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HomeMy WebLinkAbout007-460-037Wo -5-7 tVINCO 575 Cimm ron I)47'16WC.,10144/0 mma Con-tr:-Webb-Brothers-Const Permit#1478-84B,P,E,M(new single family) ;F /o iglg j Contr: Sut rland'Landsc�pe & Maint Permit #2752-84P (lawn sprinklers/SF) OMNI 'o 07-46-01637 95 121,5'B � '4 Smin ti 575 Clm*m'aron','Chi-c6 Oof/c'omp) F6ur'Seas6nsRQ 00-- F,..,.CLAUDIO,O VRF 1,575 cimARR6N DRIVE, CIRCO' CONTR--WATTS PLUMBING Z" ICHANG E I OUT, WATER HEATER B07-0951. MISCELLANEOUS 007-460-037. MASTEk'POOL-#01-5j4 Private Pool ."575 - CIMARRON DR MCCABE, DONALD PA- rXi C)UC -7 V6 pc>R" 810- 0163 d ,a. 11 PERMIT NO. 1476-6411 P E M Q. PERMIT EXPIRES OWNER ALVINCO ' CONTR. Webb Brothers Con4' r ASSESSOR PARCEL 44-75-37 - I 2. LOCATION 575 Cimarron -Drive, Chico' r 0 FICE COPY,�'� Add essJ7s;leLiC" t Me eB nr •�rR�.c r��. 11 PERMIT NO. 1476-6411 P E M Q. PERMIT EXPIRES OWNER ALVINCO ' CONTR. Webb Brothers Con4' r ASSESSOR PARCEL 44-75-37 - I 2. LOCATION 575 Cimarron -Drive, Chico' r 0 FICE COPY,�'� Add essJ7s;leLiC" Me eB nr •�rR�.c r��. - • E 'NE C' � 'D��:-��a, . • T Meter y OFFICE' -COPY .i� ` �S( Address.) GAS Data1 Sys Meter .aY ELECTRIC', r Meter By a e _— t' Temp. Power Pole Called PG&E _ = Temp. Elec. Service ' Called PG&E ` \ cp Temp. Gas Service Called PG&E ` JOB_ FINALED (Date) l — + 214L i Signa Signature V = OK' . 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS _ Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete S. Alum.'Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea - f Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date ` MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector _ 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4: Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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/O to Grade -HD Approval 7. Elec. Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date - Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i l V OR - 1 O = Ncn OK =•Not Applicable RESIDENTIAL ,Single and Duplex) �E = flot Ready Date UNDERFLOOR ns OK exce t 's Date" FRAMING (Continued) oning requirements-S acks- t 4 ine s tg., Main; Serfs-$Jaen-EI c d.- / /" Ftg. Depth 4a.--5xt. Doors-One 3'-Che Garage; Sek-g-S - / L/" Ftg. Depth - -Landing-Fire Protection t orches-&-Beales; ils-9teef- //,r/" Ftg. Depth yw od on Ro f Overhang-Attic-RafUxAQ*H1ners to walls, Main; Steel-Blockouts-Wrapped in - ng-Veneer temwalls, Garage; Steel-Blockouts-Wrapped I 5 u e h-Driped-F ss ars-Firep Ft .-Sieei' lazing Area-Glass Protection-Skylights-Plastic W.V.: F&+r--'r_igs-T -2 w /O Sew es 5 g-Bolts g. as Pipe,Size-Anchors ater Pipe(T nchor -Regulator ery s Iz 1 Card-BI Date and-BI Date Card-BI Date and-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date FINAL (Plans) OK except #'s Card-BI Date L•,pf Card-BI Date Date P MBING (Permit) OK except 's Vi�t. Steps-Door & Sidelight Protection-Landings I7 ok'd,petector 1 ater Ht.; c - omb it 0lFurnace; Vein -Clue-Comer-CooaeCtor- I or-Ducts-Meth. Protection ater 24 Pip , n - ail ion W.V.; [togs &Anchors -Na' action C D first Floor-Tub s e r om Exiting { .F.I_& Bath Fixtures & c/C ss ec. Trim & Subpanel; Br$zes-Labtfs- 1 as Pipe; Size &Aacchors 6 it ce oLZteve; ClearaaeeT-R-eertfi— ec. Outlets at Wood Panel;-krt7-& Card-BI M Date d<i .7_ Card-BI Date t. & A liance;Qsr�O =Ai -Coo earance Card-BI 4V Date_ Card-BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67 age Fire Door;- w'-t-nnOYng-Caoser-- - er 419-_Fix & Tr n . 6--ifffir• Htr.; Vents-CI a-Co-Caanector-P. .- In ge; loor-Mec h4:EwKct ion tefglec. Receptacles Spacing-Lights & Sw4ehesat Doors Ib., Elec. & Mech. Equip. Listed for Location ize Boxes & No. of CoAdactors-$l3pled / Romex Installed Close to ESWe of Studs & C.J. receptacles in Garage; (G.F�R'ontg&.Rcflte'C. sul-FQara--Looked in Attic 4:1_ s 04 CE quip. Ground mad Mech. Fasteners d Ga er ua Pos s Appliance Circuits in Kitchen & Conductor Size feed Wire Size / / ga. Ger AI-A.C. Wire Size //.d ga. CuerM r-Drain 'd--Earth Clearance L es 7d/Range Circ. /4g-/ ga. Cm_w-Al-Oven Circ. / / ga. Cu or A1,4Wr---Following Insu ated Neutral ]yes instld.: Drive s ❑ No; Walks Z-Yes- ❑ No; Planters El Yes . -e_ ecce-Riser CZductors _ GrWr n Disconnect tucco; B n-F' ' i quip. nces; Pap - otors-Mech. Equip. 7 .C. Unit; Dis6emtELf=%pcse'-Brkr. .Size-115V Outlet 3 ht IA.--Vbnts Above Ro P .-Apo4eftcs-Riw*l!CIear ce gs. ct EI g 82. nlor Elec. Trim; G.F.I. Receptacle-^der*;o ung+ Card B-I Date and-BI Date Yentilation throughout House ss Protection Card B-I Date/a.p�� Card-BI Date ��— Date MECH L (Permit) OK except #'s ZK-A.C. ucts; Insulation & ort3Jer-& rrections from Previous Inspections g 44,­G—as t-Meter ed; -EI Sewzr�efcnnected-C/O t de-HD Approval ant Fan; Exhaust above Insulation 6 eCompliance Certificate- ther Certificates ry 3 de a Air-Return Air Vent-115V outlet orm if Furnace in Attic Card-BI Date t and-BI Date Card-BI Dat Card-BI ' Date Card-BI Date Card-BI Date Card-Bl'-- Date Card-BI Date Card-BI Date Card-BI Date Date FRAMI Plans OK except #'s Comments at Final: 3 . Sills; Proper Materia chors s; Stufts iling, S Braa -P -&rmed- 30. Beet Stop in Walls (rat proof) Fire Stops; s-Slabs-G4ases 41c_.H<4_er & Beam-Siz & Bearing Y�rm. an os ps-Anobers---Congggjprs ng. -Rftr-rtes-Purli _ ac.-_T-Sh -R �A!1— or Typ lue-Fir roat Attic Ayre • ' e & max ZKctio -B+e4e-9top- s. e Windows or Exiting oors- ill Fes&-$finensions 4 arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) s 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 i WNFR 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 matteor need additional explanation, please contact this office immediately.AfV �'V 3- �/;;Zl- V / 6')1K �� /141h- r ;;;Z;' rKTze- / ) g�r Inspector / /�G� Date4 -,-2 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS / 196 Memorial Way, Chico — Phone: 891-2751 G�£� 7 County Center Drive, Orovi Ile — Phone: 534-454 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. J 1c7 f Inspector___ Date_ '� ' t COUNTY OF BUTTE ;• � DEPARTMENT OF PUBLIC WORKS�/yZ 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 matte or need additional explanation, please contact this office immediately. Inspector `�-4-0 / �/� Date I 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 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. It you have any question pertaining to this matter, or need additional explanation, please contact this office immedlately. 