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007-460-012
1 , x OIL i \5'Canyon Way, lot 103 Chico '_ b'Brothers Const -85B,P,E,M(new single family) 6 12 Cont' --Al Vial, Mn�t Permit.#3205" 5BP, ,M(transfer 67. 7.32 85 7.46-12,; Cont Al Vi -al ^ '; Pe i0888 86B(lst renewal%732 8 5) �. ' ^:.ya +x,. Y:rr{.�• "l.rrr ,�+_ 7-46-12 ontr ,�Sutherland._Lands-cape,:, 1 Permi #2796-86P (lawn sprinkler) y �• f Si 007460 -01ERMIT� 2971k- • - ..�y tHENDBRSON'Vi `�ki�:�'���''� -561Kings Canyo ay;, Chico, 4 Y ont:'Gh& oofing,sU�` x ijt'§kd as i t. • a -----Y ' i I � + , f .s• ,r�. t: u.r; ^+i'"..� : .. , .. �. Y.�yr.b."-a .a''n'tf+f'-"�1�'i' � ,_,`Koa---. �...,_. . ;�` + , �,� � j F s -, .. �'; �; .. 7' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (53M 538- 41 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 7-460-012 ZONING ILDING PERMIT ri `I riii�Dk:3t:%iiv TELEPHONE J 94-3374 SO. FT. OCC. BUILDING VALUATION 30 1 ,00 � "ivv�°Df �J�'Olr WY9 DIII00 CA C7iL.p of1.1RIR I1�Ct �}� T, J` -t537 cOWTOf NG A J�S;'503 C'AW 1 CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1, 8(k. CK) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41, W ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �� .` 61 KI:� ci t li,! YON b1Y 1�iICi�) Energy Plan Checking Fee $ PERMIT FEE $ 61.W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � License Class ��> ';�'] ` Lic. NO. . � q/ / /j J �} c/o _' OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. E I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatig,n insurance carrier and policy number are: Carrier ,T f77Rsr 1 cr t (a Main Service 200A TO 1000A 46.00 NEW CONST. OWELLMIG OCCUP. OR ADDNS. ( a ACC. BUDS. SO 3.5¢x. NON-R61D. " MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIS. EX. OCCU . OUTLET OR FDCTUREs 20 @ 100 BAL @ .SO Ex. Occup. oLIT s RaIo.1 E ED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number M, - Z& (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [II certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X- /, , - ._ _ Date �,Zz/ - t, r' Signature of Applicant - ❑ Owner ' Contractor ❑ Agg6t f An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 01 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt NO. 7 `1J.`� WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538- 41 PERMIT NO. (Rev. 12/96) APPLJ CAS ON AND PERMIT C2 0q ASSESSOR PARCEL NUMBER 007-460-012 ZONING BUILDINGPERMIT VMI HENDERSON TELEPHONE 894-3374 SO. FT. OCC. BUILDING VALUATION 30 1 800.00 c56iS D ` MON WY, CHICO CA C� & R SR��ING T4!1�i537 Tn"2'0t=T#503 CHICO, CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1,800.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL INGADDRESS 561 KINGS CANYON WY CHICO Energy Plan Checking Fee $ $ PERMIT FEE S 61.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF W COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. J, License Class 7 7 9-10 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended dr offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TG 46.00 NEW CONST. DWELLING OCCUCUP. VVE OR ADDNS. ( & ACC. BUDS. SO 3.5¢FT; ,IO....D! MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 s,,l @ .50 Ex. Occup.GFIxL,T,E�DSA aE�sID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. l�( 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatigp insurance carrier and policy number are: Carrier S=. (� Policy Number / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�'G�s -� � Date %r v / _ Signature of Applicant - ❑ Owner°Contractor ❑ Agefit An OSHA permit is required for excavat%n-s over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By or EX IRES 4 the applicable provisions Resolutions to do work been paid. Date ds? Defe Receipt No. F ffsPERMIT WHITE-D.D.S.-B.D. AN R -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT i Ann1 1d%AT2d1Jk1 ALln nrr%&A -r - -- (Rev. 12/90) /'1rr'61VMI IWilli MIYV r,Qn1Vt1 �•QiO""'"�'""'�'ZOM O Z> w a BUILDING PERMIT N" J / N•PIL rsc)r� Tm"'"a 8` =3 7 SO.' FT. OCC. BUILDING VALUATION fJ - ti Lva a C30 . OpM \ TEtHIRONE l ca COMMr ACTORI MA&M AOOAM OONSTRUC11011 LENOM UD09 s JAMM ADDRcn Fireplace Total Valuation = APAWM T an 040111411MuctNSE Ffln Fee S 2o.c ARa ITEC! ON aa"EteRI yyINq ADOMS Permit Fee Plan Checking Fee 5 �l ev.