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Home My WebLink About031-290-024.-r. ., -. ,. _ -w.. ..•.- .�.......-..«. - � - ..- .... art... - z r' - `` - 31-29-24 t Edwin B. Porteous r _ ` 2067 7th St.,Orov' e ��-7� KING,—John,_EnteTprise_s� 5158B. t Permit ��5528-76B, �399oP (anvert garage to ti family room/SF) f 20E - 5227E s, X031 29=0�0�4-�..,�. ;: _ i 92 4253B 2067 7th St. ( Lot 13, Afterbay is . 2 , Oroj� 3:, 4}206EMORE, Billie f r-_ new single family)-2��/-a- - .. �. 7t6a ST., � O roville I .contra.. a Hayward ;new .windows '& vin 1� t Y siding/s 2 031 290'024 r; ' f y ,�x`�:;; 05-'3032,7 l �SISEMORE REVOCABLE TRUST,` 'ar, 1 2067, 7TH ST, OROVILLE Cont. KLEEN AIR ' / " •Q `HVAC `;.,'� ,,yt•eT/�'""`-+.y� x a.; 3 LO i t t r i ' #t i, G Fc ��NYd71� r Butte County Department of Development Services. " eeTree ha Er NOTES � N O T E S 7 County Center Drive, Oroville, CA 95965 r t (530) 538-7601 vnvw.buttecoyntyneVdds. •°ouH�y,. RESIDEN.TIAL= J APN: OS3032-`1 I F'03290 -024 ------ It owner-EMORE REVOCABLE TRUST,7 7TH ST, OROVILLE Site Address: _HVACCont: KLEEN4 AIR_ Contractor- ' •Type of Permit: r I SPECIAL_ CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE }t- N, o (t rvt W S 4 ;DATE JOB FINALED:r SIGNATURF,z�JQ��r, (/ L JG Y SPECIAL_ CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE }t- N, o (t rvt W S 4 ;DATE JOB FINALED:r SIGNATURF,z�JQ��r, (/ L JG INSTALLATION CERTIFICATE (Page 3 of 12) CF- 611 2067 - 7TH STREET OROVILLE CA 95965 0 Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip TyF (pkg. heat pum CEC Certified Mfr. Name, Model and Serial Number # of Identical Systems Efficiency (AFUE, etc.)1 >(CF -1R value) Duct Location (attic, etc.) Duct or Piping R -value Heating Load (Btu/hr) Heating Capacity (Btu/hr) Package CARRIER 1 80.00 AFUE ATTIC R4 0 60 K 48GS-0300603 0 HSPF G/E 0 0 Cooling Equipment Equip TyF (pkg. heat pum CEC Certified Mfr. Name, Model and Serial Number # of Identical Systems Efficiency (AFUE, etc.)1 >(CF -1R value) Duct Location (attic, etc.) Duct or Piping R -value Cooling Load (Btu/hr) Cooling Capacity (Btu/hr) Packa a CARRIER 1 10.00 SEER ATTIC R4 0 30000 48GS-0300603 0 EER G/E 0 ` 0 Coil 0 0 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. 'v Signature, Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy KLEEN AIR Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner '17 .INSTALLATION CERTIFICATE - (Page 4 of 12) CF- 6R 2067 - 7TH STREET OROVILLE CA 95965 0 Site Address Permit Number4 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was: Tested at Final Tested at Rough -in INSTALLER VISUAL INSPECTIOWAT FINAL CONSTRUCTION STAGE: ®Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed., ,If the house rough -in duct leakage test was conducted without an air handler installed, Inspect the connection points ' between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used DUCT LEAKAGE REDUCTION Procedures for field verification and diannestic testinn of air a;&trip t:,,.. ., . ___ - --- ---a-----•- ----•••a -• �-•• •�•�.•.•.....on ayaaonw are avallabia In M/A\Ilvl, Appenaix HG4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) l Measured P Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: W ; Cooling Heating) or Measured If Fan Flow is Calculated as 400 cfm%ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: 3 Pass if Leakage Percentage < 60/. for Final or < 4% at Rough -in: [100 x [ (Line # 1) / (Line # 2)]] PassFail ALTERATIONS: Duct S stem and/or HVAC E Equipment ment Chan a -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Y Duct System Prior to Duct System m Alteration on a nd or Equipment Pment Chan a-Ou t. 5 Enter Tested Leakage Flo ' g w �n CFM from Final Test of New Duct System y em or Altered Duct System for uS ct System Alteration ' o n and /or Equipment ui Pmen tCh an e -Out. C 6• Enter Reduction in Leakage for g Altered Duct System [ - Line #4 Minus Line # 5 —Onl ' if li ( cable ] (Only Applicable) 7 Enter Tested Leakage Flow in CFM to Outside Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in [100 x [ I (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 < 15% [100 x [ (Line # 5) / 1&&P (Line # 2)]] / < v Pass Fail 10 Pass if Leakage to Outside Percentage < 10% [1 00 x I_ (Line # 7) / (Line # 