7 U 1JECd 6 Inspector `� —4� Date �� 1 — - Perwit No. ENr:110t c�i:'rIFICAT10N 3 LOCATION A. P. No, ROOF DESI:k(IPTION O1� INSULATION Material Thickness(inches) brand Name EXTERIOR WALL "WrMal Resistance (R Value) s i Material Fibergla-s Thicknesnches) ., Maud Name Certainteed CEILING Thermal Reaiotance(R Value) Batt or Blanket Type 1: i.ber Thickness (inches) 1a55 Brand Loose Fill Type 1,1b�rg1asS Name Certainteed ------ T1►`rmal Reeistance(R Value)-,-- Minimum Thick nes�(Inches Brand Name Certainteed Area covered(ft. ) ) Number of Ba s per FLOOR, ELEVATED Thermal Regis=..ef�•Value)$`'R�""`Ib' Material Fiber lass Thickness N FLUOR S (inches) brand Tll` Name Certainteed i.n8 'anal Reaiat��s(>a val)------._._ Material u Thickneas(inches) Brand Name Width(inches) Thermal Resistanca(R Value) FOUNDATION WALL Material Thickness(inches) Brand Name 7't1erul Reeiatance(R Value)---- I hereby certify th;�t tip;: above insult, ti��n �.�as in conformance with tl;e State of Cali1_Jli._ "s installed in the above builds Ag Hawkins Insulation Co, rgy �9nireweRte. FIRM111e' 378407 NAIL/OWNI:It ._ ' 'IT L•;CUNrRpCrO10S LICENSE N0. SIGNATURE OF INSTALLATION APPLICn'1'ult DATE I hereby certify the ;,hove huilding Department appruvea��sulation and all rplans an.l .tttachmentehave rOquiitems as been inetailludoas y ment the required by the State of California Energy Re u' All ep 9 iremepte. ui ip devices and ►uateri;al specifically approved b are of y the Stat: the quality pTescribed or are of California, ;IRM 10W"R r ) t<) --7)L C % i. incase p int STATE C�ItAL'TQR 8 LIC BLASE LA0, 5 GNATURE OF Ok:N)rRAL CONTRACTOR OWN -'R TI . 'PHIS CERTIFICATE 1•lUS'1' 1SL•' ON I INSPECTION APPRUVAL AND A CUPYSIiAI.L111iE111'U5'UI DING DEPAR ITHIN THE RUNILDING . IOR 10 FINAL .�al1UaJ:y 1Jiii ,1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOkKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSES PA`.CEL NUMBER ZON �- BUILDING PERMIT OWNER 04�4 WAQ TELEPHONE SO. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS s� .� v e�ec� •sem � ����a� CONTRACTOR'S AMEEPH ELONE CON AC OR'S MAILING ADDRESS 961 g C_ • Fireplace CONSTRUCTION_ L DER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ `1cs'�,.5"z ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ) azlm"$ C ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 5 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 J4,,CrO Solar Water Heater 20.00 (off Water piping 5.00 6i00 LOT NO.SUBDIVISION 1 11 V. NAME Nom' t�'X"�- Z__Gas PARCEL MAP Each qas water heater or vent 5.00 j piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFU, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK Newt/ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ O� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING �V OR ADDNS. ( ACC LBLDGS. & 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): • I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and y license is in ful force and effect. License No.--/07--23YClassification ❑ 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.OUTL 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 10 I3A ®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. ❑ 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 �a 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-AV- elating-A to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 1d ounty in copse ence.of the granting of this permit. X _ Signature of Applic t — Owner Contractor ❑ Agen�f� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over -3 in height. Mobile Home Installation Fee $ 4211)D.L9L7 TOTAL PERMIT FEE , fO OCCUP. GROUP TYPE OF CONST. Ir I PARCE I PD HD 1550E 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 R O P LIC WORKS By Date PERMIT EXPIRES Date /stories Receipt No. 7 �f WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Z this - set of plans and specifications MUST be kVpt on the Io of atC-- iries-yid it -ly-unlawful-'tc --- make any changes or d1terations on same without NOTE:—'All Materials— VVor mans p 'S�'t Accordance wish Recognized Good Prc;ctiees and written permisson from the Department of Public ,q;e;,;;��-1 use in the of d qur..li�y pr6scribe..l for ,r.i,,_ S Works, County of Butte.Uniform Guilclinc , ?1°�r;iaing is Machanica�l Codes a cl the Nafional Electrical Code. .�I A setback of 5 ft. frorm the property lines and a setback Of 50ft. from the road centerline shall be clear of Structures or equipment except for a 2 ft eave ow A, ang. ; SISI it181 I �o i PLAN 207 F c J N MIN _750G,At-. TANK. See Masfer-Plan on file for building plans.. i 9 - BI) .14.71 14 .-Z'51- BUTTE COUNTY BUILDING DEPARTMENT « UORM 0 C' SUMMARY N ^Owner��'�+�' ' ` ' Floor AreL ---°~-~ ~~ Climate Zone permit No. Compliance�h pu � �---'L] Package � [] � [] C �'^| in� �yo�em []Dud�e� 1-1O�ber MIN �CV'D -------- K-VALUE D8SCBI�TIO0 INSTALLED ITEMS- (l) : LJ Koof/6ciTin g --''-------' '--------- LJ Wal] [] Slab Floor Perimeter ----��---- -`----��- [] Raised Floor --------�-- --�---- - (2) ---------- --'---'-- 0 [] (A) A vapor barrier isr-- �-------- (��� =«"iceuzo.clzmate zones, l, 14 & 18 All -------_- manufactured windows "uw* undu/z�zu� glass door; shall meet tb a 1972 ANSI Air Infiltration Standards and ab'll b labeled. a e cer�1�ied and (C) All swinging doors and windows leading o oQ � » ,'ucood��ion�d areas be shall fully weatberutcipped. Tight ` the above standard ±eatvzes Alua'' (D) Cooti'!uouo 'ofiltratioo barrier (8) Electrical 'outlet plut.e Qaab--t (F) Air-to-air heat exqhad&�r (2) � la/ ��ca�io» ` �- -------_- [] A^�~ �l total. Bldg Single Double Triple North -----� ------ --__-_- [] 0Sputb East ----__ l�- ---- [] West ------- -- [] Skylights *��---- -----_ (8) ----`------ '-----�'---- _-----' ---�-- --___- Shading Coefficient- Description '� [] ,--- �uu� --~-' ------__- 0� South ^ r ------__-- 0 Aeo�---^=�-�^, ---------' _We [] Skylights ----___--- [] (C) South 0 Leu�r6 of projection��. Description _ [] Moveable --------------' ��������� Area ft/ Deacription -- _--- -_' --' - (C>'I"hermal mass ---------- '- '''^ ' ^/,^ ��. 