Loading...
HomeMy WebLinkAbout039-210-087JF O 0 D DAVID HARRIS AP 39-21=g7 / 0 J 1 - Z�o s/s Fimple Rd. a PP• 100 yds. E. of Konning, Chico �K�� � �Zf %7 contr: Holiday ools, Chico Permit# 840-75B,P,E(swimming pool ` 04-3579 x c OURHAM NS ROOFING } FB08-21-14--- i 039-210-087 MISCELLANEOUS Phtovtaic Sys Roof PHOTOVTAIC ROOF MOUNT SYSTEP 10277 FIMPLE RD o VERRY, LYLE & CARLA s' 1§08-2115 039-210-087 v MISCELLANEOUS Electric Panel ELECTRIC SERVICE UP GRADE 100 1 10277 FIMPLE RD r VERRY, LYLE & CARLA. I , r RFa 4 ' D 1 e i cr: f C 4 " - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 10277 FIMPLE RD Owner: Permit No: B08-2114 APN: 039-210-087 VERRY, LYLE & CARLA Issued Date: 10/17/2008 By TMP Permit type: MISCELLANEOUS 10277 FIMPLE RD Subtype: Phtovtaic Sys Roof CHICO, CA 95928 Expiration Date: 10/17/2009 Description: PHOTOVTAIC ROOF MOUNT SYS' (530) 892-9106 Occupancy: Zoning: A20 Contractor Applicant: Square Footage: VERRY, LYLE & CARLA Building Garage Remdl/Addn 10277 FIMPLE RD CHICO, CA 95928 Other Porch/Patio Total (530)892-9106 FEE INFORMATION DBMSC Photovoltaic System $421.93 Total Charged: $421.93 Fees Paid: $421.93 Balance Due: $0.00 Receipt No: B8874 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/17/2008 penalty [$500]; ck one of the following: Pl�IA.SO.WNER Contractor's Signature Date OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 11I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier. Policy Number: Exp. Date: (This section need not be competed if the permit is for one hundred dollars ($100) or less. 111 AM EXEMPT under Section B. & P.C. for this reason: ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS /111UED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 10/17/2008 visioCode, I shall forthwith comply with those Owner's Anature Date Mrcompensation provisions. X 10/17/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of peril. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this peril. I hereby acknowledge thatt is issuance of this pea ril does not authorize the ncy of any, sidewalk, st et, or subsidewalk. I hereby authorize representatives of Butte useVto ATTORNEY'S FEES. Cor the bove a property for inspection purposes. I hereby certify that I am the pro au ri act on the roperty owner's behalf. CONSTRUCTION LENDING AGENCY 10/17/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name o ermittee [SIGN] Prig"Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR; Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip Wn BUTTE-- COUNTY _ ...- DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. RO$e Z BIN # "When filed, this application and all supporting material becomes subject. to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name s First Name Like Mailing Address City Fax Stat Zip Phones � , _ c Fax E-mail APPLICANT INFORMATION CONTRACTOR Name s Address Zip S City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City DC7 Address Zip S City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name L) 1)Cr Address t—ZPAO l 2 City DC7 S ate_A Zip S Phone 512 Fax E-mail APPtICAIVTSIGNATURE X IV PROJECT LOCATION AP# 0 Property Address .7 e City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Scl FT- Living G ge Open Cov ❑ Structure Buil without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. f ON Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.QYOR NO) 2. I (HAVE VE NO SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME - ADDRESS PHONE TYPE OF WORK N�btaca oc�i a , � Description: PHOTOVTAIC ROOF MOUNT SYSTEM Reference Number: B08-2114 Applicant Name: VERRY, LYLE & CARLA Owner's Name: VERRY, LYLE & ARLA AP # : 039-210-087 Signature of Property Owner: Date: SHARP. solar electricity 198 WATT OnEnergyTM ? Z S SYSTEM MODULE ego t I ND-198UTF RESIDENTIAL 198 WATT MODULE FROM THE WORLD'S TRUSTED SOURCE FOR SOLAR. This high-quality residential solar module is designed and engineered for use with the Sharp OnEnergy solar system. Sharp's OnEnergy system replaces the bulky look of traditional solar roof mounts with a clean, elegant appearance that blends beautifully with rooflines. Using breakthrough technology, made possible by nearly SO years of proprietary research and development, this module incorporates an advanced surface texturing process to increase light absorption and improve