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040-370-030
FJ AP 40-37-30 MENLO PROPERTIES - 123 Estates Dr. Cli co _7� Permit#_30�6-758.(new_SF _/� � i lots `� AP 40-37-30 5 CONTR: Al Dietz, '2a Dufrhafn Permit;#_3531_75P(for4nA(-75_N CONTR. J & J Electric, Chico-- Permit hico Permit •#4912-75B-(elec.. pnlyfor ��� j ..cc..�atJX� permit #3086-75)` //� r 40-37-30 Permit #4945=75M(m`ech:—pit ti for permit #3086-35) er 40-37-30 DR. RICHARD MacDONALD t , 123Estates Drive, Chico, �CONT,R: Holiday Pools, Chobp { �Per�i-t-#-5391=7-5B;P;'E-(new private swimming pool) r� • McDONALD 123YEstates-Drive, Chick//y�fJ_�� CONTR•: Rice{�= & Lamb, Chico-----�- _ r f, "rlerm t#:5 -692 -75 -P -(in -st=all --sprinkle_ system%SF) - t. _ _ ► _ +40737- 30 •4054-90B,P,E,M ` ! i ' DAUTERMAN, Thomas 123 Estates Dr, Chico - (addition/sf) q' ! - . : 8-273040=37-0=030 r4 '-#9 2• D`AUTEMN,TM a _ _ .123 ESTATES DR. CHICO FOUR COUNTIE5 ROOFING ' F REROOE TILE 0 lz� R SO NTIAL 40-37-30 4054-90B,P,E,M DAUTERMAN, Thomas 123 Estates Dr, Chico (addition/sf) . i J=OK O = Not OK ' = Not Readyable MOBILEHOMES Date : MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B,1 e� Y� ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements t 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability. 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. 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- Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O ; Not OK = Not Applicable Not Ready RESIDENTIAL, (Single & Duplex) ' =- Date UNDERFLOOR (Plans) OK except N's Lon ing-Setbacks- Ease ments-Flood-Slope Ftg., Main; Soils-Elec. Gf-mT-/ &' Fig. Depth C44r-r lam' / % ;i(- Ftg., Garage; Soils-Steel-Elec. Grnd.-/L-/" Ftg. Depth(_e L1= 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors ,7AIab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 01"6.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 10e0ohenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation DateCard B-1 GC Date Card B-1 Date ,- taAl t Card B-1 (& Date Card B-1 Date PLUMBING (Permit) OK except ti's i'8' -Water Htr.; Vent -Access -Combustion Air -Baffle k;e, ater Pipe; Twn Anchor -Nail Protection W. �i - rttmgs & Anchor -Nail Protection 19. -Shower Pan; Test, First Floor -Tub Access 29 -last Tub & Shower, Second Floor -Tub Access 2t --E as Pipe; Size & Anchors Date 7-\z,C11 Card 8-1 (T� Date Card B-1 Date Z' A (Card B-1 („ n Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection — c a� pacipg" Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 25!Romex Installed Close to Edge of Studs & C.J. 26 --Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27, -2 -Appliance Circuts in Kitchen & Conductor Size/GFI 287-S-ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Z9, Mange Circ./ / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 30775ervice-Riser Conductors & Ground -Main Disconnect Equip. Clearance Motors-Mech. Equip. 34-eri5thes Closet Light -Shower Light -Spa Light 35 --Smoke Detector Date _t2,C\ Card B-1(T(�' Date Card B-1 Date Card B-1 6C Date Card B-1 Date MECHANICAL (Permit) OK except N's A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date 7 , Z-C� � Card B-1 �z G Date Card B-1 Date n ,,C 1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tt's Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4jl8earing Walls over Girders &Floor Nailing y2. raft St2p in Walls (ra roof) reop ,Furred s- fairs -Chases -Tub eaders & Beam -Size & searing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 4CGIng. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47 -•Fireplace Ties or Type A Flue -Fireplace Throat clearance 48' Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50, umage Fire Protection Framing 5J/Property Line Firewall & Openings 52/Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53494ws; Width -Headroom -Rise -Run -Landing -Fire Protection 54/plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56.-,-Siding-Nailing Veneer tucco,M9's'h- rip Screed -Fd. Vents-Underfir. Access JW'Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 5q-l_nsulaS-WgI15-Ceilipgs 6."filtrat�Wal"inCoXg' Date Z_I Z_CI { Card B-1 Date Card B-1 Date V%j �;QCard B-1 Date Card B-1 Date FIN L Plans OK except tt's E . Steps -Door & Sidelight Protection -Landings 6 Smoke Detector "83"Furn ce; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection droom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & eplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. T-0 K. ' .Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter - Garage Fire Door; Swing-LandingI er C `99 A.C. Duct in Garage -Damper 'N�tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Ib. lec. & Mech. Equip. Listed for Lpeation ec. Receptacles in Garage; omex Protection 47--Insulation-Foam-Looked in Attic T!? es ei9r and Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clears ce Looked under loor ❑ Yes 80. Fo wing instld.; Drive 10 Yes ❑ No; Walks A Yes 0 No; 4lanters Yes No Wr Stucco; Brown -F' h ti�t1`2- Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -94 -Vater Well; Disconnect, Electrical, Plumbing %95 Exterior Elec. Trim; G.F.I. Receptacle -Underground nti 'on Throughout House ass Protection Corrections from Previous Inspections Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval O. nergy Compliance Certificate -Other Certificates Date Z Card B-1 0 Date Card B-1 Date6klz-q/�, Card B 1 Date Card B-1 Date ,A .-( Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner: Permit No. 4 05 - ENERGY 5 ENERGY C ERT IF ICAT ION 123 Estates Drive, Chico, CA (Addition) — LOCATION A.P, No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness (inches) 3 5/8" CEILING Batt or Blanket Type FIBERGLASS BATTS Thickness(inches) 12" Loose Fill Type Minimum Thicknes$Z(Inches) Area covered(ft.) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name Thermal Resistance (R V81u6)� Brand Name OWENS-CORNING Thermal Resistance(R V6141 Rte, Brand Name OWENS-CORNING Thermal Resiatance(R Value) R3�;,,�,,��, Brand Name Number of Bags Wt. per bag 7'�"lb. Thermal Reaistance(R Value),,,, Brand Name Thermal Resistance(R Brand Name WM 0 Thermal Resistanco(R Value),. 1 FOUNDATION WALL. p Material Brand Name Thickness(inches) Thermal Resistance R VA149 .,,,�,.,,.,,,�. I hereby certify that the above insulation Was installed to the 09io building in conformance With the State of California Bnerb7► Roqulxea►egts• LOERKE INSULATION CO., INC._ 499150 FIRM NAME/OWNER STATE CONTRACTOR $ id-Ri SFi N0. kms, o M 6KA---e 'e March 1 1991 SIG19ATURE OF INSTALLATION APPLICATOR DATK I hereby certify the above insulation and all required items as sh9wo on the Building Department approved plana and attachWents have boon inetallsd ae required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed Vr are specifically approved by the State of California, FI I NAME/ R P ase print) STATE CONTRACTORS 1.ICSE No, Lf GNATUR OF QE.NERAL CONTRACTOR OWNER tis DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO.FIN" INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDINQt. Al January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico Phone: 8�1-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE el NO. 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. >t, ik l4c 1'^ (r i CPQ n y/b -V NLL'Lp , di -4a d 1?.1 1 P eA a � / V Date_ ( 0 -2 4 1 Inspector ,. - - ^r-'. ... -..- . _r�•-,%s""-4-7Li�^'�''.y-�f��..z..,/`.:,.^',�.+ ,i�.,".:`�•�'i.i�"�iC+t�^7-':`:--�!^i COUNTY OF BUTTE J DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE — : CA- (y\Ikr4 OWNER PERMIT NO. 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. n'F F X-C (f le „ c mA' <o ' F 2 �N o r\a ,6�iI/'\f �.'�'T CT_�C lk Pr t..s� � �A F`�.• t �, - nLA►.1 0- V- r`17, hrl L0 s sT Sw,�Pfr_CLA« (L01,nl'S At -(t-> 1.1 S A -F Date ���-Cj Inspector %_)L_ � �j ''PERMIT NO. 3086-75B P o E M MH UTIL. a!PERMIT NO. PERMIT EXPIRES "`iOWNER Menlo Properties CONTR. SP ,LOCATION (A.P. 40-37-30 ) 123 Estates Dr.., Chico .c v v +t y . Y�. - U 1 .Temp. Power Pole Called PG&E ej Temp. Elea Serv. c Called PG&E 'A Q4 0 Temp. Gas Serv. —7 Called PG&E f q ,l JOB FINALED " �i © 7 _ (Date (Sig ature) DATE REMARKS OR CORRECTIONS FOAN.5 6A 4k', '18L471 - ROOF e W(_,_ o )C ® P,�p,, ,I✓ u� P. � 102 u�� uic�/J �1,��' ,,C,67- U�!/O��/ ,C i 7-17 a� /vim A/C, 3 A,�: G A L _)(/_///Z400, C,A-uL TKE, A BOalr /b 12, 0 �1/ G c cJ i k f T6 -74;�_ 0ie 7-0 �20w / i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings "% Windows 3rd Floor Stemwall Siding To out — Slab Roof Sheathing , "% ater Piping 7 —75 Piers Roofing 40 —.?