'xrea �./ 8C B= -------- -���' L� �� /l l r��--- -�=� —�3 _ '��co _-_-(� � Type ' --------~-~~~--- -- _ - Area �t'Z BC 8C~ �oca�ior. ------ ----- - ----- Type ' '-----'----------�------- ' - urea �t'2 BC= j= �--- MC~ l,uca�io/� --'---' ----- ----- -----_-- [] �vp----- '-''--------'-'---- -----' - - yzea ��.� BC= ' ------- ------ 0V=_____ Location [] I ------------------ �»e - Area ---- Ft.----- ------ __------ 7/83 - ' FORM ❑ (4) MASONRY AND FACTORY_BUIL'J'.E.(kEPLACES shall be equipped with tight fitting closeable metal or g, lass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, bpenable, 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, AIh CONDITIONING SYSTEM (A) Heating Central 595 ❑ Gas Furnace __�C� nc,. C�> , .�j Q % D iVct (brad and model number) SE PO1C-K. O}.QQQ Btu/hr (heating capacity) ❑ Heat Pump _ (.brand and model number) ACOP __�._ Btu/hr (heating capacity at 47°F): ❑ Active Solar type (liquid or air) Collector brand and ft2 model number .solar fraction collector area collector oriEntation collector tilt rated. y -intercept rated slope ^ (a. Other (describe) *I (B) Cooling f + _ Electric Air Cundi..tioncr (brand 1 and model number) (seasonal EER) ---.s3 O ---- Btu /hr . (cooling capacity at 9.5°F) ❑ F.:iectric Heat Pump ---- EER Btu/hr (cooling capacity at 95°F) ❑ Other -- — - ----- (describe) ❑ (C) A TWO-STAGE 'PHERMOSTAT, which controls the.supplementary heat on its second stage, shall. bf.: required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat. humps. ❑ (E) AN INTERMIT_TEN1 IGNITION_ DEVICE shall be provided for all gas-fired fan type central furnacus, gas-fired fan type wall furnaces and gas cooking appliances. (F) RACK-DRAI_r DAMPERS Shal i 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 . ,s 0-/ f' U K Nn 1 (6) DOMESTIC WATER SYSTEM C] . (A) Gas Only _ _9ic �&j.r ,Sar 4D Gallons (brand and dT6del num e ) (tank size) ❑ Heat Pump w/Elecerir-Backup (brand and mode.l.number) Gallons (tank size) ❑ *2 Active Solar _ (collector brand and model number) (rated y -intercept) (rated slope_) (solar fraction) ft (backup heater type, brand and model, number) (collector area.) (collector orientation) (collector tilt) ❑ Location of Solar Panels - E3 Other ----- (Describe) Cl (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 l.:et 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 tie 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 lumens 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. ¢G 44av Heating: Winter design temperature °, ,-levation L /� O O', heating load, )"TU elevation factor / — x heating load = maximum outlet capacity gas urnace BTU Cooling: Summer design temp .erature ,.cooling load'�oBTU *2 Submit T..I.P.S..E. chart or other approved system (form #5) to document sizing of solar panels: USE ONLY AS SIZING GUIDE, COOLING MAY BE INADEQUATE® 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' SI.NATURE OF B '' ING DESIGNER OR APPLICANT 3 • tP n ZONE 11 O1RNER_ _ PEMIT NO. 1. SLAZ 7. S01UH GUZI':�: ASc IG:..:D' ACT1_',:L d ' -- - - r am . 5 - 3. ----- --�� 1. G 3. 5:%. -.- - -_ i I.3% AD 10. Sli;%DING (E::ciuue Cvcrhan^) cable 3-3a. Ceiling Insulation Points 1 R -Value of Insulation I Points I I 19 J -4 I 1 22 I -2 I I 30 J 0 I I 38 I +2 I I 49 I +4 I I I I Table 3-4a. Wall Insulation Points t t i R -Value of Insulation I joints ! ! I ! I 11 I -7 j I 19 I C I i 24 I +2 1 FAST - .67-.82 --� 2. ?::TSF7 Fl. O°. - F-19 I R-30 3. CLUING - I 'natal II WALL - 49, 1 I 1 Z Floor Area _ I 2 of ( Sngl, Dbl _r, -pl-, T 6. C.,ST GLA.ZING 7. S01UH GUZI':�: ASc IG:..:D' ACT1_',:L d ' -- - - r am . 5 - 3. ----- --�� 1. G 3. 5:%. -.- - -_ i I.3% AD 10. Sli;%DING (E::ciuue Cvcrhan^) cable 3-3a. Ceiling Insulation Points 1 R -Value of Insulation I Points I I 19 J -4 I 1 22 I -2 I I 30 J 0 I I 38 I +2 I I 49 I +4 I I I I Table 3-4a. Wall Insulation Points t t i R -Value of Insulation I joints ! ! I ! I 11 I -7 j I 19 I C I i 24 I +2 1 FAST - .67-.82 --� 1 30 I +3 SOU2!i - •i_ I 'natal II I Oren- 1 Z Floor Area _ I 2 of ( Sngl, Dbl _r, -pl-, T tation . VEST I Floor I (U - I (U - 1 (1; ,I ! Table 1-5. North-Facing Clazing Pts. --T- I I olr.ts 1po!nts Ipointsl I East _ O +! I +3 +3 r I 10-3.1 I to 1 6.4 up I 1 Glazing Type I 1.6- 3.6 I -1 I 0 I o I 2.9- 3.6 I -9 -- -.-- Total i 1 I Z o. Sngi.. i)bi, Trpl,, r T�.. 19 :gf)''r,GT.= 1:: S:;i._'.TI.?i: - .:.):,� I 5.3- 6.5 I -6 I -4 I -3 : I 0 -.19 -I F .oc r 1 U- I i' - I U- I I 7.8- 8.9 I -ll 'I =8 I -7 I _-.----- ---- .i A. ea- 1 0.56 1 0.42- 1 •3.4i I .83 up I 0 I -1 I -2 121.6-13.0 I -21 1 -16 I -14 ! I-1.10_! I -20 0.55 a.•rn i _3. I?;F _..: Vii... .. Gr•.. - ---- -- --- - - I ' c + 4 to I to I to I to !: Table 3-8. 'West-Facin Clazinc P[s ! 3.1 6.J 7.9 9.5 I. 1 1 I ! 6.-� r-.1 --�----t-••-- 0 -.18 15, F 7i-7 .19-.42 10 1 0 I' 0( 0 I Total I Z of I Sugl, Dbl, I .43-•66 1 0 1 -1 1 -2 { .3 I FIooc --- --- 3. , 4.8 ! _•• ! -2 (points loolnts ( o!ncs! �'--�' `--WF 6t i . - i, ? .• - � O I +6 T e6 � +6 •: :.; 5., i I 6.2- 7.3 I -1 -9 -4 l -6 I -3 I -5 I 'D U A:. n •;;�: �" 2.8 ! 0 1 +2 +J j-- -- -- I --- 5..-S'317_ i 0-•12 0 i +l i 0 I +6 E +7 !.3- 9.: I -14 ! -10.! -8 I I.Z. ACTT`:F S0:_'.:. if°`- "n (:mtim S.1- 5.5 1 -1J ! -5 -% ! 9-8---8 1 =� -17 -19 i -12 ! -14 I -10 I ! -12 I 'JI_• ZO:.:1LL C62:T^- , RL Si - c. - __:;-iC 5•.- 6.9 I -15 1 1..1-13.2 I !. iJ4.5 ' -22 i -16 1 ! ,J. SOi R ,T!i .,.... 53C:.J? ---- lii;Ji - ---- 14.5-d5.3 I i" I -2' I -20 ! 1 I -? I 21. 0-1=R - ., ET_EC•.'.IC 01:,-1) I !0.:..1_.0 '! -;9 1 - 3 I -17 0--12 I ! �l i +3 I *6 ! r' - - - Table 3-5. 11.S -1Z.7 -38 1 -29 i -24 37-.57 I 0 1 -1 I -3 i -5 ! 112.8-13.5 i -42 I -32 1 -17 I ZE3+^ PO:.,T I I -3 i -6 -11 i La9r-FIc1nq •33 u; Clazing Pts. ---T ----- I ! 'lazing Tyre I 'able )-1-. Slab Floor Points � V Q � I Z of 1 I Z of I Snyl, Dbt-I I Trp!,T --� Tehle 3- ailed Pioo P t I Floor I (U - I (11 - i (U - j �- I I I I Area 1 1.10) 10.55).i 0.41)1 I Fn'•;la- I r-V31ue J! :n9.1!atlan ! I R -Value of I I I !po!nts k,oi.n.t= 'n0!n-si ! Der th, `T --i -r -T lneulation I 1 I Points 1 I I 1.3 Incles 10-2 I 3-4 ! 