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HomeMy WebLinkAbout021-260-018Of 21-26-1 r" Joe Thompson ROOT,_ Le.f•iS. _ - - 46,48.- - - �- E/S Losser Ave., 150jprl�-I.Libert "322 PGridley contr: Polly Pools, ampton, ro. Permit #3904-79B,P,E(new private E/8 Lesser Ave. app. 150° No. 0, Liberty, swimmin pool) I Gridley. 21-26-18 92-2053B (riew, single-family) THOMPSON, ,Joe- & • Helen MFi Act ` l 1214 Losser Ave, Gridley (V 156195 ' (sf/vinyl''siding)CONT:Kim,Parks Const 021-26-0-018.. . .Permit#94-1 55r� -- ,..:: w • ' THOMPSON FAMILY TRUST / t { 1214 Losser Avenue, Gridley . (reroof/steel 'tile) Advanced Roofing B06-2565 M *: '021-260-018 'MISCELLANEOUS C. HVAC Change Outi SPLIT SYSTEM FURNACE REPLACD „ 1214 LOSSER AVE���� THOMPSON, FAMILY_LI_VING TRUS �. 606-2590 ' 021-260-018. MISCELLANEOUS Water Heater C/O ' REPLACE'GAS WATEE, HEATER '1214 LOSSER•AVE_!��p //__6(0 THOMPSON, FAMILY LIVING TRUST is E - i BUTTE COUNTY �. DEPARTMENT OF DEVELOPMENT SERVICES ' INSPECTION CARD • 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2565 Issued: 10/31/2006 Address: 1214 LOSSER AVE. GRIDLEY APN: 021-260-018 Permit Subtype: HVAC Change Out Owner: THOMPSON, FAMILY LIVING TRUST Applicant: PHIL'S HEATING AND AIR CONDIT Description: SPLIT SYSTEM FURNACE REPLACEMENT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings III Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 r Mechanical Final 809 Plumbing Final 813 Project Final 801 l PERMITS BECOME NULL AN D 1 EAR COMMENCED, YOU MAY PAY FOR A 1 YEAR. RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy f_ COUNTY OF BUTTE A BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PS OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �A-) 4'e (I�( 1, 1' (_-�)r b Ax l Date I I V� Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: .538-7636 OR 891-2834 1 BUTTE COUNTY LL 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: 1214 LOSSER AVE. Owner: Permit No: B06-2565 APN: 021-260-018 THOMPSON, FAMILY LIVING Issued Date: 10/31/2006 By TMP Permit type: MISCELLANEOUS 1214 LOSSER AVE Subtype: HVAC Change Out GRIDLEY, CA 95948 Expiration Date: 10/31/2007 Description: SPLIT SYSTEM FURNACE REPLAI Occupancy: Zoning: A5 Contractor Applicant: Square Footage: PHIL'S HEATING AND AIR CONDIT PHIL'S HEATING AND AIR C Building Garage Remdl/Addn P O BOX 33 P O BOX 33 BIGGS, CA 95917 BIGGS, CA 95917 Other Porch/Patio Total (530)868-1239 (530)868-1239 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B714 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 PHIL'S HEATING AND AIR CON CSLB-648981 I I 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 (commencing with Section 7000) of Division 3 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 force 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 10/31/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's 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 WORKERS' COMPENSATION DECLARATION 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 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 notintended 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.). ❑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: Section 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 Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the permitis or oncehundreddoollars ($100) or ess. ❑ 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 10/31/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 10/31/2006 - I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE 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,h,aagents 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, 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 that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY - 10/31/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner El Contractor OR; E]Agent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2590 Issued: 11/03/2006 Address: 1214 LOSSER AVE GRIDLEY APN: 021-260-018 Permit Subtype: Water Heater C/O Owner: THOMPSON, FAMILY LIVING TRUST Applicant: PHIL'S HEATING AND AIR CONDIT Description: REPLACE GAS WATER HEATER , MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 (� Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Applicant I -- INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was: ✓ Mested at Final ✓ ❑ Tested at Rough -in IN, VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: E( Remove at least one supply and one -return register, and verify that the spaces between the register boot and the interior Wishing wall are properly sealed. El the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points ,k6tween the air handler and the supply and return plenums to verify that the connection points are properly sealed. IT Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ DUCT LEAKAGE REDUCTION Procedures or field veri icadon and dia nostic tesdng of air distribution systems are available in RACM Appendix RC4.3 . NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ EYCooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfin/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: 1 DC�v ✓ ✓ 3 Pass if Leakage Percentages 6% for Final or :5 4% at Rough -in: ❑Pass ❑Fail 100 x Line # 1 / _(Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Chan a -Out. IYZ Enter Reduction in Leakage for Altered Duct System 6_(Line # 4 Minus Line # 5 —(Only ifApplicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage S 6% for Final or <— 4% at Rough -in 8 100 x Line # 5 / Line # 2 ❑Pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change - Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage S 15% [ 100 x [ L1200 (Line # 5) / 16ou (Line # 2)1] �y 7 Su [lass ❑ Fail 10 Pass if Leakage to Outside Percentage:5 10% [100 x [_(Line..