2)11 Pass Fail 11 Pass if Leakage Reduction Percentage < 60% [100 x L-- (Line # 6) / (Line # 4)1] Pass Fail and Verification by Smoke Test and Visual Inspection Pass Fall 12 Pass if Sealing of all Accessible Leaks'and Verification by Smoke Test and Visual Inspection Pass Fail Pass if One of Lines # 9 through # 12 pass Pass Fail r �■ 1, ine undersigned, verity that the. above diagnostic test results were performed in conformance with the requirements for compliance credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency Standards. ( /Gu,,G, �^'� G` �/ l- Cv �- z5 KLEEN AIR Signature Date Installing Subcontractor (Co. Name) OR General Contractor, (Co. Name) CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF- 1R BILLIE SISEMORE Project Title 2067 - 7TH STREET Project Address OROVILLE CA 95965 EARL COX 916-922-3995 Documentation Author Telephone ` Prescriptive 11 Compliance Method (Prescriptive) Climate Zone Date Building Permit # Plan Check / Date I Field Check / Date Enforcement Agency Use Only Xl Alternative Component Package Method: (check one) C X D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 1340 ft2 Average Ceiling Height: 8 ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5%X CFA) NA ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20%X CFA) NA ft2 Building Type: (check one or more) X Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -413, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: 1 Number of Dwelling Units: 1 Floor Construction Type: raised Slab/Raised Floor (circle oris or both) Front Orientation: EAST North/ South/ East/ West./ All -Orientations (input front orientation in degrees from True North and circle one RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Frame Roof, Floor, Type Cavity Continuous Slab Edge, (Wood Insulation Insulation Doors) or Metal) R -Value R -Value Assembly Ufactor (for wood, metal frame and mass assemblies) 1 Joint Roof Radiant Appendix Barrier IV Installed Reference Yes or No Location/Comments (attic, garage, typical, etc.) 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF- 1R BILLIE SISEMORE Project Title Date FENESTRATION PRODUCTS - U -FACTOR AND SHGC FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orientation, Area N, S, E, W1 (f t2) U-factor2 U -factor SHGC4 SHGC Exterior Source3 Sources Shad ing/Overhangs6, 7 Ck box if WS -3R is included Thermostat Configuration Type (split or package) 0 EER 80.00 AFUE ATTIC R4 Pro ramable Package $ _ 0-500(oo 0 HSPF 60 K BTU 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from,Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 1168 or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 1168. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity furnace, heat pump, boiler, etc. Minimum Efficiency (AFUE or HSPF) Distribution Type and Location (ducts, attic, etc.) Duct or Piping R -Value Thermostat Configuration Type (split or package) 0 EER 80.00 AFUE ATTIC R4 Pro ramable Package $ _ 0-500(oo 0 HSPF 60 K BTU Cooling Equipment Type and Capacity (AIC, Heat Pump, Evap Cool) Minimum Duct Thermostat Configuration Efficiency Duct Location R -Value Type (split or package) (SEER or EER) ( attic, etc.) yG/E 10 SEER ATTIC R4 Pro ramable Package , IGS � 03De D- 0 EER 30000 BTU CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF- 1R BILLIE SISEMORE Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. OR Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. UH For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned 71 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. VVAI Crt r1CAI Mi JT, I t:pAb Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required.) dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) not allowed. Refrigerant Charge (climate zones 2 and 8-15 only) (installer testing and certification and HERS Rater field verification required.) OR Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. UH For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned 71 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. VVAI Crt r1CAI Mi JT, I t:pAb Systems serving single dwelling units Water Heater Type/Fuel Type Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Number in System dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Energy