5-6 I 7+ 1 1I 1 up to 1.4- 2.4 I +3 +1 I +4 i +2 I +4 i +2 I below 3 I -12 I I 2.5- 3.5 I -2 1 0 1 0 I 7---T 13 - 4 I -8 I 1 3.7- 4.6 I -5 I -2 I -1 I �I 0 - 11 ( -S I -5 I -5 I, -5 I 12 - 15 I S - 7 I -6 I I 4.7- 5.5 ! -8 ( -4 I -3 1 I -S I -3 I -2 ! -1 I 1 ( 8 - 12 I I 13 I -4 I I 5.7- 6.7 I ! -10 I -6 I -5 I -5 ( -1 I I +1 I - 18 r2 I 6.8- 7.7 1 -13 I -8 ! -7 I I -19+ I 0 I I 7.8- 3.7 ! -15 1 -10 I -8 I i I I I I I I 8.8- 9.7 j -17 I -12 I -10 I I 9.8-11.2 I -21 I -15 ! -13 1 111.3-12.7 { -25 I -18 -15 I Fable 3-7. Snuth-F'aclnrL•:laxtnr ^ta 1--� -T Yable 3-10. ShadingCoefficient Points -----T--- T I Total Glazing Type I I SC by I I 'natal II I Oren- 1 Z Floor Area _ I 2 of ( Sngl, Dbl _r, -pl-, T tation I I Floor I (U - I (U - 1 (1; ,I ! I I Arca 11.10) 1 0-o) 1 0.41)1 T.( --T- I I olr.ts 1po!nts Ipointsl I East 1 I 3.2 I O +! I +3 +3 r I 10-3.1 I to 1 6.4 up I UP to 1.5 I +2 I +2 I +2 f I I 1 6.3 I I 1.6- 3.6 I -1 I 0 I o I 2.9- 3.6 I -9 1 -6 I 3.7•• 5.2 I -4 I -2 I -2 I t T-'( --- - -- I 5.3- 6.5 I -6 I -4 I -3 : I 0 -.19 I -3 +1 I +2 6.6- 7.7 I -9 I -6 i -5 l I .20-.36 I 0 I 0 I -A I 7.8- 8.9 I -ll 'I =8 I -7 I I .37-,66 ! 0 I 0 I 0 I 9..0-10.0 1 -13 I -10 .I -9 I I .67-.82 I 0 I 0 ) -1 110.1-11.5 I -17 I -13 I -11 I I .83 up I 0 I -1 I -2 121.6-13.0 I -21 1 -16 I -14 I 7:7- 8.2 I -26 I -20 1 13.1-14.5 ! -25 I -19 I -16 11 I 8.3- 8.8 1 -28 I -22 114.6-16.0 ! -23 ! -22 ( -t9 I I South I 0 ! 3.2 16.4 ! 3.0 I l to I to I to I to !: Table 3-8. 'West-Facin Clazinc P[s ! 3.1 6.J 7.9 9.5 I. 1 1 I ! 6.-� r-.1 --�----t-••-- 0 -.18 I J 1 +1 I +2 I +2 1 Glazing type i! .19-.42 10 1 0 I' 0( 0 I Total I Z of I Sugl, Dbl, I .43-•66 1 0 1 -1 1 -2 { .3 I FIooc -4 ! c Area I ..10) 1 0.65) 1 0.41)! (points loolnts ( o!ncs! �'--�' `--WF 6t i .. 11.9 ! 3.2 15.4 ! 1 . � O I +6 T e6 � +6 I to ! to I to 1 t� .' ••- up to 1.3 I •5 ! 4.6 ! -6 11.5 j 3.1 ! 6.) ! 1:4- 2.2 I +3 +5 2.8 ! 0 1 +2 +J j-- -- -- I --- I` 2.9- 3.6 ! -' ! 0 1 +1 I i 0-•12 0 i +l i 0 I +6 E +7 3.7- 4.2 i -5 ; -2 j IJ- 36 1 0 4.3- 5.0 I _R 1 _4 j -? 5'-.5% 0 i 1 I -3 I -5 - S.1- 5.5 1 -1J ! -5 -% t` .^2 ! -1 '. -3 ! -6 5.7- 6.2 i -13 I -8 ! -F f ^- up ! -. I -4 1 8 I -15 I 5•.- 6.9 I -15 ! 7.7- 8.2 i -:J I -i I -1! ! Skyl!.ghC I .l ! .9 1 1.6 I 3•2 8.8 1 I -15 ! _!i I I to I to I to f to i ti i 8.9- 9.5 ! -2' ! -13 I -15 ! i I .7 1 1.5 ! 3.1 ! 3.9 I 5.: I !0.:..1_.0 '! -;9 1 - 3 I -17 0--12 I ! �l i +3 I *6 ! r' 1 -35 i -26 i -2, :3-•36 l u l •7 I' 0{ 0 11.S -1Z.7 -38 1 -29 i -24 37-.57 I 0 1 -1 I -3 i -5 ! 112.8-13.5 i -42 I -32 1 -17 I ! =8-.82 I I -3 i -6 -11 i 113.5-14.3 i -46 I -35 -29 1 •33 u; i -2 ! -4 i -8_- ! 14.445.2 I -50 I -33 ! -3: ----- :able 3-11. Mnr!zontal South Table 3-9. Skvlioht Points T i �a�cb 61ac!n� _7 i - I Le�Zch Aot Area. : of F'_,cr I fro= f: I j 0-6.3 I 6.4 up ! I i I T-0 - 0.5 . 1 -2�T 10.6 - 1.C• -2 I -3 1 11.1 - 1.9 I -! -2 I I 2.0 up I 0 I 0 Tabic 3-12. Movable Fnsulatlon Points IMoveable Insulation] I I Area, Z of Floor I Points I I I I I ! 0 - S.S 1 0 I I 5.6 - 11.5 I +2 1 11.6 - 17.5 I +4 I I ! Glar.!ng Type { I Total Z of T Sr.gl, :iT G:, -T Trpl 7 ! Floor I U- Area 10.66- 10.42- ! 0.41 I 1 1.10 10.65 1 down i T- 7 1 T -T 1 up to 1.3 1 -1 1 0 I 0 I I 1.4- 2.2 1 -3 I -2 I 2.3- 2.8 I -6 I -4 I -3 I I 2.9- 3.6 I -9 1 -6 ( -5 I I 3.7- 4.2 1 -11 I -8 I -6 I I 4.3- 5.0 I -14 I -10 I -8 I ! 5.1- 5.6 ! -16 I -12 ( -10 { I 5.7- 6.2 I -19 I -14 I -12 16-3- 6.9 I -21 I -16 I -13 i I 7.0- 7.6 I -24 I -13 I -15 I I 7:7- 8.2 I -26 I -20 I -17 I I 8.3- 8.8 1 -28 I -22 I -19 I T i �a�cb 61ac!n� _7 i - I Le�Zch Aot Area. : of F'_,cr I fro= f: I j 0-6.3 I 6.4 up ! I i I T-0 - 0.5 . 1 -2�T 10.6 - 1.C• -2 I -3 1 11.1 - 1.9 I -! -2 I I 2.0 up I 0 I 0 Tabic 3-12. Movable Fnsulatlon Points IMoveable Insulation] I I Area, Z of Floor I Points I I I I I ! 0 - S.S 1 0 I I 5.6 - 11.5 I +2 1 11.6 - 17.5 I +4 I Lo/ -/:2 GLAZING PLAN 'TAKEOFF SHEET 5 North Glazing ' qUANTITY ,SIZE AREA (SQ.FT.) ' C2 — x —6, x- Ll (c > - .x (d) x = _ (e) x Total North;Glazing (SQ.FT.) . (a+b+c+d+e) . OTA L 4ORTH TOTAL BLDG CONVERSION TOTAL % .AZING FLOOR AREA FACTOR . NORTH GLAZING G� D 133-R x 100 ;Q.FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE _ AREA (SQ.FT.) a)_ x b)x d) x. _ - -- e) x Total South Glazing = (SQ. IT . (a+b+c+d+e) OTA L OUTH TOTAL BLDG AZIN FLOOR AREA /or#. �)3.3-;Z. x SQ.FT. CONVERSION TOTAL. FACTOR SOUTH GLAZING 100 = FOR M 3 -6 -East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) (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 ).FT. X33, x Q SQ.FT. CONVERSION TOTAL % FACTOR EAST GLA Z G 100 = ° 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) x 16 (b) - x (c) x = (d) x = (e) --- x = Total West Glazing = (SQ.FT.) (a+b+c+d+e) TOTAL WEST TOTAL BLDG GLAZIN ` FLOOR AREA -�x SQ, 1. SQ.FT. 3-9 Skylights a) QUANTITY SIZE _ AREA (SQ.FT.) is X. 5/_ 8 b)—._-�__ x ;P, k.3 =_ C) x _ Total Skylights (SQ.FT.) (a+bac ) OTA 1, YLICHT TOTAL BLDG A7_INC FLOOR AREA ).FT. SO. FT. CONVLRSION TOTAL FACTOR SKYLIGHT GLAZING CONVERSION TOTAL % FACTOR WEST GLAZING 100 = THERMAL MASS TAKEOFF SHEET FORM 9 ,.MIT NO. nermal 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 have an exposed and textured surface or design so that carpeting will not occur. (Covering of vinyl or asphalt pile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA __— Entry Floor; x �` ; Bath #1 Floor SQ•FT• �_ X �_ � SQ.FT. Bath #2 Floor ' x e Bath #3 Floor1fSQ.FT. ' x ' o SQ.FT. Kitchen Floor ' x ' a Floor ' � SQ.FT. x ___..__S Q . FT . Floor _ x � o Fireplace ' x --- SQ'FT. Fireplace ---SQ'FT' x ' a SQ. Bath ��1 Counters � x FT. � _ _._____._,SQ.FT. Bath #2 Counters x Bath #3 Countersx SQ.FY, SQ.FT. Kitchen Counters ' x ' a Wall Shield x -----SQ. FT. ---- _ Walls x SQ. FT Walls � x , a SQ.FT. Walls. x JimSQ.F .. -- - FT. x ' o X a ��._SQ . FT . f compliance method proposed is other than the point system (where thermal mass point harts are available), use calculation methods on reverse of this form to show thermal ass compliance. k /83 Y. I ` FV S t: „ f 4 ... ':.. .: . ' .. ` 5 2s'd opt •--gam. gee : .. ,. ..- o ♦. b�go ".N. .andJJ rea 02 :GSD ¢j pay �y .6�9 • f } a lit 10 L e ppm '.coat '�s . .cava .e� ear • :. :i Gal ®.1 8a P tq off Butte. Gt�a1� off sH4fforslcaa a tom` 1M: k . SA M-afth Park Uubdiviaitn.'..- 7s93;9t,00,bl:aa,.83,go. 83 06 87 80,09,91e0a,g3,84 5,9 ;.97. � 9� b�(! 