# 7) /. (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >: 60% [100 x [ # 6) / (Line # 4)]] 11 _(Line and Verification by Smoke Test and Visual Inspection ❑ pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 throu h # 12 pass ❑ Pass ❑ Fail ✓ ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with . MMandatorjequirements specified in Section 150 (m) of the 2005 Building Energy Efficiency Standards. c Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) '.!' -I Residential Compliance Forms January 2005 coin NOV 0 3 2006 ior�NT SERVICES CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R -Project Address Builder Name /fie leh 1-ko l -A 10 •c Pia. FIC'2-.3 5 i Builder Contact HERS Rater Telephone Plan Number .S .rr^ Certifying ignature Firm: air Cc e' Street Address: &)t Date Copies to: Builder, HERS Provider and Building Department Sample Group Number Sample House Number HERS Provider: c. se-ei"f City/State/Zip: Civ Lco 6* Os5-e5-a -7 HERS RATER COM�PLANCE STATEMENT The house was: -/®' Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies _with the diagnostic tested compliance requirements as checked ✓ on this form: The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tes ed buildings. The installer has provided a copy of CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ,-ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓WMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM,, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: /,0 06 3 Pass if Leakage Percentage <- 6% [ 100 x [_(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Wel, ' " IM 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to g� Duct System Alteration and/or Equipment Change -Out. - 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chan a -Out. 117 6 Enter Reduction in Leakage for Altered Duct System [... .(Line # 4) Minus (Line # 5)] - . (Only if Applicable) A 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) �/ 8 Entire New Duct System - Pass if Leakage Percentage <- 6% 100 x Line # 5 / Line # 2 ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ Use one of the following four Test or Verification Standards for compliance: V, 9 Pass if Leakage Percentage < 15% [100 x [_/_Y " PYLine # 5) / 0W (Line # 2)]] GJ-11'a'ss ❑ Fail 10 Pass if Leakage to Outside Percentage 5 10% [100 x[_(Line # 7Y/ (Line # 2)]] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >- 60% [ 100x [__(Line # 6) / (Line # 4)]] and Verification b Smoke Test and Visual Ins ection ❑ Pass ❑ Fail F-127 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection, = ", ❑Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑Pass ❑Fail Residential Compliance Forms March 2005 BVTTIC couNry RN 0 3 2-�k3 �Y 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: 1214 LOSSER AVE Owner: Permit NO: B06-2590 APN: 021-260-018 THOMPSON, FAMILY LIVING Permit type: MISCELLANEOUS 1214 LOSSER AVE Issued Date: 11/03/2006 By KEJ Subtype: Water Heater C/O GRIDLEY, CA 95948 Expiration Date: 11/03/2007 Description: REPLACE GAS WATER HEATER Occupancy: Zoning: A5 Contractor Applicant: Square Footage: PHIL'S HEATING AND AIR CONDIT PHIL'S HEATING AND AIR C Building Garage RemdUAddn P O BOX 33 P O BOX 33 BIGGS, CA 95917 BIGGS, CA 95917 Other Porch/Patio Total (530) 868-1239 - (530) 868-1239 FEE INFORMATION Water Heater (qty) - $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PHIL'S HEATING AND AIR CON CSLB-648981 / C20 / 07/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commend th Secti 7000 of Division 3 of the Business and Professions Code, and my license s in full f ce�n 11/03/2006 Signature (/ Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S 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' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number. 7130004493 Exp. Da1e:10/0112007 (This section need not be completed if the permit is forone hundred dollars ($100)-6r less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisi of Section 3700 of the Labor Code, I shall forthwith comply with those provision . X 11/03/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS14OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I 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. (3097 civ. code) Lender's Address City State Zip $55.00 Balance Due: $0.00 Receipt No: B758 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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, pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this Owner's Signature 11/03/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to ter the above mentioned property for inspection purposes. I hereby certify that I am the per+ r authorized to aye �e prope s aH. �� /hi/ 24W 11/03/2006 Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name City � `" irst Mailing Address ?