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HomeMy WebLinkAbout030-102-0122�2 Wescott Christian Center 1400 Grand Ave., Oroville contr: Weir Roofing Co., Oroville Permit #4590-77B(reroof including remove,.�ex�is . /B j 21e/ School) 30-102-12 2237-89B -WESTCOTT CHRISTIAN CENTER 1400 Grand Ave, Oroville_ V ContR:- Don George Roofing.. (reroof/office & classrooms) ,v 030.102-015 04-3161 WESCOTT CHRISTIAN CENTER, 1400 GRAND AVE, OROVILLE CONT: GEORGE ROOFING REROOF 030-102-012 06-0079 WESCOTT CHRISTIAN CENTER, 1400 GRAND AVE, OROVILLE Cont: GALLAGHER'S HEATING HVAC NEW WESCOTT CHRISTIAN CENTER 498-66B 155-67B* 451-66P 356-67P' —384=66E- 113 -67E% -10- 1400 Grand Ave . , Oroville CONTR: Joe Wright, P.O., Box 674, Gridley (add Sunday School rooms & office complex to church) *Change contractor 'to net f 4 1�, BUTTE COUNTY ft-pN. 630,1 oz—o I Z- JAN 2 7 2006 DEVELOPMENT CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page off 8)S CF _4R Project Address Build rName Builder Contact Telephone Plan Number HERS Rater _ Telephone Sam le Group Number Com fiance Method (prescriptive) Certi i Signature Climate Zone Date Sample House Number Fir �np _ �C`� r V)1� HERS Provider Succi Address: _ r. 1? j- jA)\ I ) - \C'ity,/State/Zip: Copies to: BUILDER, HWi PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ �fested ✓ ❑ 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 tested 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, robber 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. ✓Oa -MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RAC114, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured 1 Enter Tested Leakage Flow in CFM: Values 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating)or ✓ Enter Total Fan Flow in CFM: El Measured 3 Pass if Leakage Percentage < 6%100 x [ [-(Line # I) / (Line # 2)]] ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct Systern Prior to 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 E ui ment Change -Out. Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus Line # 5 6 (Only if Applicable) ( )] 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage S 6% 100 x (Line # 5) / Line #'2)]] TEST OR VERIFICATION STANDARDS: For Altered D ✓ ✓ ❑ Pass ❑ Fail ✓ ./ ❑ Pass ❑ Fail Use one of the following four Test or Verification Standards fouct-r compliance: Ystem and/or HVAC Equipment Change -Out 9 Pass if Leakage Percentage 5 15% .100 x ✓ ✓ [ [ (Line # 5) / (Line #.2)]]' e . 10 Pass if Leakage to Outside Percentage 5 10% [ 100 x [ ❑ Pass -0 Fail (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage o 1 1 >_ 60% g [100 x [-(Line # 6) / (Line # 4)]] and Verification b Smoke Test and Visual Inspection 12 Pass if Sealin of all Accessible Leaks and Verification b Smoke Test and Visual Ins ection El Pass ❑Fail Pass if One of Lines # 9 through # 12 pass ass 11 Fail Residential Compliance Forms ass ❑Fail April 2005 r 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.netlidds PERMIT NO. �' -5) 1¢11 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/29/2004 APN: 030-102-012-000 the Business and Professions Code, and my license is in full force and effect. License Class: VS2"kA License Number: - Site Address: 1400 GRAND AVE ORO Date: O' -© Contractor. Map Index: Description: RE ROOF (150) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner.- WESCOTT CHRISTIAN CENTER 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 P.O. BOX 1430 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the 530-533-6393 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GEORGE ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 6810 LINCOLN BLVD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of (530) 533-6393 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GEORGE ROOFING pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 6810 LINCOLN BLVD OROVILLE, CA 95966 Date: Owner: (530) 533-6393. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 452266 ❑ 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. I have and will maintain workers' compensation insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policynumber are: Carrier:_T��C�iG�LL Total Square Ft: 0 S. F. Policy #:_ IQ SYS 02— Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code'- issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 -' A -I --% 7' / lJ� Applicant: a gel WARNING: Failure to secure workers' co pensation coverage is ^� unlawful, and shall subject an employer to criminal penalties and one �/� / (� hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. o/} CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrt/Or I hereby affirm that there is V construction lending agency for the Resoluti to do work in icated a ve for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: It L3 O Address: PERMIT EXPIRES ON: Dat ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to a ter upon the above mentioned property for inspection purposes. f Print Name: Signature: Date: 40 —eg 0 Owner El Contractor f�gent for Owner ❑ Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Wrslo7 1 C N-f2/S;T-1A'�'j 9�'C ASSESSOR PARCEL NUMBER Proposed Building Use: ac r2DDF(/_50�1) Counter Technician:Date: /6/2 116 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. / ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................................... ❑ 20. Erosion Control Plan Required........................................................................ • - ........ ❑ 21. Fees astshown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... El 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: 0---39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for th Bove items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by P phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division h • 3 h BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVII.LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X Shirley Trew - Agent or George Roofing For office use only: OWNER Name Wescott Christian Center Address 1615 S. Glendale Ave. PP.PW 11--/! 6 City Glendale State CA ZIP 91205 Phone 990-3356 ( cell) Fax E-mail Lic.# APPLICANT SIGNATURE X Shirley Trew - Agent or George Roofing For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530) 533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X Shirley Trew - Agent or George Roofing For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X Shirley Trew - Agent or George Roofing For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA ZIP 95966 Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X Shirley Trew - Agent or George Roofing For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. BPDy3 /6/ BIN # LOCATION AP# 0 �;o _/0 2 0/ Q5 - Property Address 1400 Grand Ave. Oroville, Ca. 95965 Cross Street WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Church - Reroof - Comp & BUR Sq. Footage 150 Squares ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ReceivLedd�by: Amount: Bldg Geis�t/12/L SRA Receipt #: Sheriff SMIP Other Date:2g, Total RF\/• (:onrnc Rnnfinn 30-=12 • 102 2237-89B WESTCOTT CHRISTIAN'CENTER' 1400 Grand Ave, Oroville ContR: Don George Roofing (reroof/office & classrooms) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT!ONIARD PERMIT PERMIT 7 ASSESSOR PARCEL NUMBER 10 . 'J 112 ZONING 1 BUILDING PERMIT OWNER I HEST.OTT CIIRISTI N CENTER. TELEPHONE '534-3518 SQ. FT. OCC. BUILDING VALUATION 42 built—un 4200.00 OWNER'S MAILING ADDRESS 1400 GRAND AVE. OROVILLE CA. CONTRACTOR'S NAME DON C. GEORGE TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. OROVILLE, CA, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ i) (p LENDER'S MAILING ADDRESS Filing Fee • $ 1000 Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS AR V Permit fee $ 60 ,511 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAME PARCEL MAP Water piping ..5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other C1U13CI CLASSROOM SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ . Installation[] Other] Describe work: REROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 SS AMP OV OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and afect. 452266 C-39 License No. Classification ❑ I, as the owner, or my employees with wages as their sole co en - sation, will do the work,and the structure is not intended or of Bred for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.eI , OR ADDNS. ACC, SLOGS. /2 ¢sq ft NEW CONSTR U TI.OUTLET 2.50 ea NON•RESID BRANCHCIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 20050t .AL030 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Nlisc. Wiring 1 , 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 becomt sujact to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Penult Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 co�ns�equennce,of the granting of this permit. X ��- ^7�1+✓<. ��/�.1C Date JULY 5, 1989 �#c `❑ ❑ Signature of Applicant — Owner ❑� Contractor , Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 60.5( OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL PD HD 159UE This permit is hereby issued under sions of the Butte County Code and/or work above or which k indicated fhih f DIRECTOR OF PUBLIC /' { / � � �'!1:2 By-- , _. PERMIT EXPIRES Date' the applicable provi- resolutions to do have been fehaid. r , P WORKS I /] �/Date .1 !