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HomeMy WebLinkAbout007-370-037� 0 AV Ryder Homes 2980 Sandi Dr., low Chico contr Alan Kay, San Rafael ' Per 't #6307-79B(new single family) I � - - por` Perm' #6616-79B(tran fer to owner Contr: Tony Jessee, Chico Permit#6984-79M(mech/6616-79) - j 8 - I p Contr: Al Dietz, Durham ermit#6695.-7.9P (.plbg/73 07-79 ) Contr: Reed Francis Ele, Chco Permit#7600-79E(ele/6616-79)SF i f f ' f4 f �o l _:� � � -�� 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. BP05197.3 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under Issued Date: 07/26/2005 APN: 007-370-037-000 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. 2 License C 38 License Number: -7 -7 3 J Site Address: 2980 SANDI DR CHI Clas :G� Map Index: II � �� SRio ft Date Contractor.. l Description: HVAC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: WEICHERT ROBERT W &ANGELA R Business and Professions Code: Anycity 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 2980 SANDI DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0443 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).): Cl 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 Applicant: GALLAGHER'S HEATING & AIR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, E. HWY 99 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one LOS MOLINAS, CA year of completion, the owner -builder will have the burden of 800-892-3556 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as "owner of the property, am exclusively contracting with t 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, Contractor: GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOLI NAS, CA 800-892-3556 Date: Owner: License #: 777334 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 Architect: is issued. have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: .61+01-H.— 4_wV / Total Square Ft: 0 S. F. (� 1 JQ � �� 1 Policy#: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' ���� compensation provisions of Section 3700 of the Labor Code, I shall ththose provisions. forthwith comply wii4tocu,. Date: Applican . WARNIN alluworkers' 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. CONSTRUCTION LENDING AGENCY This permit is hereby issued under he applicable provisions of the Butte Count Code and/or I hereby affirm that there is a construction lending agency for the Resoluti s o do work i 'cat a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) a Name: By' Date: Address: PE MIT EXPIRES ON: v (Date) ❑, 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorize 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 ceof any official form or ocument of Butte County. I hereby .authorize representatives of Butte County toenter upon the above mentioned property for inspe ion purp es. r Print Name: v1 UiD-a-r— Signat ' Date: ❑ 0 Agent for OwnerA0 for Contractor 0 Owner Contractor yent 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 OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY` OWNER Last Name (, �; VVq First Name �vDL2 Address a 18 o (� I City stater A J Phone C) D O Fax E-mail SIGNATURE CONTRACTOR ` Name �1 /' l� V Ci Address O SRA City u _011 State EA77P Zip Phone M, 011�No Fax E-mail • , Lic. # Class SIGNATURE ARCHITECT/ENGINEER Name Flood zone. Address SRA City Address•, State Zip Phone M, 011�No Fax E-mail • , State License Number SIGNATURE Zoning Prop 1ty�Oss 'Y1 _Cj t DF Flood zone. Cross Street SRA I Yes Address•, Occ. Type Const. 9N M, 011�No _i • , `/ INAPPLICANT Fo ice use o Zoning Prop 1ty�Oss 'Y1 _Cj t DF Flood zone. Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # - Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION —7 - AP# - U i -'370 Prop 1ty�Oss 'Y1 _Cj t DF City^1 Cross Street WORKER'S COMPENSATION Policy Number W� O LJLJ e" Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. SMIP LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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 prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO51973 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 07/26/2005 APN: 007-370-034-000 the Business and Professions Code, and my license is in full force and effect._M23g License Numbe C38 License Class: Site Address: 2990 SANDI DR CHI �Contracto Map Index: Date�/� o[& Description: CHANGE OUT ROOF MOUNT HVAC OWNER43UII I DELLA TION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THOMMEN DOUGLAS E &JILL.D- ••.