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HomeMy WebLinkAbout031-245-016/1tA,*wt N1` IF -2 31- 245-� , _ jr822rhermalito Ave., lot 11, Orovill ermit'#4934=78B,P,E,M(new single, .. 031 24'5 016` PERMIT#96 0125 DRAKE, '.,Jackie, & .Jackie; $22 Therrnalito Ave ,-`Oroville 4.,. Cont, ..0 & G Plurribing ' dd Replace Gas' Wtr'.Htr/SF 031-245-016 `05-0786 DRAKE, ROGER 822 THERMALITO AVE, OROVILLE CONT: ALLADIN ROOFING RE ROOF W/COMP i I - ° i f I r i I. i i E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. zO� License Class : --�-�— license Number: �7•�- Date:� Contractor: tilt v/l�il LU�! 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code'. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior 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 Slate 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 penally of not more than five hundred dollars (8500).): ❑ 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does 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 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 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale 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 pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as 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 policy number meare: Carrier: , \ 7�/�` F Ebur/ �" Policy #: 7/3— [/ 7 7-0 f PERMIT NO. BP050786 Issued Date: 03/25/2005 APN: 031-245-016-000 Site Address: 822 THr=RMALITO AVE ORO Map Index: Description: REROOF W/COMP (20) Owner: DRAKE ROGER & JACKIE JT 822 THERMALITO AVE OROVILLE, CA 95965 Applicant: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 Contractor: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 License M 532834 Architect: Engineer: Total Square Ft: ' 0 S. F. Valuation: $0.00 ❑ 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: 2_,<:--Q Srf�� Applicant: WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. j i.. N CONSTRUCTION LENDING AGENCY This I 't l her y Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Reso ti s ork i aced above for WHch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �_��'•� BY: Da e: Name: PERMIT EXPIR ON: 61 Address: !Dare) ❑ 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 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. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 1 Print Name: /1 It—' P / "'/1;7 //42Z� . Signature Date: ,3''� ❑'Owner ,conlractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER Last Name FirMmej Address T e r- m` � i t- L e City e / t— State Zip Phone 3 _ (D Fax E mail APPLICANT NAME CONTRACTOR Name , City Address -P. D f &bx Ll o-�_ City D I Fax State) C Phone Page Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office 6se only: �Q Zoning Flood Zone SRA I Yes I No Occ. Policy Number Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KIFORMS\BUILDING FORMS1BldgApplSubRgmts.doc PERMIT NO. ,5- U'iS3� BIN # LOCATION �Q Property Address / © Q c� t��vt°f� ✓A 1, It �c %�iJC at 7` /�tyti ll/ D Cross Street -ri, WORKER'S COMPENSATION Policy Number Carrier �4 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: e-2 Sq. Footage p ❑ 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. Page 1 of 2 REV 2-24-05 Received by: Amount: 6 Bldg \ SRA Receipt #.. q Sheriff SMIP Dat d-5 Other Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .r, ,� ..5� ..�, . "'�...'::"ti?F3SfAAy.�p3�r���dEw:�gil�«'�.L;t'fiii•��ti '�� '"•'Fd��"��"9P ��a"� i '-.c ;a"�Y^ �� r� �"w's"'n".' a .` ry P 14? 1 (`� e -v . — �� ? � _ 1, _ ` ' �� �—% 4✓i. COUNTY OF BUTTE- DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 5— 20 TO"BUILDING PERMIT OWNER DRAVP R , ,R A T+ TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 822 TI4VPMA T TTn a PVTM._ r. MOULT CONTRACTOR'S NAME C A r vT tr, TELEPHONE CONTRACTORS MAILING ADDRESS ?nJ I I ITU 0,TprET nt)nirlt,T>r Fireplace . CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ suILDINGC3.21EIfHERT'-TALITO, OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDN5DN'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY .T Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 t Describe Work: REPLACE GAS HOT M HFATER Mobile Home I S I GI W I @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Serviceeoov oR LEss ( zooA oR IFss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class l - T �a+ Lic. No. Z -s 9 9 S l: - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. so. OR ADDNS. 