�.aADDawsb Energy Plan Checking Fee i i PERMIT FEE _ e, 0 ROT N0. •tbON1111110"M1! PARCEL W1► PLUMBING PERMIT Filing Fee 20.0 USEOFSTRUCTURE SF 6,15uplex O Mobilehome O Other EPMOY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New O Addition O Remodel O Describe Work TYPE OF WORK Utilities O Insulation O Other 1(20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.0 Main Service =00.11LLEESSe 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLM OCCU. OR A)ONS. i ACC. SDSP. 3.SCftOr No1&REslo. YULTFOVRE7 07.50 i 9NOtt 0111LtT 010. EX. OCCU ou1LET OR r.YTUR69 20 0 I.00 SAL .50 EX. OCCU Ovntis ,,6.APPLN80 $.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.0 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee = Energy Inspection Fee S CONST. TYPE TOTAL FEE $ HA2. D. FEES I IMP I 8000 COf PARCEL PO 16 E This permit is hereby issued under the applicable provisior of the Butte County Code and/or Resolutions to do wo indicated above for which fees have been paid. By Date __-- PERMIT EXPIRES ON 0 In I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / PERMIT NO. 7 County Center Drive - Oroville, Califofiia 959J55 - Telephone 916/534-4541 r APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _7 ZON NG `Z ' BUILDING PERMIT OWNER'TELEPHONE F (�1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTIOR'S NAME 7 l CI n ,r 4 TELEPHONE CONTRACTOR'S MAILING ADDRESS — c )H„ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS k I 561 Kings caw_ n Vayr -Ioty io ` bhi�o Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF4B,. Duplex❑ Mobilehome❑ Other SPECIFY Gas pipin system 1 - 5 outlets 5.00 Bui z yil#1+r C 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: f / + rl j`+ j e- e V c 14 L, �.. Permit Fee $ 1 uV Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ©e I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code ar� my license IS In full force a effect. License No. �I Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ad +/zQsgft OR ADDNS. ACC. BLOGS. / NEW CONSTR. ULTI.OUTL T 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA O30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 4',tihall not\employ any person in any manner so as to become subject t� to!the W. C. Jaws of California. Notice to Applicant: l6after 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify,,and keep harmless the County of Butte against all liabilities, judgments, costs;�'and-,expenses which may in any way accrue agai ;t said Count .in co se.. e6ce,of=the granting of this permit. Date ���7 C/ Signature of Applicant — Owner I Contractor ❑ Agent ❑ An OSHA permit is required For exc vations over 5'l)" deep and demolition or construct- ion of structures over 3 stories in h ht. e Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ocCUP. CONST.TYPEJ I IFIL0001PARCEI-1 PD NO I ISSUE, G/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OIF�ECTOR�F;',PUBLIC By 'k -)T -. �+y'rF PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ f-, Receipt No. CD WHITE-O.P.W., YELLOW-ASSf.SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, Ca1forniai@5965 - Telephone 916/534-4541 Z APPLICATION AND PERMIT IN ASSES PARCEL NUMBER ZNG, BUILDI G PERMIT OWNER \ r co TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER -S MAILING ADDRESS Cc)h 4V.7� CONTRACTOR'S NAME TELEPHONE CON ACT R'S MAILING ADDRESS �-Q Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 561 Kings canyon Way,lot 103 Chico Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,J�9-Duplex ❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Bui e- 5.00 ,W Mobile Home I S I GJWJ 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:Ori rt IC-, CVA ib U Ov Permit Fee $ pJ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code an my license Is In full force an effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& A 21/2 New CONSTR.� UL•TB OUTLET 50 ea NON•R ESID BRANCH CIRC ITS 2.50 ea APPARATUS h (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20®90t BAL030 Ex. OCCUp. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department �d a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts, and expenses which may in any way accrue agai said Count 'in o ce of the granting of this permit. X t Date �7 Signature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for xc vations over 5'0" deep and demolition or construct- ion of structures opv�er 3 stories i h ght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ � pJ occuP. CONST.TYPIJ 11"...111A11C.11 PD HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR OF UBLIC b BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D '✓� Receipt No. P 33 0��i: WNITC-D. r. W.. TEL LOW-A98l990R, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT 'E'M �c NO. M` PERMIT EXPIRES' t ALVINCO 1 l OWNER �. ' CONTR. ASSESSOR PARCEL�2 " 561 Kings Canyon Way, -lot 103,1Chicc ' LOCATION P/ r, w /✓" A' OFFICE COPY ` Address .. ��. fry. - �` _ �i,, . • :: �� - . - .