efficiency. ENGINEERING EXCELLENCE Designed and engineered for use with Sharp's OnEnergy solar racking system, this module is the perfect combination of technology and design. ADVANCED AESTHETICS Black frame module, and associated racking with hidden hardware and tapered covers, delivers a clean, elegant appearance that blends beautifully with your home's roofline. DURABLE Tempered glass, EVA lamination and weatherproof backskin provide long -life and enhanced cell performance. RELIABLE 25 -year limited warranty on power output. HIGH PERFORMANCE This module uses an advanced surface texturing process to increase light absorption and improve efficiency. [ Designed for ] ONENERGY .oI ya.m by sna,p Black frame and low profile racking Laminated glass construction complement roofline. in a high torsion frame. SHARP: THE NAME TO TRUST When you choose Sharp, you get more than well -engineered products. You also get Sharp's proven reliability, outstanding customer service and the assurance of our 25 -year limited warranty. A global leader in solar electricity, Sharp powers more homes and businesses than any other solar manufacturer worldwide. BECOME POWE OU.L �/ n 198 WATT ND-198U1F ELECTRICAL CHARACTERISTICS Maximum Power (Pmax)- 198 W Tolerance +10%/-5% Type of Cell Polycrystalline silicon ICell Configuration 54 in series Open Circuit Voltage (Voc) 32.9 V Maximum Power Voltage (Vpm) 26.3 V Short Circuit Current (Isc) 8.23 A Maximum Power Current (Ipm) 7.52 A Module Efficiency (%) 13.4% Maximum System (DC) Voltage 600 V Series Fuse Rating 15 A NOCT 47.5°C Temperature Coefficient (Pmax) -0.485%/°C Temperature Coefficient (Voc) -0.36%/°C Temperature Coefficient (Isc)_ R 0.053%/°C _ Measured at (STC) Standard Test Conditions: 25aC, l kw/W, AM 1.5 MECHANICAL CHARACTERISTICS Dimensions (A x B x C below) 39.1" x 58.7" x 2.3"/994 x 1491 x 57.5 mm Cable Length (p 43.3"/1100 mm Type of Output Terminal Lead Wire with MC Connector Weight 39.6 lbs / 18.0 kg 1111111 Max Load 50 psf (2400 Pascals) QUALIFICATIONS UL Listed UL 1703 ` Fire Rating Class C c0us WARRANTY 25 -year limited warranty v Contact Sharp for complete warranty information Design and specifications are subject to change without notice. Sharp is a registered trademark of Sharp Corporation. All other trademarks are property of their respective owners. OnEnergy and all related trademarks are trademarks or registered trademarks of Sharp Corporation and/or its affiliated companies. Sharp takes no responsibility for any defects that may occur in equipment using any Sharp devices. Contact Sharp to obtain the latest product manuals before using any Sharp device. Cover photo: Solar installation by Premier Power Renewable Energy; EL Dorado Hills, CA. SHARP IV CURVES Cell Tempentun: 25'C Voltage M C,--Vohage ^ T - Current power v Vbttage Cha—terlstla va Voftye DIMENSIONS – _`— BACK VIEW SIDE VIEW B C I A B C D E r 39.1"/994 mm 58.7"/1491 mm 2.3"/57.5 mm 3.0"/77 mm 13.2"/335 mm I t F G H I t 1.3"/32 mm 8.97225 mm 36.4"/924 mm 43.3"/1100 mm I Contact Sharp for tolerance specifications DC72mr DC Power Systems Cv(800) 967-6917 www.dcpower-systems.com © 2008 Sharp Electronics Corporation. All rights reserved. 08F-010 • VP -06-08 SHARP, solar electricity BUTTE CMobtl BUILDING DEPARMT, _ , APPROVED (T-fi–e-0 n- _E ­­ne r_TM ,\Solar Racking System for, Asphalt -Shingle Roofs with Flashing Attachment The Solar Racking System (SRS) included in the OnEnergy'" installation adds a new dimension to solar aesthetics. Its clean, elegant appearance blends beautifully with your home's roofline. Visually, the ultra-low profile rack, covered rails and hidden screws offer a seamless finish. Designed with your roof in mind, the sleek front, top and side trim covers create a clean look, improve water channeling and decrease wind drag. DESIGNED TO PROTECT YOUR ROOF The flashing attachment for asphalt -shingle roofs is engineered to secure the racking system and solar modules without compromising the integrity of your roof. The flashing attachment provides extremely reliable waterproof protection in even the worst wet -weather conditions. ONENERGY.