8 ACC. BUDS. 3.50 FT. ( ) NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( a SINGPOWER APPARATUS ) LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2e Q I.50 BAI so Ex. Occup. OUTLETS RES D.) EA, 5.00 ( I ) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 thole provisions. s X " Date , Signature of Applicaht-- ❑ Owner Contractor ❑ Agent): An OSHA permit is required for excavations over 60" deep and demolition or construction] of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD COF, PARCEL PD HD ISSUE x 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. r � 1 / j 7/95 By, :' :I� :lT.�'� /� i./I�/'� Date �-- 1/17f�97 PERMITEXPIRESON (Date) _ Receipt No. !,I���3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPJVIENT SERVICES -BUILDING DIVISI 7 .County Center Drive - Oroville, Calf 'rnia `95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-24-5-016 ZONING BUILDINPERMIT /91 OWNER ROCER AND JACKIE DRAKE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 2011 19TH STREET, OR01111—LE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINg,A�j�RETHERMALITO, OROVILLE LL. PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15,00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other IN Describe Work: _ REPLACE GAS W WTR HEATER Mobile Home I S I GI W 1 920.00 PERMITFEE $ 35,00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is full force and effect. License Class to Lic. No. S R 5 % OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.SO. OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS SINGLE OUTLET CIR. / EX. Occu ( OUTLET OR FIXTURES) p 20 @ 1.00 �L 30 PPLNS. OR EX. Occup. ( OUTLEEDTS (RSD.) EA) 5.00. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 hwith comply with th a provisions. Date dnatuoe of Applicant - ❑Owner Contractor ❑ Age 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 $ 35.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD I HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resoly�tions to do work indicated above for whit fees have be fi paid. B,tDate 1 /17/96 PERMITEXPIRES ONl / 17097 (Date) Receipt No. 190803 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;PERMIT NO. 4934-78B,P,E,M PERMIT•EXPIRES� OWNER, Bill Pearsall " ;CONTR. owner ' 31-245-10 port. LOCATION (A.P. ) 822 Thermalito Ave., lot 11, Oroville y b , - Temp. Power Pole k Called PG&E •emp. Elec. Serv. `/�� 3 --79 k Called PG&E rtJ � o Temp. Gas Serv. - Called PG&E W r2 JOB FINALED • (Date) sr (Signature) Reinf. Steel 1 Final --- Fixtures Bond Beam / A FIRE SPRINKLERS I Motors Stucco 4 ki Final Subpanels -'- J'V Y Mesh J 2 MECHANICAL Grd. Fault Prot. Scratch Heating Service , Brown Cooling Temp. Pole Finish I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Underground Interior Lath BUILDING BUILDING (Cont'd) Permanent PLUMBING Setback 0 Firewall Soil Piping Elec. Service Forms Parapets 1st Floor Gas Piping Main Bldg. Restroom Finish J34 2nd Floor— Water Piping Footin s Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing 21J. -r-7 79e Water Piping Piers Roofing c4eSewer 19�— Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Csically 2�/ ��-7 Prov, for phy n Conforfor ed mance of ex. structure A liances Gas Piping& Temp. Gas Test _ / cdr Slab Final 1' Sanitation Patio FIREPI-AdE Final Footings Footinq , ELECTRICAL Reinf. Steel 1 Final --- Fixtures Bond Beam / A FIRE SPRINKLERS I Motors Stucco 4 ki Final Subpanels -'- J'V Y Mesh J 2 MECHANICAL Grd. Fault Prot. Scratch Heating Service , Brown Cooling Temp. Pole Finish I Ducts Underground Interior Lath Ventilation f Permanent Door Closer Z._` Final Final MOBILEHOME UTILITIES ------- - ------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MORILEWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Aa/ 4:b /D " 4 (NOTE: An entry must be made on this form each time you visit the job site.) J 0 Permit# INSULATION CERTIFICATION • Number and Street - City County - Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material % /�� Brand. Name Thickness (inches ).Z Thermal Resistance (R Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) Loose Fill Type 414, Brand Name Minimum Thickness (inches). ,�� Number of bags Weight per bag Ib Area Covered (ft?.) / 7 Thermal Resisfaricc (R Value) 2 '� FLOOR,ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR, SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the t' current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the. California Administrative Code). General Contractor (Builder) License Number Signature and -T -It -le Date Su Contractor nsulation jp,icator) License umber Signature and Title Date , CERTIFICATE REVIEWED BY Late BIN -029 (Building Inspectita Off ice) FA COUNTY OF BUTTE - DE`PAI TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auu1U1I" reNrub"ntauves of tr)e ­uunty or tnutte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Pey tee or Agent Receipt No/-71—ffo. White-D.P.W. — Yellow -Assess r — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R BLIC WORKS BDatep-, ZT- Z 11�/ild permit expires Date BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION old Mailing Address6 j Telephone No. Contractor Mailing Address �J Z �e Fireplace Total Valuation Telh epone o e- *2, -Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee Q G? PLUMBING No.1 @ FEE �/� At-- — PERMIT FILING FEE $3.00 Qd Each TraD 1.50 Qoewig Verification Onlf j ®/� j t// f f� Repair drainage or vent piping 1.50 A. P. No. 1 C.� --'�� �y� A� oning &Planning Water piping 1.50 �O Each gas water heater or vent 1.50 Q 5 5 W. C. i ton Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 D EQA Parkin Plans Parcel Declaration Parcel P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 0 I ,Plans c Q Parce Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CfG V OR L Main service 100 AMP ORSL=SS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER s 25.00 AMP OR LESS O Main service EA ADD'L 100 AMP 1.00 NEW CONST. D LIN UP. 4 OR ADDNS. A C L. ) 20sq ft Z S 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 St le of: t- o Y NEW CON ST-TI.O CTL T NEW CO I T ( BCH CIRCUITS) 12.50ea RAN NEW CONSTR. (POWER APPARATUS 8 NON•RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) 6 L1@ � EX. ,CCU FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 License No.�%�� �l� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SzS $ S"< 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. 11-7L -t - Rave placed on file with the County of Butte a certificate of 1� 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Q Cooling Ventilation Hood 2.00 2-00 Permit Fee $ 66 $ 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 Land Development Fee $ p< TOTAL PERMIT FEEIU-o7 auu1U1I" reNrub"ntauves of tr)e ­uunty or tnutte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Pey tee or Agent Receipt No/-71—ffo. White-D.P.W. — Yellow -Assess r — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R BLIC WORKS BDatep-, ZT- Z 11�/ild permit expires Date I rl'�. r.:,;ijr v:.-:ar.�yr... ..tr�,.....-�n..•R-�.�ti.. �.7!'.tt./•. n..•... -.'u T'. � •;•�:'vYYµ<' .�,a,�. ,.•�vy"� .'�W ::�.-.y:.;y,•.yn�.- ,-a..�,.aU,i} «lj:.,, THERMALITO I'RRI'GATION DISTRICT F,, ' 410 GRAND,AVENUE 1454- OROVILLE' CALIFORNIA 95965 TELEPHONE 533-0740 r r CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: - -Yrs %rte �c ti•c�G%,' - �--' ,C/ 1 . rl'�. r.:,;ijr v:.-:ar.�yr... ..tr�,.....-�n..•R-�.�ti.. �.7!'.tt./•. n..•... -.'u T'. � •;•�:'vYYµ<' .�,a,�. ,.•�vy"� .'�W ::�.-.y:.;y,•.yn�.- ,-a..�,.aU,i} «lj:.,, THERMALITO I'RRI'GATION DISTRICT F,, ' 410 GRAND,AVENUE 1454- OROVILLE' CALIFORNIA 95965 TELEPHONE 533-0740 r r CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: - -Yrs %rte �c ti•c�G%,' - �--' ,C/ - ,� Owner's Name: ,ter` i -r- H „c_.G�' Date: Address: Acct. No: / A. P. No. Phone: No. Units: Applicant/Agent: /,tom Agents Proof: !VI",9 Address: Fees: Phone: Application ,$ Preliminary Review By: --',�`'`�-�✓'' Date: �• w Arrearage CSA 26SS tr Remarks: SC -0R 1st mo. S.C. Other Total Fees 7 G,3 - zz Collected By: Date: -�• 7 Field Review By: Date: Remarks: `�. •d �.✓� /�/i/yam MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30'days after date above, or on date of D.P.W. approval of completed Inuilding sewer, whichever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of, completed building sewer, which ever comes / first ("new construction", after Mar. 5; 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW,' GOLDENROD - DPW t, TID Q _ i! --0� NOTE:---r-All. Materials & Workmanship Shall Be in ;Accordance with Recogn zed -Good Practices and of 0: qua.,,. y prescribed for the Specified use in the Uniform .Building, Plumbing & Mechanical Codes we National Electricp) Co a, 0 sty? 6-,QoUR/!3 4FYE/ T/>�/✓ ,�Yo�s E' _�.� b' ___.__ ke this . is get of plans ar►d specific tions MUST be the in at all times and it is unlawful to mrykp anv -Aivn aes or alterafions n same with written permission from the Depa!trent of Public Works, County of Butte.. 2.*"r HUM 6664Y BUILDING.DEPA.RTr,4 NT . 6IF ���iiJ�r PP,! f��=� i APP p I. VED 3®r The Bldg.Setback shall be ft from the side property line 'and ft :from t{ie. i Y •` centerline of-the road, permitting a-maxi- mum of a° Z ft. eave overhang but entirel�, ovt of all easements. r f � +.. - ,. L .y y.. _ • � • 4 n ILII !