-....:,--.,:....,. permit to construct, alter, improve, demolish, or repair any structure, prior • •W . - ; ,s �,, 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 - 2990'SAND'I DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA ' 700by6f`DivAion 3 of,the"Business and Professions Code) or that he or she is',exem t therefrom and the basis forrthe-aIle ed exem tion. An p s p Y -, ; 9597.3-0443 violation-61fSection'7031.5 by any applicant for a pemh.subjects t applicant-tp,A civil penalty'of not more than five hundred dollars ($50 mow. .ops;-. ❑ i1 ae-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,fo� salea(Sec. 7044, Business and Professions _,HE "S�HEATING Code: The Contractors' State License Law does not apply to an Ap licant: GALLAGAIR , owner.of,property who builds or improves thereon, and who does ,sucli,.work himself or, herself,or through his or her own employees, t provided- that such improvements are, not intended or offered for . If however, or sold E. H WY r sale. the building improvements are within one " the have LOS M LINAS, CA year of completion, owner -builder will the burden of t e of proving that he or she did not build or ime�ra, 800=892-3556 sale.). Om .1, .as,owner;,,of the,,property, am.;exGuontracting with. licensed contractors to construct the proje7044, Business and'Professions Code., The Contractors'nse Law does not apply to an owner of property who buiproves thereon,C ntractor: GALLAG ER'S HEATING &AIR and,who contracts for,such projects wi c licensed, pursuant to the Contractors' State Licens -;. H 99 I amExempt-under Article 3 ofthe B sinesofessions C eE. LO MOLINAS, CA Owner: '°` .. ''_ '' 8 -892-3556 , r''t'w• ''^M WORKERS': COMPENSATION d1ECLARAT N I hereby,.affrm under penalty of perjury one of th following eclarations: License #' `. 77334 ❑' , I;have and will maintain a certificate of co en to s If -insure for workers' ,compensation;.as .provided for by ction 00 of the Labor Code, for.the performance of the work fo which is permit is issued: .,_, ..:•,. - I' have and,wili.1;a nsura Archl ct: ,,, _ .., ." , , ... .,... intain'workers' compensation as Eng' eer: ,;. -required by Section 37 0 the Labor Code, for, the p orma a of, r lhe:work for which this Pe 't is issued. My workers'co, pensa ' insurancecarrier and policy nu are: , ,' Carrier V i i Total uare Ft: 0 S. F. aluation: $0.00 Ce sus Code: .Policy #:` 6 '— � - - �O • I certify.that in the performance of the work for which this rmit is issued, 'I shall'not employ, any person in -any manner so to -become subject•to•the workers' compensation laws of Califor ' ,.; and, agree - that'sif+ I should, become subject v: to the workers compensation provisions of Section 3700 of the Labor Code, I shall ,• ""'"`"" ' .;;forthwith comply with those provisions. Date:,l I� -Applicant:,. ,, ::3• .r . -.r..., WARNING. ` Failurer to' sec,.ur.e workers' compensation coverage is s,. •: T.. • i unlawful?'and -shall subject an employer to `criminal penalties- and one - - • • •.,,, 'hundred4^ltho6sand`''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. - �4 0tiJ1pJC CONSTRUCTION LENDING AGENCY • This permit is here4y issued under the applicable provisions of the Bufte County Code antvnr ,l hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to o ykrk indicated above for which fees have been paid. " �f �6_g BY Date: C PERMIT EXPIRES Address: Date k ... F.1rt.- I777 -hereby certify that:fhe use. of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, ,handling and use of.hazardous materials. •,_ �••,• . ❑ -'Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ ' -Attached are copies of tilii 44uired E.P.A. notification forms. - ... I hereby.certify that I have, read this application, that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with ,' all county and,state laws relating to building construction.. I acknowledge it is unlawful to alter the substance of any offici form or document of Butte County. I hereby authorise representatives•of Butte County to/e/nt'ervu^pon the above mentioned property for ins i urposes. Pint Name �J l�{� 1ljryl 1 Signa Date: --- 3—Owner • •+� -• O' Contractor ❑ Agent for Owner • 1�Agent for Contractor 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 REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last NameFirst e� me Address Q anct1 ,Dr O City • I State Statee/�r1 �I�i Zip Phone Q 'lax E-mail State License Number CONTRACTOR Name Q I Address J City State Zip Q I Phone-Ltq State Fax Phone E-mail L'It m 33 C 3 APPLICANT SIGNATURE 471 r office use only: ARCHITECT/ENGINEER Name J �— 14 V C t C S Address SRA City Z' State Zip Phone E-mail Fax E-mail Planner State License Number APPLICANT SIGNATURE 471 r office use only: APPLICANT NAME NameGal it) OfA AddressOo aM6 J �— 14 V C t C S City 1-1)(', SRA State Z' Phoe. 0 g Type Const. Fax G l E-mail Page APPLICANT SIGNATURE 471 r office use only: Zoning AP# Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. G 5- 1ci'13 BIN # K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ 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. Receipt #: qw-1 6 Date:, Amount: J✓ Bldg SRA Sheriff SMIP Other Total REV 2-24-05 LOCATION AP# �.