- for sysiom by Shorp KEY BENEFITS AND FEATURES: • Custom-designed to your roof's size and shape. • Superior Aesthetics The low -profile rack, black frame and hidden hardware create a sleek appearance. • Proven Reliability 10 -year limited warranty on the racking system; 25 -year warranty on solar modules. • Easily retrofitted on existing roofs or installed during new home construction. • Durable Components are 100% steel, coated with SuperDyma", a rugged, corrosion- and scratch -resistant alloy that is superior to galvanized steel. • Engineered to Last Butyl sealant pads assure a waterproof roof. • UL -listed as a complete system. Tapered front covers and Flashing attachment diverts hidden hardware create water and provides superior sleek appearance. weather protection. SHARP: THE NAME TO TRUST When you choose Sharp, you get more than well -engineered products. You also get Sharp's proven reliability, outstanding customer service and the assurance of our long-term warranties. A global leader in solar electricity, Sharp has more solar modules currently in use than any other company worldwide. BECOME POWERFUL The OnEnergyTM � Solar Racking System for BUILDING 0 - Asphalt -Shingle Roofs with APPROvED Flashing Attachment ROOF ATTACHMENT - Asphalt Shingle with Flashing Attachment TECHNICAL SPECIFICATIONS Mounting Type: Asphalt Shingle w/ Flashing Average Stand -Off Height: 3 inches Slider Spacing: 4 feet III Rail Material: Steel Coated w/ SuperDyma° I' Max. System Weight:' <4 lbs/sq. ft. { UL Listing: UL 1703 Warranty: 10 -year limited warranty Load tested and verified by a professional engineer to withstand 50 PSF in the upward and downward direction. i Module and racking. System weight may be less, depending on layout. Design and specifications are subject to change without notice. Sharp is a registered trademark of Sharp Corporation. All other trademarks are property of their respective owners. Sharp takes no responsibility for any defects that may occur in equipment using any Sharp devices. Contact Sharp to obtain the latest product manuals before using any Sharp device. OSF-018 SHARP. overhang 1 UL -listed as a complete system, the patented Talon Clip grounds the module directly to the rail eliminating the need to connect a ground wire to each and every module. SHARP ELECTRONICS CORPORATION A901 Bolsa bhnue, untington Beach, CA 92647 1 -800 -SOLAR -06 • Email: Sharpsolar@SharpUSA.com www.SharpUSA.com/solar © 2008 Sharp Electronics Corporation. All rights reserved. PR -07-08 iSystDems P (800) 967-6917 www.dcpower-systems.com c uL us SUNNY BOY 3000US /-4000US > UL1741/IEEE 1547 compliant > 10 yr. standard warranty > Improved CEC efficiency > Integrated load -break rated DC disconnect switch > Integrated fused series string combiner > Sealed electronics enclosure & Opticool > Comprehensive SMA communications and data collection options > Ideal for residential or light commercial applications > Rugged cast aluminum outdoor rated enclosure SMA SUNNY BTI,,OY 3000US / 4000US The best intheir class SMA is proud to introduce our new line of inverters updated with our latest technology and designed specifically to meet IEEE 1547 requirements. Compact design makes them ideal for residential use and the integrated DC disconnect makes installation more cost effective. They are field -configurable for positive ground systems making them more versatile than ever. Increased efficiency means better performance and shorter payback periods. With over 750,000 fielded units, Sunny Boy has become the benchmark for PV inverter performance and reliability throughout the world. c@us Technical Data SUNNY BOY 3 000 U S / 4000 U S BUILDING 9EPARTMEW APPROVED AC Nominal Voltage / Range CEC weighted Efficiency Compliance: IEEE -929, IEEE -1547, U Specifications for nominal conditions Efficiency Curves 9e 96 94 92 �6 90 as 06 15A& — Max. DC Voltage Hz / 59.3 Hz - 60.5 Hz 1 Peak Power Tracking Voltage 96.8% b DC Max. Input Current 96.0 % @ 240 V DC Voltage Ripple 11 **�I .... . Number of Fused String Inpu' AC Nominal Voltage / Range CEC weighted Efficiency Compliance: IEEE -929, IEEE -1547, U Specifications for nominal conditions Efficiency Curves 9e 96 94 92 �6 90 as 06 15A& — 3000 400D PK M/1 www.SMA-America.com Phone 916 625 0870 Toll Free 888 4 SMA USA SB 3000US 3750 W 500V 180-400V@208V 200 - 400 V @ 240 V 17A <5% 4 (a 208 V, 12.5A@240V 183 - 229 V @ 208 V 211 - 264 V @ 240 V Hz / 59.3 Hz - 60.5 Hz 1 96.6% 95.0 % @ 208 V 95.5 % @ 240 V 17.8 x 1.3.8 x 9.3 88 lbs / 94 lbs -13 to+113 OF <7W/0.1 W