� �s) /�✓ v` city 1` e Stat zi Phone Fax Fax E-mail State License Number CONTRACTOR Name ) Address9- City � `" Sta I Zip��/ 7 City Fax E-mail Lic. 94AS20 - ARCHITECT/ENGINEER Name c Tj4 Address Open Cov City Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: State License Number - -APPLICANT INFORMATION Name c Tj4 Address Open Cov city Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: IMiroll W�T'EVFI For office use only: API Zoning Flood Zone SRA I Yes No Occ. Open Cov Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERAHT NO. BIN # PROJECT LOCATION API Property Address I � � /r C�rt � )� Cross Street. S� Open Cov WORKER'S COMPENSATION 71 Policy Number f Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope ff WoF/� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Re eived by: Amount: < /J Bldg SRA Rep Sheriff (( + SMIP Date: Other `� Total 1� BUTTE COUNTY " tbEPARTMENT 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: 1214 LOSSER AVE. Owner: Permit No: B06-2565 APN: 021-260-018 THOMPSON, FAMILY LIVING Issued Date: 10/31/2006 BY TMP Permit type: MISCELLANEOUS 1214 LOSSER AVE Subtype: HVAC Change Out GRIDLEY, CA 95948 Expiration Date: 10/31/2007 Description: SPLIT SYSTEM FURNACE REPLAI Occupancy: Zoning: A5 Contractor Applicant: Square Footage: PHIL'S HEATING AND AIR CONDIT PHIL'S HEATING AND AIR C Building Garage RemdUAddn P O BOX 33 P O BOX 33 BIGGS, CA 95917. BIGGS, CA 95917 Other Porch/Patio Total (530) 868-1239 (530) 868-1239 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B714 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 PHIL'S HEATING AND AIR CON CSLB-648981 / 1 / 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 (commencing with Se 'on 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) sinful r and a t. 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 '10/31/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's 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 WORKERS' COMPENSATION DECLARATION 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 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 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 Contractor's License Law.). Cartier: Policy Number. Exp. Date: (This section need not a competed if the permit is or one hundred dollars ($100) or less.) ❑IAM EXEMPT under Section B. 8 P.C. for this reason: �,,,ERTIFYHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS,all 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 10/31/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provision`s X 10/31/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building //`!/ Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, 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, 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 AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop o �ypm ulhorizedtoacton��pertyo r e f. 10/31/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee GN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ontractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name 'r a & 5d t j /� irst N �� Mailing Address City State Zip Phone Fax E-mail CONTRACTOR Name 01fI 71A 0-e­ Addressn n ��Z City /,Zdf� Stag Zip Phone �a39 Fax E-mail Zip Phone -- - APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number -- - APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APP /CANT SIGNATURE X 4�- For office use only: AP# 0 - co V Zoning Cityr 1 r4 Flood Zone SRA I Yes No Occ. Policy Number Type Const. Subdivision Name " LENDING AGENCY Map Book Page Lot # Planner Date Approved: PERMIT NO. PUS 2 BIN # nn PROJECT AP# 0 - co V Property Property Address Cityr 1 r4 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. " LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. c✓ Received by: Amount: Bldg SRA Receipt #4- f�� Sheriff SMIP IDate:Other Imo-31-10�9 ss Total 3:rX.-.i�'ti::Grwy�'%��;,{h;'YL,i''vF-S,rn�t��y.<y`: t•�--r^b ti ��x,y,Y ne-a '^re.s; qra., _,.,yrs"-''e,,", `'+ev.q+�m Vii' A•(�'k. '\1%r rcAy w.�,..G', ;in ivl�,y�-� itap�•,[(Y�i� �M.. .i , .mar!' .,� ,• r - - t+• _ ftp 021=y26-0-018, Permit#94-1555' B r `x1 THOMPSON FAMILY TRUSTS; 1214 -Losses Avenue, Gridley ,�. (reroof/s.teel tile).Advanced Roofing EXPIRES-6/2/95 ti T v f • 4 iii• , f • k • o . t� V ' Q Q Q V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 `�� �� . APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 021-260-018 ZONING A5 BUILDING PERMIT OWNER THOMPSON FAMILY TRUST TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1214 LOSSER AVE GRIDLEY CA 95948 26 4550 CONTRACTOR'S NAME ADVANCED ROOFING TELEPHONE CONTRACTOR'S MAILING ADDRESS 11335 FAIR OAR BLVD, FAIR OAKS CA 95628 Fireplace CONSTRUCTION LENDER MORE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72, ARCHITECT OR ENGINEERLICENSE HONE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ADOflESS 2 IRM PERMIT FEE $ 92.