) STATE CONTRACTOR'S LICENSE NO. OF 0 DATE THIS CERTIFICATE. MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 GREGORY A. PEITZ ARCHITECT 1907 MANGROVE AVENUE, SUITE -E-. CHICO, CA 95926. (916) 894-5719 Lj � 4') BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 3/25/96 - Re: 96-0556 A.P.# 007-370-025 With reference to the above subject, attached is: Plan Check List [ ] Red Marked Calculations ] Red Marked Plans [ ] Other Action Required: [ Comply With Plan Check List [ ) Resubmit'Plans with Revisions As Required [ ) Return All.Original Materials and Revised Plans to the Building Department [ ] Other. Should you have any questions, please -contact this office at the address or phone number listed above. Sincerely, MARTHA WHITNEY - PLAN CHECKER Permit Applicant HANK & KATHIE THOMPSON Permit Number: 96-0556 Assessor Parcel Number: 007-370-025 Date: ?he above referenced buikfing . plans were reviewed by this office. Provide additional information and/or make revisions to plans, sped kadons and calculatianrs as follows: 1. CONVENTIONAL BRACING HAS BEEN REMOVED AS A RESULT OF THIS ADDITON. PROVIDE INTERIOR BRACED WALL LINE PER CODE OR PROVIDE ENGINEERING. 2. ENERGY CALCS: FOR PACKAGE COMPLIANCE, THERE IS -A -MINIMUM OF.R-19 INSULATION REQUIRED IN WALLS. If you wish to discuss any requirements, you. may contact me at (916) 538-7541 between 1:00 P.M and 4:00 P -M , Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER t 007-370025 PERMIT.05-0978 THOMPSON, Kathy: -3030 Sandi Dr., Chico Cont: Four Seasons Roofing- Reroof SF �;5��`l� i7.�F� ^3�z/RS- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,,,,n� PERMITNO. APPLICATION A' AD PERMIT / .�� ASSESSOR PARCEL NUMBER 007-370-025 ZONING R1 BUILDING PERMIT OWNER KATHY THOMPSON TELEPHONE SO. FT. OCC. BUILDING VALUATION )MP ,740 OWNER'S MAILING ADDRESS129 3030 CHICO 95926 CONTRACTOR'S NAME FOR SEASONS ROOFING TELEPHONE CONTRACTOR'S MAILING ADDRESS 215 CHICO 955Q26 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3030 SANDI DR. CHICO PERMITFEE $ 51.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NA ME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF B Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX3 Describe Work: REROOF — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 full ce and effect. I �{ �,S" 70 7 3 t License Class tr 3 Lic. No. OWNER -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole co pensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensedcontractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ OR ADDNS. ( 8 ACC. BLDS. / sO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 �L 50 Ex. Occup. ( OUTLETS(R SD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: STAT-� v A / /> Carrier !Y t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number la 1311"_ 6Mobile (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' compensatiSp,laws of California, and agree that if I should become subject to the workers' r�r pe .on provis' f section 3700 of the Labor Code, I shall forthwi comp) with ose o ions. X _ Z___ Date /0 2Si ature of 'pplican - ❑ Owner ❑ Contractor ❑ Agent A OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 61.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL pD HD I ISSUE 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. BY A4== Date i PERMITEXPIRESON �/�`�A� (Date) I ^� Receipt No. ,I / �Z � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM NO. APPLIpA`�ION AND PERMIT - ASSESSOR PARCEL NUMBER 007-370-025 ZONING - R1 BUILDING PERMIT OWNER KATHY THOMRSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION 99 C)MP 1,740 OWNER'S MAILING ADDRESS mm qANDT DR, CHICO 95926 CONTRACTOR'S NAME FOUR SEASONS R OFING TELEPHONE CONTRACTOR'S MAILING ADDRESS 9358 MOYER WAY, CHICO 95926 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS i Penalty $ BUILDING ADDRESS 3030 SANDT DR, CHICO PERMITFEE S 61.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Y Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)rl Describe Work: ROOF Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service / a OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 ice and effect. / License Class Lic. No. (p�® 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. ams.) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1.00 Ex. Occup. (OUTLETS (RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty 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 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 5'j,4Tcr jar( MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe 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' compensatio ws of California, and agree that if I should become subject to the workers' -on ZPesection 3700 of the Labor Code, I shall forthw' . c mpl with o X Date S -/O — 9M Siat�reof plican - ❑ Otractor ❑ Agent Ai4-QS IA 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 $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. al �3719 1 tp WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 2,-7 9 7527-79B y�PERMIT NO. � s ' PERMIT EXPIRES z / / /�/ Ryder Homes OWNER I ONTR. owner !� LOCATION (A.P. 44-38-1 port. ) 3030 Sandi Dr., lot 25, Almond Tree Sub, Chico Temp. Power Pole ti Calat"d PG&E r Elec. Serv. O Called PG&E .Gas Serv. Called PG&E _ Y OB FINALED /1"4 1,44W (Date) r `t (Signa e A 1 , 1 COUNTY,19F BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 34,3-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 RECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office THIS 'IRAICIRTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. I. CALIFORNIA ADIIINISTRATIVE CODE, TITLE YS. STATE OF CALIFORNIA. IN THE BULLOING LOCATED AT: 25 Chico Street,Almond Tree Estates c'fY EXTERIOR MALLS Manufacturer J M Thlckness/Type 3 1-2 n R Value l l CEILINGS Batts: Manufacturer J M Thickness 7 R Value 22 Blown: manufacturer U n i t e m p Thickness 611 No. Bags 2 0 wt./Bag 4 0 Sq. Ft. Covered 932 R value 2 2 FLOORS Manufacturer Thickness/Type R;Viluel._ Manufacturer Thickness/Type R Value FOUNDATION MALLS Manufacturer Thickness/Type R value GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE INSUL#17ON CONTRACTOR T IO N LICENSE NUMBER 212461 TITLE Vice Pres. DATE 4-24-80 i i' i RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE It THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 25., -,,Almond Tree Estates, Chico ( oca ion) BUILDING PERMIT NO. ,� A.P. N0. �I ZJ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors h/A Walls 'R 11 Ceiling/Roof R22 Ducts ' ' Circulating Pipes APPROVED HEATER APPROVED WATER HEATER GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. V & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION D CES 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 . N I CIi.U��ON I NS19 LAT I ON' CCS . , i NC . (please print) Signature of . l Insulation Applicator &md S to L General Contractor/Owner Name' Contractors e No. 212461 (please print) . Signature of y�Z'5T) General Contractor/Owner Date State Contracto`� License No. 'T? 9� 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. FRAMING Permit No. Z.P-Ians �� Sills --Pro er Material alls--S ds --Nail,' & S L& Br --Pcs----, . ea in s over (Airs & Floot-17-ailing- Dr t. S to in Walls rat ' roo _ de- Ha e st C --Anc ors --C nnectors CeiRaft ie Pu Ln' s oof B cin r(ys 1 Fi ace Ties or ire lAle nrjP° at Att' Access --Size & Romex Protection i2'.-�Bedpy6m Windows or Exiting Doors --Sill Ii?t. & Dimensions Ga a Fire Protection Framin _k Y' IK ArqeS—eparation Walls --1 hr. Fire --2 hr, Fire 20. 21. Sign Job Card ABOVE r• Vents - - -T JE COMPLETED/ / EXCEPT �W- 'W K- "-; thinsz. Roof Signed: Date: IONS COMPLETED SIGN JOB Signed: Date: UNDERFLOOR` Pdrmit No. 1. Plans 2. Setbacks --Easements 3' Soils --Footings & Stemxaall--/ /" Fill Required--Steel--Block-outs--Elec.Ground 4 Piers --Fireplace Footing & Steel 5 Plumbing--Drain--Fall-Fittings--Wrapped in Concrete .42" test/ / 6 Gas Pipe --Size & Test 7 Water Pipe --Test & Anchors --Regulator 8. Electrical 9 Plenums & Ducts--Clearance--Material & Support & Insulation 10. Girders--Sills=-Anchor Bolts--Joists--Vents--Cripples 11 Sign Job Card — ALL OF ABOVE COMPLETED / / EXCEPT Signed.