PWM, true sinewove, SB 4000US 5000 W 600 V -480V@208V -480V@240V 18A < 5% Io.J - ccr v W tvo v 211-264V@240V Hz / 59.3 Hz - 60.5 Hz 1 96.8% 95.5%@ 208 V 96.0 % @ 240 V U,-750VDC — Un-�80VDt 17.8 x13_.8 x9.3 88 lbs / 94 lbs -13to+113 °F <7W/0.1 W P PWM, true sinewave, 1 — 584 U5 3000 400D PK M/1 www.SMA-America.com Phone 916 625 0870 Toll Free 888 4 SMA USA SB 3000US 3750 W 500V 180-400V@208V 200 - 400 V @ 240 V 17A <5% 4 (a 208 V, 12.5A@240V 183 - 229 V @ 208 V 211 - 264 V @ 240 V Hz / 59.3 Hz - 60.5 Hz 1 96.6% 95.0 % @ 208 V 95.5 % @ 240 V 17.8 x 1.3.8 x 9.3 88 lbs / 94 lbs -13 to+113 OF <7W/0.1 W PWM, true sinewove, SB 4000US 5000 W 600 V -480V@208V -480V@240V 18A < 5% Io.J - ccr v W tvo v 211-264V@240V Hz / 59.3 Hz - 60.5 Hz 1 96.8% 95.5%@ 208 V 96.0 % @ 240 V 17.8 x13_.8 x9.3 88 lbs / 94 lbs -13to+113 °F <7W/0.1 W P PWM, true sinewave, 1 • Included O Option — Not available Mgdd..b me _ b �mmr mGr -- v 6,boavan.a c ~y- r +•^ 1Ll Sunny Yael �� . tl. SD and f' B i dm+bad fC9 ` �- I SMA America, Inc. Photovoltaic Installation Electrical Diagram Rated 3,960 Watts under Standard Test Conditions (STC) Solar Panel Array 1 (10) Sharp ND -198U1 F 198Wsrc modules. Wired in single series string. �olar Module Specs: Sharp ND-1198U1F PM = 198WsTc Voc = 32.9VDc VpM = 26.3VDc Isc = 8.23A ipM = 7.52A Series Fuse = 15A •. • •. •moi. • . • •. •:i. • IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIII' IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII 111111111 ,I IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIII 11 IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII 1111111' III IIIIIIIIIIIIIIIIII 111111111111111111 IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII 111111 rllll IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIII 11111 IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIII 111111 IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII III rlllllll IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII II .11111111 IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII Solar Array 2 (10) Sharp 198WsTc modules wired In single series string. Same as above. Integrated PV Combiner & 600V'c Disconnect Use 1 SA ATM Fusee SMA Sunny Boy 4000 Inverter w/ Integrated PV combiner & DC Disconnect Max output: 16.7A @ 240V�c Surety eon • 4000 • Note:Maximum recommended voltage drop between Inverters and Main Service Panel Is 1.5%. Cable sizes shown assume negligable voltage drop between Inverter and AC Disconnect Wire type: USE -2 In free air, or THHN-2/ THWN-2 In conduit 10AWG Cu wire, Positive. Negative and Ground (under 2% voltage drop to 24S @ Ise) Main Service Panel (Minimum 150A Bus) AC Disconnect Lockable, Visible 2 Pole, 240VAc, 30A Square D DU221 RB Minimum 10AWG Cu wire Minimum 10AWG Cu wire Utility Grid 120/240 Ve,. Lt, L2, and Neutral L7, L2, and Neutral. O� �p 30A, per® circuit � ■ O (See Note).. (under 1.5% vottap drop to sz ®mtput ax ouaxrent See rate) 0 O for SB400� pp 19 0 H N 0 0 6AWG DC System Grounding Conductors with crimped connections run to AC System Grounding Electrode or crimped — to AC System Grounding Conductor If not accessible. Module grounding as UL approved for Sharp Racking System. e. .fir w C) C � C CA C) o 0 . _ y v � '9 ' ti "e BUTTE COUNW BUILDING DEPARTME14T� k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 10277 FIMPLE RD Owner: Permit NO: B08-2115 APN: 039-210-087 VERRY, LYLE & CARLA Issued Date: 10/17/2008 By TMP Permit type: MISCELLANEOUS 10277 FIMPLE RD Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 10/17/2009 Description: ELECTRIC SERVICE UP GRADE 11 (530) 892-9106 Occupancy: Zoning: A20 Contractor Applicant: Square Footage: VERRY, LYLE & CARLA Building Garage Remdl/Addn 10277 FIMPLE RD CHICO, CA 95928 Other Porch/Patio Total (530)892-9106 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8876 LICENSED CONTR_ ACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/17/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date rl 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE P -1 -COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Date: 'is—For (This section need not be completed if the permit on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ,meq u ' I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS l0 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California,and agree th if I should become subject to the workers' X 10/17/2008 compensalio provisions of Se n 3700 oft Labor Code, I shall forthwith comply with those Owner Signature Date provisions. X 10/17/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS'COM(ENSATION COVERAGE IS UNLAWFUL, WARNING: FAILURE TO SECURE WORKERS' COM ENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, ol;1dubsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to a er the above m lio o ry for inspection purposes. I hereby certify that I am the party er am uth ' ed t e rope owner's behalf. 