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping ,15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O� Duplex D Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK �r New O Addition O Remodel O Utilities O Installation ❑ Other 19' Describe Work: REROOF W/ STEEL TILE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "v OR LESS 200A OR LESS 23.00 Main Service ( 200A To iGOD�A,,.. 46.00 NEW CONST. OWELLING OCCUP. OR ADDNS. ( 6 ACC. BL) SD.DS. 3.50 Fr. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No.. A 2 (, )-A ? Classification O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , BAL. @ 1.000 Ex. Occup.FIXED APPUNS. OR ( ) OUTLETS EA. S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 against said County in consequence of the granting of this permit. X _e-�, / r /� n,..(� j r� Date i -,� / Signature of 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 $ occ CONST. TYPE TOTAL FEE $ 92.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated�4ove for whic fees have been / By f A tD 0Ar / PERMIT EXPIRES ON (/ /4 (Date) provisions to do work paid. Dated a/9 /� /y 163219 Receipt WHITE-D.D.D.S.-B.C•. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /PERMIT APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-260-018 ZONING A5 BUILDING PERMIT OWNER THOMPSON FAMILY TRUST TELEPHONE SQ. FT. OCC. BUILDING VALUATION 26 4550 OWNER'S MAILING ADDRESS 1214 LOSSER AVE GRIDLEY CA 95948 CONTRACTOR'S NAME ADVANCED ROOFING TELEPHONE CONTRACTOR'S MAILING ADDRESS 11335 FAIR OAK BLVD, Fireplace CNONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1914 LOSSET AVE, GRITHEY PERMIT FEE $ 92.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑K Duplex ElMobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ❑ Other CK Describework: REROOF W/ STEEL TILE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BDDv Dfl LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8, ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I d Clare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and my license is in full force and effect. License No., Classification ❑ 1, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @)000 B20AL. . Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ;4 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ r Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said County in consequence of the granting of this permit. X Date �'� — 9�/ Sign ture of 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$ k Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 92.00 HAZ- I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a e for whic fees have een paid. /C� By Dated � /1 PERMIT EXPIRES ON / /V (Deter Receipt 163219 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' A. w�y+'v"�it .. tet. y�. a, Y s � . • .d � � '�,. �' •�' �! J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County,Center Drive - Oroville, G`allfornla 95965 - Telephone: 916/538-7541 APPLICAfibN AND PERMIT t✓'J ASSESSOR PARCEL NUMBER ,11-S6 _ / 8 ZON NG - S'*' BUILDING PERMIT OWNER ZR. ��Pala- ��I., & c �� �,v TELEPHONE 346-3263 SO. FT. OCC. BUILDING VALUATION WN,Et2'a MAILING. ADDRESS -� .y ,. .v r, FK (]� 0114 �1 13 2 ONTTTRI� T "5„NIAM(�Evv(� C ;;�}rr�� T/ry� j. �• 13 Vti:.'.�Jf:.�:1Ji.il�Il'lr TELEPHON)E 53- 1 37 - .1l CONTRACTOR; MAILING AO•DRE65 1 r l 1r''v !3LV2J• f 7:2-iJtir A. 5)66 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1109529 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ L if ju ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1.27.50 PLUMBING PERMIT FilingFee 15.00 y. t til L o SSC -2 rJ LaG Each Trap 5.00 (. r I J I e 9 r'Yb Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Additionn Rejnodel❑ Utilities ❑ Installation❑ Other ❑ V J Describe work: Y a , t� ( Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 t Main service 600v OR LESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 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 Prof essiof� Coe and my license is in full force and effect. 16'45 $ N License No. Classification ❑ I, as the owner, Or my employees with wages as their solelcompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec.,., 7a44) ❑ I, as the owner, am exclusively contracting with licensedcontract- ors. (Sec. 7044) ❑ I am exemptlunder Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N\ 3.64 sq.ft. OR ADDNS. ACC. BLDGS. II NEW CONST R. ULT' -OUTLET NO N•RES'- BRANCH CIRC ITS @ 5.00 (POWER APPARATUS h1 SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 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 against said ounty in conseque ce of the granting of this permit. X k.�itD1N � �.>�, Date Signature of Applicant - owner g pp ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 127 90 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PO I HO Iss This permit is hereby issued under the applicable provi- sions of the,Butte County Code and/or resolutions to do - I t work indicated ab9v9 foi which fee's ave been paid. DIRECT,8 OF PUBLICWORKS By "(.