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Home My WebLink About039-270-097-27 Lambert 39 NE/S Front St., a .25' of Q rk-e St lot 87, Dayton sj gle Ve—r`ffi`1`E.#731-6-79B,P,E, (new sin family) / 4�5t 2:2 39-27-t4� - Lany Lambert 3954-Fron-t St. -lot--8-T' Dayton Permit #5493-8.OB P E M(new single ,famil ) 4 y 0 39-27-97 > LARRY LAMBERT NW cor Gerke St & Front,Dayton Contr: Contextus Corp, Chico Perrrdt#183-O-81-P-(.so1ar _wzter- heater) SF 6/t/ L --i 39-27-97 92-1704 E KELLEY ' Keith & Dawnelle 3954 Front St, Dayton contr: Eagle Electric el6c serv/sf .039-�70-07 -'94-0109B,E KELLY, -KEITH CONT:.DAVID.WEL-SH CONST. vip -3954 FRONT ST.,, DAYTON /I CONV COV PORCH-&,ADDIL S� 'FTG -To SUNRM ,.—I —I 039-2 7 01-1146 KELL7EY,K & DA;v 1. �%LE O�� 'T D FRON OT , 00� .4 T S - �R 3954 FRONT ST. C �T. R 4 ONT: GRAND R ROOF RE ROOF 039-270-01�7 0 :0126 KELLY, KEITH I v1A loo� 3954 FRONT ST, DIIYTO;� CONT: EDWARDS HOME RENO ELEC WATER HEATER 039-270-097 06-1556 KELLEY, KEITH 3 954 FRONT ST, DAYTON Cont: AIR -ART HEATING HEAT PUMP SPLIT VA N 'C" 1' 71 Butte County Department of Development Services NOTE S 7 County Center Drive, Oroville, CA 9596� (530) 538-7601 www.buiggount RESIDENTIAL APN: 039-270-097 .06-1 KELLEY, KEITH Owner 1 3954 FRONT ST, DAYTON Site Addre- i - Cont .: AIR -ART HEATING HEAT PUMP SPLIT Contractor., Type of Permit SRA ' FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDMdNS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED:. SIGNATURE: OK AV MA-RUFAC.TURED HOMES MISCELLANEOUS - DATE I Li PERMANENT FOUNDATION Lj SOFT -SET I Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-EaseMent Ne�ded-Regulator 5 Elec Loctri-Cirrics-Gi-nd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat E] or LP11 Inch Sz Ft Lngth 7 Bickng; Sz-Spacing-Mamage Une 8 Gas; MH Test-Dernand-Valve-Crinctr 9 Elec MH Cntnty Test-Cro.ssovers-Breakers-Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr &Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Foundation 14 Exits IS Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers '----DATE ID E C K S -C.0 V E R S -C A R P 0 R T S -G A R A G E S I Zonlng-�Setbacks-Easements 2 Figs; Salls-SzZpth-Spacing-Cnnctrs-SteeI 3 Decks. Girders/Joists-Dckfng-Brcing Stairs-GuardfHandralls 4Wood Awn; Frmg-Brcng 5 Alurh Awn; Columns-Cnnctns-Splire-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-ItItrs-Thisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof. Shthg-Rqqfing I I Ex�t; steps-Doors-Landiilgs 12 Braced Wall pnls # DATE IP 0 0 L�S I Setbacks -Easements. 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Crincins-Thickness Dead Men-Uning 4 E.1ec Rcptcls/Lting; Distance-GFI 5 Elec.Pool Lting; 15 vofts-GFI 6 Elec.En* c1srs; Con . dult Entries-Terminals-l-isted 7'Elec Bonding; Metal w/W-Crcitng Eqp-Htr 8 Elec: Gmdng;.Eqp WIS! CrcItng Eqp-Pool Ightg Boxe;s-F4riiisrs-�olbazirds4nsultn.to Main Conduit 9 Health Dilit App'i4l 10 *PImb; Cir Test-Wtr Supply Test I I Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide qP 41 Ice Pool Drawing �.tOK RESIDENTIAL (Single & Duplex) I DATE JUNDERFLOOR DATE IPLUMBING I Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main: Soils-Elec Grnd Ftq Dp.�o 54 Wtr Pipe; Test & Anchr-Nail Prtctn . 3 Ftg Garage; Soili-Steel-Elec Grnd Ftg.ppth 55 DWV; Test Fittings & Anchr Nail - Prtctn 4 Ftg Porches/Decks; Soils -Steel _ Ftg Dpth 46 Shwr Pan; Tes First fir -Tub Ace 5 Stdmwalls'Main; Steel-Blockouts-Wrapped 57 Test Tub'& Shwr, 2nd Or - Tub Ace 6 Sternwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Spicial Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas.Plping 8 Piers-Frpic Ftg-Steel 9 DW`V; Fall -Fitting -Test -2 -way CIO -Sewer Test 41 10 UF, Gas Pipe; Sz Anchrs-Sz Test I I Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12. Elec Undrgrnd DATE IMECHAKICAL 13 Plenums & Ducts; Cline-Materfal-Support-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv insulin 15 Ace & Vntitn 63 Condensate Drain & OvrIlw Sz & Grade - 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & PItfrm If Furnace In attic 40 41 DATE F'R A M I N G 17 Sills Proper Materials & Anchrs DATE [FINAL 1.8 Walls Stuils-Nailifig Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girdert& fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (iat p r0'*of)__' 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops,'Fijffe'd Ceilings-Stalri�Chasers-Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers 69 Bedroom Exiting 2; Hanp irs-Post Ca s-Anchrs�-!Chnctns 70 GFIX Bath Fxtrs & Tub Ace -Spa 24 Ceiling JoIstRftr Tids-Purlin-Roo, f Brac-Truss-Shthq 71 GFI Arc Fault' 25 Frp;r, Tj�s�or,,Typje A P, Throat Cime 72 Elee Trim & Subpni, Breaker Szs & Labels 26 Attic AE6; Sz &Rki Ii ft Stop -Ins Baffles 73 Stairs. Guard[Handrails 27 Bdrm Wridws.or.Ekiting Doors -Sill lit & Dimensions 74 Frple or Stove, Cimc-Hearth 28 Garage Fire Pddfi Frdming-RC Channel 75 Elec Outlets at Wood Pni, Int & Ext 29 Prprty Line Firewall.& Opngs' 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cirric 30 Ext Doors�bne i -Check Garage 3rd. Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-F.Ire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Ou . trgrs 79 AC Duct In Garage -Damper. 33 Siding -Nailing Vqneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrnr Ace Mech Prtctn; LPG AppInce Undr House 3" drain 35 Glazing Are ' a -Glass Prtetn-SkyLts-Plastic 81 Plmb; Elee & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Efee Rcptcls in Garage (GFQ Romex Prictin 37 Brace Inl)Ext Wall pnls 83 lnsultn-Foam-Looked in Attic 38 lnsultn-Walls-Cellings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Drnge Planters EJ Yes No 4e 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb.-Appinc-Frpic-Clmc to Opngs I DATE JELECTRICAL 90 Wtr Well, Dscnnc% Elec, PImb 40 Fxtr & Trnsfrmr CIrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 VnUtn 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 liispctns 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 ga CU or [:JAL 98 Address Posted AC Wire Sz 93 CU or [:1 AL 99 Fire Sprinkler 48 Range Circ —ga 0 C6 or[:] AL Oven Circ P El cu or DAL Insulated Neutral Yes 0 No 4e— 4�� 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirrics pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr LI -Spa Lt 52 Smoke Detector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive e Oroville, CA o (530) 538-7541 CORRECTION NOTICE 1, 64 CY, - tS-,5-6 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. '�F&)KP4 -7 Date Inspector L -D REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CaICERTS - Certificate http://www.calcerts.conVcf4r_prinLcertificate.cfm?lots=34962&Requ... CERTIFICATE OF FIELDVERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 3954 front st dayton - �ayton, CA 95925 air art htg air / 335302 Project Address Contractor Name / License No. Contractor Contact Telephone John Revilak '530-518-1109 HERS Rater Telephone luly 19, 2006 CertiFying Signature Date bp061556 Permit Number 34962 Sample Group Number CC14-1798375544 Certificate Number Firm: Revilak's HERS Rater HERS Provider: CalCERTS Street Address: PO Box 1609 City/State/Zip:Magalia / CA / 95954 Copies to: Homeowner, HERS Provider and Buildinq DeDartment This CF -411 has been registered with the CalCERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R Tested 1-1 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape Is used before a CF -411 may be released on every tested building. The HERS rater must not release the 1-4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). I New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 E4.P__F 'Lea!Eage Flow In GFM+ N/A 2 Fan Flow: Calculated (Nominal G Cooling 0 Heating) or . 0imeasure'd Enter Total Fan Flow in CFM: . I 1200 3 Pass Of Leakage PeFeenb3ge -*- 69(a [ 100 x ( I=Ine I / Une 2 fli N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 354 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 91 6 'Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 263 7 _J_Enter Tested.Leakage Flow in CFM to Outside (Only If Appll�able) 8 1 Entire New Duct System - Pass If Leakage Percentage <= 6 1 % [ 100 x Line 5 Line 2 E]Pass El Fail TEST OR VERIFICATION STANDARDS: For Aliered Duct System and/or HVAC Equipment Change -Out, use one of the folloi4ing four Test or Verification Standards for compliance: 9 -1 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 1 2 7o58% Pass 0 Fail 10 Pass If Leakage to Outside Percentage < = 10% 100 x LI One 7 Line 2 E]Pass El Fall 11 Pass If Leakage Reduction Percentage >= 600�b 100 x Line 6 Line 4 and Verification by Smoke Test and.Visual Inspection. Pass Fall 12 ass If Sealing of 611 Accessible Leaks and Verification by Sn;oke Test and Visual Inspection E]Pass El Fall Pass if One of Lines *9 through #12 passi 2 Pass El Fall I of 1 7/19/2006 2:45 PM iNsTALLATION CERTIOnCATE (Page 3 of 12) CF -6R Site Address PamitNuniber "19 Eq rro�) -I S1 ONY—lov) , CA. -&FC)05-57, An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (1be 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 SYSTEM: HeaftEquonwd Equip T�pe (pkg. heat pump) CEC Certified MEr. Nam and Modd Number #of Identical Systems Efficiency (AFL% etc.) (?CF-IRvalue) Duct Location jam etc.) Duct or Piping R -value Heating Load ftft) Heating Capacity Mh ft—A ke--tT �L-p Z�4 Amo,36 i q 3 -6 Cooft Eqs*ment Equip Type (Pka. heat pump) CEC CertiW Mfr. Name and Mm&l Number #of Identical Systaw Effictenc7- (SEEP. or EER) (2:CF-lltyalue) Duct oca on Jattic� etc.) Duct R-yalue cooling Load (Bbft) Cooft Capacity (Btuft) fv--P Z-0 i q 3 -6 1. �: symbol reads greaWr than or equal to what is Ind1cated on the CF -IR value. include both SEER and EER if compliance cr edit for high EER air conditioner is claimed. -,/Ul I, the undersigned, verify that equipment listed above is: 1) is the acti-I equipment installed, 2) equivalent to or m1re efficient than that specified in the certificate of Compliance (Form CF -IR) submitted for compliance with the FxerV Efflciency Stmzdvds for residential buildioA and 3) equipment that.. mects or exceeds the appropriate requirements for manufttured devices (fim the Appliance Effliciency Regulations or Part 6), where applicable. installing Subcontactor (Co. Name) OR Cieneral Conftaor (Co. Nme) OR Owner A v P, - Av--r 4 j4L Signature: &A- - .A Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF AJPPLICABLE) BUILDING OVVNER AT OCCUPANCY Residential Compliance Forms April 2005 V :;. INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COWIVANCE STATEMZNT The building was: v"Plested at Final V [3 Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: Remove at least one supply and one return register, and veffy that the spaces between the register boot and the interior fimshmg wall are properly sealed. 