10/17/2008 CONSTRUCTION LENDING AGENCY - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name o ermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Downer 1:1 Contractor OR; DAgent for Owner Agent for Contractor I FILE COPY Lender's Address City State Zip BUTTE COUNTY O�UTTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION* 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 0 -1 1 - o = ' o A FEE WILL BE REQUIRED AT TIME OF APPLICATION c y website: www.buttecounty.net/dds OV N� PLEASE PRINT CLEARLY PERMIT NO. //�� I, N BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name i ` First Name VV So Mailing Address City City Stat Zip Phone � � � _ c Fax E-mail APPLICANT INFORMATION CONTRACTOR Name rx, VV So Address Address City City State State Zip Phone 'Fax Fax E-mail State License Number Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address , U 1e Address S ateC p�1 City Phone L2 y l �� State Zip Phone 'Fax E-mail State License Number APPLICANT INFORMATION Name 1 (— j e V Address , U 1e City 1U S ateC p�1 Zip Phone L2 y l �� Fax E-mail APP ICAIVT SIGNATURE Xf A d11 i�f L,�Lz PROJECT LOCATION ANK)M 0 _ Property Address 7 RA City %? WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. .ayA,` Sq FT- Living rnP... - J' Open Cov ❑ Structure Builfwirnoui vermits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 15, �/, 0O 9 'Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN To PP.QYIIZE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . 2. I (HAVE VENO SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ELECTRIC SERVICE UP GRADE 100 TO 200 APM Reference Number: B08-2115 Applicant Name: VERRY, LYLE & CARLA Owner's Name: VERRY, LYLE ARL:�/ AP # : 039-210-087 Signature of Property Owner: t tj L Date: J 6 - 7-D BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP043579 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/20/2004 APN: 039-210-087-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: `J O�3 Site Address: 10277 FIMPLE RD DUR Date: � Contractor. S MP Index: Map Description: REROOF(32 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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: JAVOR RICK J & JENNY E permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 10277 FIMPLE RD signed statement that he or she is licensed pursuant to the provisions of CHICO CA 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 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure. is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FOUR SEASONS ROOFING Code: The Contractors' State 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, #11 COMMERCE COURT provided that such improvements are not intended or offered for SUITE #1 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-895-0418 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: FOUR SEASONS ROOFING 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' State License Law.). #11 COMMERCE COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 530-895-0418 Date: Owner: License.#: 659073 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: (� 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 are: Carrier: js� Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy#: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. "c 9,,—) Date: l Applicant: Na 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 FI ereby affirm that there is a construction lending agency for the This permit Is hereby issued under th applic ble provisions of the Butte County CodA enrVor Resolu• do•work indlc ted a e for ich fees have been paid. rformance of the work for which this permit is issued (Sec 3097 Clv.)a0 BY' Date: Name: Address: PERMIT EXPIRES ON: Da e O 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 