� O oe) P=1t ddressi � � City 4 Cross Street WORKER'S COMPENSATION Policy Number x I �L.J � a©a 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ 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. Receipt #: qw-1 6 Date:, Amount: J✓ Bldg SRA Sheriff SMIP Other Total REV 2-24-05 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 inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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 prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 PERMIT NO. 6307-79B PERMIT EXPIRES .i OWNER Ryder Homes ►-C ONTR. Alan T(ay, San Rafael p i,i'LOCATION (A.P. 44"38-1 port. ti 2980 Sandi Dr., lo , Chico tj ti Temp. Power Pole Called PG&E 1:W". Elec. Serv. Called PG&E TGas Se,v. Called PG JOB / FIN D 7V b.\.0 (Date) (Sign tft to III DATE: IJ! PRIORITY R MILER GLASS INC. M"e 2/13/8o � ❑ URGENT! 1 ! P 0. Box 1281 744 Cherry Street � FILE NO. � ❑ SOON AS POSSIBLE M` r` CHICO. CALIFORNIA 95926 ❑ NO REPLY NEEDED IIIe • ATTENTION: 343-1787 343-7934 T 0 II M E S S• A G E c R E P L Y TO WHOM IT MAY CONCERN: SAFETY GLASS Inktalled by Miller Glass I� for Ryder Homes All glass installed by Miller glass conforms with Architectural Glazing Materials (16CFR 1201) issued by the Consumer Product Safety Commission dated 1/6/77. -- Mil&er .Glass. Miller Glass Inc. i SIGNED^A SIGNED: RECIPIENT: WRITE REPLY. RETURN WHITE TO SENDER. KEEP THIS PINK COPY. 1. P1 2. Entran&eSttV.s D 3. Smoke - ector 4, C LISTED Bedro itin COMPLETED T _ & Bath Pit A rINAL Permit No. idelight Protection, s, Ccm5ustloli ir,:Connecto Gara p H, 9. Fi ace or St e --Clears es He 10, �i oma, r `' �° at Wood - 11, Fixtures & Appliances in Ki en --Gr -Airier --Cooking ante 12. Electrical Ou,Wfets & t-+e�.eer 13. Garage F i oor--S j Land '. C1oC �/ 14. A. e --r_, — — 15. :gate t' ate~ - _ s, Cle s, Combust' n , P. ., Conne to Garage =Hei & Mlech.Pr ction _ l§,=gitae<1s & 0 enings-- a e a' � ectrical Receptacles in Garage G,F,I,1 Romex protect -1 Insulation--FoaT..--Looked in Attic / _s 19. SLaTLs, at Ext 20.ar a_J .d Detzv 21. Foundation Vents &. Crawl hole Door--Draillage & Woo arth Clears es-- .Looked under Floor %—% Yes_ 22. Following Installed: Drive es No; Walkses L� No; Planters or Wing Walls / / Ye o --Cr in D a is e Prob ems %% Yes INo 23. A.C. unit ---Di nett Cl r es Br r & CondSize--l15 et 24, Vents Above Roof --P1 ng, Appl ces, Tire . a -Clearan enir_Qs mater We'_'_ _ica b ..ng .xterior Electr' T- & G.F.I. Rec ep t'Lc1e Ventilation ro out House I ALL OF ABOVE COMPLETED / / EXCEPT ABOVE LISTED CORRECTIONS COMPLETED t S i ned • Date ::::: C SIGN JOB QARD \ Sianed:_ J Date 1141,10C-1 PLUMBING--A3ove Floor Permit No. 1. Water Heater--Vent--Access--Combustion Air 2. Water Pipe --Test & Anchors --Nail Protection 3. Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test Q 4. Shower Pan --Test, First floor --Tub Access 5 Test Tub & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors Sign Job Card ALL OF ABOVE COMPLETED L_1 EXCEPT Signed• Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. 1 Clearance & Insulation Protection at Flush Light Fixtures .2. Elec. Receptacles Spacing --Lights & Switches at Doors 3. Size Boxes & No. of Conductors --Stapled ..4. Romex Installed Close to Edge of Studs & C.J. 5. Equip. Ground made up w/Mech. Fasteners 6. 2 Appliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga. Cu or Al, Breaker Size Q Amp. -- Insulated Neutzal, Yes Q No Q 8. Range Circuit j -j ga. Cu or Al, Breaker Size Amp. --Oven Circuit [Q ga. Cu or Al, Breaker Size Amp. 9. Service --Riser Conductors & Ground 10. Bond Gas & Water Pipes 11. Clothes Closet Light --Shower Light 12. Sign Job Card ALL OF ABOVE COMPLETED Z--/ EXCEPT Signed- Date: ABOVE LISTED CORRECTIONS COMPLETED Date: MECHANICAL -•-Above Floor ------ Permit- No. 1. A.C. Ducts --Insulation & Support 2. Vent Fan--Exhaust.Above Insulation t 3. Condensate Drain & Overflow --Size & Grade 4. Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6. Sign Job Card ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: -3- r� sku; FIBERTHERM CELLULOSE' FIBER INSULATION COVERAGE CHART 'R' VALUE MINIMUM' THICKNESS MAXIMUM COVERAGE < `" 'NUMBER of 40 Ib. bales per 1000 Sq. Ft. To Obtain Installed thickness Contents of NO' 24" 16" an R value of Insulation this bag of: should not be should not JOISTS JOISTS JOISTS less than: cover more than: R-11 3.1 IN. 82 sq. ft. 12.2 11.6 10.9 R-13 3.7 IN. 68 sq. ft. 14.7 14.0 13.2 R-19 5.4 IN. 47 sq. ft. 21.3 20.2 19.1 R-24 6.8 IN. 37 sq. ft. 27.0 25.7 24.3 R-32 9.0 IN. 28 sq. ft. 35.7 33.9. 