� R A er' By ff -4Date "t •ELECTF IC. 4, Meter By,Date o ,s OFFICE�COPY`wyra*� rAddress sl Na: tGASi;�3 S'�`t1 r* :Meter By ..: )x y tDate 4, *c , l/s•.' tat ELECTRIC3�Ysr'+','5e �r rrxy :;. .. • � � Meter By``Date'^ OA Temp. Power Pole Called PG&E '-Temp. Elec. Service / r r .?` Called PG&E Temp. Gas Service 4 _ Called PG&E JOB FINALED (Date) { 4 Signature V = OK ' 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements ,j DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts- Beams- Rftrs.-Con nec.-Shthg.-Rig.-'Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining, 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 4 Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date f V OK O Nit QK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) �E Date UND FLOOR Plans K except #'s Date FRAW1tiG (Continued) Z in .req s—Setbacks— sements 4 . property Line Firewall & Openings , Main; Soils—Steel—E , Grnd.— / /" Ftg. Depth 4 Ext. Doors—One 3'—Check Garage -3rd story, 2 exits Jt"Ftg., Garage; Soils—Steel— / Ftg. Depth S0 -- s; Width—Headroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth 54 Plywood on Roof Overhang—Attic Vents—Rafter Outriggers temwalls, Main; Steel—Blockouts—Wrapped—Slab 52e'—Siding—Nailing—Veneer . Stemwalls, Garage; Steel—Blockouts—Wrapped—Slab EV Stucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access Piers—Fireplace Ftg.—Steel YF 54. Glazing Area—Glass Protection Sk li —Plastic 84D.W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test 56--%eaf-Walls; Nail' g— olts 9. Gas Pipe; Size—Anchors 10. Water Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date,:) Card -BI Date Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Card -BI Date Card -BI S& Date Date FI L (Plans) OK except p's Card -BI Date Card -BI Date DPLUMBING (Permit) OK except q's Ext. Steps—Door & Sidelight Protection—Landings moke Detector 14. Water Ht.; Vent—Access—Combustion Air urnace; Vents—Clearance—Comb. Air—Connector- Garage; Above Floor—Ducts—Mech. Protection 15. Water Pipe; Test & Anchors—Nail Protection 16. D.W.V.; Test—Fttngs & Anchors—Nail Protection Bedroom Exiting 17. Shower Pan; Test, First Floor—Tub Access . G•F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor—Tub Access lec. Trim & Subpanel; Breaker Sizes—Labels 19. Gas Pipe; Size & Anchors W. S & Rails G3 lace or Stove; learances-Hearth 0. Alec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date T / Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date Alec. Outlets & Receptacles at Kit. Counter Date ELEC RICAL Permit OK except q's Vv, -Garage Fire Door; Swing—Landing—Closer V. A.C. Duct in Garage—Damper 2p. ixture & Transformer Clearance—Ins. Protection 9. Wtr. Htr.; Vents— earance—Comb. Air—Connector—P.R.V.— Garage; o'va F Mech. Protection KGElec. 2 ec. Receptacles Spacing—Lights & Switches at Doors &Mech. Equip. Listed for Location 2 . S' Boxes & No. of Conductors—Stapled lec. Receptacles in Garage; (G.F.I.)—R ex Protec. 2 '. om8x Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners—Bond Gas & Water Insulation—Foam—Looked in Attic es . Guard Rails & Deck Construction—Post Caps 26--2 Appliance Circuits in Kitchen & Conductor Size Fdn. Vents & Crawl Hole Door—Dr inage & Wood -Earth Clearance Looked under Floor ❑ Y s Z6.—Sub-feed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or All 2LjRange Circ. / / ga. Cu on'gj�Ove�C�c. / / ga. Cu or Al, In,sulated Neutral Dyes ra o <1 :_ .' Following instld.: Driv Yes []No; Walks Yes '❑ No; Planters ❑Yes No 2S rvlce—Riser Conductors & Ground—Main DisconnectIV. tucco; Brown—Finish 2$ Equip. Clearances; Panels—Motors—Mech. Equip. A.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet 49--elathes Closet Light—Shower Light POT Ants Above Roof; Plbg.—Appliance Firepl. Clearance to Opn s. ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle—Underground Card 6-10r—Dates � Card -BI Date Ventilation throughout House Card B-1 Date Card -BI Date lass Protection Date MEC ICAL (Permit) OK except q's Co re 'ons from Previous Inspections G est—Meters Tagged; Gas—Electric Ducts; Insulation & Support . Water & Sewer Connected—C/O to Grade—HD Approval 3 nt Fan; Exhaust above Insulation Energy Compliance Certificate—Other Certificates 3 ei[densate Drain & Overflow; Size & Grade Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet 3t--*ttfc—Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Datej Q Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR ING Plans OK except q's 3 ills; Proper Material & Anchors 37 IIs; Studs—Nailing, Spacing & Bracing—Plates—Sound 31learing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4 Fire Stops; Furred Ceilings—Stairs—Chases—Tub Wader & Beam—Size & Bearing 4 gers—Post Caps—Anchors—Connectors 4 44. Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Truss—Sh_thng_.—Rfn_g_._ _ Fireplace Timor TypqX Flue-5,replace Throb/ _ Attic Ac s; SizeRom , otection—Dr Stop—Ins. affle 4 drm. Windows or Exiling Doors—Sill Hgt. & Dimensions 4 , Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE -_, DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Oroville - Phone: 534-4541 Skyway and Elliott Road, Paradise- Phone: 872-2961, Ext. 57 CORRECTION NOTICE �U)«l d C'/ < � - S -f- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. In J 4 r -ti AInspector Date v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE vt� PPQKAIT Ain A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma ter, or need additional explanation, please contact this office immediately. Inspector_ _ Date / Inter-Depar `tn eontal.o�Memorandum TO:\ `-O`.UN�" FROM: C�r11Zl�e t IQ.f% SUBJECT: DATE: / �+A� y`� ` Z(-�� Z f �C/i✓ G/ /d V v- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS•. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE F\W - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector �i/i " Date 9 U`� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �� �(� 01-1 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist.at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1i Inspector l� 1�1 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. -57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above -address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. A V1 S -,R Inspector_ Date/�/�` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS•. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector .�'1!/ Date r i Owner — �� � � (l,t �" _ Permit ENERGY C'E R T IF ICAT ION _Lot # 103, Kings Canyon Ct., Chico LOCATION DESCRIPTION OF INSULATION ROOF Material _ Thickness(inches) EXTERIOR WALL Material_ Fiberglass Thickness(inches),_ 31i" CEILING Batt or Blanket Type Fiberglass Thickness(inches) 101 Loose Fill Type_ Fiberglass Minimum ThicknesW nches) 11" Area covered(ft. ) 1000 FLOOR, ELEVATED Material Thickness(inches)_ FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) .P. No. Brand Name__ Thermal Resistance (R Value) Brand Name CertainTeed Thermal Resistance(R Value) 22 - Brand Name _CertainTeed Thermal Resistance(R Value) R-30 Brand Name CertainTeed Insulsafe I'II Number of Bags 22 Wt. per bag 25 lb. Thermal Resistance(R Value) R —TG— Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal-Resistance(R Value) I hereby certify that the above insulation was installed in the above building in cfo � H Rance with the State aifornia ton Energy Requ.drements. ns in Co., Inc. #378407 STATE CONTRACTOR'S LICENSE NO. - 7-7-86 .�=_�---- SIGNA' (✓ OF INSTALLATION _ APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. . All equip►n@,tits devices and materials are of the quality prescribed or are, specifically approved by the State of California. ITS FI>"11,1 1W4t10''WNER (Please print STATE CONTRACTOR'S LICENSH NO. -,7 c3>41g- SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL iNSPECIION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 <- J �d� GOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Caiffornia 95965 - Telephone 916/534-4541 0,Z2,3 _ c5 / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,, ^. ZONING BUILDING PERMIT OWNEVT I itA TEL PH ONE SQ. FT. OCC. BUILDING VALUATION 9�1P OWNER'S MAILING ADDRESS b CONTRACTOR 'SN E TELEPHONE V p Ot 74 CON RAC OR'S M ILING ADDRESS �jj- O Fireplace 00 . CONSTAUCTION LENDER UNKNOWN IYCIA& Total Valuation $ Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGI EER OM LICENSE NO. Plan Checking Fee $ M. o -�u� - e r $ / ARCHITECT OR ENGINEER'S MAILING ADDRESSCn Permit fee V I $ — �d BUILDING ADDSI Cci,N PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a" Solar Water Heater 20.00 Water piping 5.00 LOT NO. O SUBDIVISION NAME #_ f PARCEL MAP Gas Each qas water heater or verit 5.00 3' piping system 1 - 5 outlets 5.00 USE4f STRUCTURE SFXDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 S' Mobile Home S G W 10.00 e TYPE OF WORK New)IN Addition El Remodel❑ Utilities El Installation❑ Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 1 100 AMP OR LESS 10.00 !0 — �✓ O (� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (( DWELLING OCCUP OR ADDNS. l ACC. BLDGS. I�z�SQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full rce and effect. License No. ! Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS & NONNEw -CONSTRRESID. SINGLE OUTLET CIRPOWER APPARATUS .&) Exzo®soe . Occup( p�OUTLETS OR FIXTURES BAL®ao FIXED APPLNS. OR Ex. Occup.OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ OS Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ s2S' 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 liabil' ies, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor Er– Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures st r' s in he' h Mobile Home Installation Fee $ TOTAL 9ERMIT FEE r os 0 P. GROUP x `J P OF CONST. /V PARCEL PD Iss This permit is hereby issued under'the sions of the Butte County Code and/or work indicated above for which DIRECTOY(IOPF, PUBLIC By PE IT EXPIRES Date applicable provi- resolutions to do fees have been paid. WORKS Date ��8� /7 Receipt No. r� s_�y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534--4541- PERMIT 16/534.,4541PERMIT APPLICATION DATA SHEET Permit No. ' OWNER �`fl: �1NC'c) _ ., ..... A. P. No. Proposed Building Use S/ Permit Fee Based Upon: Complete Contract Price _DPW Valuation Other (Explain) Building Inspector Date i /Ez At time of permit application, I was advise the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7/Statement of Intent for Non -Heated and AC Buildings. oK 8. Fees of $ i . . . . . .. 3 ae-ss- QP 9. Letter of signature authorization. . . . . . . . . . 0Ft 19� .Sanitation approval from 0U4t Health Dept. .. 3- a S- fry 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner F-1) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .Jj •Pre-Inspec.`request to 17. Pre -Inspection for Required. Building Inspector (Datel )4. Recorded copy of rlcul,tural Acknowledgment Statement. 74 �1'V 19. Other lV 3- AG— SrsJy P Whew -issue the 9 permit, process as follows:* , Mail to owner. Mail to contractor. Telephone 5 -3351 and hold for pickup at /�/office. Deliver w. /inspector. Other Applicant _/, i4� %/ Date 511xA-:�) Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the fol lowing data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by _ Date Plans approved by - Date Pik Other: Copy—DPW sew. t TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner L6catiefn VPOAP# Plan approved for: sewage disposal j� water supply Hold final for: Final clearance O.K. for: Clearance for j bedroom Tab, home. Note*** Sanitarian Other water supply water supply Date NOTE:—All Materials & Workmanship Shall 13e Accordance with Recognized Good Practi s an ' of ual't i y prescribed for the Specified u e in t o — —' Unifor uilding, Plumbing & Mechan! al C % and the Na, al Electrical Code. 125 of • ' � ErJct-I A setback of 5 ft. from th property .lines arlc�ao etbi of 50ft. from they centerline shall be c ear structures or equipmenj e for a 2 ft. eave overhgng. !y� goc,r_Y M TN, WAY I / 2 ? l This set of plans and specifications JAUST be kept on the job at all times and it is unlawful tc make any changes or alterations on sa a with- out written permission from the Depart ent p{ / Public Works, County of Butte. `i 1000 G/+i.. 1 S Edi lc, -TM K FA1> 5F 7' c TAN 'ZOO D IN F 107, 6 Aeo' 14'12 SF Sk�Y 13.33 o•NI 90 TOTAVC a-• 211.33 i�•3�7a I PIF 17,00 t?, See Master Plan on file f r building (0110 plans. W�g f3 . 1,46,413' - 10�, SITE FLAN X32 -gam BU rTE COUNTY DoT jo-, S.IN. 8p _EZBUILglMq�PEPARTMENT �loK-t1i ►'AR!✓- a UGUIv15b!°l A9PPVE® # C A R R I E R - HEAT PUMP AND AIR CONDITIONING R E S I D E N T I A L L 0'A D E S T I M A T E PREPARED EXCLUSIVELY FOR: WEBB HOMES 389 C CONNERS CT CHICO CA 95926 ESTIMATE PREPARED BY DON FOWLER MCCLELLAND A/C JOB NAME: NORTH PARK PLAN 205 CASE NAME: - DATE PREPARED: 3/18/84 31012832.1 ##################################################################### DESIGN CONDITIONS OUTDOOR INDOOR SUMMER, WINTER SUMMER WINTER, DR`( BULB 103 27 78 70 WET BULB 67 ---- 52.7 ---- REL. HUMD. 13 ---- 13 ---- DAILY RANGE 25 ---- ---- ---- DAILY SWING ---- ---- 6 __-- LATITUDE =,40 ELEVATION = 200 SPECIFICATIONS WINDOW CONSTRUCTION WINDOW TYPE: 1 TYPE: HORIZONTAL SLIDE GLAZING: DOUBLE PANE STORM WINDOW: NO WEATHERSTRIPPING: YES LEAKAGE: AVERAGE GLASS COATING: CLEAR INTERIOR, SHADING: DRAPES,BLINDS OVERHANGS: NONE DOOR CONSTRUCTION DOOR TYPE: 1 TYPE: WOOD STORM DOOR: NO LEAKAGE: AVE WSTRIP: YES 0 WEBB HOMES NORTH PARK PLAN 205 JOB NO. 1 ENTIRE HOUSE — WALL CONSTRUCTION INSULATION R—FACTOR: R-19 WALL U—FACTOR: 0.042 WALL CONSTRUCTION TYPE: 1 WALL CONSTRUCTION: FRAME FLOOR CONSTRUCTION FLOOR TYPE: 1 LOCATION: SLAB .