• Date: ABOVE LISTED CORRECTIONS COMPLETED .SIGN JOB CARD' Signed• Date• -1- F INAL Permit No. prance St Door & Sidel' t Protection Smoke ector 4: Fur waife--V s, C 1 e avefrces Combu n Air Conn t-,,-*Tredroom'iti- - - - G.F. f'& B_tures _ E 1 e c 4LrTF Tri-- &-,ftr:e1-- els Hs .8-1 Fir _ace �+--3�vee--C�ea nces He . e - n II-. Vixtur-es & Ao. " ' nces in Kitchen- -GrouyrdTd--A iiLGaV----Cookin�arance e o r 1 Gara,e Fi oor--Sw ig, CYbs ' lg!C'atett r--Uet?tsClences, P:CV., Conneb6r`n Garage-HeiSh� Mech___'_ ation , *X 1nsL ari on--r'ca^--LOOiCe� in Att1C L S _a _on Vents &. Crawl hole Door-- rainage & Wood -Earth Clearances-- .Looked urde:- Floor �% Yes S� 22. Following Installed: Drive s No; WalksYes L�( No; Planters or Win, [gall -s_ T-1 Yes_ 9!7 Ao---Creating Drainage Problems %% Yes %'?'No _ -Di sc6rfect, Cle4raTices, B.r a •-r & Coctcr Sizes--��"5�et 24. Vents Above Rcd&--Plumhlt�"Apples, Fire. e--Cleara o 0 enings 26. &xtetitl,---r1_ectrical Trim & Gt;F!I; Rece�Ie 27. `Dent' Tnroughout House 28. Class P cion -29.`,.Corredt4dTis f=om Previous Inspections 30. Gas Test --Meters d -Gas ctric Ai— rater Supply & Sewage Connected Ener5r Compliance Certificate 33.~ Sign- Job Card /I ALL OF ABOVE CO'_-TLETED / / EXCEPT . Si ned: Date:,S 1, ADIDVE =•ISTD CI,?RECTIO�T CO'L%EPLETED SIC:i J03 C_ Signed: Date Z -4- r a PLTBING-•-Above Floor Permit Ito.75- — er �terv*eilt�--Acla• __Combuon •Ai -:- ter Pipe --Test & Anchors --Nail Protection rain Pipe--Test--Fittings & Anchors --Nail Protecti.o-h S iocaer Pan --Test. First floor --Tub Access^� 6{) Gas Pi e--Siz & ors T. S isn Job Card ALL OF ABOVE COMMETED L-1 EXCEPT Signed: ,,Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAI.--.-Above Floor Permit No. +5770`7 Insolation Protection at Flush Light Fixtures 3! tacles Spacing ----Lights & Switches at Doors z o & No, of Conductors --Stapled R&_nstalled Close to Edge of Studs & C.J. 5., i . Groun ade up w/Meth_ Fasteners A li e Circuits in Kitchen & Conducr5r Size Sub eders--Wire size ga. Cu or Al, Breaker Size Q Amp.-- I Neutral. Yes No /__% Rayj�e Circuit = ga. Cu or Al, Breaker Size = Amp. --Oven Circuit = ga. Cu or Al, e e --Riser Conductors & Gro nd nd Gas & [Dater Pipes r IkV, trAothes i es othes Closet Light --Shower Light 12. Sign Job Card ALL OF ABOVE C0.4PLETED EXCEPT Si ned•-pate: Y /, ABOVE LISTED CORRECTIONS COMPLETED Date: _ .. MECHANICAL- -Above FloorPermit No. 1 .0 ucts--Insulation & Sup-ort 2 t Fan --Exhaust Above Insulation Condensate Dr n & Overflow --Size & Grade _="--Furnace--V t--Access-Comb.Air--Return Asir Vent --115V Outlet 5. Attic cess & ::ic 6. Sian Job Card _ ALL OF ABOVE COMPLETED L_,( EXCEFI Signed: ate: ABOVE LISTED CORRECTIONS COMPLETED Date: -3- _-.,CO.UNTOK E JTTE — DEPARTMENT OF PUBLIC WORKS • -, ,. BUILDING INSPECTION RECORD. r Y BUILDING BUILDING (Cont'd) PLUMBING., Setback Firewall Soil Piping Forms Parapets 1st Floor ea— Main Bldg. Restroom Finish 2nd'Floor Footings Windows 3rd Floor StemwalI Siding To out Slab 'L ' — dLOW Roof Sheathing Water Piping Piers - Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin si Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab* Final Sanitation Patio /� FIREPLACE Final 'Footings'Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel - Final Fixtures Bond Beam - FIRE SPRINKLERS Motors Framing Test Water Htr. 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 Elec. Pedestal Water Piping Sewer Gas Piping M9�ILEHOME INSTALLATION- - - - - - - - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 � 65? � — 7�/ APPLICATION AND PERMIT auinonze presen a Ives or the uuunty o1 twtte to enter upon the above _m ti ned erty r inspection purposes. X Date Signature of Permitee or Agent Receipt No. -3 Z19 &e - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.GF PUBLIC WORKS By Date /— 7 ilding permit expires Date /— 7- el BUILDING Owner SQ. FT. OCC. BUILDING V TION 'Z 3 Z o Mailing,Add s Tele hone No. 6 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Buil i Address 3� . Plan