—, `j— 7 j Sewer o —7 Garage Fdn. Vents Fixtures �/ s Footings Garage Vents Water Htr. Stemwall Slab — Prov. for physically handicapped Heaters Appliances jA— O — 7 Carport Footings Conformance of ex. structure Gas Piping & Test '/ Temp. Gas Slab Final 4 --2— V — Sarfitation Patio —FIREPLACE Final 7 Footings d g , X ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final 7 Fixtures Z O j Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh NICAL Grd. Fault Prot. — Zid 7 r Scratch 0"� — ��% 5 Heating Service Brown Cooling Temp. Pole Finish Ducts • W and r E.M Interior Lath Ventilation Permanent Door Closer//-;( 2 — % < Final Final f / -- 7 --7 . DATE REMARKS OR CORRECTIONS FOAN.5 6A 4k', '18L471 - ROOF e W(_,_ o )C ® P,�p,, ,I✓ u� P. � 102 u�� uic�/J �1,��' ,,C,67- U�!/O��/ ,C i 7-17 a� /vim A/C, 3 A,�: G A L _)(/_///Z400, C,A-uL TKE, A BOalr /b 12, 0 �1/ G c cJ i k f T6 -74;�_ 0ie 7-0 �20w / i CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF. CALIFORNIA, IN THE BUILDING LOCATED AT: S 3RN c. 1%R Lot r Tract. ENTENItaRwAlls Gwens-Cornigg 32" fiberglas Manufacturer Thickness/Type / It value 1 1 ILEI (Beam ceiling) Batts: Manufacturer 0. C. Thickness 6 to N value 19 Blown: Manufacturer 0 • C . Thickness 8 3 411 No. Bays �31 wt./Bae 25 Sq. Ft. covered 1599 R value 19 FLOORS Manufacturer Thlckness/Type R value SLAB ON GRADE Manufacturer Thtckness/Typs a value Width of Insulation Inches FOUNDATION MAILS Manufsctu Thlllu�ess/Type R value GENERAL CONTRACTOR � � � �' .LSI) LICENSE MMER er TITLE s . OA Y/� % IMUTIDN NICHOLSON INSULATIOgIc�NSN: NUIlIEER 3902 �7r BV" IsEn rni iF a"age DATE mnn LIC. #212461 CALIFORNIA AMINISMTIVE CODE, TITLE PS, STATE OF CALIFORNIA. IN THE BUILDIIB LOCATED AT: Street Lotr rat 11TERIORMALLS Owens-Corning32t1 fiberglas Manufacturer_ / Thickness/Type- L R value l l ItEu 4 (Beam Ceiling) Batts: Manufacturer G . C . Thickness 611 R value 19 Blom: Manufacturer a• C • Thickness 8 3A Ro. sags_,y'Z�yt./mg 25 sq. Ft. covered 1599 R value 19 FLOORS Manufacturer Thlckness/Type R value SLAB ON GRADE Nanufscturer Thickness/Type R value Width of Insulation Inches FOUNDATION VALLS Manufacturer Thickness/Type R valuo GENERAL C06CiRACTOR _ :✓i ,/.7 LICENSE Il/6ER 3 �% • 4 f�sL By TITLE DATE �7, 7 IxWTIm cmTRAcToRNICHOLSON INSULATION ijQdSE p{pgER 3EIGHTH AVE. PH. 343-3902 By DATE C. 0212451. TO: Building Department FROM: Environmental health RE: Sewage and/or Water Clearance. qo 01VINER LOCATION k .P# Has been approved for: EviAGEP D r TER Sanitarian Date S95-775 I cpj q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W .7 County Center Drive — Oroville, California 95965 ,300 w Telephone: 534-4541 APPLICATION AND PERMIT auulU1 -t: IC�JICJe11tC7UVCJ uI Lilt!t.,ounry oI outte to enter upon ine above-mentioned property for Iinspectionpure S. X Date `e L Signo re'of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above -for which fees have been paid.'. DIRECTOR OF UBLIC WORKS By Date/'� -71 uilding permit expires Date — r BUILDING Owner O O �2 / CS C SQ. FT. OCC. BUILDING VALUATION 00 0 00. O Q Mailing Address �� �Q C) 0. / wC a Telephan 3 Fireplace '7 S-0 00 Contractor to Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty � Telephone No: Permit Fee Building Address 3 S7-,-t4-?7�E. PLUMBING No. FEE PERMIT FILING FEE $3.. 00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ���Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel60' Declaration R/W Im rov ents p Lawn sprinkler system 2.00 Bid,. ens Recd f'"' PPoarcel Approve Plans pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more thon 12) - Single Family_. Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW 1- am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of - Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 3a�.S�S'Misc. Classification wiring ❑ 1 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. - al 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 Js issued I shall 'not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S �t auulU1 -t: IC�JICJe11tC7UVCJ uI Lilt!t.,ounry oI outte to enter upon ine above-mentioned property for Iinspectionpure S. X Date `e L Signo re'of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above -for which fees have been paid.'. DIRECTOR OF UBLIC WORKS By Date/'� -71 uilding permit expires Date — r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,/� --2— '- 7,County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING. Owner Q� SQ. FT. OCC. BUILDING VALUATION Mailing Address J3 o "V /I I Telephone No- _ Contractor Mai I ing Address Building Address Telephone No. 0 /- *C o A. P. No. —3 0 Zoning & Planning F W. Sen+ta4ierr FireDept. F,ireZone 1.00 Use Permit EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Bldg. Plans Rec'd Parcel Approval Plans Approval NEW ❑ ADDITION.