Factorl or Standbyl Thermal Loss (%) Efficiency not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Tank Inputl Capacity (kW or (gallons) Btu/hr) Energy Factorl or Standbyl Thermal Loss (%) Efficiency Tank External Insulation R -Value System serving multiple dwelling units Water Heater Type/Fuel Type Distribution Type Rated . Tank Number Inputl Capacity in System (kW or (gallons) Btu/hr) Energy Factorl or Thermal Efficiency Tank Standbyl External Loss (1%) Insulation R -Value 1 For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. CPERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF- 1R BILLIE SISEMORE Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below represents special features relevant to the Prescriptive and Performance Method. SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Feature Required Forms (if applicable) Description Refrigerant Charge Metal Framed Walls CF -1R CF -6R part 6 of 12 Radiant Barriers CF -1R Exterior Shades WS -4R N/A; Performance Calculation Li Cool Roof Required. Attach CRRC Label to Forms. Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. Combined Hydronic System Performance Calculation Required; Attach Run to Forms. Gas Cooling N/A; Performance Calculation Required. Buried Ducts N/A; Indicate on building plans. Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. See Table 5-13 or use Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. Non-NAECA Large Water CF -1R Heater See Table 5-13 or use Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use Solar Water Heating System Performance Calculation and attach Run to Forms Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms (if applicable) Description Duct Sealing CF -6R part 4 of 12 Refrigerant Charge CF -614 part 5 of 12 Thermostatic Expansion Valve CF -6R part 6 of 12 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF- 1R BILLIE SISEMORE Project Title COMPLIANCE STATEMENT Date This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Documentation Author Name: Comments: Agency: Name: Telephone: EARL COX EARL COX Title/Firm Title/Firm KLEEN AIR KLEEN AIR Address: Address: 1657 SILICA AVENUE 1657 SILICA AVENUE SACRAMENTO CA 95815 SACRAMENTO CA '95815 Telephone: Telephone: 916-922-3995 916-922-3995 License #: 481974 1(signature) (signature) (date) (date) Enforcement Agency Name: Title Comments: Agency: Telephone: (signature / stamp) (date) ok = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATIONSOFT-SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S -C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Figs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ° DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed . 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing Alarms 13 Bonding, Diving board or Slide Pool Drawing = OK o = Not OK RESIDENTIAL (Single. & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel -Flet Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1j Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Cirnc-Materia"upport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic �c c` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn' 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 lnsultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish o� o'° vT� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ea ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ❑ CU or FAL Oven Circ ga ❑CU or ❑AL Insulated Neutral E] Yes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE Al: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPOS3032 ;LICENSED CONTRACTORS_DECLARATIONJ 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: 11/09/2005 APN: 031-290-024-000 the Business and Professions Code, and my license is in full force and effect. c� License Class G Y License Number: pT 9 : Site Address: 2067 7TH ST ORO Date: Contractor: Contractor: /e Map Index: . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: HVAC REPLACEMENT Contractors' State 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 Owner: SISEMORE REVOCABLE TRUST 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 State License Law (Chapter 9 commencing with Section C/O SISEMORE BILLIE G TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or 2067 7TH ST she is exempt therefrom -and the basis for the alleged exemption. Any OROVILLE, CA 95965-3244 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 owner of property who builds or improves thereon, and who does Applicant: KLEEN AIR such work himself or herself or through his or her own employees, 1657 SILICA AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one SACRAMENTO, CA year of completion, the owner -builder will have the burden of 95815 proving that he or she did not build or improve for the purpose of sale.). (916) 922-3995 ❑ 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: KLEEN AIR pursuant to the Contractors' Stale License Law.). 1657 SILICA AVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code SACRAMENTO, CA 95815 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm -under -penalty of perjury one of -the following declarations: License #: 481974 ❑ 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy numb r are: L� yN Carrier:// Total Square Ft: 0 S.F. Policy#: 1 77`2- —41-606 Valuation: $0.00 13I 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 Census Code: 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 455 forthwith comply with those provisions. Date: 1 1 0501 Applicant: WARNING: Failure 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 hereby issued under the applicable provisions of the Butte County CodR and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indi led above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 9 �7 Name: B ��yy ^ +Date: PERMIT EXPIRES ON: I " `7 -1 / 1 A Date Address: ❑ 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. O 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 purp Print Name: J'l a G 14 �G (�-214� Signature: Date: `0 Owner 13 Contractor 13 Agent for Owner )(Agent for Contractor FROM KLEENAIR FAX NO. 920 8409 Nov. 09 2005 01:07PM P1 AIR OUGT CLEANING HEATING AM CONDMONIN(; ' leen air LIc. 481974 1657 SILICA AVENUE • SACRAMENTO. CALIFORNIA 95815 Telephone (916) 922.3995 Fax (916) 920-8409 November 9, 2005 Butte County 7 County Center Dr Oroville, Ca. 9596 Attn: Kourtni To Whom it May Concern: Authorization Letter 1, Thomas A. Bowling, authorize the following personnel to obtain permits on my behalf for the Butte County. . Kariee Mac.Dougal Tiffany Bowling-Cantu Earl Cox Aaron Willson Snawii BOwling Nadine Howling Patricia Chappell James Juntti Glen Isaac Thank You Thomas A. Bowling, Owner K1eenAir C ail€i5i'nia Mate Contractor's License # 481974 TAB/km �UT�'�. BUTTE COUNTY o o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 .BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o =-.—_ �� =may o . OFFICE #: (530) 538-7541 COV NA FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name J City s StatejC irst Name % l / Address ¢ 6-,.- tCity city State State Zips 5-96 Phone S3 v s aa/ Fax E-mail State License Number CONTRACTOR Name Address City s StatejC Zipgs��s— Phone _/—/ 9� Fax E-mail Lic. # 0 Class State Zip APPLICANT SIGNATURE X Q For office use only: ARCHITECT/ENGINEER Name R Address 9-L C City V C41") State Zip Phone g', 0 Fax E-mail Planner State License Number APPLICANT SIGNATURE X Q For office use only: APPLICANT NAME Name R Address 9-L C CityStates V C41") Occ. 7wf�� 6 Phone g', 0 Fax E-mail Planner APPLICANT SIGNATURE X Q For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BF053032 BIN # LOCATION AP# Property Address City 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: C •z- --� O � . O.v �aa� Sq. Footage 3 ao ❑ 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. I I Received by: K.6• Amount: S S,C0 Bldg I I OVER FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING F0RMS1BldgApplSubRgmts.doc Page 1 of 2 Receipt #:44 0509 Date: I l - q - 05 SRA Sheriff SMTP Other 5 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit: INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. . 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 4Z-uzS3 ASSESSOR PARCEL NUMBER 031-290-024 ZONING AR BUILDING PERMIT OWNER SILLIE SISEPtORE TELEPIy7NE SQ. FT. OCC. BUILDING VALUATION ILIN OWNER'S / M AI H G JSADDRESS OROVILLE 95965 00 ) ;ST 10,905 COA 14",WARD &CO EE � T 7�—��7H CONTRACTOR'S MAILING ADDRESS 3851 MORROW Inti #7 CIiICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2067 7TH ST OUT= OROVILLE OROVILLE Permit -.