1 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 fo r do u of Butte County. I hereby authorize representat, of Butt County to enter upon the above mentioned property for inspection purposes. Print Name: t l� -Signature: Date: ZQ -0 I • 0 Owner 0 Contractor KIIZAgent for Owner ❑ Agent for Contractor BUTTE'COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name_Scuub irst Name 1 Address 277 r` I /e' Cl ` City State Zip b -G Phone 35 Z J �i Fax E-mail APPLICANT NAME CONTRACTOR Name Name / u eaaga- O lip Address Sup e , 1 City /„I � State `" Book Zip 1511Phone E-mail - o '� Fax State License Number E-mail g7q --126 CZ Lic. # o;3Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address - lip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State lip Phone Fax E-mail 4PPWAIVT SIGNATURE c X R>A _j �rt For office use only: Zoning Property Address wA l O Zle-ti�� Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 0 Y35 - BIN # LOCATION AP# 35- o;q n-- (r? Property Address wA l O Zle-ti�� City C hcm Cross Street WORKER'S COMPENSATION Policy Number 2Z�i 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 . . Descr)ption or Scope of Work: e. Sq. Footage �ZO� 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 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. Received Amount: Bldg SRA Receipt #: 3 Sheriff SMIP ther notal K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS Y, 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 x..�3 PERMIT NO. 840-75B,P,E ` P E A. M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER David David Harris }�CONTR. $nlidgy Pnnl C}1ico LOCATION (A.P.—2.1-87 �1 G ' 2' s1s Fimple, app. 100 yds. E. of Konning, t --r& Chico • • f Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E /INALED B. ' (Date) (Signature) 4 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS No ba" w� 9Z ?oZ>vTon. Ge,4`3 )e,4/ 9 BUILDING BUILDING (Cont'd) 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 Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final Footings Footing ELE TRICAL Masonry Walls Throat Rough Reinf. Steel — % % Final Fixtures fa, ub&b Bond Beam FIRE SPRINKLERS Motors 'l-/ "/ — 7 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 1 DATE REMARKS OR CORRECTIONS No ba" w� 9Z ?oZ>vTon. Ge,4`3 )e,4/ 9 �J COUNTY OF PUTTE — DEPART.MENT OF PUBLIC WORKS 7 County Center Drive Groville, California 95965 Telephone: 534-4541 1 5 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X4 Date 6 Permii�teee or Agent R e c e i Co.Nl..)-0 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 been paid. DIRECT R'OF PUBLIC WORKS By Date��� Building permit expires Date.....,/% . 6. BUILDIN Owner j b SQ. FT. I OCC. BUILDING VALUATION Q�- Mai I i ng Address Telephone No. Fireplace Contractor D1_1ron ?VoJ, Total Valuation 6,P00 Mailing Address /` 4) F— Permit Fee Q p Plan Checking Fee &/or Penalty C l co Tele hoN n. o. Permit Fee .95�C Building Address ` cv PLUMBING No. @ FEE PERMIT FILING FEE .00 ,� Q _ P Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 O A. P. No. ` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S t n FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovem nts P Lawn sprinkler system 2.00 ftJt ons Rec'd Parcel A royal Plan pproval Permit Fee 'c7 � 5 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 QD Main service incl. 1 meter Additional meters each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 ess) (more than 12) , y Range, Cook -top or Oven 1.00 ,c %Z.i1 t1x TfE cSLt�lNL 6��1�8WL Water Heater or Space Heater 1.00 Light fixtures bal d125 0 Receps., switches & fix o tlets 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: _O u / Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pum Water pump I IV-,— I.� Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification ��.� C Misc. wiring i C 80— Her O ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7-:5-6) 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. IQ� 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 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 ^ 5 C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X4 Date 6 Permii�teee or Agent R e c e i Co.Nl..)-0 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 been paid. DIRECT R'OF PUBLIC WORKS By Date��� Building permit expires Date.....,/% . 6.