❑ UTILITIES ❑ OTHER • / � r D o'er �� --- �0 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping systemA - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel - (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex..Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating i5 C:Z-- Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. 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. 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 -menti d pro erty for inspection p oses. • • x Date Sign ure of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cool FEE • $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Ventilation Hood -2.001Z- 0 Permit Fee $ , 5 TOTAL PERMIT FEE 1$/X 1)p This permit is her by issued under the applicable provisions of the Butte County Cade,and/or resolutions to do work indicated above for which fees have been p 'd. DIDZECTOR OF BLIC WORKS Date S Jp Fc -- Building permit es,Date SeD ki6-- %aT- @ FEE $3.00 1.00 1.00 1.00 2 2 1.00 1.00 5.00 5.00 $ $ @ FEE 10 $3.00 3 .�d --- �0 Ventilation Hood -2.001Z- 0 Permit Fee $ , 5 TOTAL PERMIT FEE 1$/X 1)p This permit is her by issued under the applicable provisions of the Butte County Cade,and/or resolutions to do work indicated above for which fees have been p 'd. DIDZECTOR OF BLIC WORKS Date S Jp Fc -- Building permit es,Date SeD ki6-- %aT- COUNTY OF BUTTE — DEPAR°TMENT OF PUBLIC WORKS •7'County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5�9ia-�.s I BUILDING Owner )11wla SQ. FT. OCC. BUILDING VALUATION Address ;2 A C Telephone No. 2-- lit ts Fireplace Contractor J ., o.. Total Valuation Mailing Address 146% ,, Permit Fee Plan Checking Fee &/or Penalty C� .� Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ® 1 Z3 �,n3t ca�.o Each Trap 1.50 C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent j 1.50 A. P. No. 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 W. *w4etFM Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.00 CC, Main service incl. 1 meter 3 O' fy Additional meters, each 1.00 Sub -panel (12 orYss) (more k n 12) .Op Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ranfe, Cook -top o 0 e 1.00 7_00 Water Heater or Space Heater 1.00 21) Li t fixtures b b.1% 10 (0.10 Receps., switches & fix outlets 16.2..0 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: c oo x. F or F.A. Furn. Motor 4 1.00 4( Eko Evap.coo Ier,<a—r. i z 1.00 2•oa Air conditioner or heat pump I 3 -Occ) Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. �us�e�i? Classification C— lo Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,30 $ c(3 3p WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No• @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -menti property for inspection purposes. X Date Q'2`t'7, Signature mitee or Agent TOTAL PERMIT FEE $ 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. I�E�'R OF PUBLIC WORKS I�'7 �� �� // —11-14O / / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit eaphM Date .......................................... Owner 176=Al / Mailing Address Contractor Mai I ing Address Building Address / -19 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS3,,�& / _ 7,� ..7 -County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT V BUILDING -� SQ. FT. OCC. BUILDING VALUATION e No. one No. A. P. No. 40-37-30 Zoning & Planning t -res ss— 44 ea 1 Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 U^/3/Al C. f-0 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. ,� Classification I am exempt from the Contractors License Laws of the State of California. 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. PF-rfi`ave 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 Cal i forni a. I certify that I have read this application and state that the above information is correct. 