13 If the house rough -in duct leakage test was conducted without an air handler installed, mspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. XInspect all joints to ensure. that no cloth backed rubber adhesive duct tape is used 13 New Distribution system is fWly ducted (ic., does not use building cavities as plenums or platforms returns in lieu of ducts). ,/ 13 DUCT LEAKAGE REDUCTION A-veedures for field vmificadan and dtamosfk t--Tdn0' of ffirdivirandnn cWtforme ar� �Rlnhl� — RA. -&f A—A.- a.-., .2 NEW CONSTRUCTION: Signature: C, r, VA A Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values I I Enter Tested Leakage Flow in CFM: R PMRI F an Flow: Calculated (Nominal: ZCooling / 13 Heating) or 0 Measured 2 If Fan Flow is Calculated as 400 c 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 --5 6% for Final or < 4% at Rough -in: — [ 100 x L_(Line # 1) / _(Line # M 0 Pass 13 Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from FInal Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or ]Ekuipmentphange-Out. 91.. Enter Reduction in Leakage for Altered Duet System 'I" ine # 4) Minus ____-LLine # 5)] - (Only if Applicable) MY 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage:5 6% for Final 8 flooxr ine # 5) / —Line # 2)11 0 Pass C3 Fad TEST OR VERMCATION STANDARDS: For Altered Duct System and/or HVAC Eq—ulpm--e-nt Cbenge- Out Use one of the following f our Test or Verification Standards for compliance: Ve 9 Pass if Leakage Percentage -.5 15% poo x ( 2L20 (Line # 5) (Line N 2)1] -7,5S E3 - Pass 0 Fail 10 Pass if Leakage to Outside Percentage S 109/o (100 x [—(Line # 7) / ' (Linc # 2)11 13 Pass 0 Fail Pass if Leakage Reduction Percentage �: 60% [100 x [ ine # 6) 1 _ (Line # 4)]] 79 2 %Lf 0 and Verification by Smoke Test and Visual Inspection APass Fail 12 1 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection 13 Pass 13 Fail r"- Pass If One of Lines 0 9 thro gh # 12 nass gAPass C3 Fail v L -R, Ine unaers4pea, venty that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air-Distnbution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Agi w(6 - Signature: C, r, VA A Date: 4 - -a -0'( Copies to.- BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY westarnnai L:ompnanceJ4-0fmS September 2005 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061556 24 HOUR INSPECTION M (530) 538-7636 (ORCIVILLE) (630) 891-2834 (CHICO) OFFICE M (530) 638-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I he . reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/28/2006 APN: 039-270-097-000 the Business and Professions Code, and my license is in full force and effect. - ' _�3 5 L) License Number: Site Address: 3954 FRONT ST DAY License Class: Date: 6_1�.16_06 Contractor: A o. - Ap:� �)-1 Map Index: Description: REPLACE SPLIT SYSTEM HEAT PUMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KELLEY KEITH T & DAWNELLE I permit to construct,. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 3265 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 95927 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 0 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: AIR -ART HEATING & AIR 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, 140TALMOND STREET provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one year of'completion, the owner -builder will have the burden of .530-895-1420 proving that he or she did not build or improve for the purpose of airartco@msn.com sale.). 0 1, 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: AIR -ART HEATING & AIR 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.). 1407 ALMOND STREET 13 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-1420 Date: - Owner: airartco@msn.com License #: 335302 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: A! E EDA)0 Total Square Ft: 0 S. F. Policy#: oaoo,'! 7 Valuation: $0.00 Census Code: 0 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 compJy with those provisions. Date: Applicant: VA WA RNING: 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. 1+ CONSTRUCTION LENDING AGENCY This pmriltis here issued under the applicable provisions of the Butte Count ty Code and/or I hereby affirm that there Is a construction lending agency for the' performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutlio rk indicated above for which fees have been paid.: Q e Name: By: Date _ I Address: PERMIT EXPIRES(ON) (Date) 0 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 C6de 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 ha6- 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 substa f icial I diument of Butte County. I hereby authorize representatives of Butte County to ente� upon the above mentioned property for inspection purp PrintName: Signature: Date: b owner Contractor El Agent for Owner 13 Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061556 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed tinder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/28/2006 APN: 039-270-097-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 3954 FRONT ST DAY LicenseClass: License Number: Date:6-,z,8-o6 Contractor: A it - Ar,:-, �-i A/ Map Index: Description: REPLACE SPLIT SYSTEM HEAT PUMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KELLEY KEITH T & DAWNELLE I permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 3265 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 95927 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).): 0 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: AIR -ART HEATING & AIR 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, 140TALMOND STREET provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within.one year of completion, the owner -builder will have the burden of 530-895-1420 proving that he or she did not build or improve for the purpose of airartco@msn.com sale.). 0 1, 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: AIR -ART HEATING & AIR 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.). 1407 ALMOND STREET El I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-1420 Date: — Owner: airartco@msn.com License 335302 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Architect: s issued. have and will maintain workers' compensation insurance, as Engineer:. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:. S_fk! E f_0 A) 0 Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: Ell I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:— 0,6 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 �s he.,re issued under the applicable provisions of the Butie Count ty Code and/or -I hereby affirm that there is a construction lending agency for the ResolutiQ. n rk indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , <_)�, Name: By: Date: Address: PERMIT EXPIRES(QN) - (Date) CI I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. • Attached are copies of the required E.P.A. notification forms. I hereby certify that I have- read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of Ny official f d7ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpQses/ 7r CA11XV, ('61 Pri' me: nt Na Signature: N zoo - -Z()06 Date: C) owner -id-,Contractor El Agent for Owner Q Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: �530) 538-7541 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION BIN 0 Website: www.buffecounty.net/dds **-PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name IF irst Name Address Z9 �T' City late (�A I Z" 7512 Phone -600 Fax E-mail CONTRACTOR Name Aml,- + Address 1 qc):7 A \ ,kNjk GT, city QN� t(o city State QA zip L> PhoneS�,5, - Iq Phone Fax -3-yZ , 1 E-mail E-mail Lic. # - Class APPLICANT INFORMA TION ARCHiTECTIENGINEER Name city Address Zip city Fax State Fli I Phone Subdivision Name -.Pax E-mail I Page State License Number APPLICANT INFORMA TION Name Address city State Zip Phone Fax E-mail APPUCANT SIGNATURE X For office use only: AP# G 3�-j Zoning Sheriff Flood Zone SRA I Yes No Occ. I Type C onst. Subdivision Name Name Map Book I Page 7� Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KTORMS\BUILDING FORMS\BldgAppISubRqmts.doc PROJECTLOCATION AP# G 3�-j ,�Wd ressS�� Sheriff City Cross Street WORKER'S COMPENSATION Policy Number ZI 2 C*oc) � 7 Carrier rovJ If hiring anyone other than license contractors, a certificate of worker's L compensation must be shown at the time of permit issuance. LENDINGAGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov E-1 Structure Built without Permits 0 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 applic4ion. 