Checking Fee&/or Penalty Permit Fee Z PLUMBING FEE PERMIT FILING FEE Each Trap po O Repair drainage or vent piping A. P. No. 4 3 ,r onin� & Planning Water piping . E2.00 Each gas water heater or vent Fj4s / Wt'C Sa 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets Parking Parcel EQA Plans Declaration Parcel Map 0' R/W Improvements Each dditional outlet Ilding sewer ons Re d Parcel A ro Plans Approval Lawn sprinkler system NEW k ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ /3 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Single Family My 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 CONSDWELING OR AODNST 1 ACCLBLDGS.0cup- '1) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca 'fornia Business & Professions Code under the name style of: L-4 AiLr i"e6S If NEW CONSTR / RANC U R T NON.RESID 1 BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES B L�j OR Ex. Occup.(OUTLETS P(RESID I EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 P. License N Classification — Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL NO -J 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 Xor orkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws rp4ating to building construction, and hereby Land Development Fee $--- TOTAL PERMIT FEE $ auinonze presen a Ives or the uuunty o1 twtte to enter upon the above _m ti ned erty r inspection purposes. X Date Signature of Permitee or Agent Receipt No. -3 Z19 &e - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.GF PUBLIC WORKS By Date /— 7 ilding permit expires Date /— 7- el NOTEAII Materials & ,WeAmcmthip Shall Do In Accor once witl^ Recoryni.eJ Cron Praafl 83and LL - of a Unif+ the I Building, Plumbing & ;=�lc-chanlaa! �o Qe an oral Electrical Code. N q Q .14, J 1 �v �J y � buildan� . J� Master plan on file for see plans. - .;.., cions MUST'je kept on the_ ios at all 4nns cmd it is unlawful til ma!,e any chcnnes or on S.amp W*jhOut written permission from She ®e,00rtmenf of Public Works, COU.-Ify of Butte. i -- f '0 � ` A setback of.5, mm the Q property lines and a Sptba . of 50ft. from the road Sz �1 I U �i1iE �1 Ix J by l` ly i� centerline shall be cleat' © '7) O"ImtUm 1pr equipment e . pf t for 2 ft. eave overharsg, 7 Z\11 X BUTTE COUNTY (-,,WILD M, n�:�"��TM��i OVER i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centel Drive'T— Oroville, California 95965 V Telephone: 534-4541 D R APPLICATION AND PERMIT OQ BUILDING Owner "l pEP, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor L 0/ C � ��,. Mailing Address T 1 /30 x 7 z Fireplace Total Valuation � ^ `_ 190y�j%,�') Telephone No. Permit Fee Building Address 9030 S�D1 19,e Plan Checking Fee Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao L/ /� OT CSI Gd Repair drainage or vent piping 1.50 (�� A. P. No -1 '� 3 8- ®1 CPd�r� Zoning & Planning Water piping ASO 00 Each gas water heater or vent 9150 CIO F < W!G( 1 Sau"a4err Fire Dept. Fire Zone Use'Pennit Gas piping system 1 - 5 outlets 240 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 IIParcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIIESS❑ OTHER permit Fee $ �� �1�►/%� �7f�"�j -'7�'1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS LING COUP. 4\ 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: a—, .9 t.., TLET NEW RESID.CONSTBRANCH CIRCUITS) NON-RESID, BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS B NON .RESID. `SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) B L�; Ex. Occup.(FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. GL 2-Misc. Classification �� j 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. ve 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 $ $ 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 $ �✓ ODUlvl�cc IcFlICJ CIIIalIVo3 UI 1110 k UUIISy UI DUllc LU ClllCl Uyun the above-mentioned property for inspection purposes. X �! +.c�1 Date/ o2 F— Signature of Permite or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit ' ereby issued under the applicable provisions of the Butte ount Code and/or resolutions to do work indicated abov for hick fees have been paid. T R OF PUBLIC WORKS By Date Building permit expires gate — 6/a A. - COUNTY OF BUTTE 13i,:F'AF�TMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner PkADEP FWL:.