32.1 R-40 11.3 IN. 22 sq. ft. 45.5 43.2 40.9 The above data was established at an average blown density of 1.9 lbs. per cu. ft. with an R value of 3.55 This information set forth is provided by the manufacturer to assist in estimating the amount of FIBERTHERM. Loose fill Insulation appropriate for a specific application. It is assumed that: 1) standard installation practices will be observed, 2) area calculations will be accurate, and 3) coverage is applicable only to FIBERTHERM 40 lb. professional size bales. ----------------------------- - --------------- This is to certify that your insulation has been installed in conformance with the attached manufacturer's recommendations and meets the urren energy regulations. ADDRESS: 1 p , CITY, STATE: w 11 CEILING : THICKNESS G . z 'R' VALUE_ WALLS THICKNESS � 'R' VALUE NAPA INSULATfoV, 1,%, CONTRACTOR: D.B.A.IVOR-('Arswc:�Iy0IV J 145 Plwz-v F.'. NAPA CAt1P"4558 Material Manufactured By: WESTERN WEATHERCHECK (707) 25-'j-9564 305 MATHEW STREET SANTA CLARA, CA 95050 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLE "RMANCE WIrM CUR ENT PERGY CONSERVATION FAEGULATIONS AT (location) BU ILD ING PERMIT NO. iQ�� �'T — Z I� A.P. NO . 1 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not.applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts t/ Circulating Pipes I, -'- APPROVED HEATER ✓ APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES f CERT. APPLIANCES 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.NAPA INSULATION, INC, NOR -CAI, INSULATION Insulation Applicator Name D.B.A. Signature of (please print)' NAPA, CALIF. 94558 Q� Insulation Applicators \�74;k ,C,n , — � 2529564 � State Contractors Lice =e—s 3/ 92 ,, General Contractor/Owner Nameell,-A4'r lease Signature of ease print) General Contractor/Owner Date ll State Contractors1 !' License No. l I THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO ; , REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION 9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Plpin Forms i9 /C Para ets 1st Floor 3/ Main Bldg. 9 Restroom Finish 2nd Floor Footings 3/ Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I' Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phed sically handica Conformance of ex structure Appliances Gas Piping & Te Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 04 Footings Footing e.ELECTRIC Masonry Walls Throat Rough —� Reinf. Steel Final C] Fixtures Bond Beam FIRE 6PRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ECHANIC L 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 OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) IIN COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 (� �� :i T APPLICATION AND PERMIT 7/ authoriz rep entatives of the County of Butte to enter upon the above ti d prope ty for inspection purposes. n X - Date Si nature of Permitee or Agent Receipt No. Ifo, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By Date_!' rte-? y ;��ildinq permit expires Date Gam+ BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Contractor Mailing Address Q VC) Fireplace Total Valuation J Z Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. '( Z in & Planning Water piping 1.50 Each gas water heater or vent 1.50 , es Sa ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements_ Each additional outlet .30 Building sewer 5.00 Bldg. Z. -n` feed Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR10V OR L LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others El Main service EA, ADD'L 100 AMP 2.50 - Main service OVER e O 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T ( ACCDWELBLDGS.LING CCUP S) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal' nia B slness & Profes ions Code under the name style of: g, �S NEW R (MULTI-OUTL T NON BRANCH CIRCUITS)2.50ea NEW CONSTR (POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES 50 BALM FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �b Classification 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 men's Compensation.ave placed on file with the County of Butte a certificate of X'I rkmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ 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. l agree to comply to all County Ordinances and State LaNs relating to building construction, and hereby Land Development Fee As I TOTAL PERMIT FEE $ S- — authoriz rep entatives of the County of Butte to enter upon the above ti d prope ty for inspection purposes. n X - Date Si nature of Permitee or Agent Receipt No. Ifo, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By Date_!' rte-? y ;��ildinq permit expires Date Gam+ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC RKS i' 7 County Center Drive - ' Oroville, California 95965 Telephone: 534-4541 i APPLICATION AND PERMIT J / authorize rep enta ' s of the County of Butte to enter upon the above -menti pr rty fo inspection purposes. A X Date lV �� Signature f Permitefe or Agent Receipt No.