—PERIMETER: 1.64 FT AREA: 1473 SQ FT, _ EDGE INSULATION: NONE COVERING: CARPET —' CEILING/ROOF CONSTRUCTION —CEILING/ROOF TYPE: 1 LOCATION: BELOW VENTED OR UNCONDITIONED SPACE INSULATION R—FACTOR: R-30 AREA: 1473 SQ FT IS ROOF DARK: YES D.UCTWORf DUCT LOCATION: ATTIC OR OPEN CRAWL SPACE W/ONE INCH INSULATION LIGHTS €c -APPLIANCE -LOAD .(WATTS), .350 NUMBER OF F PEOPLE 4 MECHANICAL VENTILATION (CFM) 100 — WEBB HOMES -_HEI.GHT- _ DEPTH NET_AREA.._ SHADED ALL DAY NORTH PARK PLAN205 JOB NO. 1 371 NO ENTIRE HOUSE - 0 0 NO EAST.._... ..30 8_ 0 - 204- WINDOW AND DOOR SUMMARIES 8 0 0 NO GLASS AREA .. .. 0 COOL-ING.. HEATING WEST . 30 1 2 3 TOTAL TOTAL LOADS BTU/HR BTU/HR NORTH 24 0 0 24 NORTH 533 670 ------.-NE/NW_._ ....._. 0_ .. 0. 0. - 0 NE./.NW_......._..._.... - --.. ... ..... ... Q.-_... _.. _.._ .... - -0. _ EAST 36 0 0 36 EAST 1988 1005 SE/SW 0 0 0 0 SE/SW 0 0 SOUTH....__102.._._..._._0-....... _.__COOLING . 0. _BTUH _0..... ..102. SOUTH.__, .3164 _. _. _ -2847 WEST 12 0 0 12 WEST 663 335 HRZNT 14 0 0 14 HRZNT 2267 430 _.._......TOTAL.. 1.88. .. 0 0 .1 88 TOTAL,_.--..... __--- .-- _.._86.15'__'. .5286 DOOR AREA .l_ _.......2 ..... _.. 3 ......... TOTAL . .. TOTAL_ -D OOR LOADS NORTH 21 0 0 21 NORTH 336 457 NE/NW 0 0 0 0 NE/NW 0 0 EAST.. 0 0 0 _.. 0_. EAST _ 0 0 SE/SW 0 0 0 0 SE/SW 0 0 SOUTH 0 0 0 0 SOUTH 0 0 WEST_ .. 0 . _ . _ 0 0 .._ .. 0 ...._... WEST------ ---- ........._ -01... TOTAL 21 0 0 21 TOTAL 336 457 WALL SUMMARIES -PERIMETER -_HEI.GHT- _ DEPTH NET_AREA.._ SHADED ALL DAY NORTH 52 8 0 371 NO NE/NW 0 8 0 0 NO EAST.._... ..30 8_ 0 - 204- _ NO SE/SW 0 8 0 0 NO SOUTH 52 8 0 314 NO WEST . 30 8 .0 228 NO -TOTAL NET. WALL_ AREA .._.... _... 1 1 1.7 'SQ. FT TOTAL WALL COOLING LOAD 1617 BTU/HR TOTAL WALL HEATING LOAD 2201 BTU/HR _ TOTAL. _BASEMENT.._HEATLNG -LOAD.. . . ..0 FLOOR LOADS C-- TYPE 1 --> TOTAL _.__COOLING . 0. _BTUH _ .- __ _ .. 0 -.BTUH HEATING 1,269 BTUH 1,269 BTUH CEILING/ROOF LOADS C-- TYPE 1 --> TOTAL . COOLING 2,617 BTUH 2,617 BTUH HEATING 2,164 BTUH 2,164 BTUH .. •. '. ^ ^ .. .. .. ,. - n w w n w r w w n w n .. n w .. n w r. n n r. x n n 1 I -WEB B__ HOMES.. .._ ------- _..... .---NORTH- PARK. -PLAN -..2--0.5-. .___w._. -•-_-, JOB NO. 1 ENTIRE HOUSE - BTUH BTUH ____-.--PEOPLE _SEN.._.LOAD.__T&AP_PLI,ANCE LOAD 131_4 INFIL/VENT SEN. LOAD 4176 COOL CFM -STD AIR 824 .DUCT HEAT GAIN 1959 HEAT PUMP COOLING CFM 989 TOTAL_-SEN...._LOAD---- 16321._#TOTAL._ LATENTLOAD_ ### GRAND TOTAL COOLING LOAD 21,414 BTU/hr or 1.78 tons ***** FLOOR_.AREA.__:.1 4.70 _ _ =SQ—FT%TON __-- __-- _ - _ .-823..,.77 _ COOLING CFM 824 HEAT PUMP COOLING CFM 989 r COOLING CFM/SQ FT 0.56 HEAT PUMP COOL CFM/SQ FT 0.67 ROOM TEMPERATURE SWING FACTOR .83 HEATING LOAD- INFIL. LOAD-^ ---- 4904 T DUCT HEAT LOSS '9 GRAND TOTAL HEATING LOAD 18,235 _BTU/hr _ or 1.52 tons ## FLOOR AREA 1470 TC FTZTON 967.39 HEATING CFM 255 HEAT PUMP HEATING CFM 683 _...._-.-._HEAT.,._CFM/.SQ F.T_,-,._. �0._1.8_ HEAT PUMP HEAT CFM/SQ_FT 0.46 ## LOADS INCLUDE 10% SAFETY FACTOR## f } - Shading FORM ` i t+ Coefficient RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner AC U//J Co Climate Zone Permit No . , % 3 Z'00 Floor Area [� 72. - Compliance path: Package ❑ A ❑ B ❑ C M-�Koint System' ❑ Budget M'. -Other lei/TE !LP MIN woll� R -VALUE DESCRIPTION FROSTE5 T1e REQ' D (- (C) South Overhang / INSTALLED ITEMS (1) INSULATION: Length of projection Z ft. Description CAVE ❑ Roof/Ceiling p.Op (E) Thermal mass Wall ❑ Slab Floor Perimeter HC$'93 R= • Zq ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. D� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled, Q� (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped.- Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier 0110, (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location aK Total Bldg 0;001*, North [901 East UK -South OK West Skylights (B) Shading Area Glazing %Flo r Area / . 3/a O•SZZ Z• G.93 Single Dole Triple 7/83 Shading Coefficient Description M0010' East . , GG [� South [� West (" lei/TE !LP D woll� Skylights ,_57 FROSTE5 T1e (- (C) South Overhang / Length of projection Z ft. Description CAVE ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass Type SLAB - Area 233•ZVt.2 HC$'93 R= • Zq MC= 7.3 Location 9/7,ENTR_ THS Type RR/LK - Area _33Ft . Z HC =7. LZ,4r R=. 