1®1' 1@$ fl03 104 Y0� 1®i 107 100 lOg 110 I1 A8 ,�',:� 113 lld lfl3,Bbd,A19,81fl,flfl9,.1�0,�$1,1$a,l$3,124,1251s7 Q 9,1 0, s :' l31 137, "42-130. Lot s0." :Jn ea / MPMM amWHEs: fl tg�tali�bxnira ) 0o this the d of ! :.) 03.' ' beforecam, tho. under Igo" L ary polie, pmrcia�ll� - eo too to be the p®ram(o) ism name(a) . mbserlbw to the tfithio 9�aatru t iced � a . t2 ex"Uted the Sam ' ffor ehe pu S ' thavelm coatal e d r IN U8 MS UHMM, I hmreuuto ®et and:, ' • .:.octal: i notary -public A 5 Fgeme�8 A.Ft:.ks9: 44-40-9, Fl.b.-�aAfi -A:t ' S ..' r •�t�s+.t ^I .r-+^ �•,+�•,,.4 1 :. a. oS .93,�%of4:L'li Y_.r tPl.i.r_s.., _... .. x....3'a .......�t'J•h.n-. r.... of . „ YtYdk.e55,�.F`�`.�'.�+ .- r a,. _ ru_, ,.. ins •. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#: (530) 538-4365 I OFFICE #: (530) 53877601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds ,..;.- r. H PROJECT INFORMATION ° Site Address: 575 CIMARRON DR Owner: Permit NO: B09-0966 ' APN: 007-460-037 MCCABE, DONALD Issued Date: 8/7/2009 By: KDM Permit type: MISCELLANEOUS 575 CIMARRON DR Subtype: PATIO COVER/CVD PCH CHICO, CA 95973 Expiration Date: 8/7/2010 Description: PATIO COVER(435) Occupancy: Zoning: Contractor Applicant: Square Footage: A A A BUILT A A A BUILT Building Garage Remdl/Addn 11 SUNSET OAK COURT 11 SUNSET OAK COURT OROVILLE, CA 95966 OROVILLE, CA 95966 (536)534-7035 (530)534-7035 Other Porch/Patio Total 435 T FEE INFORMATION I - ' TION. •f. DB CA BLDG STANDARDS SB 1473 $1.00 _ DB SMIP RESIDENTIAL $1.64 DBEH Building Review Fee $78.90 DBMSC Patio Cover/Covered Porc , $223.00 i DP Planning Clearance for Perm $78.70 Total Charged: $383.24 Fees Paid: $383.24 Balance Due: $0.00 Receipt No: B0755 LICENSED CONTRACTOR'S DECLARATION . - " ` - �_- OWNER /BUILDER DECLARATION._ _�— _-__ . F .__. _ Contractor (Name) State Contractors License No. /Class /Expires A A A BUILT I hereby affirm under penalty of perjury that I am exempt from the Contractors' State, License Law for 866462 / B / 10/31/2009 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section-Z000).of.Division 3 of the Business and Professions Code, and my license -`7 applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law is in full force.and'effect"--" (Chapter 9 (commencing with Section 7000) of Division 3 of the C-- - J - >� X____7 Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by for r� 8/7/2009 any applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contract ors•Si na"dire Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or . - - . .. w WORKERS' COMPENS_ ATION DECLARATION iii .,� I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, ❑ I have and will maintain a certificate of consent to selfinsure for workers' however, the building or improvement isoId within one year of completion, the Owner -Builder will have the burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as'provided for by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. improved for the purpose of sale.). Policy No. I; as owner of the property, am exclusively contracting with licensed Contractors to ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to aowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License . Cartier. Policy Number. Exp. Date: Law.). .. certify.that, in the performance of the work for which this permit is issued, I shall not I am exempt from licensure under the Contractors' State License Law for the following D reason: employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' X 8/7/2009 compensation-proviZons. •Section00 ofthe Labor Code, I shall forthwith comply with Owner's Si nature Date `� _ �. _ _PERMIT APPLICANT- DECLARATION - T X `��-8/7/2009 Signature-- 1 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS By my signature below, I certify to each of the following: I am U a California licensed contractor or U the property owner' or U authorized to UNLAWFUL, AND SHALL SUBJECT AN .EMPLOYER TO CRIMINAL PENALTIES act on the property owner's behalf—. AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN I have read this construction permit application and the information I have provided is SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize,representatives of this city or county to enter the above -identified property for- nspt:ction ppuFp`os California Licensed Contractor, Property Owner' or Authorized /' ,� } CONSTRUCTION LENDING AGENCY DECLARATION; I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address X I� L�N� SYn �S 8/7/2009 �--'�""'-�.�1 // Name.otpeniriittee [SIGN] Print Date FILE COPY Lender's Name & Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7601 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE -PRINT CLEARLY PERMIT NO. BIN N *"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. b%s!/7 ARCRITECTIENGINEER OWNER INFORMATION Lasthl ��— First Na J n> Mailing Address S tz._'s C c City stag S 573 . Phone Zip Fax E-mail State U(,xnse Number 2 b%s!/7 ARCRITECTIENGINEER CONTRACTOR Name v w•J Address Address Cay, - � Fax City c_c_ Phone 5 Z —Z(,49 ZS Stat ie;,_ Zip Phone 3 _(0 State U(,xnse Number 2 Fax E-mail Lic. # 4(Q Z Gass 3 b%s!/7 ARCRITECTIENGINEER Name Name �- v w•J Address Zip Cay, - � Fax State., p.- Zp 73 Phone 5 Z —Z(,49 ZS Fax E-mail State U(,xnse Number 2 APPLICANT INFORMATION Name Address city State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# OD 7— 0-Co7 Property Address 5-75 Ot F�x L b gi 7 TION Policy Number If Oft anyone other than Ifcensed contractors, a certificate of worker's compensation must be shown at the tune ofpennft 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): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 � TTS o • O a O O a o O O (530) 538-7266 Telephone ZJ' (530) 53&7171 Fax- National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and. Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B09-0966 Date: 7/1/2009 Location: 575 CIMARRON DR By: AAM Parcel Number: 007-460-037 Sub Type: PATIO COVER/CVI) Owner Name: MCCABE, DONALD Phone: Description: PATIO COVER(435) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California. Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but:. when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board., I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the.State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in'revocation of grading and/or other permits or other santions provided by law. Signed: Date: 7/1/2009 Title: . �,C� ✓ ��z�-�d ment Services Butte County Department of Develop TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecoun.ty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and. void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at htW://municit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information . related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B09-6966 Date: 7/1/2009 Location: 575 CIMARRON DR Parcel Number: 007-460-037 Owner Name: MCCABE, DONALD Phone: Description: PATIO COVER(435) Signature of Applicant: !� Date: 7/1/2009 FILE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT' 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 575 CIMARRON DR Owner: Permit NO: B07-0951 APN: 007-460-037 MCCABE, DONALD Issued Date: 05/29/2007 By KCG Permit type: MISCELLANEOUS 575 CIMARRON DR Subtype: Private Pool CHICO, CA 95973 Expiration Date: 05/28/2008 Description: MASTER POOL #01-524 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: PARAMOUNT POOL & SPA INC PARAMOUNT POOL & SPA I] Building Garage Rem'dl/Addn 595 ANTELOPE BLVD 595 ANTELOPE BLVD RED BLUFF, CA 96080 RED BLUFF, CA 96080 Other Porch/Patio Total (530) 527-4079 (530) 527-4079 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Swim Pool -Master Plan Co $467.42 DBOMSCF Duplicate Plans $54.99 PW DRAINAGE $0.00 Total Charged: $598.11 Fees Paid: $598.11 Balance Due: $0.00 Receipt No: B2885 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PARAMOUNT POOL & SPA INC 823708 / C53 C15 / 09/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (Comm en i with Section 7000) of Divi ' 'of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full r and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/29/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ContrAtoril Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-0016265 Exp. Date:03/01/2008 Contractor's License Law.). (This section need not be completed if the permit is or one hundredollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/29/2007 compensali pr visions of Section 3 0 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/29/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST ANDu or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C unty to enter the above mentioned property/ r inspection purposes. I hereby certify that I am the P pert: o r am authorized o act on th property owner's behalf. 1 71 l c1 U P. 05/29/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Atne of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR Agent for Owner D<Agent for Contractor FILE COPPYC Lender's Address City StateZip 'Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0951 Date: 05/01/2007 Location: 575 CIMARRON DR. By: KEJ Parcel Number: 007-460-037 Sub Type: Private Pool -} Owner Name: MCCABE, DONALD Phone: Description: MASTER POOL #01-524 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but. when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 05/01/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at httl2:Hmunicivalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0951 Date: 05/01/2007 Location: 575 CIMARRON DR Parcel Number: 007-460-037 Owner Name: MCCABE, DONALD Phone: Description: MASTER POOL #01-524 Signature of="erq7"�r: Date: 05/01/2007 C"PAC-1-0,1 FILE 05/22/2007 TUE 14:47 FAX 1916 928 4697 NEIL 0 ANDERSON & ASSOC "04 NEIL O. ANDERSON AN D ASSOCIATES May 16, 2007 American Pools 605 Sutter St Folsom, CA 95630 Subject: Standard Pool Plan Use Authorization Dear Building Official: 2001/001 GEOTECHNICAL 1 EN V7R0NMEN TAL i INSPECTIONS A. TESTING LABORATORY SERVICES. POOL ENGINEERING POST TENSION DESIGN Please be advised that American Pools is authorized and our office is aware that they are utilizing our Standard Shotcrete Cr Reinforcing Detail plan for Placer County. tf there are any questions, please contact our office. Very truly yours, F C RK: kv fk��. o i -5z4 Mpol'a- CO2cF- 6.—C) I � T t"JCOUNTY BUILDING �a . .. APPROVE -Er) 7 LODI • SACRAMENTO • RENO % MODESTO • WALNUT CREEK S A C R A M E N T 0 50 GoWentand Ct. Ste. 100 - Sacramento, CA 95834 • 916.928.4690 - FAX 916.928.4697 www.noanderson.com Thidli 00-U MW WAY 2 3 ST DEVELOPMENT SER`/ICES ' C/ NEIL O. ANDERSON AN D ASSOCIATES '013N ' �hAR 1 3 2446 March 8, 2006 DEVEL'VYriEN7. ,. SERVICES Paramount Pool and Spa 4385 Rawleigh Court, Suite B Chico, California 95973 Subject: Response to Plan Check Comments Butte County Department of Development Services APN # 069-620-021 Building Permit Number: 06-0483 Dear Sir: GEOTECHNICAL ENVIRONMENTAL INSPECTIONS & TESTING LABORATORY SERVICES POOL ENGINEERING POST TENSION DESIGN Neil O. Anderson & Associates provides our Standard Swimming Pool Shotcrete and Reinforcement Detail Plan, Plan 24.0 to Paramount Pool and Spa for their use in construction of various projects. The purpose of this letter is to address the plan review comments by Carl Nelson and Philo Hunt with the Butte County Department of Development Services in a March 6, 2006 review letter. Our responses to the comments are as follows: Response to Comment 1 - The engineering calculations for Plan 24.0 are attached. Response to Comment 2 - Geotechnical consultation is not typically provided for an in - ground swimming pool construction project. Our standard plan assumes lateral earth pressures ranging from 35 to 85 pcf. On site geotechnical consultation is generally performed on a case-by- case basis. Geotechnical consultation is generally provided for pools constructed on or near descending slopes, or pools constructed in fill. We believe these responses and comments were made with that level of skill and care ordinarily used by engineers practicing in this area at this time. No other warranty , express or implied, is made. Please call with any questions. Sincerely, Neil O. Anderson & Ass Robert E Holmer, PE, GE Principal Engineer cc: Carl Nelson, Butte County Department of Development Services LODI - SACRAMENTO - MODESTO BUILDING DIVISJON APPROVED SACRAMENTO OFFICE 600 North Market Blvd.. Suite 5; Sacramcnio, CA 95834 - 916.929.9267 - FAX916.929.9269 - www.noanderson.com BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES PEPE BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds BIN # "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name AyG t� First Name PCW Mailing Ad ress r? -5- aN City /�w StatecA Zip 7S771 Phone�� N Fax E-mail CONTRACTOR Named hlUr/ .G � yc Address vz-t/O City Z U�,� State C19 Zip g��d Phone s30 -SZ�-yy�y Fax my E-mail ooG (3 W6 ✓ Cr 2-3.20$ Class c_5o3 APPLICANTINFORMATION ARCHITECT/ENGINEER Name aNA oA bl 6-,e Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANTINFORMATION - Name A&e A'S Address City Slate Zip Phone Fax E-mail APPLICANT SIGNATURE X 1I V PROJECT LOCATION AP# 0 - 60 - 63 Property Address S-�S� ,6 /1 IM AAd b k/ City WORKER'S COMPENSATION Policy Number -7 3 2(�� Carrier AVt o 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: (� �In L— _]f Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy I (Note previous use): For office use only: i Zoninn Flood Zone ` SRA Yes No Occ. type Const. i iq�'ners•�..:aE`;�rca:Ys+. �sv:�:RSA'r�••:manes'.rtia+r�;raixeN+�iS•�94:�'7F�aF96Lvx�G'r.'av� , Y,o,u.�W}�r's!sYfs.+w�.aa�tay.'vice>•�?Va�ws e,-.r.;.;;,,,�a'�•,'�dtiK4?b4+�vrt'K:�.7p4di'`l.�k..:�+�.,.at_.•^ 4uo�- CLAUDIO,� OK,VIBE ' • 515. CIMARRON`DRIVE! CHICO CONTR .;WATTS PLUMB ING - r -' r CHANGE OUT WATER'HEATER r. h ' x r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaliforniA 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT G ASSESSOR PARCEL NUMBER �yf ZONING BUILDING PERMIT OWNER //•� / 'rr /� (_( l(a,(_( "LEPHONE T"E; . aL T jr5 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTORS1' AME/ %i �- 1. ` .t �, ( t ,/* TELEPHONE CONTRACTORS MAIUNG ADDRESS L.%/) Ltj e, C_ SJ let, t_t e4 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS q , Energy Plan Checking Fee $ $ r r, , ;at, PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF bi Duplex ❑ Mobilehome ❑ Other - SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00' , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ .jInstallation ❑ Other ❑ Describe Work: �- t��f 1 �(A eC.(t d. ( `'�i✓ t� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa 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.POWER License Class CN _'n Lic. No. Xaa OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason e WORKERS" COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance Carrier and policy number are: Carrier Main Service zooA TO 10ooA 46.00 NEW CONST. DWELLINO OCCUP. ORAo�O� ( 3.5Qso MULTCO iS. NO REBID. @7.50 APPARATUS 8 SINGLE OUTLET CIR. �(, OCCU OUTLET OR FIXTURES B20 ®'.0° so Ex. Occup. ouTFIX�rs AM °FR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number C4")c /'.�,/_ — _ (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, arid agree that if I should become subject to the workers' compensation prrovisioKs of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % X ��j7it/tl:. Date fir/ 5 /FY Signatuu�bf Applicant - ❑'Owner ❑Contractor ❑ Agent, An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ f 2 c co TYPE TOTAL FEE $ U HAZ. D. FE IMP FLOOD CDF PARCEL PD HD ISSUE. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. J By w7/f ) '1 L L Date PERMIT EXPIRES ON I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT C_ — ASSESSOR PARCEL NUMBER /'�� / /r _20NIN0 1/InGU BUILDING PERMIT OWNER I �TELEPHH^ONE(� [ U J SO. FT. OCC. BUILDING VALUATION .OWNER'S ::;L`C /,,f►/,,K, ,• ,' CONTRACTO 'S ME TELEPHONE 344a • 5aas0 CONTRACM MAILING KESS CONSTRUCTION LENDER FlreplflCe LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS J Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDMSIONS 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 4 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C V�,Inr (�G , r Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 3 .(JLC ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2IIA 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 f 11 force and effect. - License Class G� Lic. No. 5—k 5 2— OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To ,IOOA 46.00 NEW CONST. OW EwNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5Q NPN p�IDT MULTI.OtmFr @7,50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL. ' o .so Ex. Occup. CUT A pESIp,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen§atiop insurance mer and policy number are: Carrier I-01VZ,0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 0,00 /�7z — � (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, d agree that 'rf I should become subject to the work s' compensation rovisi s of section 3700 of the Labor Code, I shall forth i h comply with os r Sion X Date (VASA Signat a of plicant - Owner 91 -Contractor ❑ Agent An OS permi ' required for excavations over 5'0" deep and demolition or construction of St ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ PE TOTAL FEE $ 3 . (jU HAZ. p FE IMP FLOOD COF PARCEL RCEL -4HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By Dated PERMIT EXPIRES ON Date Receipt No. 36oZ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w--.• T. � .w..at waw+5'Y�i.e;{ +;:',,,,�r�•:;r:.c-.-Rm. :... �. K::r-w.a. 5: txi'P��., L, r*�"y:'cacJ"i. � �-��. 6•c�f ,�,'../'.,w't •_:x-'•�'+sacsl._c--. `s.:�oa—.•q�-s�m.�. r�� r.•;� -. _f ro. }fi. '✓''40ITH . 07-46 0 037"�;; �• , �._.. ' •.SMN j l ' 575Ci mma ron, 0ryl , �. (reroof%comp)-4. our-seasons Rf -1A . 7,6 ' f i - .1�7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Ca 1�rnia,95965 - Telephone (916) 538-7541 PERMIJ•NO. APPLICATION AND PERMIT ZZ) /S ASSESSOR PARCEL NUMBER 007-460-037 ZONING Ri BUILDING PERMIT OWNER SL`TM N. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 575 CINI`'IERON CHICO J� 28 1.680 4011MUOMEROOFING TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS 235A MMR WAY Fireplace CONSTRUCTION LENDER UNm6WN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERLI CENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 575 CIMflIERON PERMITFEE $ 59.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump Water heater 23.00 USE OF STRUCTURE S0M Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF WITH COMP Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service Ooov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect.EX. License Class C g!5 Lic. No. 