� /�•• Receipt No. Al Qi WHITE-D.P.W., YELLOW+ASe ESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONA,�ND PERMIT «CJJJ ASSESSOR PARCEL NUMBER 3D _ 'Zo ZONING BUILDING PERMIT OWNER WESTCOTT CHRISTIAN CENTER TELEPHONE 534-3518 ,SQ, FT. OCC. BUILDING VALUATIONL 42 buil.—up 4200.00 OWNER'S MAILING ADDRESS 1400 GRAND AVE. OROVILLE CA. CONTRACTOR'S NAME DON C TELEPHONE 533-6393 ' CONTRACTOR'S MAILING ADDRESS P.O. BOX 729OROVILLE, CA. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1400 GRANT) AVF. OROVTT,T,E, CA, Permit fee .4 60.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUREOFFICE & CLASSROOM SF ❑ Duplex❑ Mobilehome❑ Other GH�J�?CSPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] OtherEl Describe work: RE RO O F Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): [ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 452266 C-39 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors: (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. *(DWELLING OCCUPM ,h¢sgft OR ADONS. l ACC. BLDGS. NEW CONSTR. TI.OUTLET 12.50 ea NON.RESID BRANCH CIRC TS POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 2ALO3t eAL030 FIXED ALISIS Ex. OCCup. OUTLETS PP Ex.IRE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 unty in consequen e f the granting of this permit. Date JULY 5 , 1989 Signature of Applicant — Owner Controctor0 Agent ❑ An OSHA permit is required for excavations over 5'(1" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 60.5( OCCu P. CONST.TYPC SCHOOL FLOOo PARCEL I PO ND 39UE This permit is hereby Issued under sions of t e Butte County Code and/or work Ic ted which IRF PU B 640 PERMIT EXPIR the applicable provi- resolutions to do have 'been paid. I ate Receipt No. WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 4P�RMIT NO. 4590-77B c' PERMIT EXPIRES r OWNER Wescott Christian Center t CONTR. Weir Roofing Co., Oroville 30-102-12 LOCATION (A.P. ) 1400 Grand Ave., Oroville y Temp. Power Pole Y Called PG&E Temp. Elea Serv. Cal d PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date - f (Signature) i f� SL . COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handlca ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio • FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 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 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTEDEPARTMENT OF PUBLIC WORKS f 7 County Center Give — Uroville, California 95965 Tijepjtonei 534-4541 APPI•I(CATION AND PERMIT 5�s9o;77 ,fi 1"", authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xRti,",ZDate!g/607— Signature of Permitee or Agent Receipt No. i 92 a " /'7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee paid. DIRECTOR F UBLIC WORKS By Date 5�i:= B ilding permit expires Date 9 X— BUILDING Owner (,U f Mailing Address i SQ FT. CC. BUILDING VALUA 0 Telephone No. C Contractor 10 Fireplace Total Valuation Mailing Address - Permit Fee Plan Checking Fee &/or Penalty ® tsmv Telephone No. Permit Fee rc!J \6 /ry X Building Address , O O PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. @� ` -- Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesW.C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 OR Main service Boo°o AMP ORSLESS 5.00 rcynl) Ino- 10i Lt60 Main service EA. ADO'L 100 AMP 2.50 Main service 1100EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 1.00 a ' NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sq ft ' NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 !s f: f a Ex. Occup (OUTLETS OR FIXTURES) BAL@1 FIXED EX. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Q� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xRti,",ZDate!g/607— Signature of Permitee or Agent Receipt No. i 92 a " /'7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee paid. DIRECTOR F UBLIC WORKS By Date 5�i:= B ilding permit expires Date 9 X— Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (536) 538-7541 PERMIT NO. BP060079 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/13/2006 APN: 030-102-012-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. '-�7 License Class License Number:6�1 Site Address: 1400 GRAND AVE ORO � lvc, Map Index: Date: Contract r. Description: new hvac OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or. county which requires a Owner: WESCOTT CHRISTIAN CENTER 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 PO BOX 1430 the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA. 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 95965 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).): ❑ I, as owner of the property, or my employees with wages as, their sole compensation, will do the work, and the structure' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GALLAGHER'S HEATING & AIR owner of property who builds or improves thereon, and who does PO BOX 35 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one LOS MOLINAS, CA 96055 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. 800-892-3556 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,.Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). PO BOX 35 ❑ 1 am Exempt under Article 3 of the Business and Professions Code LOS MOLI NAS, CA 96055 Date: Owner: 800-892-3556 License #: 777334 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: �✓ is I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and poliiccyAnuumnbeerr.are: Carrier:t�11 V v► ► �-� Total Square Ft: 0 S. F. / Valuation: $0.00 cj Policy #: d � v � - v " ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: O f / l � Applicant: A/ r I WARNING: flute to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereb sued und� a app r Ie provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to ork indicate ove f which f shave been paid. �•- /3 -QG performance By: Date: Name: PERMIT EXPIRES ON: Address: --0 '(Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with uounty. I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance ofany official fo�ordocu�mentofftte C authorize representatives of Butte County to enter upon the.above mentioned property for inspect' oses. w Print Name: 1V�' n� L74'nJ Q��Z Signarw&ZL_ 1A Date: 1,15 10 /> ___ I ❑ Agent for Owner erAgent for Contractor ❑ Owner ❑ Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONH: OROVILLE: (530) 536-7636 - CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY* OWNER Last Name list Na n nnhuc Address CSO 6r ,1 City l AddressY-'35 Phone Fax E-mail MAI For office use ont - CONTRACTOR Name ri ckl l Ct h.er S AddressY-'35 S City vs State Zi (� ()5 Phone 39 .a - Phone Fax E-mail E-mail Lic. # Class MAI For office use ont - ARCHITECT/ENGINEER Name S V G Address S City 5 State gip' Phone Lot # Fax E-mail Date Approved: State License Number MAI For office use ont - APPLICANT NAME Name G il t S V G Address P S City 5 State OA Zip Phone 32 Lot # Fax E-mail Date Approved: MAI For office use ont - Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Carrier S+G. +.e Map Book Page Lot # Planner Date Approved: PERINV IT NO. BPD��b BIN !r LOCATION Property Address GreInd F)Vlr--- TNn7ulll-el Cross Street WORKER'S COMPENSATION Policy Number -113 (J6 t 3 8 S Carrier S+G. +.e If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit lssuence. LENDING AGENCY Name Address Description or Scope of Work: Sq, Footage - O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the foe. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received,, y , am l t/`� - // Receipt #: j �U U(14� 2,rQ V Date: I � � / Amount: �L� Other .' .� .,. .. ,,. .. v.� :. :. w _.... ., .. ., ,. ..' ... v, J., a: Lit, L av, 'd� .I �: a .0 a +: •l!'. ,. -.': .. .. „...•„ Y -k •. -r.. .: ,•. ;' ... . -. ::. .l .. .: •. �, a _3. i q.' !y -1'. •'�.. 'A� :�✓� r \- '�1. . ,. _.i„ rte.. ,.. ., . .,. � : _. ^,.l` : i � t• y. t'' � v Gt. \ S•, 1 �� � � �.. _ e� �, / Ir✓✓" �; } l i i'�� a u a . ,/'r A'f.�' ` r/ _ s t ! y., "' e ( °� 1 ' 1 . K 4'� � ' {jj§ � • + � ' # 1 ,. f � . � t" > ,r � � I t�� �� � '� 1 „ w, 1 "' 1 1 + 1 1 ' Lt C f J �(ro t : • ! i.'! i ^H � f 1 r �' d� � F } tt � " { Md rf�`*� a rN�,. w ° 'i i.'�1. " �i:.. 7r 1 r ,�. f 'h.. r. / ✓!. ok • s 0 a b't\ t , ': f+" ..^X ^e 4n �+ �'4 !v tr I z ;I. �q t , ��Ye i,,�j ,w Y�. 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