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 c ' heck fees for work plan checked and other department costs are not refundable. Amount: -Bldg Page 1 of 3 REV 8-12-05 SRA e rce ii p t M Sheriff SMIP D . I Other Total Page 1 of 3 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 0 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. 0 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. 0 5. Statement of Intent for Non -heated and A/C for. Non -Residential Buildings. 0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate 0 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 enginee . 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. n 10. Lefler of intent for non-residential buildings. 11 11. Building Permit Application Without Required Clearances Form 0 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required). 0 4. NPIDES Form. El 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carder and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). El 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. El Legal description from current recorded grant deed, 11 Copy of M.H. Title, Title transfer, or MCO. 0 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be madb if no construction work has been done. Filing fees, plan check fees -for work plan checked arid other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 3 REV 8-12-05 039-270-097 02-' 0126 Y KELLY, KEITH 3 9 ,954..FRONT ST, DAYTON Co T� CONT: EDWARDS HOME RENO L T FELEC WATER HEATER COUNTY Of BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINP DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6 D) - 4- , 'I -: �J 6 - ASSESSOR PARCEL NU.;�) _Z ZONIN A L10 BUILDINGPERMIT OWNER Va %J :�'-3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL! ADORES < zy 4,0,1 67 6 Ci 2.42 CONT . * i.00 r C� I TELEPHONE P2,77-4 4 C1=11N.�'IADDRESS _ !A I ch; _N"2. COATFfUUTON LENDEA—V Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS )Lv, 4 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDr Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 - TYPE OF WORK New 0 Addition 0 Ren2pdell 0 Utilities 0 Installation 0 Qther MV6 Describe Work: r I C (A )C Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W C@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE:: Main Service .A OR LE 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force an ffect. Licen se'Class tj 4-11 /YX V Lic. NO. 65WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) IN, ssued, I shall 1�1 certify that in the performance of the work for which this permit is i not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X W, Date J- / ;7- Signature of Applicant -Inl�owner [I Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWE LING P. so. R ADONS. L CC. agU 3.50 A Fr. NEW CONST. NON-RESID. MU LT 1. 0 C@7.50 OWELR AP=US PSING E 0 CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup. ( SAL @ .50 ( ..FWED A LNS OR" Ex. Occup. PPRES,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ D!NS . iTYPE TOTALFEE$ HAZ. I D. FEES D I CDF PARCEL 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. By Date 1. 17. Z- PERMIT EXPIRES ON t. 1 T 0 ) I (Da to) ReceiptNo. -);,Ay") Q o I WHITE-D.D.S.-B.D. CANARY-AS�SESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT WIN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT = - co Ja4 ASSESSOR PARCEL NUMnq _9 -7 0_09 -7 Z07 q 0 BUILDINGPERMIT OWNER V;2 T.EdEPHON - SO. FT. OCC. BUILDING VALUATION OWNER'S �Iu�,��R CONT 0 E *0h 74 012-q k CONT IU7 bRESS I r C(d CON§TRU6T_JONLiNDEA_ V Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEEWS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3!15q Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 1 7.00 — Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 13 787w�dell 0 Ubl''es 0 Installation 0 Other Describe Work: C —Gas piping system I - S outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF @20.00 -00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 ( 110.0,V OR LESS Main Service . 'O.UES. 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ano effect. 'lass -9'00 License C QP V) �--Lic. No. (a 9 OWNER -BUILDER DECLARATION 1 hereby affirm Jder penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, asownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. El I have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DW ,!WNO OrCUP_ OR ADDNS. ACC. .. - 3.57,. NEW CONST, OUTLET NON-RESID. M."T., CIRPLATS @7.50 OWER APPARATU ( PRINGLE CUTLET C SIR. FX Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. P(PES,6.) E ..FIXED A UNIS OR., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation I)Cof one hundred dollars ($100) or less.) I Certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject -to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall y with those provisions. X Date 7-06-�Uindicated Signature of Applicant _12'fllowner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ NS1. PIE TOTALFEE$ !.A.n IMP I FLOOD I CDF PARCEL PD HD V10 This permit is hereby issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date 1,17-02- 7,0 Pa te) -C'5 ReceiptNo. A -)I a WHITE-D.D.S.-E.D. CANARY-A��SESSOFI PINK -INSPECTOR GOLDEN ROD -APPLICANT 11� 0 -270-097 01-1146 319 KELLEY, KEITH & DAWNELLE 3954 FRONT ST. DAYTON, CA CONT: GRAND R ROOFING RE ROOF I COUNTY OF BUTtIt - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINO DIVISION 7 County Center Drive * 6rbville, Califorh�ia 95965 * Telephone (530) 538-7541 /PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT &SSESSORPARCELNUMSER a ol :7 ZONINGA 40 BUILDING PERMIT OWNER K t1l (I 'n _N1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRfSS- J�. o - �Sn x 3,1(a 5 Cb � r A c c:v'Q 7 - 3_165 C��'S NAME A R TELEPHONE CONTRACTOWS hW;DRESS 2 51; 7 Av o, V� LA. e - CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ to ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1471 �4 Energy Plan Checking Fee $ $ LOT NO. MdISNP IONd NAME PARCEL MAP PERMIT FEE $ e-0 PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF 111,04uplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 — Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: '975 Calt–, 9,/ 1--/. e — Gas piping system I - 5 outlets 15.00 Building sewer 15.00 —Mobile Home IS I GI WF_ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 a00V OR LESS Main Service .A OR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions,of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License- Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Irx— Date S 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 20QA TO 1000A 46.00 NEW CONST. DWELLING 0 B9UP. so OR ADDNS. & ACC. 3.50FT., Ni!�UO-� .�ULTI_O NON-RESID. NCH @7.50 DWELL APIRATU &PSIN. E . E T C SIR. Ex. Occup. OUTLET OR F IXTURES 20 @ 1.00 akL @ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home R 0 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT FilingFee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ I OCC CONST. TYPE ITOTALFEE$ 5'�- 6a HAZ. I D. FEESF7WF_[_K37 CDF PARCEL I po HD I ISS�UE This permit is hereby issued under the applicable of the 134" County Code and/or Resolutions ove indicat,6 ' which feeqh�kve been B Date 1 PERMIT EXPIRES ON (Date) provisions to do work paid. 119 ReceiptNo. 012 Sir of ., �� W WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR "PINKfINSPECTOR GOLDENROD -APPLICANT I IN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PER�IT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT 01-1114 � ASSESSOR PARCEL NUMBER 03S— 270—Off —7 A40 BUILDINGPERMIT OWNER K , A —1�t W V_ I I (?— L -<el �q and TELEPHONE SO. FT. OCC. BUILDING VALUATION MAILING ADOqSS-1 PNE3d . 12)o Y_ 3-)-(g 5, rn, c cAl -7 - -3465 C7,r!��S NAME TELEPHONE ok P, Coo -C- " m je 3 0 - 9 ct q - 6 575 CONTRACTORS "rZ;DXS 9,5!97 1. Av (2,-f\ V_ e -- CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 39,,54 E]CQQ-�— (��_rLe Energy Plan Checking Fee $ LOT NO. -TUBEW10WINAME —rRCEL MAP $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 111,0"Duplex [3 Mobilehome 0 Other SPECIFY Each Trap 1 7.001 Solar or heat pump water heater 23.00 Water piping 15.00— Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: 7,,�- Gas piping system I - 5 outlets 15.00 Building sewer 15.00 —Mobile Home I S I G I W PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 800V OR LESS Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNE-R--BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. MNG OCCUP. OR ADDNS. C S. so. 3.5itFT. =R`ES`ID.T' 97.50 WER AP� 6RATUS PSOIN.. 0 C.. ) Ex. Occup. OUTLET OR FVTURES ) 20 0 "00 BAL @ .50 .��ED APP - OR" Ex. Occup.- . (R9%.) E 5.00 Temporary Service 23.00 —Mobile Home Facilities 20.00 —Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee- 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date (7, 2� Signature of Applicant - 0 Owner 13<q§_ntractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 06 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYjPEE $ 5 - =.A ETOTALLFEE C DF I PARCEL PD This permit is hereby issued under of th B" County Code and/or indic:t ove for which fee ve --. ; PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date . (Date) ReceiptNo. 