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 thei sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. ( 8 ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS b SINGLE OUTLET CIR. / Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 EX. Occup. (oFIXEED RES D.) R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: XI have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cgAQpgnl1 tion insutanc'e�� rnF and policy number are: Carrier `> — [ FV ) 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' COmpensatiO ws of Californi gree that if I should become subject to the workers' a p Isio of section 3700 of the Labor Code, I shall forth 't o pl lith th pro ions! XDate Date Sign ture of Applicant - ❑ Owner ❑ Contractor Agent An SHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 59.00 HA2. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to indicated above for which fee ave been paid. BY Date (Date) do work /� `T Receipt No.LtM;�oPERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 11 / COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, .Califdrnia 95965 - Telephone (916) 538-7541 PERMIT�I . APPLICATION AND PERMIT ,� -J,2 Z 7 ASSESSOR PARCEL NUMBER 007-460-037 ZONING R1 BUILDING PERMIT OWNER SMITH N. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAWNG ADDRESS 575 CIMMERON CHICO p 28 1,680 40NMMDMEROOFING TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI<NOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 9,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 575 CIMMERON PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SFX)p Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF WITH COMP Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 - Main Service e00V OR LESS ( zooA OR LEss ) 23.00 Main Service ( zOOA TO Io00A ) 46.00 r 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. ��O\\ License Class _C �� � Lic. No. c�L�� V 7 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FURORES ) 20 Q 1.00 BAL SO E(, Occup. OFIXED UTLETS (RES D.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ;<I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' cqp � tion insu�nc�et�aarrn and policy number are: Carrier ���� �C/ I) 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' compensatio ws of Californi ee that if I should become subject to the workers' a pr isio of ection 3700 of the Labor Code, I shall forth 't o pl ith th pro ion X _ Date '_2 Sign to of Applicant - ❑ Owner ❑ Contractor Agent An HA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ S HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees ave been paid. BY Qate r PERMITEXPIRESON (Date) Receipt No. ©n WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Cbwety Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �+ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER . .", j ZONING BUILDING ERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME , - , TELEPHONE r CONTRACTOR'S MAILING ADDRESS ' . , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 10.00 / Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS1 G W 10-00e TYPE OF WORK New❑ Addition❑_ Remodel❑ Utilities[:] Installation ❑ Other ❑ Describe work: '- % �/ ���' ' '' = / = ' / ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLOGS. 2thQsq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force_ and effect. License No. r I '— 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 NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 9A 030 FIXED APP LNS. OR EX. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F,-1 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. 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. 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 County in consequence,of the granting of this permit. X�• - .Date Signature of Applicant — OwnerEl 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD 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 10 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE.DEPARTMENT RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT4 N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --:.-.-,7 7 ZONING BUILDING PERMIT OWNER / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER -S MAILING ADDRESS NT ACCTO S NA rTELEPHONE ONEL C N RAC OR'S MAI ING ADDRES a 1;v / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCH TECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 f Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF12//Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home F .00 e 2. c n 116,1tzl TYPE OF WORK New ❑ Addition Remo el ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft 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 Professi nsCode aid my license is in full force and effect. �J License N ,/ 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(MULTI-.UT NON -RESIT R BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. 2O@gee Ex. Occup(ouTLErs OR FIXTURES BALQ 30 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 $ 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 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 -me boned property for inspection purposes. I also agree to save de ' y and keep harmless the County of Butte against all i i es, ju costs, and ex nses which may in any way accrue ,atainst said Cou i conseq enc o granting of this permit. ent ❑ ig ature of Applicant - wner❑ Contracto�deep An OSHA permit is required for excavations over and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �� Occup, GROUP TYPE OF CONST, IP-ARCTTPD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work�i ndi ted above for which cz DI ECTOR OF PUBLIC PERMIT EXPIRES to __ the applicable provi- resolutions to do fees have been paid. WORKS 7 _ 5;7d'iS- Receipt No. 27.5� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT C.I�nVv�ARoN �Rw� . 16' 101 I WAS "> -A MING DIVISION - BUILDING PLAN APPROVAL Use:12�o sF. Date: S �/ c� / U� Parking: `Landscaping: theI 1�' Or ,.I b Signature: � >7iEPl�� Is (P) Sw�mr�rNU POOL I COUNTY - APP�,0\- NO %�/i9/��✓. �/� . Owner: /� BP# P -0i4; 6-1 #160 , L4A Wo JOB G! APN: 1461-106-1113. SHEET NO. FILE C� GGll CALCULATED BY DATE- CHECKED ATE-CHECKED BY DATE SCALE