1 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. /-X__�2gd .1 Date Signature of Permitee or Agent Receipt No. � 3 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee PI an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas watepigaker or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawri sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps.., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Venti Iation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE 1$!11;isn 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. D ECTOR O UBLIC WORKS 7 Date Building pnrmit�e� Date C_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7•CoOnty Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 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. �r- x XI , PDate Signature of Perm itee or nt Receipt No./ 8 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant C TOTAL PERMIT FEE isCc Sp 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. DIRE OR OF PUBLIC WORKS By Date. //1,7175— Buititim permit expires Date / ` BUILDING Owners D®110 V_SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor R kc- ; L X m Total Valuation Mailing Address I T Permit Fee PI an Checking' Fee &/or Penalty CA -,C6 �� , Svt-, Teph e one No. l S? 2— Permit Fee Building Address ,'Z'6 EST AfT S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.00 ' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 k - To Each gas water heater or vent 1.50 A. P. No. —3 �' Zoning &Planning Gas piping system 1 - 5 outlets- 1.50 Each additional outlet .30 F WIB. Sani-cetian I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 U� Parcel Approval Plans Approval Permit Fee $ (, j o NEW ADDITION Q UTILITIES ❑ OTHER ELECTRICAL No• @ I FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (a@2 Recaps„ switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap,cool er,gar. disp. orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �, ��� License No. � Classification �-.�'�� Misc.,wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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. Qj 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �r- x XI , PDate Signature of Perm itee or nt Receipt No./ 8 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant C TOTAL PERMIT FEE isCc Sp 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. DIRE OR OF PUBLIC WORKS By Date. //1,7175— Buititim permit expires Date / ` tit • L. SLU No s;;�OPA �IlBtld �o •ia�a ��,wvw7tM'r+^..�"vv"ti.,...irv�..-••�y'+...r—t�4�7�T'�" t��% �tirr'�y!'Yr►"'+�;•�t�te:�c �""�4` �'t�+'f"�i..l�.w"s-'i,�.....^�,,,.e-f7`""*i'i`17,.mv'.+� "`� v, COUNTY OF BUTTE - DEPARTMENT OF.` PUBLIC WORKS - BUILDING DIVISION .:7.:-- 7 COUNTY CENTER DRIVE - OROV18�� C'A IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. OWNERlZ(%A. P. No. ACL Proposed Building Use Building Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit'processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .::........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 2. Park fees paid .................................................... tJe,- School District fees paid .............. Sanitation approval from Health Department 5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector °(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ..........."....... 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. When you -issue the permit, process as follows: Mail to o 'r Mail to contractor. Telephone _ and hold for pickup at o�fijC Deliver w/inspector.' Other Applic Date 2 Copy of plans sent Health Dept., Fire Dept., O er Date The following data must be submitted pr r to permit is 1 nce: (Circle new ' em not ch ckedAbove). 1. Index permit for above items No. 2. Additional items required: - 4 Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mail--cnter by date J Plans checked`by Date Plans approved by Date Al �0 �_�Sets of plans on hold intZ._.File cabinet AP folde`ri4 b Copy—DPW F n l� TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance (as T-,-.) �7 Owner Location. AP#J Plan Approved for: Sewage Disposal Water Supply Hold final for:. Water Supply. Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other 1 NOTE +► IL Sanitarian Date COUNTY OF BUTTE - DEPARTMIENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil.le, Cal4t)rnia 95965 - Te,epnone: 916 53E-7511 APPLICATION AND PERMIT ASSESSQR PARCEL NUMBER 3L �OtJt''BUILDING PERMIT OWNER/[U PH y SO. FT. OCC. BUILDING VALUATION OW R�•hS/MA�%I/LING ADDRESS V� /'/ C_1_A_ *_/ S C 0 Y,5i CT!; 5 NAt•.t��— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $50 � V 0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS C, Penalty $ BUILD G ORES C._ Permit fee a PLUMBING PERMIT FiiingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5,00 Ov Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 s�(7Tj Mobile Home S I G I W 10.00e TYPE OF WORK New[] Additio Remodel❑ Utilities[]Installation❑ Other[] Describe work Permit Fee $ a ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 'AMP OROR LESSt21/2 .00 CONTRACTORS LICENSE LAW 1 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 Main service EA. ADD•L 100 AMP .'550 NEW CONST. DWELLING OC CUP.