13 MC= 7 Location / 6.4 Typ37 T7�LC HC= .b" R= .0S3 MC = Location G/D�IA%%�iL Vit. f ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 SRM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors,covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A) "Heating Central Gas Furnace .7/ /, (brand and model number), SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar model number orientation rated slope Other type (liquid or air) ACOP Collector brand and ft2 solar fraction collector area collector collector tilt (B) Cooling Electric Air Conditioner' rated y -intercept (describe) (brand and model number) Btu/hr I'•Q (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) r 13- Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. 0?0" (D) AN AUTOMATIC SETBACK shall be provided.for all thermostats, except those controlling heat pumps. (� (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired.fan type wall furnaces and gas cooking appliances. []� (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature '17'°, elevation ti /m0 ', heating load S1/00 BTU elevation factor %'O d x heating load = maximum outlet capacity gas furnace S/ /00 BTU Cooling: Summer design temperature OZ°, cooling load ?0 700 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) solar panels. tow GU���� COOLING MAY BE INACIrOUATIA ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGN TURE OF BUILDING DESIGNER OR APPLICANT 3 FORK i (6) DOMESTIC WATER SYSTEM , ` (A) Gas Only Gallons (brand and model number). (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 2 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) �. -(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12' insulation or greater. / [� (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lume tis per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature '17'°, elevation ti /m0 ', heating load S1/00 BTU elevation factor %'O d x heating load = maximum outlet capacity gas furnace S/ /00 BTU Cooling: Summer design temperature OZ°, cooling load ?0 700 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) solar panels. tow GU���� COOLING MAY BE INACIrOUATIA ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGN TURE OF BUILDING DESIGNER OR APPLICANT 3 in: ch facln,ztno-�s�iale 3-10. Shading Coefficient PotnTaole J-3. ng Insulation Table J-7. OUNE44111A160 Points T --T_ PERMIT NO. % _ ASSIG:;_D ACTUAL I I Glazing Type I I SC by I 32' 1 R -Value of Insulation I Points I I Tocal I 11 Orlen- 1 - Floor Area _ 1. SI,AZ • I::SJLAi:0:2% b,� -� I 1 I I Z of ! Sngl, Dbl, ,rpl, l tetfon I I Floor I (U : GLAZING PLAN TAKEOFF SHEET •5 North Glazing QUANTITY SIZE AREA (SQ.FT.) x' ;b) x = (c) x = _ (d) x' _ (e) x - Total North Glazing (SQ.FT.) (a+b4--+d+e ) COTA L VORTH TOTAL .BLDG f.AZING FLOOR ,AREA x SQ.FT. SQ.FT. CONVERSION TOTAL FACTOR NORTH GLAZING 100 b % s 3-7 South Glazing QUANTITY , SIZE S3 =4V7 AEA (SQ.FT.) a) x b) � x x = ,c) x - `d) x = e) x = Total South Glazing .= ( (SQ -FT-) (a+b+c+d+e) , OTA L :OUTH TOTAL BLDG '.AZING FLOOR AREA ID -tr- x ;Q'. FT. SQ.FT. CONVERSION TOTAL. % FACTOR SOUTH GLAZING 100 q 3-9 Skylights QUANTITY SIZE AREA (SQ.FT.) c) x - Total Skylights . _ (SQ.FT.) (a+b+c) OTA L YLIGHT TOTAL BLDG CONVERSION TOTAL % AZING FLOOR AREA FACTOR SKYLIGHT GLAZING 100 -—_ % Q.FT. SQ.FT. - NER RMIT NO. 83 FOR M 6 3-6 East Glazing QUANTITY SIZE - AREA (SQ.FT.) (a) �_ x (b) x = (c) x _ (d) x (e) x = Total East Glazing = (SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG GLAZING FLOOR AREA L -f �Y x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR EAST GLAZING 100 = 3 - 3 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) x b X (o . (o (--., = (b) � x 4V V. (e) —L— x (d) 1 x (e) x = Total West Glazing = to-?— (SQ—FT—) (a+b+c+d+e) TOTAL WEST TOTAL BLDG GLAZING FLOOR AREA ID -tr- X SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR WEST GLAZING 100 = ( . q -,.f �•`� ti —__.. __ THERMAL MASSTAKEOFF SHEET rFOORM 9 ,d4IT NO.. .tiermal mass: Materials which have the.ability to store heat (typical types are masonry, brick and ceramic tile). Thermal mass cannot be insulated from the interior of the building. (If covered by car- pet, cabinets, or enclosed in closets the mass is considered insulated). Thermal mass floors must Dave an exposed and textured surface or design so that carpeting will not occur. (Covering of vinyl or asphalt tile.and•linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA _ Entry Floor ' x ' ST S Bath #1 Floor SQ•FT• x a_ 1 � SQ.FT. Bath #2 Floor � x � o Bath #3 Floor x nSQ.FT. Kitchen Floorx Floor -SQ•FT• 7S SQ. _ FT Floor. x q ------__SQ . FT . Fireplace ___•_•SQ.F'T. —2-5 Z___—S Q . FT . — Fireplace ' x ' SQ.FT. Bath #1 Counters ' x � Bath #2 Countess SQ.FT. ' n -- __ Bath #3Counters � x x S.Q . FT . � Kitchen Counters .