-S SQ. FT. OCC. BUILDING VALUATIO Mailing Address Telephone No. Contractor PC- D Pawcu -: iX Mailing Address Fireplace Total Valuation ele hone No. C �41lU I Permit Fee Building Address �� SAO) O� OP -4 Plan ng Fee&/or Penalty Permit t Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 LO1-t- 1'5 C' (4( Co Repair drainage or vent piping 1.50 A. P.o. �f Q h n ,No. ` �� O ' v' ( 1'oeT_ / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe I C. FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ' Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ I CT Ptam l i f i(ZAPO 7527 -i 9 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S00V OR LESS Main service 100 AMP OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS 100 AMP 1.00 Main service EA. ADDNEW CONS. I OM �'GL OR AODNST CCUP. 4'� 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: NEW CONSTR. (MULTI -OUTLET NOW-RESI`BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTIIRES) BAL@1 Ex. Occup.(FIXED APPLES. OR OUTLETS(L SID.) EA% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. A Classification C'/n_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3,90 $ &C 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. ® 5ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued 1 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 representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature offPermitee or Age Receipt No. 14 S `'� 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. D E OR OF PUBLIC WORKS B Date,/—�,-gd Building permit expires Date g COUNTY OF BUTTE —" DE _IRTMENT OF PUBLIC WORKS . 7 County Center Drive - prQville, California 95965 Telephone: 534-4541 �J/o APPLICATION AND PERMIT / a aulnullcC ICpICJCIIL0UVC5 UI tilt!VUUnIy UI [SULK to enter upon the above-mentioned property for inspection purposes. X J12Date Signature of Permitee or Age Receipt No. 30?,-) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is ereby issued under the applicable provisions of the Butte Coun Code and/or resolutions to do work indicated above for whic fees have been paid. IR OR OF PUBLIC WORKS BY D to mit expiresAe, �/ BUILDING Owner. UDER SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor ��%� :l �sC� Mailing Address Fe&rw-v" Fireplace , Total Valuation a/.�,� `�O T hone N --C{{� Permit Fee Building Address So36S WI Da _ Planng Fee&/or Penalty Permit Fee Permit ee PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.001 Each Trap 1.50 L' Lo—, -0-2-s AUMAW"r� SUQ Ct-k Q Repair drainage or vent piping 1.50 _ 3�- O I (POP- A. P. O./H Lf ll� Doing 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s I VVC. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 R-.=vy-1k„9_Rec'd Parcel Approval Plans Approval j Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ MECH _ PE -P-01-7 �TO . ?_ NzIt -7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family YJ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADONS. ACCLLING BL GS.CCUP. Y1 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 st le of: Y NEW CONSTRES'., MULTI.OUTL T NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR, Ex. OCcuo(OUTLETS OR FIXTURES) 50BAL@1 @21' Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. S3 1 Classification C) 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 .� Heating/Y) ,(p t00 W (7Ppf(- Cooling 73j 460 LJr00 Ventilation Hood 2.00 Permit Fee $ 100 $ 13 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 $�3 aulnullcC ICpICJCIIL0UVC5 UI tilt!VUUnIy UI [SULK to enter upon the above-mentioned property for inspection purposes. X J12Date Signature of Permitee or Age Receipt No. 30?,-) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is ereby issued under the applicable provisions of the Butte Coun Code and/or resolutions to do work indicated above for whic fees have been paid. IR OR OF PUBLIC WORKS BY D to mit expiresAe, �/