�7��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date o In !7- B ilding permit expires Date BUILDING Owner Ryder Homes SO. FT. OCC. BUILDING VALUATION Mailing Address BOX 4008 400 Walnut Creek Ca. (415)1933-8262 Telephone No. 2 Contractor Alan Ka Mailing Address 19 Dorian Way Fireplace AV I Ebo Total Valuation -71 San Rafael (415) q� T41�42_"p Y''z Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 1-33 _ LOT �� PLUMBING No• @ FEE acrSO Sandi Drive PERMIT FILING FEE $3.00 31 O Each Trap 1.50 12-., 0 Chico Ca Repair drainage or vent piping 1.50 A. P. o. PORT -� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 1,52) F C. 'G116n I FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 1$0 EQA Parking I Parcel Plans Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Idg. Plans ec d dZ Parcel A royal Plans Approval Lawn sprinkler system 2.00 P Y NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 100 AMP OR00V OR L LESS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( D G OCCUP. 71 A GS. 20sgft 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: Alan Kay TLET NEW CO I T 1 BRANCH CIRCUITS 2.50ea NEW CONSTR. /BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS fi NON.RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES g L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 193533 Classification B-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,q MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ©I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 relaling to building construction, and hereby Land Development Fee $.-j .0c TOTAL PERMIT FEE , se,co authorize rep enta ' s of the County of Butte to enter upon the above -menti pr rty fo inspection purposes. A X Date lV �� Signature f Permitefe or Agent Receipt No.�7��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date o In !7- B ilding permit expires Date "v w -, This set of plans and specifications MUST be kept oi the job at all times ana i - "nlawful to make any changes or alterabep;h-n ons t� sar�ra o. ithout written permission from the ar'; ublic Works County of Butte. The Bldg. Setback'sholl be 5 ft.. the sid pro rty line and 5o ft. fro i ce terli of the rad, permitting a maxi- \ mu rn of. 2 ft. eave overhang but entirely 3 of ` i easements. :1 �/—oo CPUC G C U/_�G � L/ TTElG' E. See Masfer Plan on file Tor building plans. I l7_ BUTTE COUNTY BUILDING DEPARTMENT APPROVED CUT -37 L.S7, 7-6-S V\J til � Q The Bldg. Setback'sholl be 5 ft.. the sid pro rty line and 5o ft. fro i ce terli of the rad, permitting a maxi- \ mu rn of. 2 ft. eave overhang but entirely 3 of ` i easements. :1 �/—oo CPUC G C U/_�G � L/ TTElG' E. See Masfer Plan on file Tor building plans. I l7_ BUTTE COUNTY BUILDING DEPARTMENT APPROVED CUT -37 L.S7, 7-6-S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 w 12 APPLICATION AND PERMIT�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. , X Date Signature of Permitee or Agen Receipt No. 21q7A 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. V%TOROF PUBLIC WORKS By Date l %� permit expires Le �� d BUILDING Owner der Homes SQ. FT. `OCC. BUILDING VALUATION Mai I ing Address I . Telephone No. Contractor Tony Jessee Mailing Address 1627 Nord Ave. Fireplace Total Valuation ChiCO Ca. lzeIe hoq,e NR t51 —2 G6 Permit Fee Building Address S Norseman Ave. jqi Plan Checking Fee&/or Penalty Permit Fee Almond Tree Sub -D. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 37 Repair drainage or vent piping 1.50 4— 8-01 A. P. No. 3 Z,Tr,�, & Planning Water piping 1.50 Each gas water heater or vent 1.50 FMs VW. I Saa"ad+er Fire Dept. •FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 . g. an d Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER K] permit Fee $ $ Mechanical Permit or BP# 28-6616-79 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i0006V OR LEo AMP ORS5.00 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 Main service// EA. ADD -L 100 AMP 1.00 OR AODNSNEW T ( ADWECCLBLDGSCCUP. 