6 �� , e I WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR " PINK'INSWCTOR GOLDEN ROD -APPLICANT - N 0 Eutte Co BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROViLLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 638-2140 CHICO OFFICE - 1469-HUMBOLDT RD, CHICO 95928 TELEPHONE: 891-2751 ' DAVID WELSH RE: Building Permit # 94-109 921 ARBUTUS AVENUE Expiration Date: 1-27-95 CHICO CA 95926 A.P. #ZO39--27-0-= �:7 DEAR MR WELSH: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: FX)9 Permit work started,.but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner�-builder form to be completed and signed by you where indicated and, returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please -contact the office. Thank you for your prompt attention concerning this matter. Yours very truly, Micb/ael C.' Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paraidise Office - 747 Elliott Rd/872-6307 i DENTIAL 039-270-097 94-0109B,E KELLY, KEITH CONT: DAVID WELSH CONST. 3954 FRONT ST.,DAYTON CON COV PORCH & ADD'L SQ FTG TO SUNROOM I V = OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (�Ingle & Duplex) Date/lnitialS UNDROLOOR (Plans) OK except #'s lt/Z"-Setbacks- Ease ments-Flood-Slope kftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-'Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped -4&.-t10*-L1-6wns and Special Anchors 'klflab; Steel -Wrapped 8_PjanL-.FI replace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Servide Test 12. Electric; Underground 13. Plenums & Ducts; Clea rance-Mate rial-Su pport- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation I . 16. Insulation Date/initials PLLIMBING (Permit) OK e4cept #'s 16. WaXr Htr.; Vent-A%ass-Combustlon Air -Baffle 17. WateNipe; TesttAnchor-Nail Protection 18. D.W.V.;Xest-FXtings & Anchor-Nali Protection 19. Shower P T t, First Floor -Tub Access 20. Test TuA bower, Second Floor -Tub Access 21. Gas D(pe; Size'&-Ahchors Date/initials ELECTRICAL (Permit) OK except #'a 22. FXture & Transformer Clearance -Ins. Protection 33(Mg. Receptacles Spacing -Lights & Switches at Doors 2t4 -1h. Boxes & No. of Conductors -Stapled Romex installed Close to Edge of Studs & CJ --4V;,-Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --Q*.--MpIiance Circuts in Kitchen & Conductor Size/GFI 4_?§._!5ukfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al --29-2*ge Circ. / / ga. Cu or Al -Oven Circ. / ga. Cu or Al. Insulated Neutral 13 Yes No --OG.-Aprvice-Riser Conductors & Ground -Main Disconnect _,Z1. Equip. Clearances Panel s-Motors-Mech. Equip. ,j2. Clothes Closet Light -Shower Light -Spa Light r -X -8a. Smoke Detector Date/initials MECHANICAL (Permit) OK except #'a 34/ A.C. Ducts Insulation & Support '35 --Yet Fan; Exhaust above insulation -76-IDandensate Drain & Overflow: Size & Grade -9f.-FUrnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet ,38.,A!jtc Access & Platform if Furnance in Attic Z 14 L3 Date/initials FRj%MINQ (Plans) OK except #'s 39/1sils, Proper Material & Anchors 46./Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4 . earing Walls over Girders & Floor Nailing 41. /braft Stop in Walls (rat proof) 4,< Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44k tleaders & Beam -Size & Bearing Date/initials FRAMING (Continued) , 450angers-Post Caps -Anchors -Connectors ;E� �jj--46. Clng. Joist-Rftr. ties-Purilpl-roof Brac-Truss-Shthng.-Rfng. -_A7_Fk;apjace Ties or Type A Flue -Fireplace, Throat clearance -w-4&-A_ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -AB-BArj�. Windows or Exiting Doors -Sill Hgt. & Dimensions <z5Q_j3A" Fire Protection Framing F4,."Property Line Firewaii & Openings --52-6*t-ftors-One T -Check Garage -3rd Story, 2 Exits - 53. §JaIM: Width -Head room-Rise-Run-Landing-Fi re Protection _54_&I�amood on Roof Overhang -Attic Vents -Rafter. Outriggers . dySiding-Nalling Veneer 66,A16Cco Mesh -Drip Screed -Fd. Vents-Underflr. Access W. Glazing Area -Glass Protectlon-Skyllghts-Plastic 1-2 �-ar Walls; Nailing -Bolts 0. Insulation-Walls-Cellings 60. Infiltration -Walls -Windows I th'i 1f,4 C0 .Date/initials FINAI,(Plans) OK except #'a 61'."��ps-Door & Sidelight Protection -Landings 6ko'Smoke Detector 'Furnace; vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --64-Bedroom Exiting L & Bath Fixtures & Tub Access -Spa e*_Elec. Trim & Subpanel; Breaker Sizes & Labels --ef-Stairs & Rails -fig.-Fireplace or Stove; Clearances -Hearth --40-Elec. Outlets at Wood Panel; Int. & Ext. --7U.-Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --11--Elec. Outlets & Receptacles at Kit. Counter 42 -Garage Fire Door, Swing -Landing -Closer --le-A-C. Duct In Garage -Damper _44117tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection _q5-Plb., Elec. & Mach. Equip. Listed for Location --ITMec. Receptacles In Garage; (G.F.I.)-Romex Protection -1#�'fnsuiation-Foam-Looked in Attic 13 Yes -M-GuMA Rails & Dock Construction -Post Caps n. Vents & Crawl Hole Door-Drainag & Wood -Earth Clearance Looked under Floor Yes -89 --Following lnstld.; Drive 13 Yes 13 No; Walks 0 Yes 13 No; Planters E3 Yes 13 No --&t-Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing --t3-Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -4M-Water Well; Disconnect, Electrical, Plumbing ��xterior Elec. Trim; G.F.I. Receptacle -Underground _66._VepNMffl@n Throughout House -4P4G'lass Protection -eS7"ODrrections from Previous Inspections ,!�-_�as Test -Meters Tagged; Gas -Electric -;�O_�W%E,!r Sewer Connected -C/O to Grade -HD Approval "Y't-nergy Compliance Cerfificate-Other Certificates Comments at Final: V OK 0 Not OK - =No ' t Applicable * = Not Ready MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Test-Fall-C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"It. / P'Net. or/ /%"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Domand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cart. of Occupancy MISCELLANEOUS Date/initial DECKS, COVERS, CARPORT% GARAGES. (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Solls-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists-Docking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Boams-Rftra.-Connectors Shthg.-Rfg.-Braclng 5. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nall I ng-Venser-Stucco-Mosh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4: Elec.; Receptacles and Lighting, Distances-GF1 S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER .039-270-097 ZONING SR 1 BUILDING PERM OWNER KEITH KELLY TELEPHONE SQ. FT. OCC. BUILDIRIG-GLUATION OWNER'S MAILING ADDRESS 3954 FRONT ST, DAYTON 95928 135 @41 535 115 (@54 6,210 CONTRACTO 'S NAME DAVID WELSH CONST TELEPHONE 1343-0009 CONTRACTO 'S MAILING ADDRESS 921 ARBUTUS AVE, CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 11,745 UENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEER NO. —Plan Checking Fee $ 87.75 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3994 FIRONT STREET, DAYTON PERMIT FEE $ 265.75 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CI(XDuplex 0 Mobilehome 0 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 0 Addition INX Remodel 0 Utilities Q Installation 1:1 Other 0 DescribeWork: CONVERT APPROX 135 SQ FT OF COV PORCH TO PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 SUNROOM WITH 115 SQ FT OF NEW AREA Main Service 2111V OR LESS % GOA OR LESS 1 23.00 Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & Ace. BLDS. a 3.50 FT.* 8.75 CONTRACTORS LICENSE LAW I def6lare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in f 11 force d effect. f u _g license No. q 74 f -4;- Class-ification Q 1, as the owner, or my employees with wages as their sole compensation, will_�`o the work, and the structure is not intended or offered for sale. (See 7044) 1, as the owner, am exclusively contracting with licensed contractors. (See 7044) Q I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RE ID. BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1-00 BAL. @ .50 Ex. Occup. ( FIXED APPLNS. OR UTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $ 100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 28-79 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 Co.<�in 9�o?dgquence h ting of this permit. X r, O'�� Date Signature of Applicant - Q Owner k3 Contractor 0 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is C CON TOTA L FEE $ 340.50 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HE) This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f which fees have been paid. UBLIC WORKS B Date 97 VIAI'r4 PERMIT EXPIRES ON 77 VfW (Datel ReceiptNo. 153675-150.75 1r5_4tC-/7- 1'0/ WHITE-D.D.S.-B.D. CANARY-ASSMSOR PINK -INSPECTOR GOLD ENRO D-APPLIC ANT 7V TO: FROM: SUBJECT: Building Department Environmental Health Sanitatio.ii Clearance F.H., USE. ()NfY 1'1,,[ Han Atlached 1:1.mr Han Auaclwd S.11t to B.D. Ownel Location AP# Plan Approved for: Sewage Disposal Water SLIpply:' PUblic Private Well Clearance for bedroom. mobile ]ionic. Other Hold final for: Final clearance O.K. for: NOTE Environmental - Health Spec]afist. 8/92 Date COUNTYOF BUTTE - DEPARTMENTNF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE,CAtI.FoIROIA95965 -TELEPHONE (916)538-7541 ,Y) OWNER kel�A .1 Proposed Building Use_ PERMIT APPLICATION DATA SHEET 'A A. P. No. ' 0 3'�F -,27� - CC? 7-,000 Building Inspector RAO Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1 . All items have been submitted . .............. : ......................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ................. 4;"*,�*,.-o-'-01 .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............... ............................... 6. Energy Design Compliance and supporting documentation . .................. ----7. Statement of Intent for Non -Heated and A/C Buildings . .................. -!�8. Engineered truss details and layout in duplicate (required prior to plan check). 72F�— It 9fMobilehome data and manufacturer's installation instructions, 2 sets. :��1�Fees of $ 1,69 zz�- 51mpact fees as shown on attache�*S*c*he�*uie� '12' California Department of Forestry plan approva /fees ......................... 13. Flood elevation letter (100 year flogq by California Engineer ................... . /,_ -7 V —W 14. Sanitation and plot plan approval V"( Health Department . ............ 15. City of Chico plumbing permit . ................................. 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -in t, Bt ,r spection for required. . . g nBPOdOr�_(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. Vol, 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ........................................... 28. Mobilehome utility clearance . .......................... 29. Documentation of legal access . ..................... ; .... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone,34*� . ht) 01 and hold for pickup at office. Deliver with.inspector. Other Parcel Creation Acreage Applica4i��q,C,�—'�� atekj\-� [-r-l_ Copy of Haz-Mat form sent Health Depti Fire ept. _ Air Pollution Date Copy of plans sent . Health Dept. _ Fire Dept. Other Date By The following data must be submitted prior to permit an Item(not checked above). 1. Index permit for above items No. 2. Additional items required: x 7T - C t tW, designer, owner, was advised of above required jai;lb'y _ phone u mail Counter brf� ? Date ractor, designer, owner, was advised of above required data by _ phone mail unter by Date Plans checked by Date Plans approved by Date�/�' Sets of plans on hold in — File cabinet AP folder - Copy - Department of Public Works 114� . 4 0'?) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION, FORM (One Form Per-136ilding) School District— Building Department No. A.P. Number �70 19 7 Jurisdiction City County I . Property Owner Property Location/Address Subdivison Lot No. Residential Development Sq. Footage. No. of Living MHI Awdi&io n (Group R) Units CommerciaVIndu;strLial. Sq. Footage New Addition (Including Exterior Roofe Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. -4 ZU /eAb977-7 School District certifies that ffC ol 7 14 Y (Applicant) ,rle 7- 6�7– _6Ry,-V"J) Y53 (Street Address) (Phone Number) (City) (State) (Zip Code) by payment of $ has complied with the requirements of Resolution No. representing square feet. 74 School District Representative D Ae Paid by Check Number Bank Number Paid by Cash Remarks: /7-_e2:- tuiq I V& b _:dl\� bee— If, subsequentIothe School District Representative signing this Butte County Schools Impact Fee _Certification Form' -,,the School District is notified by the applicable Local Planning Agency that this project it being reviewed uiider the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees t&fuliv mitioate its imnact on the school district's schools - White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) A 3 -27-97 92-1704 E LLEY, KeitH & Dawnelle 3954 Front St, Dayton contr: Eagle Electric elec serv/sf . I I .. . I OFFIce copy Addr e ss, GAS Meter i3y ELECTRIC Date Meter By Date vt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK$ . � PI!AMIT NO. 7 County Center DrIve - Oroville, OdlIfOrmid 98066 - Talephow 016/1638-7641 APPLICATION AND PERMIT ASSESSOR P .. I . UMBER ZONING 039— MnO97 - I I ��WN 9 R TMI-EP—H U—NE he KPIllay 18,95-8566 PMR11 BUILDING PERMIT 11. FT. OCC. BUILDING VALUATION 0 WNRAIMAV61 N St., Chico 95928 11NMNFront OR'S NAME F1 Prtri TELEPH NE 1345-0395 C.NMO- CTAOR'S MAILING ADDRESS 2_100 PArY ma ; Chico 95928 Fireplace CONSTRUCTION - I UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 10SA Vrnnt Rt -0 nnyrnn Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 87 SUBDIVISION NAME Town of Dayton PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF [I] DuplexF� MobilehomeF� Other SPECIFY Gas piping system I - 5 outlets 5.001 Building sewer 15.00 Mobile Home S I G @ 15.00 TYPE OF WORK New F-1 Addition F� Remode I [:] Utilities [N Installation[] Other E] Describe work: Upgrade Service I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 18.50 18.50 Main service 20CA TO 1 OOOA) 37.50 CONTRACTORS LICENSE LAW I dec nder penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L i c en se No. 2 t ti 3Sf 5� Classification C_ 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) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 3.64 sq.ft.1 OR ADDNS. ( ACC. BLDGS. NEW CONSTFL MULTI -OUTLET @ 5.00 NON-RESID, BRANCH CIRCUITS) (POWER APPARATUS &) SINGLE OUTLET CIR. 20 @0 76 Ex. Occup( OUTLETS OR FIXTURES dAL� 0 461 FIXED APPLINIS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 3.001 — Temporary service 15.00 Mobile Home Facilities 15.00— Misc. Wiring 15.00 Pre -Inspection 1 20.0) 20.00 Permit Fee $53.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. Eel 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. F] 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 Fi I ing 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 County of 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 4�_ -c) /- 9 Signature of Applicant Owner [] antractorE] Agent M1__ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 53.50 HAZ 1 0 FEES I IMP I FLOOD COF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Counq Code and/or resolutions to do work indicated abW6_1 which fees have been paid. REdTOVOF PUBLIC WORKS By. Oate PERMIT EXPIRES Date Receipt NO. 115388 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEP'ARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov.ille, California 95965 - Telephone: 916/538-7541 -7f APPLICATION-ANDITERMIT ASSESSOR PARCEL NUMBER 039-270-097 ZONING BUILDING PERMIT OWNER Keith & Dawnplip Kelley TELEPAONE 1895-8536 SQ.FT. OCC. BUILDING VALUA]JON OWNER'S MAILING ADORES 3954 Front St. Chico 95928 CONTRACTOR'S NAME R1 Prt-ri r TELEPHONE 1345-6395 R91TPOR'S MAILING ADDRESS c.,�a 2300 Pnrk AvP_ Chirn 95928 9 Fireplace CONSTRUCTION LENDER 1 UNKNOWN Tot'al Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 3954 Eront St Daunn Each Trap 5.00 —Solar or heat pump water heater 20.00 LOT NO. 87 SUBDIVISION NAME Town of Dayton PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00, USE OF STRUCTURE SF[fl DuplexF� MobilehomeF� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W� @ 15.00 TYPE OF WORK New R Addition [:1 Remode I [] Uti lities [�] Instal iation[J Other Describe work: Upgrade Service I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 1 . 18-50 18.50 Main service 200A TO I OOOA) 1 37.501 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. C_ L i cerise No. R lk� 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason - NEW CONST. ( DWELLING OCC UP-8�1 OR ADDNS. ACC.BLDGS. J_ 3.6* sq.ft.1 NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) @ 5. 00�7_ PO ER A AR U & SiNWGLE OUPTPLE CIR. Ex. Occup(OUTLETS OR FIXTURES 20 (W 75 JAL- 0 4F;1 OCCUP. FIXED APPLNS. 0)RF, Ex. OUTLETS (RESID 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring *15.00 1pTP—Tn.-,nPrtinn 2-0—O(D 20.00 Permit Fee --I $ 53-90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. 1211'-f 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 r-1 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 con!=f the granting of this permit. X Date Signature of Applicant OwnerEl Qtractor E] Agent 5D,"_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ occ CONST TYPE ITOTAL FEE $53.50 HAZ 1 0 FEES I IMP I FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or rk Indic" ab wo 1 00 which fees 01 OF PUBLIC By PERNMT EXPIRES Date _,��Z44e� applicable provi-_ resolutions to do have bee In paid. WORKS Date Z Jr - Receipt No. 115388 WHITE-O.P.W.. YELLOW I -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE DEPARWENT�,,OF PUBLIC WORKS - BUILDING DIVISION ;-1 Nul,:t' �_: � . t - 7 COUNTY CENTER DRIVE - OROVILLL, CALIFORNIA 95965 - TELEPHONE (916) 538-754 PERMIT APPLICATION DATA SHEET OWNER P,� N-0 -7 �-O q, 7 Proposed Building Use L/ Building lnspe��,e42!� � Date !;;-Z- 2- / _Zf At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: V# , DATE RECEIVED BY 1. All items have been submitted . ........... : ............................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet'signature on plans . ............. - 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement,of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets ............ - 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees . ........................ 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: .. ........ 18. Contact Land Development about (A) Improvements (B) Drainage ............ .19. Driveway permit (cons-truction. a ...... fo i�;, proval required prior to occupancy). P;n;.lASp,1i.n requ .t�e A_9rX��20. Pre -inspection r L_.- required. to Building Inspe (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner _, Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization .................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ........... ......................... 29. Documentation of legal access . .................................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 14 Parcel Creation 5/__2 / Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date* Copy of plans sent - Health Dept. _ Fire Dept. Other- Date By The following data must be submitted prior to permit issuance:,(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by,. phone - mail -Counter by _ Date Contractor, designer, owner, was advised of above required data by'�, phone _ mail Counte,r by _ Date Plans checked by Date Plans approved by )i -Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works lio COUNTY OF BUTTE_,,� DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95985 --Telephone: 916,'538-7541 APPLICATION -AND PERMIT -' A33ESSOR WARCIEL NUMBER 0 12 — Q-2 6 — () 2 _2 — G 0 BUILDING PERMIT OWNER ` D k,_00 EL ue KELCe-V R- ez-y- f� TELEPHONE 9%-g S-9536 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS .� 7 _� A _S IF k 0 (-J s " c 41 Co I C CONTRACTOR'S NAME _FRL C I t�pl_ C Le C C (EFC- KELEPHONE CONTRACTOR*S MAILING ADDRESS L) C -4t C C) C: Fireplace 1$ CONSTRUCTION LENDER UNK NOWN, Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING. ADDRESS Penalty $ BUILDING ADORE S aS ermitfee $ PLUMBING PERMIT FilingFee- 15.00 Each Trap 5.00 So I ar or heat -pump water heater 20.00' LOT NO. SUBDIVISION -NAME, PARCEL.MAP WW 9F D It -17-V C) Water piping* 7.00 Each qas�water heater or vent 7.00 USE OF* STRUCTURE, SFO-_'OuplexF� Mobilehome[] Oth'e'�- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building -sewer, 15.00 Mobile Homer, I S. I G-1 W 1' 15.00 TYPE OF'WORK. New Addition J�emod 15 In allation Other Describe work: Permit Fee Contractor� ELECTRICAL PERMIT' 15.00 600V OR LESS main -service 18.50 200A OR LESS Main -service' 200A TO 1OOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 7. 1 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- I,, as the Owner,.. or- my. employees with wages, as.theWsole,compen— -sation-,.will do We, woirk, and: the -I, structure- is rimintended.,or offered. 'A for, sale. (Sec. 7044) �, _�;. .., I .,as the- owner;, am-' exclusivelyl. contracting, with I Icensied, contract -r. ��s- ' (Sec -7044) f ET I aim -exempt tinder Sec-.' Business. and,Professions Code- tor -this reason NEW CONST. DNS. ( DWELLING OccuP-aiy 3." sq.tt. OR AD ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESIO,. BRANCH CIRCUITS)' @'5-00 POWER APPARATUS &I (SINGLE OUTLET CIR. I --- Ex. OdCUP(OUTLETS OR Fix-r-URES' 20 0 AL 0) 469 -1 FIXED APF-LNS. OR Ex,.. OCCUP. OUTLETS (RESID.) EA,+ .3.00 Temporary. service 15.00 Mobile Home Facilities 1 15.001 Misc;.Wiring. 15.001 wcnv PO 'Permit Fee s. 55'1z� WORKMEN IS"COMPENSATION INSURANCE I declare under penaltyof perjury, (checW6ne):.. The permit is for,$100.00 (v . aluiitioriyorless., � ' ' � : Ej- I have placed on fi [a with the- Cbunty� of, Butte-BuiIiiing Department-, a- Certificate of- Workmen's, Compensation lrlsurance�or, a Cart I f i catez, of -Consent to Self -insure. F -1 I shall not employ -any person- iniany manner.so as to become subject to the W. C. laws of California- Notice to Applicant: If after makimg this statement, should you become's'ubject, to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal.l.-b4rdeemed revoked.. Contractor -.'-MECHANICAL PERMIT- FilingFee 15.00 Heating - it Cool i ng - Hood* 6.501 Venti lation '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 Signature of Applicant — Owner D Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 73 S D7 HAZ 1 0 FEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE T his permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date n�n� # ____ ReceiDt No. PRE -INSPECTION OWNER: DATE Iq LOCATION: 27 CONTRACTOR: CL- ZONING PRE -INSPECTION FOR: m DATE TO INSPECTOR PERMIT HISTORY: NONE El' AS FOLLOWS:' MR. I �1, M, nF."ll __EWRM_�W I TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TE2NNANT: k1 0 OCCUPIED HAS ELECTRIC ��-HAS GAS -HAS SANITATION - FACILITIES [��HEATED-COOLED PERSON CONTACTED- PUA A OTHER COMMENTS: ACTION RECOMMENDED: Ez ISSUE. E::]. HOLD FOR .f OTHER: PC) () s W �L-L k) oT- s Etc e J 'Bufte OROVILLE, CALIFORNIA GENERAL -CLAIM. CLAIMANT: Larry J.' Lambert ADDRESS: Box 146-A, Nimshew Stage Chico,, CA. 95926 CITY & STATE: IMPORTANT:. DATE OF CLAIM . December 24, 1.979 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR *SERVICES DATE DESCRIPTION OF. CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 12/24/79 `Owner decided not to build. (Building Permit Appin. #7316-79B,P,E,M - Receipt #32934 AV 39-27-8t por Building permit fee $199.50 Aetain plan check tee Amount of refund due ---------------- $133.00 Plumbing permit.. fee $ 21.00 Reratn ftttng fee ------- Amount of refund due ---------------- 18.00 Electrical permit fee --- $ 39.20' Retain filing fee ------- $ 3.00 Amount of refund due ---------------- $ 36.20 Mechanical permit fee $ 13. Ob Retain filing fee ------- $ 3.20 Amount of refuhd,due ---------------- $ 10.00 Total Permit Fees Refund Due -------- $197.20 Land Development.Fee Refund Due ----- 1 5.00 TOTAL REFUND DUE -------------------- $222.20 $222.20 TOTAL $222.20 1, the undersigned declare under penalty of perjury. that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. of Dated this ......... day Calif . ..... ................ A ............. at.0 4 ................................ ..... : ....... ...... S� laiman;,*... 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been pprformed or de- livered. and that there is a Budget Appropriation r_ I or Specific Board Approval (Checkone) for the same. Dated this ............. 24th� ......... ............. day of .......... �ec .......... 19. a, Calif. .................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................ PAYABLE FROM ............... . . . ............... . . . ............ .. . ...... FUND DO NOT- WRITE BELOW THIS LINE - AUD!TOR'S.USE ONLY VENDOR DEPT. CODE & SUB. PROJ. SUB. 0 BJ. CLAIM. NO. INVOICE INVOICE NO. DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Cen4 brive,�. Orovi I I e, Calif orni a 95965 Telephone: 534-4541 �?&/& -7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 14�V� __ - Date Sirgiud/bf Permitee or Agent o.. -2,9 4 Receipt o. White-D.P.W. - Yellow-A55e55or - Pink -Inspector - Goldenrod-Appli cant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner LARAy 6.4mge-gr SQ. FT. OCC. BUILDING VALUATION le .1-70qo Mai I Ing Address 13Ax 1v6 A A)IMYli-e-cy 57406 4(op m 2,160 colce C,4 Teltone No. '3q -91VY— bo 176 Contractor 0 tO A) C5/2 - Mai I ing Address Fireplace Total Valuation Telephone No. dress o Building Ad )y Iff/s FeA) _r 77 NPP-69�_ Plan Checking Fe��or Penalty (0(0.60 _P_e_r_mTTTF— 50 $ fql. $ 1q7 Ise C2,51 r 1A) C) IC G &P_eff s r PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 '?.. 0 0 ach Trao E 9 2.60 16 Jim Jr .AV LO 7-0 IDA/ Repair drainage or vent piping 1.50 A. P.JNo. Z( ng & Planning Water piping it .60 100 Each gas water heater or vent 1.50 F44s 1JRUSanitationlFire Dept. I FireZope Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Pa king Plans Parcel Declaration Parcel WJ 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 V Bldg. Plans :g'd P.-4. �2pro 01 Plans Approval Lawn sprinkler system 2.00 NEW [If ADDITION UTILITIES OTHER Permit Fee $ u. 00 $ at —ro P=z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.TO 4* 600V OR LESS Main servic 100 AMP OR LESS 5.00 Single Family Duplex Mobil HomeE] OthersEl Main service EA. ADD -L 100 AMP 2.50 OVER 600 Main service 100 AMP OVR LESS 25.00 Main service A A. ADO'L 100 AMP 1.00 -E - C -.ST. I W ING OCCUP. 51 0 R A .. S. ROGS. 120sq ft 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: NEW.CONSTFL (MULTI -OUTLET NON RESID. BRANCH CIRCUITS) 12.50ea NEW.CON,STF;L (POWER APPARATUS & NON RES D. SINGLE OUTLET C JR. 250 Ex. Occuo(OUTLETS OR FIXTtIPES rBOA*L @ I ( F XED APPLNS. OR Ex. Occup. 01UNLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. 44"16'13 Classification J-1 Misc. Wiring 6.25 IzLmr OR &AL ruAzi &L, I 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. rVi 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. 0 FEE PERMIT FILING FEE $3.00 5,0() Heating UA�,OCR 100#*)Ip_ 41.()o Q. 0a Folng Cooling 9;451 .41, OC) 44,,90 Ventilation Hood J 2.001 ;1.00 Permit Fee $ 13-00 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 Land Development Fee TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 14�V� __ - Date Sirgiud/bf Permitee or Agent o.. -2,9 4 Receipt o. White-D.P.W. - Yellow-A55e55or - Pink -Inspector - Goldenrod-Appli cant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S F. DUPLEX, & MISC. ONLY) Blda Permif- Z OWN-tR A; GENERAL V ��- ning requirements.(sideyards and parking). _.Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PIAN Complete parcel size and dimensions. Setbabkp, sideyards, easements, etc. Other buildings or structures. Grading, fills; drainage. C. FLOOR PIAN Complete to scale plan with dimensions. Required windows for l'ight and'ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). A. P. 73 Apl'-0y- 16-q4 - r-ly V, 5S A41$ _-, ,0- Allowable glazing for energy requirements (20% max. per.State law). �an impact glass (Sec. 5406).. .Requ ired room sizes, ceiling heights (See. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior recepta6les echanical equipment. for maintenance of Locations of water heater�,�ea :ng ��o ing-equipmepl, other electrical or gas xtu _,.op-quipment, and plumbing re ,j ,,.P�age'firewall, door size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). W eplace 1 ocation. Smoke detectors (Sec. .1413). D. STRUCTURAL DETAILS _-A-.--"'Foundation plan complete enough to construct building. ,;,7:::1�1oor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. >'e_:�Roof construction details complete enough to construct building. irdplace construction details and caics if over one-story in height. ufficient data and details to satisfy energy insulation requirements (State law). _�Psl MIS LOOK OUT FOR 'CCX plywood on exposed locations and overhangs. Stairway details (Sec..3305). Guardrail details (Sec., 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. ,J�-. Garage door.br porch header sizes. Adequate bracing. Living area over garage complete 1 -hour separation walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting I n 'sk� f X/l gel W, 7 v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 CountxCenter Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AAD PERMIT PERMIT NO., ASSESSJJRCEL NUMBER — 2 7 7-1 ZONING 1 BUILDING PERMIT OWNER I L� A KIR L4,4 AMAL TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER's MAILING ADDRESS CONTRACTOR'S NAME C—, -�Y% -te TELEPHONE CONTRACTOR'S MAILING ADDRESS 9, A Fireplace ER CONSTRUt:tION W& UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING7DYRFSS Permit Fee $ ARCHITECT OWNGINEER 11il LICENSE NO. I Plan Checking Fee $ Penalty $ _ --- — ARCHITECT OFFEVCfNE"'S MAILING ADDRESS Permittee $ BUIL INCj, ADDRESS 4i�:ro S + A.1a t W ,I �- PLUMBING PERMIT FilingFee 10.00 G K Each Trap 2.00 Repair drainage or vent piping 5.00 41 ;;�--Q Water piping ,�Y*yo/ I 4 S 9. ac qas wa er e er r v n Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [Pe"O'DuplexR Mobilehomen Other SPECIFY '77e, Building sewer Lawn sprinkler system x, -51, r -11f TYPE OF WORK New r Add ition [:1 R emode I D uti I ities 0 1 n sta I I at i o Other F24- Describe work: <'. Permit Fee $ Z) - contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 ze,11.111 21ee Main service EA. ADD -L 100 AMP 2.50 NEW CONST' ( DWELLING OCCUP.81) OR ADONS. ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code _pnd my license is in full force and effect. License No. _:��15LA6 Classification El 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code for this reason NEW C-5-N—STIRL ( MULNI-OUTLET NO "'. R E S I'D. BRA CH CIRCUITS) 2.50 ea NEW CONSTR. I POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR . 50 Ex. Occup(OUTLETS OR FIXTURES B A *L @25100t 3`15 L -NS. OR I .j.PUIXED AS Ex. Occu TLE T (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. >W 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. F� 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. Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilt i*e Judgmen s, co s, d expenses which may in any way accrue against s ��cons the granting of this permit. X " e Date. '2- `� Signature pp icant Owner F-1 Contractor El ent !f A I Ago An OSHA permit is required for excavations over 5'0" deep a e lition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -fo, Oil: J OCCUP. GROUP I TYPE OF CONST. I PARCELI PIT I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which _'ID11 -TOROF PUBLIC REC By AV PERMI TExP_m99-_-:;�JKte I _ e the applicable provi- resolutions to do fees have been paid. WORKS Date .- Receipt No. 2 tz GOLDENROD-APPL I CANT WHITE-D.P.W.. YELLOW -AS SESSOR. PINK -INSPECTOR. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IWIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION ASD PERMIT 1/- ASSESSJTRCEL NUMBER 00 017 ZONING 1 BUILDING PERMIT OWNER ITELEPHONE L A KIR OWNER's MAILING ADDRESS SQ.FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME (:�!� C-Atf!X J.,44 C -.**!P. - TELEPHONE I- % CONTRACTOR'S MAILING ADDRESS - F i replace CONSTRUt`TION ER A015- KNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING �Poqnljss Permit Fee $ G R ARCHITECT OR,&��- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OFWEVYNE"'S MAILING ADDRESS Permit fee $ BUTDDRESS A� S+ Aagi,,ox w PLUMBING PERMIT FillngFee 10.00 aft . — is Kc,, S77 -(- Each Trap 2.00 lepair drainage or vent piping 5.00 — �%rr ALI ;?E)e4' - J , Water piping ,�Zipo/j 1�4;r fuz SUBDI PARCEL.MAP --ew Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF S RUCTURE SF U�" ZDuplexF� MobilehomeF� Other SPECIFY Building sewer Lawn sprinkler system So/, -/z , T/" le'l ---5.00 12-4,0 C) TYPE OF WORK NewEJ AdditionE:] Remodel[:] UtilitiesEl Installationj ther �7t��tractor Describe work: A V Permit Fee $ ELECTRICAL PERMIT FilingFee 10.00 Main service 1111 01 LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 1100 AMP 2.50 NEW CONST DWELLING OCCUP.01) OR ADDNS. ACC.BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession.s Code,nd4y license is in full to and effect. License No. — . 951 Classification 4 F] 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.—, Business and Professions Code for this reason —NEW CONSTPL(MULTI�OUTL - T NO .RES'D. BRAN . CR CELTS) 2.50 ea NEW.CONSTR. (POWER APPARATUS .) NON RESID. INGLE OUTLET CIR . EX. OCCUP(OUTLETS OR FIXTURES 50 @ 25C BAL@10t IXE EAPPLNS OR Ex. Occup.(OPUTL TS (RESI'D.) EA.) 2.00 I emporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I i rig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. %c -V 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. F] 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. Heating Cooling Hood 3.00 Ventilation :T Pemit Fee Contractor ! certify that I have read this application and state that the above informatio 1 s correct. I agree to comply to all Courjty Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned p!operty for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judgments, cols,&4nd expenses which may in any way accrue against s yVycons T the granting of this permit. X Date ww- Signature ff Applic'ant — Owner El Contractor El A 9 e, �nt An OSHA permit is required for excavations over 5'0" deep a - e lition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. JPARCF1J P6'J .0 1 ISSUE: This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D I R E 0 F PUBLIC By. 6<2� PERMIT the applicable provi- resolutions to do fees have been paid. WORKS Date,!�'�—& '70 — Receipt No. 6 ;!�) Z2-- �Z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROB-APPL I CANT ru Inter -Depart"' emorandum FROM: SUBJECT: DATE: 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7'County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7 4 Af opt 14 =� '/ - 4nW 0 .1 — BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. PLease notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanat)6A, please coptact this office immediately. �WA 011 05 2 VA OR SPYN , U -NN", a IN . -1 ( L---Jf Inspector Date I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORIkS 196 Memorial Way, Chico — Phone: 891-2751 7 Co�nty Cenier Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE P V BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this tion,'Please contact this office immediately. d/ '5:- " " 71'�- T /I r*-"<Jf 5' /.,u ;;,a 67 V 5-L1,10,1,f 7- /� Inspector Date I 01 5493-80B,P,E,M PERMIT NO. PERMIT EXPIRES OWNER Larry Lambert owner CONTR. 39-27-84 port. ASSESSOR PARCEL LOCATION 3954 Front St., lot 87, Dayton Temp. Power Pole Called PG&E Temp. Elec. Service ��- /-Z/,5 /Ii377 Called PG&E Temp. Gas Service C JOB F S M1 VA i/ = OK r 0 = �Jdt OK - = Nq.� Aj5plicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDEaFLOOR (Plans) OK except #'s Date FRAWNG (Continued) klzo�g requirements -Setbacks -Easements 461 -Property Line Firewall & Openings t.ortg, Main; Soils-Steel-Elec. Grnd.- //Z�/" Ftg. Depth 4Setxt. Doors -One X -Check Garage-3rd-.4ept-2-exits 7._,Wg., (�arage; Soi Is -Steel- / i ZJ" Ftg. Depth 5&. --ft loli th-Headroom-Rise-Run-Landing-F ire Protection Porches & Decks; Soils -Steel- Ftg. Depth /1 d on V rhang-Attt_V--Ms-RaftCA.Gtttriggers eg)walls, Main; Steel-Blockouts-Wrapped-Slab MJ C5WSidinQa-i��Veneer 'Roo ih�.Vrrr`walls, GarageSteel-B lockouts -Wrapped -S lab _ -!!!!!!!�—�-Drip Screed-Fdn. Vents-UnderfIr. Access 7,nie�s,-Firepkt6e Ftg.-Steel 54--'I�lazing Area -Glass Protect ion-Skyl i ghts-P last ic 8.#TW.V.: Fall -Fittings -Test -2 wa)�,�/O-Sewer Test Nailing -Bolts e -Anchors 1pe, I est-Anchors-Regu lator-Sery ice Test ic; n erground 1.1.1 --is � , C learance-Materi al -Support- Ins. JQv)JtMzWT--&K+s-Anchor Bolts -Joists -Vents -Cripples Card -BI ex_v Card -Bl' Date Card -BI Date'?//,/4;��F Card -BI Date Card -Bl Date Card -BI Date Card -BI D a t e /-Z )FK/IbV Card -BI Date Date FINAL,4FIans) OK except #'s Card -131' :!��Daty Card -BI Date Date, PLUMBING (Permit) OK except #'s *0"Ext. Steps -Door & Sidelight Protect ion- Land i ngs 5Aeloke Detector Vent- ApcjE�ss-Combust ion Air %eol�urnace; Vents -Clearance -Comb. Air -Connector - In Gff2ge; Above Floor-Ducts-Mech. Protection W_ lier PipefW& Anchbps--Nai I tjotect ion '"/ D .&V--,(r&?0LFtftsr& A%ohors-N H &r&tj!1!ion JP__ �_Wroorrt Exiting ower Pan; Test F:ir.t F=1r,1erT"1 60�-G.F.l. & Bath Fixtures & Tub Access 4ar_-_+eST-rub & Shower, 2nd Floor -Tub Access eP,' Elec. Trim & Subpanel; Breaker Sizes -Labels _Ja4_Gas_Rpe; Size & Anchors 6belf-ireplace or Stove; Clearances -Hearth J�J�. Outlets at Wood Panel; Int. & Ext. Card -BI OR Dateq-df Card -BI Date Lw* -K i I _._F-ixt, & Applianc'e; Grnd.-Air Gap -Cooking Clearance Card -BI Date 't? JZw Datef/4�2T Card -BI Date ELE��ICAL JPermit) OK except #'s eb,-6ecz-utiets & Receptacles at Kit. Counter Ar!sr�Door; Swing-Landiog-clo er C_Pifc't in Garage-Damppr R,1(1o_,4 (,�d F�0 *--F i x t u re T raA64*weer-etea ra nc e - I n s.44��e c I i on 4 � tr. Htr.; V*we-,-QleaL-eCe-ComAN,4rir--Cormectm-P.41%.- 15�0nrag&,��ove Floor ech. Protec 7— ai,�c . Receptacles Spacing s & Switches at Doors .7 W !Lize Boxes & 4R.�-,5f-c-d6ifuct-o-j*t-stalLe& 7L.-I"Plb., Elec. & Mech. Equ i p_._L -15707577-ocat ion P!�22mex Installed Close to Edge of Studs & C.J. 7LZre��.ceptacles in Garage; (G.F.I.)-Romey0rotec 2iK Estuip. Ground made up w/Mech. Fasteners-Be"d-fttt Water 7tf!!��u t i on -Foam- Looked in Attic ELK.9�4 2,Appl iance ircuits in Kitchen & Conductor Size 1�-,;7'IAG M,-,gu�jr;d Ra*is-"e&k-9onsyliction-Poti.06ps Subfeed ga. Cu or Al-A.C. Wire Size //0/ ga. Cu oF A %--,r-dn. Vents & CravH-I4efe-8uaT._D[ainage & Wood -Earth Clearance L_pe4tled under Floor 9417*,'O� an C irc. / 6/ ga. Cu oj�0vee:9a==6=--/ ga. Cu or Al, 2i��C. lated Neutral P,)Les __?d '_Mz��connect 715eFollowing instid.: Drive _aLy-ef F) No; Walks L4 -Yes 0 No; Plapters El Yes b< k- Service-Risertgol7ductors & Gr& f rogg�� C. isc(LAeE`a1rwWs-J'8&'<r & Cond,,S1ze-115\& 92� 29. Equip. Clearances; Pane�ls-lvlotors-lvlech. Equip. '3V--e,tafts Closet Light -Shower Light 71��_s�'Above_Maf`-,I'Sg. -A ppl i ance- F i rep 1. -C I earance to Opngs. 7hw"W!2r Well; Disconnect, Electrical, Plumbing aw-fxte!pr Eiec. Trim; G.F.I. Receptacle -Underground Card B -I (4� Date vs; Tg_��o Card -B I Date Te-Wntilation throughout House Card B-1 Date Card -BI Date Date !F MECt&�NICAL (Perrrit) OK except #'s ge. W§_ Plutection %,!!!� �r.o ns from P�evious Inspections 84--G A��est-Meters Tagged; Gas -Electric 341-A.C. Ducts: Insulation & Support t & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 36�Vent Fan: Exhaust above Insulation ,&q--QgP4ens-a7te Drain & Overflow; Size & Grade 3k'Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 3& --,Attic Access & PIaTf0rTff-r+-F�df44a64q.An_A4UC Card-131��r Card -BI _�e Date.59. Card -BI Date Date(d 4 le'Z Card -61 Date Card -BI Date Card -BI Date C& - Card -131 Date Card -Bl Date Card -61 — Date -1 ' I ' Card -BI Date Date FRAM!NG(Plans) OK except #'s Comments at Final: zesw'Ks; Proper Material & Anchors 1__ g & 3 ds -Nailing, Spac,&n Brracing-Plates-�Sound 's, Stu g S g & c rs earing Wa ve G,,de Fl.. N &q..�Draft Stop in Walls (rat proof) _4Do,"Fire Stops; Furred Ce.�Kings-4tai4;p,-Cht%es'*-T�� 4a,-lTe-ader & Beam -Size & Bearing 43, Fjoqers-Post Caps -Anchors -Connectors R S hp<q. fR �np. ap"Pireplac��Type A Flue . epl evwttic Access; Size & ecti DrafLSKp_-lns. Baffles m indows or Exiting IMors X- arage Fire Protection Framing (NOTE: An entry must be made each time you visit jobs ite) OK 0 = Not CYK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requ i rements-Setbac ks- Easements 2. Soils: Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; L ocat i on -Test- Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ P' L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -131 Date Date Card -131 Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Req u i rement s-Setbac: ks- Easements Card -B] Card -131 Date Date Card -BI Date Date Card -131 Date POOLS (Plans) OK except #'S 1. Setbacks- Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compact i on -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers- Brea kers- C I eara nces 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances -GF] 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures- Pane I boards- Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -Bl Date Card -131 Date Card -Bl Date Card B-1 Date Card -131 Date Card -B I Date Card -BI Date Ir RES IDE1,Tf IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMLPLLkNCE CERTIFICATE THIS IS. TO CERTIFY THAT ENERGY CONISERVATION REQUIREMENTS- HAVE. BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERG CONSPRVATION REGULATIONS N��o V.) 05A 1 7— (16catioh) t o,r BUILDING PERMIT NO.1_'5y7:77 A.P . 0. N THE FOLL014ING HAVE BEEN INSTALLED AS PER APPROVED PLANS: 1 (Check each item or write N/A.Af not applicable) INSULATION: GLAZING - Slab Edge. Single' Glazed Fdn. Walls Special (Insulated) 75,73 Floors CERT.-& LABELED WDS. /_73 Walls & SLIDING DRS. Ceiling/R;of WEATHERSTPIPPED'�RS j4 14 6i"L, --t Ducts Qga.,Aa BACK DAMPERED FANS IV —7t5'— .9e Circulating Pipes INTERMITTENT IGNITION _DEt*jCES' APPROVED HEATER ff 0�9 CERT. APPLIANCES APPROVED WTR. HTR.&L-Ca(r I DECLARE THAT ALL REQUIRED ITEMS AS -NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE.WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERT;qCATE A��UBM�TTED f. Z�� " Insulation Applicator ljdi�yie ( /� ('� Z11 Signature of le ' s print) Insulation Applicator /-N- r State do a tors License No. Ceneral Contractor/(h,-ner Name Siguature of (13aeasA print) General Contractor/Owner Zoo, � - ?,�*"Da'te 6. _rl tl State Contractors 4 License No. 61K3 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTWENT OF PUBLIC WORKS P IT NO t I — 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I A Ass S 0 PAR -CEL NUMB r, , r Iv 7��,o ZONING &1i", '�7_ BUILDING PAW" rwr 17�& za OWNER TEUEPHONE SQ. FT. OCC.1 BUILDING VALUATION OW"ER'S MAiVNG'ADDRE5S ACTOR'S N/AE CON --ET-E-LEPHONE J, &_1� / C3 ,�� CONFTRACTO7S MAILING ADDRESS I * 01) JUNKNOWN 1(7 L Fireplace ��.r Z, 0 Total Valuation 0 0 * EN:V MAI L;�Z AD15RESS C/// Permit Fee 460,40 0 ARCHITECT OR ENGINEER 41C LICENSE NO. 1 Plan Checking Fee*UZZe $ /Io"90 Penalty $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR ,3 PLUMBING PERMIT FilingFee laoO Each Trap 2.00 A00 Repai r drai nage or vent pi pi ng 2.00 Water piping — L5 -,o o LOT NO. tf7 SUBDIVISION NAME Oa4g, CEL MAP —Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFKr""DupIexF_1 MobilehomeF-1 Other SPECIFY Building sewer Lawn spri nkler system . +�- _00— TYPE OF WORK New [:��Addition R emode 1 [:1 Utilities El instaiiationE- Other [:1 Describe work Alm_/ Permit Fee $ 26"t 6 Contractor 7-�"� ELECTRICAL PERMIT F i.1 i ng Fee 00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 0 Main service EA. ADD -L 100 AMP 2.50 �7, NEW CONST. DWELLING 0 OR ADDNS. ACC.BLDG 20 sq ft _7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the usiness 0 f and Professions Code and my license is in full force and e fect. License No. -,A 5:'�6,'4Y3 — Classification A�t F] 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.-, Business and Professions code for this reason NEW CON5TF;L ( MULTI.OU LET IT NON RESID. BRANCH CIRCUITS) 2.50 ea I NEW.CONSTPL (POWER APPARATUS &) NON RESID. SINGLE OUTLET CIR. 50 @ 25t Ex. Occup( OUTLETS OR FIXTURES BAL@112� I FIXED APPLNS OR Ex. OCCUP-kOUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mpe&.� ;PL/ 6.25 L1 C,7 s7y"-- I Permit Fe6 $ Contractor AICIA72- xhrl��7�, MECHANICAL PERMIT FilingFee 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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. Heating t'W&T 0 Cooling - _7 /, , 0 Hood 2.00 100 Ventilation zo C) Permit Fee $ 0 Contractorj%&-/Z W_fr/l I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agr�Eto �ave, indem54 and keep harmlq§-R-tbe County of Butte against all liablviJA S, d, n s Its, d ef which may in any way accrue 'V(afid Co'u' g t I _,and experls again u n n c; q , :�u�exha qLanting.of-this permit. Date 11-3 F I? Signature o&pp 6"n, - OwnerE) Contractor IX Agent An OSHA permit is ryuired for excavations over 5'0" deep and demolition or construct- of structures over stories in height. 'a Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUlPROUP I TYPIW CONST, J11R11 :�71 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above Jor which DIRECTOR OF UBLIC BY- 59 :aA PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /C;Z-- rn C Re eipt No. yo -3 w. IT E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OFBUTTE — DEPARTME14tdr-'OUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — Oroville-, California 95965 — Telephone: 534-��45411 Z-",. - - - - I OWNER Proposed Building Permit fee based Building Inspector PERMIT APPLICATION DATA SHEET upon: —Complete Contract Price —.;—Other(e la* _Tx ,p; i n / -,V., 0 W W, � 7, t time of permit application, I was issuance: 2. 3. 4. 5. 7. 8. 9- 'k1 2. l 3 . 1, 14. 15. 16. ng data must Permit No. A. P. N o. 49-- .;�m= DPW Valuation —Date —Z/-- ?,—,LCD submitted prior to permit processing and/or DATE RECEIVED APPROVED All items have been submitted ................................................................... Plot plans in duplicate/triplicate ............................................................... Complete plans in duplicate/triplicate ................................................... Complete engineered plans and calcs . ............ I ........................................ Plans with Energy Design Compliance State nt . ........................... State Energy Formi No. & /.1 Statement of Intent for Non -Heated & AC Buildings. Fees of $ Letter of signature authorlZt�iri ............................................................. Sanitation approval from Health Dept. Planning approval for ............. Certificate of Workmen's -Compensation Insurance ........................ I U 0 1 k G Contractors License Information (no., name style, classification) .................. w ............ Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) . ................................................................................................ Pre -inspection for required. Pre-inspec. request to Other bldg. -inspector (date) When you issue the permit, process as follows: —Mai I to owner iocontractor. Telephone and hold for pick-up at —office. —Deliver w/inspection. Other 11 Applicant Date :)py of plans sent — Health Dept., — 64re bept., —Other Date uring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of applic2aiokcirrle ite 1 . Index permit for above Items No. _ /'V — I 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by M_ Plans approved by Copy/DPW Telephone Mail Other Date .444';A 64114� To: Building Department From: Enviro.muental Health Subject: Sanitation Clearance Z, I-Mve 0 -27 Owner Location Plans approved for: SeWa6e Disposal later supply Hold final for: Aster Supply Final Clearance U.K. for; 'dater supply Clearance for bedroom mobile home* Other Clearance for addition of Note** S 71e, Sanitarian Date