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HomeMy WebLinkAbout007-370-047i V V raft" `. Butte'` 007-370-047 06-0351 IN O T E S 7 C GUTIERREZ, PEREGRINA po).?, 794 MARCIA CT, CHICO Cont: OWNER WTR HTR C/O APN: Permit No- Owner- Site o_ OwnerSite Address: Contractor. Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: -1 I "106 SIGNATURE: .iv = OK = "n (1K MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaI1/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPF Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsStee I 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Sokes-Enclsrs-pn1boards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide s` Pool Drawing = OK Not OK RESIDENTIAL (Single & Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 5 Stemwalls Main; Stee l-8lockouts -Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE 'FRAMING _ 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing-Bo1Ls 37 Brace Int/Ext Wall pnls 38 Ins ultn-Walls-Ceilings 39 Infi Itration-Walls-W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9a ❑ CU or DAL AC Wire Sz ga ❑ CU or D AL 48 Range Circ ga DCU orDAL Oven Circ ga D CU or D AL Insulated Neutral D Yes D No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UHit IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe, Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping do 0 O�c p DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic Oma 0 O' 0� FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GF1 & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge PlantersF DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnc% Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous lnspctns .95 Gas Test -Meters Tagged, Gas-Elec .96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl .97 Energy Cmpinc Cert -Other Certs 9-8 Address Posted -99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060351 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) ' I OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/15/2006 APN: 007-370-047-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 794 MARCIA CT CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: replace h2o heater Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GUTIERREZ PEREGRINA M ETAL to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section GUTIERREZ ALCIDES 7000) of Division 3 of the Business and Professions Code) or that he or 794 MARCIA CT 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 CHICO, CA 95926-0447 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GUTIERREZ PEREGRINA M ETAL such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one GUTIERREZ ALCIDES year of completion, the owner -builder will have the burden of 794 MARCIA CT proving that he or she did not build or improve for the purpose of e•)• CHICO, CA 95926-0447 as owner of the property, am exclusively contracting with nsed contractors to construct the project (Sec. 7044, Business r d Professions Code. The Contractors' State License Law does apply to an owner of property who builds or improves thereon, d who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: CONRADS PLUMBING ❑ I am Exempt under Article 3 of the Ines and Professio Code Date: `—" 954 E LASSEN AVE owner: CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION (530) 893-1124 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 CONRADSPLBG@SBCGLOBAL.NET workers' compensation, as provided for by Section 3700 of the License #: 670692 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft: 0 S. F. 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 Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - Date: / Applicant: _ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i ereby issue rider t plica le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio to do wrk in icated ab ve for ich fees have been paid. F �_—O _ Name: By: Date: PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 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 o ' I form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: SIG •G©� s �LC71� �.2C Signature: Date: A S 6 - /owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE k: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last NameFirst , Tie � & ame k, C"0 5 Address 7�'Gi c- T.. City C fJ�r c O State c"6f Zip ?57 7 3 Phone 30 3415 _�7? 1 Fax E-mail APPLICANT SIGNATURE For office use only: CONTRACTOR Name a S L z_, -t4 i Address De 7?15 City No State Zip Phone Book Fax E-mail Phone State License Number Fax 1-5'049— 3 5 7 E-mail Lic. #C�78G� Class APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name � Il1L Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE For office use only: APPLICANT INFORMATION Name � Il1L Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE For office use only: Zoning Pro pe0 Ad ress L/ MAac- I/d- Lam. Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: nvGD mno ci IMMITTAi R1`nl IIRFMFNTS PERMIT NO. BPa6'"©�� BIN # LOCATION �-P7ROJECT Pro pe0 Ad ress L/ MAac- I/d- Lam. City I Cross Street WORKER'S COMPENSATION Policy Number 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 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:_ n 016111" Receipt #: Dat/ Amount: SRA Sheriff SMIP .c,� Other otal SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets -of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Plarining review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits 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\B1daADD1SubRamts.doc Paoe 2 of 2 RFV 8-12-05 535-180B PERMIT NO. PERMIT EXIP�Jis Rydi Homes ,OWNER CONTR. owner �LOCATION (e -P. 44-38-1 port - 794 Marcia Ce., lot 47, Almond 10ree Sub Chico Temp. Power Pole Called PG&E Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Signature) 77 ,�L 0 = Not OK ` ! X " = Not Avlicyle' -RE IDIENTIAL(Single and Duplex) (blank) = Not dealt _with 'et UNDERF A Plans OK'exe t #'s Date FRAMING Conlin[ je-lopintrrequirements-Setbacks-Easements t in; Soils-Steel-Elec. Grnd.- " Ftg. Depth—Fxt ❑herd t arage; Soils-Stsei- " Ftg. Depth tg., Po es & Decks; its -Steel- " Ftg. pth 5tir-"P1y%v1q n•R Ste IIs, MaK. St -Bloc s a 5Z_-6id' - to 6,,-Sremwails, Garage; Steei-Blockouts-Wrapped-Slab. 'S3r8tt)ccd�t �y'-I Ir-PrEM-Fireplace Fig. -Steel 5�-C�iexi�fg+4ree� .V.: Fail-Fittinas-Test-2 way C/O -Sewer Test 12. 13. Card -BI Date' Card -BI Date Cab -81 Date, Card -BI Date ■ - Date PLUMBING (Permit) OK except #'s _ Card-BIDate�f its"Card-BI Date Card Date' Card -BI Date Date' ELEC AL Permit OK except Fix & Traillefolger Gleams. Protw_aerf 21. gtacles Spacdag-Cigbie-& Swit&4es arVoors 22-' Siz es & No. of Copdu om944n Tiled Close to Edge-oI`Stud quip, made up w/IAeGD,-FastOa-_Fe!Bond _ 2b12 Circuits_Ln Kitchep_j,.66n ze -Sut�'i O*Wire Size /M ga. Cu-oriitoA.C. Wire Size / / ga. Cu or At 2 ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No '2L_-re4jce isV-Conductors & G -;: ain ect 2f_ZRruip. arances; Panet%�Mb �h. kagipe 3Q. -Cloth set Liaht-Sho t Card 8-10L" Date(O//�JL&jCard-81 Date Card B -I1 Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 34/:CC. s; .lnsu & Supp`67-_ 17'- Venlf.APl-Exhat:at'5bove In ton 3 - Return Air Vent -115V outlet 3%v-9-ttic ss & Pla26erfiif FurPkWr1'fiXttic Card-BIDat _ rd -BI Date Card -BI Date Card -81 Date Date FRAMING(Plans) OK except #'s yt;�Sill per Materin�An s 3¢rCla�S[ud'�- Iail�Spacing-2rBractpg-Pfstas._�u� ver Y_,B-raft &CIT in WaLaI at pr 4 i*re-$tops-Furfet<eilin s-StaQya!ChSses=7 _ 4j(�Ji�a1�s & Be Si26,&-ffear 42 ger Anc-Con_nTctors 43.Cois -Rft6 Meas Pur%rr4_Roo ` c.-Tr-Shtfi&q R'fl 44. Type A i14 45,.- tio..eet s: Size &.RCf�rProtec.Oraw=OraR-3 p trr��BafYele 466' Bdrrk-Wnddws o Exitns 4. Gar ire Prpteetirfl-Frami _ R00F; ReeesT-Ra Card -BI DateW/?,�,fpard-BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date ;Date FINAI, (PI s) OK except #'s " 5600`E)0. Steps -Door & Sidelight Protection -Landings T Sm a Detector pe'r-mace; Vents -Clearance -Comb. Air -Connector- _ In arage; Above Floor -Ducts -Mach. Protection �room Exiting G. & Bath Fixtures & Tub Access _ . Trim & Subpanel; Breaker Sizes -Labels _ St firs & Rails fireplace or Stove; Clearances -Hearth §o/EL. Outlets at Wood Panel; Inc. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter ge Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Wtr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 1 -rage; Above Floor -Mach. Protection Ib., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.1.)-Romex Protec. Ir Insulation -Foam -Looked in Attic (N -Yrs _ Guard Rails & Deck Construction -Post Caps 4�,4dn. Vents & Crawl Hole Door-Drainaga'& Wood -Earth Clearance . _ L oked under Floor ❑ va. 7 Following instl Drive Yes E] No; Walks des C]No; enters es ❑No; Creatinj_Drug. Problems r] Yes tl Stucco; Brown -Finish 7�rft'� Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ants Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. later Well; Disconnect, Electrical, Plumbing _ Exterior Elec. Trim; G.F.I. Receptacle -Underground _ entilation throughout House Glass Protection ` orrection m Previapeinspctions Ga st-MetersTa ed; s -Electric =- ter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other' Certificates Card -BI Date %�L��WoCard-81 Card -BI Date Card -BI Card -BI Date Card -BI Comments at Final: Date Heinf. steel I Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing_ Test Q ' Water Htr. Mesh f7 �mrC 65 NTY"OF BUTTE — DEPARTMENT- OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUI DING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor — –� - Main. Bldg. Restroom Finish 2nd Floor Footings . Windows 3rd Floor Stemwall Sidinci To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin sGarage ' Stemwall Vents 1z Insulation Water Htr. Heaters Slab Carport Footings Prov, for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Heinf. steel I Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing_ Test Q ' Water Htr. Mesh MtCHANICAL 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 (NOTE: An entry must be made on this form each time you visit the job site.) :a c r lob . M E C H A N I C A L Check List C . ❑ Permit ® Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. El Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure- relief valves. (5) Class 2 refrigerant. 