�SQ'FFTT• X Wall Shield - x _' Q SQ.FT. Walls x Walls x, --_-SQ.FT. Walls --� x SQ.FT. — _ _ _..,._,S Q . FT. xSQ.FT. -- x ' FT. x._SQ . FT . If compliance method proposed is other than the point system (where thermal mass point charts are available), use calculation methods on�reverse. of this form to show thermal mass compliance. 7/83 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P MIT NO. 0 5 _?8 ; ASSESSOR PARCEL NUMBER 7-46-12 ZONING BUILDING PERMIT OWNER Alvinco TELEPHONE SQ. FT. OCC. BUILDING VALUATION t Transfer OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Al Vial TELEPHONE 891-4757 CONTRACTOR'S MAILING ADDRESS 224 W. Tonea Chico Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 561 Kings Canyon Way Permit fee $ PLUMBING PERMIT Filing Fee t0.00 Each Trap 2.00 Chico Solar or heat pump water heater 20.00 LOT NO. 103 SUBDIVISION NAME PARCEL MAP North Park #2 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [X—] Describe work: Tranqfpr Con ' of Permit #732-99 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10,00 001 OR L Main service 100 AMP ORSLESS 10'00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions 3qd�� license Is In full ce and effect. �X License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, ( DWELLING OCCUP.& , h¢sgft New AR. CONSTR. ULT" OUTLET NON.RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu 20®50e Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �i 1 have placed on file with the County of Butte Building Department ➢�! a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 again i Count in co sequence of the granting of this permit. %� Date l( Signature of Applicant — Owner E0 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 40.00 Occur. CONST.TYPE IFLOODIPARCELI Pa I NO ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE F PU 1 WORKS BY Date Ind PERMIT EXPIRES Date 416160 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT rr y vllllB 389 T�E� coN$ U R �O CHICp CONNORS CO N CALIF URT (9 6) 891-33/V 9 O 35IA 95926 October 31, 1985 Butte Co 7 Co unty Orovilje Center Dri C,495965 ve Re: Permits Rebb Brothers rothers took out at .N Web orth Park Subdivision. k b g Brothers hevenit been bui s has permit. ts Brothers Construct• We Would 7i' North Park Subd. to transfer these f on to qJ �ia1 Inc. 7S7on Which from Webb Sincerejy, Pa rn ter b ' Webb Webb Brothers Con . sturction V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT MIT PERNO. AA ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION M ILI G ADDRESS CONTRACTOR'S NAME TELEPHONE R C MAILING ADDRESS Fireplace CONSTR CTI LEN ER UNKNOWN Total Valuation Is — Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit FeeCdJ 7Zrev, $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /16 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPAR EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer. 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑Oth Describe work: _ y-�-f-iol2 �.5- Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen Ity of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Cod��Id y license Is In full,rce and effect. License No. Classification �' J ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason 'JEW CONST. DWELLING OCCUP.ad CC.BLDGS. , h2sgft New CONSTR.� A ULT( OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) (SINGLE OUTLET CIR . Ex. Occu 20050e Occup(OUTLETS OR FIXTURES DAL@30 FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare undtFrItIenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department J�1 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation , Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep'harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsJzzt County i onsequence of the granting of this permit. X �. Date'/ �� Signature of Applicant — 0 ne ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CCUP. CONST.TYPE 171-00DIPARCIZI-1 P5 FH_D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERO EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r Date '' Receipt No. 5:1?51(_, WNIT!-D.P.W., YELLOW-ASSC930R, PINK -INSPECTOR. GOLDENROD -APPLICANT