4\ 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Tony Jessee NEW RESID,CON I BRANCH CIR T NON -REBID l BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. QCCUD(OUTLETS OR FIXTIiRES) B L25 FIXED A Ex. Occup. (OUTLETS PLNS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 312043 Classification C-20 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. ®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 3.00 Heating 8Q 000 BTUH .0 .00 Duo -Pae Cooling 21Ton ..00 4.00 Ventilation Hood 2.00 Permit Fee $ 13-00T -TT-7 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 $ '11,101 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. , X Date Signature of Permitee or Agen Receipt No. 21q7A 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. V%TOROF PUBLIC WORKS By Date l %� permit expires Le �� d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 'Oroville, California 95965 � 767i A Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ,P Date Signature of Permite or Agent Receipt No. �)_qC 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 r hich f es have been paid. I C 0 OF PU LIC WORKS/ Date— Z6 ermit expires Dg(L� BUILDING fli Owner n le SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 1, Mailing Address T 1 &l1l(7ZS Fireplace Total Valuation 009— �1�2,a--434i1 Permit Fee Building Address W f S Plan Checking Fee&/or Penalty Permit Fee P 16'00 lIJ 6 r� /4�4�L3' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .Q© Each TraD 1.50®'Q Repair drainage or vent piping 1.50 Q �� A. P No. 0 oning & Planning Water piping 1.50 osO Each gas water heater or vent 1.50 450 Fes I WVC. I .Sartttatt Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 j EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ane ec'd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Iq$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 60ov 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 25.00 100 AMPP OR ESS OL Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACCDWELBLDGSLING CCUP. Y) 20 Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y a � f TLET NEW RESID. BRANCH CIRCUITS) NON-RESID. � BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 6 NON - RES ID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTtIRESI g Ex. Occu p• ( FIXED APPLNS, OR OUTLETS (RESEA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 3 LicenseNo. 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. '&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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land -Development Fee Is TOTAL PERMIT FEE P? 142 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ,P Date Signature of Permite or Agent Receipt No. �)_qC 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 r hich f es have been paid. I C 0 OF PU LIC WORKS/ Date— Z6 ermit expires Dg(L� ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive- = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A/0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signature of Permitee or Receipt No. -3aaa 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. DI EC OR OF PUBLIC WORKS By �1_ ` Date Building permit expires Date _�� �/6— BUILDING Owner . :K SO. FT. OCC. BUILDING VALUATIONTe Mailing Address Telephone No. Contractor � ��-IE7Z Mailing Address ��$ NAJzLrj ew Fireplace Total Valuation GE 40 a hone No. p� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 a� =d0 7 d o �/ i Repair drainage or vent piping 1.50 A. P. No. 4 4 " 31: Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fetes ty/c. I SarritatrTh Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI gd�ans ec d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION❑ UTILITIES ❑ OTHER Permit Fee $ $ �!r od rJ t!o6 -7% ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c7o 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 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING O 2�sgft Q OR ADDNS. % ACC, BLDGS. 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: Y � NEW RESIO.CONST/ BRANCH L T NON,RESI D, `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR. 250 Ex. OCcua(OUTLETS OR FIXTIIRES B L 1 � Ex. OCCU FIXED APPLNS. OR p• ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 h' License No.,94rit� �i Classification C`o Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 $ 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. r.-_JXhave 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 $ 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Signature of Permitee or Receipt No. -3aaa 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. DI EC OR OF PUBLIC WORKS By �1_ ` Date Building permit expires Date _�� �/6—