5/79 r lob . M E C H A N I C A L Check List C . ❑ Permit ® Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. El Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure- relief valves. (5) Class 2 refrigerant. 5/79 :'HIS IY'id CfRT1Ff THAT INSKATION HAS BEEN .INSTALLED IN CONFORMANCE WITH' THE CURRE11T ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE YS, STATE OF CALIFORNIA. 1N -THE BUILDING LOCATED AT: Almnnd Tree Estates Chico Lot Number dry EXTERIOR MALLS Manufacturer CT Thickness/Type 3 i11 R Value 1 1 CEILINGS Batts: Manufacturer C T Thickness 7" R Value 22 Blown: Manufacturer CT Thickness No. Bags 1 R Mt./eag_2� Sq. Ft. Covered 900 R value 22 FLOORS Manufacturer Thickness/Type R Value Manufacturer Thickness/Type R Value FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE "is y! OFRAc PRNT I ONucENSE NUMBER 212 4 61 BI i ITLE Pres. DATE 6-16-80 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot # 7/Almond Tree Estates, Chico (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors N/A Walls R11 Ceiling/Roof R22 Ducts Circulating Pipes APPROVED HEATER/ APPROVED -WATER HEATER GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. / & SLIDING DRS. V WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES 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 NICH.OLSON INSULATION CO. (please print) Signature of Insulation Applicator General Contractor/Owner Signature of General Contractor/Owner Contractors e N9. 2.12461 please .print Date State Contractors License No. ? 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. • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • BUILDING Owner Ryder Homes So. FT. OCC. BUILDING VALUATION b U Mailing Address P.O. BOX 4008 h lalnut Creek Ca. 94596 41 Tele hone No. -4 69(/ S 2 - Contractor Contractor Owner Mailing Address Fireplaceva 0C� Total Valuation 14 Telephone No. Permit Fee I.Q� Building Address Almond Tree Sub -Division PIanCheckingFee &/or Penalty 3.Z5 Permit Fee .2-5 � L� '7 r Chico PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,Ot' Plan; N Master Repair drainage or vent piping 1.50 A. P. No. 4- 8-1 P Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fk1s 1 4/C.-Sa ' tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parce Ma pwilding 60' R/W Improvements_ Eac additional outlet 30 sewer 5.00 Lawn sprinkler system 2.00 Bldg. fans Recd Parcel Approval Plans Approval NEW (E ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ fflA6TC:g/ 2 -�—% �v ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single FamilyX❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACC. BLOGS.I DWELLING Ccup- S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Style of. Ryder Homes NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS 0 NON.RESID. `SINGLE OUTLET CIR. EX. OCcuD{OUTLETS OR FIXTIIRESBAL@1 FIXED APP LNS. OR EX. OCCup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 374650 Classification B-1 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. RX I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is 25 ,00 TOTAL PERMIT FEE $ CJ/ autnonce representutives of ine uuunty or I5utte to enter upon the above-ment' d pr rty f r inspection purposes. X Date / Signature of Permitee or Agent Receipt No.3u 7 .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 OF PUBLIC WORKS BY�� X===K —Date -Z-- 7—A' Building permit expires Date iv o/2�Av k NOTE:—All Materials & Workmansl5ip Mill 50 Of Accordance with rRe forethe Specs and ified use e in the o ac amctsl Codos and Uniform Building, Plurnlaing & the National Electrical Code. Svc=. 20'_13.s.� 1 ie aster plan on file for building_ I 'k/a6le Wans. �\ l °� w 404 A setback oft5 ft. from the A-' proper lfnesq;Q a Setback �N�K�,',a y ` of 50ft. from the road I centerline shall be clear of Q, i This set of plans and spec! cetions MUST be kept on the job at all t+rhes and it is unlawful to make any changes or altercn;ions on some without written permission from the Department of Public Works, County of Butte. structures or equipment exCopf U, -for a 2 ft. eave overhang, 45 BUTTE COUNTY BUILDING DEPARTMENT APPROVED COT 4� 36-1 n LiG. 13 7 3 % COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 93 '- BUILDING Owner SQ. FT. OCC. BUILDING VA UATI Mailing Address Telephone No. Contractor Mailing Address �- Fireplace Total Valuation POW wAf^—L Tele,ppha gy -`7 Permit Fee Building Address -7qC P I an Checki ng Fee &/or Penalty Permit Fee PLUMBING No. @- FEE PERMIT FILING FEE $3.00 6D Each TraD a& a�Oj, /f 1Z, Repair drainage or vent piping 1,50 A. P. No. .