•;' s 120.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF t3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 o tlets 5.00 Building sewer .';r.1 15.00 Mobile Home S`7'Wy 1 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: VINYL SIDING & NEW WINDOWS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is in full force and effect. License No., Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service. 2o0AJ0 1000A) 37.50 NEW CONST .t ECLING OCCUP.& 3.64sq.ft. OR ADDNS. : '13 LOGS. II NEWT d, LTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. OCCUp. OUTLETS IFIXED PRESID.)LNSREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-]Thepermit is for $100.00 (valuation) or less. Ix 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 tothe W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMITf- IingFee 15.00 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 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 County in consequence of the granting of this permit. X Date /,;t -% 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 120.00 0. HAz OFEES IMP I FL000 I CDF I PARCEL I PO I HD Is E This permit is hereby issued under the applicable provi- sions of the Butte`Coyrlty"C,bde and/or resolutions to do work indicated ab a for. which fees have been paid. By /DIRECTOR -UF PUBLIC WORKS Date /,� 7-9Z �, PERMIT -EXPIRES Date / �r_ - 7- 9� Receipt No. 129993 WHIT[-D.P.W., YELLOW-ASeC330 R, PINK -IN 9P ECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS L/ 7 County Center Drive - Oroville, California 95,965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 031-290-024 ZONING 111. AR BUILDING PERMIT OWNER BILLIE SISEMORE TELEPHONE SQ. FT. OCC. BUILDING VALUATION ILING OW 2067M7TH ST DRESS OROVILLE 95965 CONTE PST 10,905 CONTRACTOR'S NAME HARWARD & CO TEOS'S X98 CONTRACTOR'S MAILING ADDRESS 3851 MORROW LN #7 CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 155,00 Permit Fee $ 105.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 067 7TH ST MINIM OROVILLE Permit fee $ 120.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [K Describe work: VINYL SIDING & NEW WINDOWS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness and Professions✓ Code and my license is in full force and effect. License No. 7 ,A 9.149!1 Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLDGS. / NEW CONSTR.MULTI-OUTLET NON .RES'D BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ZO 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 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 County in copse uence of the granting of this permit. X---1-112 1 -4 `66-'PGADate /2-7 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 $ 120.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD 4E This permit is hereby issued under the applicable provi- sions of the Bu o de and/or resolutions to do work indica d fo which fees have been paid. D O F PUBLIC WORKS By Date Z -57 PIXPIRES Date Receipt No. 129993 WMITC•D.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION A!ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERGN 1 031,-2q'�` 01y ZON I BUILDING PERMIT OWNER II�E �fc51�/Vto�C TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS a 0G -/ - -7 9 S sG r - f- CONT ACTOR'S NAME !r A✓O UN► .9N TELEPHONE 8F3 - S� g� CONTRACTOR'S MAIL G ADDRESS 3�,5 O/e,0 w G% iGp cjLj—`!Z� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ $ a ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 20V? 7f11 C C0 6 V Permit tee S ®-U PLUMBING PERMIT Filing Fee 15.00 Each Trap 5-Oclil 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 SF6SJ"' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition[] RemodelRemodel[]Utilities❑ Installation❑ Other Describe work: i A( 4 1 3 l Iwn 4"j -z' /�i L�(f,� _ laJ irl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury lur y (check one): ❑NON•RESID 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. License No. Classification 17 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) E:1 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 Main service 200ATO1000A) NEW CONST. / DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. I _37.50 3.6Q sq.ft. NEW CONSTFIL AULTI-OUTLET BRANCH CIRC ITS @ 5 00 POWER APPARATUS a SINGLE OUTLET CIR. ) Ex. OccUp(OUTLETs OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS 1RESID•) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 5.00 Misc. Wiring 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 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 ccmply 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 County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor C Agent ❑ An OSHA permit is required for excavations over :'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 p -p TOTAL FEE $ ��---- HAz DFEES IMP I FLOOD I CDF I PARCEL P01 Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /,29 3 WNITC•O. P. W., YELLOW- A9eC3lOR, PINK -INSPECTOR. COLO EN RO a -APPLICANT i ti PaERMIT NO. 5528-76B,E � PERMIT EXPIRES Q OWNER Edwin B. Porteous CONTR: owner LOCATION (A.P. 31-29-24 •2067 7th St., Oroville 9 Y 9 f 1 �t { Temp. Power Pole { Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ailed PG&E ? y O B ^� INALED �J .(Date) 01 !' (Signature) Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwal I Slab Patio Footings Masonry Walls Relnf. Steel Bond Beam Framing Stucco Mesh Scratch Brown. Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING x1 BUILDING•(Cont'd). PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows r717V 3rd Floor Siding To out Roof Sheathing,,4 Water Piping Roofing - Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRIC l Throat Rou h Final Fixtures v Final NSub panels M HANICAL Grd. Fault Pn Heating Service Cooling Temp. Pole Ducts Under roun� Ventilation Permanent Final Final REMARKS. OR CORRECTIONS N (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 — Uroville, California 95965 (jr%� Telephone: 534-4541 Q / APPLICATION AND PERMIT X 430 J 7�Z74A�n)Date /f_ Signature of Permitee or Agent Receipt No. �� 9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1ne tsutie uouniy uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OFPU�IC WORKS By�� Date Bing permit expires Date Via` BUILDING Owner F44- W Q A/ 8 V 'Ie 0 U SSQ. FT. OCC. BUILDING VALUATION L4 'To L !0740 - 0 0 _ Mailing Address 206-7 QTS S ® cr p v t LL Telephone No. x^33 - s -,- o Fireplace 75-0 eO Contractor Total Valuation S 9 D • o Mailing Address e ✓ Permit Fee c Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ ,4b $ 6 0( Building Address 7 �+ S �- PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Q✓0 U L L Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 a— 9 — a Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 4af,Eat+ert I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans II�v Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 q 7�ec Parcel A oval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7. 00, �- r— N U 2 ✓ Y I`7 6 E' (O FAN, r L pa 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC l�,II�� & OR ADDNS. ACC. BLDGS, j'O ) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTPOWER APPARATUS & NON -REST R. D. (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 style of: Ex. Occup(OUTLETS OR FIXTURES)BAL0 11 Ex. Occup.( OUTLETS((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 PQI am exempt from the ,Contractors License Laws of the State of California. Permit Fee $ 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ahnvo-montinncri nrnnnrt,, fn. �.,c..o..��.... .............� - TOTAL PERMIT FEE p $ O z This permit is hereby issued under the applicable provisions of X 430 J 7�Z74A�n)Date /f_ Signature of Permitee or Agent Receipt No. �� 9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1ne tsutie uouniy uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OFPU�IC WORKS By�� Date Bing permit expires Date Via` h -e e 7r v Q, A`cl v t4 ry d e4- -T i. v T t BUTTE COUNTY BUILDING DEPARTMENT APPROVED (.p r-- F NOTE: 'All Materials & Workmanship Shall Be in Q J Accordance with Recognized Good .Practices and o. of a quality prescribed for the Specified use: in the Uniform Building, Plumbing .& Mec'honical Codes and zf—�Zk/ A/ 13. the National Electrical Code, /QPAla xsgi4..) eCotrS7'rac7" o��^�M�. by red Coco, &,r i — X f x..� �`f- tv , cas ;1 ,•. . • f � . P rf� f `�,r it Q T i ,t tai 1 7• � ? �- v � �' � �'` ''-` Zf s • �'��. i ,,-� �. �-' � �� '!?off .. rit,l r* lb Ch a et co 0 Opo � •� m \W z