{ �) 44,4f �/� Date t 1� PERMIT EXPIRES Date Receipt t No. I I 7V 5-3 p WHITE-D.P.W.. YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION PARTMENT OF'DEVELOPMENT SERVICES 'w 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive,`Oroville, CA - (916) 538=7541 a 747 ®liott Road, Paradise, CA - (916) 872-6307 : w y CORRECTION NOTICE- - pMpNIER PERMIT NO. Arcufne iiicpecfa asficates that the following violations of Butte County Ordinances exist at i The atom adld,ess and should be corrected. Please notify this office .when correction of work scan.�dtfyauhow any questions pertaining tothis matter, orneed additional explanatiori, ''• please tf n office immediately. c4) Die Inspector REVIOW J/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. g� - os3 ASSESSOR PARCEL NUMBER ZON NG BUILDING PERMIT OWNER THOMPSON JOE &. HELEN TELEPHONE 846-3Z.63 SO. FT. OCC. BUILDING VALUATION M-07 952 DW 12�:L-YAIt;Ot EskVEN GRIMM' CA. 995948 CONTRACTOR'S NAME KIM PARKS CONSTRUCTION' TELEPHONE 533-3737 ' c5JcTl5TbmAff&`tW,., #2' OROVILLE, CA. 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ..> ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $12-7.5-0 PLUMBING PERMIT Filing Fee 15.00 Z IH L. o sSC Z ltd Each Trap 5.00 al (c 9 r 8 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel:] Utilities ❑ Installation❑ Other ❑ Describe work: INYL 6NG Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service z00A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio , .ode and my license is in fullforce and effect. License No. Classification 3 ❑ 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 DWELLING OCCUPM NEW CONST.( ACC. BLDGS. / OR AODNS. 3.64sq.ft. NEW CONSTR. ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUeS (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.) 1 3.00 Temporary service 15.00 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 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 15.00 Heating Cooling g Hood 6.50 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 Xainst said County in cons�ue ce of the granting of this permit. /,y� i Pa Date signature of Applicant — Owner ❑ Contractor � Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 1 OCC CONST TYPE TOTAL FEE $ l 1HAz DFEES IMP FLOOD coF PARCEL PD HD Iss E This permit is hereby issued under the sions of t Butte Count Code and/or work i is ed ab f r which f 6�DIRE F P BLI ByW11 PERMIT EXPIRES Date applicable provi- solutions to do s ave been paid. RKS Date Receipt No. l I 7oSJ .WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i f=PE1iiMIT NO. 3904-79B,P,E PERMIT EXPIRES Joe Thompson OWNER JCONTR. Hal Hampton —Polly Pools, Oroville 21-26-18 ;' LOCATION (A.P. ) E/S Losser Ave., 150'N.of W: Liberty, 19 Gridley i i yyC 6 a i �F Y� d _t 7 ;L Temp. Power Pole _ Called PG&E Temp. Elec. Serv. Called PG&E. Temp. Gas Serv. Called PG&E JOB FINALED no (Dated u. (Signature) 4' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RErORD Finish BUILDING BUILDING (Cont'd) PLUMBING Setback �/ Firewall Soil Piping Forms U Parapets 1st Floor Elec. Pedestal Water Piping Restroom Finish 2nd Floor Footings -7 -2 - Windows 3rd Floor StemwalI V Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Pip ng & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat 7 - Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing - 2 i Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Q MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE OR • • IT IM ,7 r � • � � i Ali (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICAYION AND PERMIT Owner Mailing Address Telephone No. Contractor Mai I i ng Address ^ Te a ho=bo. /7 0 Building Address 11532 I � A. P. No. -;L c %-• z � �� Zoning & Planning Fke's Wj I Ion Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p B1d Plans Recd Parcel Approyal Plans Approval NEW ❑ ADDITION ❑ UTILITIES [:]—OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of, peau OD0/S #aA dg i!y ,2 4-o M License No..3 sI 7- Classification C_ 5 3 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. (I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. 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. X Date Signature of Permitee Itr Agent Receipt No. cmc �Y 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING I.......... L SQ. FT.7 OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. (DWELLING OCCUP. S OR ADDNS. ACC. BLOGS. NEW CONST R. /MULTI.OUTL T NON.RESID 1 BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTURE: EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $ ,5V $ @ FEE $3.00 3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 Ventilation Hood 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE is �5�3 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. IRE T R OF PUBLIC WORKS .,�-L ..� B Date Building permit expires Date % �' 1 2 3 4 5 fj 7.. 8 9 1.0 1'1 -12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28%29 . 30 31 32�. 33 34 35 36 37 38 39 40 * 41 42 43 44 45 46 47 48 49 50 51 52 .53 ,54 55 56 .57 58 59 60 61: 62. 63 64 65