� �ning & Planning Water piping �. ev Each gas water heater or vent d 40 7. F VL,-- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets � dZ EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 � � Bldg. IanP s Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 215E — $ per_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soot/ 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 600V 100 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST.OWELBLOGS.CCUP. '1)2P Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions,Code under the name style of: Y NEW RESID.BRANCH CIRCUITS) NEW I CONSTR. � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESIO.. SINGLE OUTLET CIR. 250 EX. OCCUDtOUTLETS OR FIXTIIRES, BAL 1@ Ex. Occup FIXED APPLNS, OR p•�OUTLETS (RE.EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No� /T2 Classification �- �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to -all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�,e�.� , ��� Date Signature of Permitm r Agent Receipt No. V775- 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 `if Date go Building permit expires Date 7 COUNTY OF BUTTE - DEP, FRTiAF_NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT _err ASSESSOR PARCEL NUMBER y� _35? _p r �> ZONING R_J BUILDING PERMIT OWNER TELEPHONE 1-a sa SQ. FT. OCC.1 BUILDING VALUATION OWNER' MAILING ADDRESS s ��x tia _-F CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN v Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �qq rn arcio- PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. `i'7 SUBDIVISION NAME MOn r PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SIF� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New o] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: m.t2r-hanIca.1F�OR33R#�S3S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. I DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force an effect. License No. -3 0 b '43 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50 N'25C BALGOtOs FIXED APPLNS. OR `` Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F—]Thepermit is for $100.00 (valuation) or less. INra I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating s 000 () Q3 Ob Cooling ��a�^J 0.'i ob Hood 2.00 0 Ventilation Permit Fee $ od Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all libilities, judgments, costs, and expenses which may in any way accrue agaihs said County ynons�uenceof the granting of this permit. X �� Date _5_'9 oo Si re of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ occuP. GROUP TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B PA51RMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date av Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF,BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARC L MBER ®� ZONING BUILDING PERMIT OWNER + ' E' %— TELEPHONE - S0. FT. OCC. BUILDING VALUATION O ER 'S MAILI ADDRESS o/ CON ALTO S E TELEPHO`lE r�n� 3 / o — CONTRACTOR'S MAILING ADDRESS �y 121,9 141e)-i!qea me CONSTRUCTION LENDAER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping T NO. ' SUBDIVISIONN ME 1a) %�eee Z PARCEL MAP I Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF X, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New 9; Addition ❑ Remodel ❑ Uti I' les ❑ Installation ❑ Other3< Describe work: � �Pl 1"-r- 6--35 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Feell 3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�0 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DW;k U a OR ADDNS. AC 22 Sq ft 7' T� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Rr I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. L ry �^ License No raL �/ �� n Classification C/ /1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. NON.RESID, BRANCH CIRCUITS) 2.50 ea NEW CON ST R. I POWER APPARATUS & NON-RESID. %SINGLE OUTLET SIR. EX. DCCUp(OUTLETS OR FIXTURES �@� BAL@10S FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C my ' co equ of the granting of this permit. X JG Date V Signature of Applicant — OwnerET Contractor ?i ' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s�tojries in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ occUP. GROUP TYPE OF CONST. I PARCEL P No SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w (RECTOR OF LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. (!P2 3;( WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT