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HomeMy WebLinkAbout040-260-07340-26-73 ® Arian Me ith 9223 Walker Dr., Durham Permit #4854-8AB,P,E,<M(n eA;>jp�e amily)Z 'j i i i 0 D N _- f 1 � ' _- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:(530) 538-4365 OFFICE #:(530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds Site Address: 9223 WACKER DRIVE APN: 040-260-073 Permit type: MISCELLANEOUS Subtype: HVAC Change Out Description: HAVC CHANGE OUT PROJECT INFORMATION Owner: MEITH BRIAN A & CORD, 9223 WACKER DR DURHAM, CA 95938 (530)343-2162 DAVY'S HEATING AND AIR CONDIT DAVY'S HEATING AND AIR 2700 HEGAN LANE, # 172 2700 HEGAN LANE, # 172 CHICO, CA 95928 CHICO, CA 95928 (530) 826-3400 (530) 826-3400 FEE INFORMATION DBM Heat Pump (Package Unit) $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires DAVY'S HEATING AND AIR COI 212775 / C 20 / 10/31/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 700) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X /- �� 02/25/2009 Cont ors ignature Date _ WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑ I have andwill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. 'have and will maintain workers' compensation insurance, as required by Section 3700 F of the Labor Code, for the performance of the work for which this permit is issued. My workers' Carrier: STATE FUND Policy Number: 713,0016105 Exp. Date:05/01/2009 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 X bIgnaturai Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION_ LENDING AGENCY DECLARATION I hereby affirm under penalty of pedury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address Lenders Name & Address City State Zip Permit No: B09-0250 Issued Date: 02/25/2009 By TMP Expiration Date: 02/25/2010 Occupancy: Zoning: A5 0( Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure 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).): I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). I am exempt from licensure under the Contractors' State License Law for the reason: n 02/25/2009 APPLICANT DECLARATION By my sign below, I certify to each of the following: am California licensed contractor or U the property owner' or U authorized to act on a property owners behalf". have read this construction permit application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspectio rposes. California Licensed Contractor, Property Owner' or Authorized C, �r6,c4 CvoSjr/ol rr/ 02/25/2009 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATIONS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE.WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name First NT �y Mailing Address 97,73 l --q e -,lc P �� jj�✓ Cityfid / �o ey State Trp g Phone 3"-7. lel- Z Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Address Name Zip Phone Fax Address Z Tao, N 4q /P? A� /7Z City iCra Zip State Fax Phone K,,67-_3 63 %0 Fax ,37 E-mail � Lic. # -z �2 7 7 Class G_ 2 d ARCHITECT/ENGINEER Name Address City a Zip Phone Fax E-mail State License Number APLl:,PLICANT SIGNATURE k PROJECTLOCATION AP' (Q-2/� V Property Address p 2 �CC�� CityGi -/I 4 WORKER'S COMPENSATION Policy Number_ 7 Carrier y tf hiring anyone other than'ticensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- laving Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Gi v sG Address ISRAI City No State Zip Phone Fax E-mail APLl:,PLICANT SIGNATURE k PROJECTLOCATION AP' (Q-2/� V Property Address p 2 �CC�� CityGi -/I 4 WORKER'S COMPENSATION Policy Number_ 7 Carrier y tf hiring anyone other than'ticensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- laving Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone ISRAI Yes No Occ. Type Const. 00 o PERMIT N0.lgR7dEi �&! C-854—�808 P F •M. PERMIT EXPIRES �D 4Z O� OWNER Brim Meith owner CONTR. 40-26-73 ASSESSOR PARCEL LOCATION 9223 Welimr Dr., Durham ?Y 5 y It ,I Temp. Power Pole 44 j/ �) Called PG&E Te Elec. Service —Zc Called PG&E Q i t Temp. Gas Service Called PG&E JOB NALED (Date) Signature J =OK O = Not OK 4nr - = Not Applicable MOBILEHOMES MISCELLANEOUS , = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -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; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line. 2. Soils; Compaction -Structure Stability . 3• `Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J it J = OK O = Not OK _ - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK exce t#*s Date FRAMING (Continued) - ing requirements -Setbacks -Easements Property Line Firewall & Openings ge-ttg. Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth jg/Ext. Doors -One 3' -Check Garage -3rd -&4w ,a-% ids g., Garage; Soils -Steel- / /,S7" Ftg. Depth tairs; Width -Headroom -Rise -Run -Landing -Fire Protection t.—F'{., Porches &Decks; Soils -Steel- / /?/" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blo s-Wraope-6 52. Siding -Nailing -Veneer 6 ' mw Is, Gara ; Steel-Blockouts-Wrapped-Slab- 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr..Access Pi s -Fir Ftg.-Steel ' Glazing Area -Glass Protection -Skylights -Plastic : Fall -Fittings -Test -2 way C/0 -Sewer Test - SS Shr'Walls; Nailing -Bolts Nas Pipe; Size -Anchors 9jrC 1 Water Pipe; T -A s -Re ulator-Service Test 11. tric; Underground 1 I nums &Ducts; Cle ce-Material-Support-Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI /7 Date • Card -BI Date'/ Card -BI Date Q Card -BI Date Card -BI Date Card -BI Date/ r JFDate 2 C d-BIp. Date FINA (Plans) OK except N's Card -BI Date Card -BI Dateoe Date PLUMBING (Permit) OK except q's % 5%-.-' Eyt. Steps -Door & Sidelight Protection -Landings 5L--5r9oke Detector _f ::t.; Vent -Access -Co bustion Air 5$/T:urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection d ? 5ater Pipe; Test CAn s Nail Protection / D.W.V.; Test-Fttngs & Anchors -Nail Protection ,pdroom Exiting / yy/�Frower Pan; Test, First Floor -Tub Access 891-Gf.l. &Bath Fixtures &Tub Access Tub & Shower, 2nd Floor -Tub Access 6�✓ ec. Trim & Subpanel; Breaker Sizes -Labels � ,-49r-9ers-F'ipe; Size &Anchors i r s & Rai Fire lace &,SK; ClLars-He , c. Outlets at Wood Panel; In . & Ext. CWKit. Fixt. & A Iiance; Gr Air Gap -Cooking Clearance Card -BI Date/ -/0 Card -BI Date Card -BI Date �� (2 Card -BI Date utlets & Receptacles at Kit. Counter Date ELECTRICALPermit OK except q's _ arage Fire Door; Swing -Landing -Closer ct in Garage -Damper 2 fixture &Transformer Clearance -Ins. Protection 6 fir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I -Garage; Above Floor-Mech. Protection Iec. Receptacles Spacing -Lights & S es at Doors , Elec. & Mech. Equip. Listed for Location F?Lc. 'L Size Boxes & No. of Conductors to e e; (G.F.I.)-Rom x Receptacles in GaragProtec. mex Installed Close to Edge of Studs & C.J. IM C2!01 Equip. Ground made up w/Mech. Fastener and G & a Pr In lation-Foam-Looked in Attic rtrYas yard Rails &Deck Construction -Post Caps L2L7 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / / ga. Q& or AI-A.C. Wire Size / / ga.-Bv or Al 74-1-Fdn. Vents & Crawl Hole D -Drainage & Wood -Earth Clearance L ked under Floor [V es 2j/Range Circ. / / ga. Sty r AI -Oven Circ. / / ga.�ror Al, Insulated Neutral []Yes� Following instl Drive [&] -fes ❑ No; Walksrt es E] No; Planters Yes 0 N 2 Service -Riser Conductors Groun Main Disconnect E/ rown-Finish 2Ov-ffquip. Clearances; Panels-Motors-Mech. Equip. 7 . Unit; Disconnect-Clrnces-Brkr. & Cond. -1 5V Outlet ...9:,_QJaU; s Closet Light -Shower Light 7 V is Above Roof; Plbg.-Appliance-F re .-C earance to Opngs. r Well; Disconnect, Electrical, Plumbing _ terior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date// (J.. i, Card -BI Date /Q Ventilation throughout House ZZe tW Card B -I - Date Card -BI Date ss Protection Cor lions from Previous Inspections Date MEC LAICAL (Permit) OK except p's a -eet-Meters Tag' Qae-EI" ri 31. A.C. Ducts; Insulation & Support ter &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. Vent Fan; Exhaust above Insulation 36!i.ondensate Drain & Overflow; Size & Grade ��ernace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 961 Attic Access & Platform if Furnace in Attic Card -BI � Date Card -BI Date Card -61,: -I --Dat / Card -BI Date Card -BI Dat f Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date D e 1 FRA NG(Plans) OK except 'sj -4u- G - 41.5 Comments at Final: P,I,MIV Sills; Proper terial _ _ W IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 12, 4 Fire Stops; Furred Ceilin2sQst Chases (�Wader & Bea S' n 4 Hangers ost s- ; chors-Connectors_ 4.L. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shtthng.-Rfng. l�or Type A Flue-FirepjBee-Throat ./i£S —� Attic.Access: Size & Romex Protection ra( to Ins. Baffles —4rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage F r rotection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone; 891-2751 _ 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Eiliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE af2 111'vhwAl I 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 ,,,matt, e��or need additional explanation, please contact this office immediately. 0 /, r!'W00.1% Me' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE 1-16 s7 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 explanation, please contact this office immediately. Inspector . /z'x; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 / Skyway and Elliott Road, Paradise — Phone 877-343 CORRECTION NOTICE 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 whe�Correction of work Is completed. If you have any question pertaining to this ter, Sr negdd adotional explanation, please contact this office immediately. /I r4 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-42111, Ext. 70 7 County Center Drive, Orovi Ile — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE 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 11 ma ne++ add' Tonal explanation, please contact this office immediately. �<V l� a/ZIC4 2-0' s of 45 /4Jf /1 G 1 - r G C _ i S Inspector " a. 9 7 . 3 L dl' ®�p RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN.CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Wacker Dr., Durham, CA (location) BUILDING PERMIT NO. J�? y- SD A.P. N0. 6 -Z3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed Fdn. Walls Special (Insulated) Floors Rlg CERT. & LABELED WDS. Walls R 11 ;' l � � •r:� 4x-� & SLIDING DRS . Ceiling/Roof R4 0, WEATHERSTRIPPED DRS. Ducts 7" BACK DAMPERED FANS Circulating Pipes; INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPPLIANCES L APPROVED WATER HEATER­6�- 1" Rigid insulation supplied for exterior walls. 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 CERTIFICATE AS SUBMITTED. Insulation Applicator Name—• NICHOLSON INSULATION INC. .(please print) Signature of . / Insulation Applicator State Contractors License No., 212461 General Contractor/Owner (please print) Signature of � General Contractor/Owner�.iOYdI a' (A � ��� Date State Contractors License No. 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 - DEPARTMENT OF PUBLIC WORKSP RMIT 10. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 �`- do APPLICATION AND PERMIT 101111 A SSESSO P RCE p1UMBE,@� —GJ�// 7 ZONI G� / /= BUILDING P (�� KO a T Ow9k 4 / A rl-0 �E 7 T 2 HT1?VZ_ L� SQ. FT. OCC. BUILDING VALUATION T Z, _VV OW ER' MAI LING�ADDRES B p EIV 4j 1 cel/ / c ai Y5 X2_ 6155 CONTRALTO© N.At.1E _ ,e)/4_b Vim(//;��02E,�-lo TELEPHONE l:.Q C Q'�J V v � a.to L9 CONTRACTOR'S MAILIN ADDRESS STRUC TION E DER A� RV� UNKNOWN Fireplace Total Valuation $ �-�N/- ��WMAILINGtlADDRESS�� G� ����8 D Ar -l7 Permit Fee $ ARCHITECT OR ENGINEER •� LICENSE NO. Plan Checking Fee $ lD e Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIy9y2G�D5(y ESS f'�G��� e r 7 G L /✓� ir PLUMBING PERMIT Filing Fee •0.00 Each Trap 2.00 09 Repair drainage or vent piping 2.00 �7 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP J - ( Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5op Lawn sprinkler system 2.00 � TYPE OF WORK ,� New I� Addition ❑ Remodelrf70 ❑ Utilities❑ Installation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 16)00 Main service 100 AMP ORV OR LESS5.00 .®p Main service EA. ADD'L 100 AMP 2.50 Z^s0 NEW CONST.(DW& OR ADDNS. ACC. BELLILDNG 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID CONSTR BRANCH CIRC TITS2.50 ea NEw CONSTD. (R. ( SINGLE OUTLET CIRPOWER APPARATUS .&) NON -RES D. ExOccu 50 @ 25,t. p(OUTLETS OR FIXTURES BAL@10S FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 rr Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 15"1 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. MECHANICAL PERMIT _f,60& Filing Fee 0.00 Heating(/ ' 06-plaGU Z IS--va 16100 MCM7"' F49" A Cooling © 2% 6 Z% 7— Z- 5=00 Q•�� Hood 3P t) Ventilation Permit Fee $ :53, d20 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 a to save, indemnify and keep harmless the County of Butte against all liab ' ies, judgments, costs, an expenses which may in any way accrue against a County in con quen a the ing of this permit.. X( ._ Date _ L001 L. -I Signature of Applicant — Owner Contractor F-1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stores in/height. Mobile Home Installation Fee $ Land Development Fee $ o. TOTAL PERMIT FEE o occu P. GROUP Ti �,3 1� I TYP of ONST. PARC LP HD ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PEWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_/-Q-tf � J�,� Receipt No. Z/ 5� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To:, Buildinb Department From: Environmental Health Subject: Sanitation Clearance %✓��GGv�B_ �G'Gf /2 Ah, x_61 A � _ _ 7 3 - Owner S kation /`� >6 Flans approved for: Sewage uiapobal later Supply Hold Final kor: .later Supply Final Uearrance O.K. !.or: nater Supply Clearance for bedroom, ',oma o Other Clearance for addition of Note** " ao San torzan Date S V b - i M h i w n r kk7 4. FT pp� tM�v y .yrli•Irri• MwMM•M•nA f 1 it •. �l F( 611, ..' I : i , � it _ i I '.b 1 A 0' 1� �I .: ,. IM YJ1 r , I i p ., n+uw4+i.�Ma7�M' V. i , 1 r r. A v y1'i I I Y �. .. i.Y. YI.d�A � e 1.1 .�' � ��� _.� �. Y �K rE: Y.'h i �i�"�\:\•I�. YII,`.7 �'�'Vl'. LL ��r __ k_ Y a _ ,. � e. , ,D u. ����.M .L' �Y � � 'I� • �kM1 � i -.. .. :M� 4 ` i. �� i �1`.