& OR AODNS. ( ACC. BLDGS. ) sgftNEW CONSTR. UL-!.OU-LETNON-P.ESIDBRANCH CIRC�'ITS Oea (POWER APPARATUS &) 1SINGLE OUTLET CIR. EX. Occup( OR FIXTURES 20'50¢ eAL330¢ Ex. DCCUp. OUT ETS (RESID IRE A.) I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. SVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building DepartmentO a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating O Cooling g Hood 3,00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the aboveInformation is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County orocc Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Cj 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 insaection Fee g coNs Yoe TOTAL AL FEE $ HAz cup i -aaX I FLo i PAR ao Ho Issue 1hi.s permit is nereby Issued unaer sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By I PERMIT EXPIRES Date the appiicabie provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT • s : �„ b,.. a .. +.5 � COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y65, �2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address.. Phone Type of Work Signed: t Property Ow4 W. Social Security Number - Date 11— ;3k'l - q o e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDFMIAL BUILDINGS ENERGY SHEET PACKAGE "A",(Additions) Owner -0OAVS A4Vr,;25yZ1Mgj Climate• Zone Permit #-4D54-9O Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL ZONE 11 ZONE 16 R-30 R-38 R-11 R-19 FLOOR R-11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or 1 .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER BUTTE COUNTY BUILDING DEPARTMENT APPRuVED U HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ *1 U HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other. (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 2 (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: - Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I,P..S.E. chart'or other approved system (form 4/5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building esign me the requirements of Title 24, Part 2, Chapter 2-53 of the Californiudmin i,�n Code. * C � FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application4/)G4-qo at 12-S ESTATES 0a i uG A. P. # 40 ' 37._ 3O--` for "2vOH"_.....��n 1"'ftDU .. _ � does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain -management criteria. PROPERTY OWNER �jhrnx �-� ADDRESS ( Q,3 ESTATE., `i ri- is PHONE NO. GI - 82 40 DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value.of the structure either,.(a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being. restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number ,C,��-% Building Department No. School DistrictCity D County Jurisdiction Property Owner H J Project Location/Address Subdivision Lot Number Residential Development: (0y-� Sq. Footage a6tcte) # of Living MHI Ad ition (Group R) Units kv Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. p'T L(fl Un l '�(X 0J School District certifies that Applicant N Street Addreds 39D -k13( Phone Number (City) (State) /(Zip Code) has complied with the requirements of Resolution No. by the pay nt of $ representing 1_JV7,,`j square f et. School District Representative Date PAID BY CHECK NO. /J // REMARKS: 111dlit- b—M 'i FRJ BANK NO PAID BY CASH r white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) _ - 5/89 RESIDEYTIAL PLAN CHECKING GUIDE Y MISC NEOUS ITEMS LOOK OUT FOR (CONT' D) rerior plaster - weep screeds (Sec. 4706). roper roof pitch for. roof covering (Chapter 32). oof covering type - (fire hazard).. _ f ter ties .or-• bearing ridge beam. _ G rage door. or porch header sizes.. dequate bracing-. area over garage - complete 1 -hour separation:required on garage side iving :. - including supporting walls and posts, etc. wo exits su three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). underfloor access and ventilation (Sec. 2516). bustion air for fuel burning appliances. F se requirements on duplexes.�] be soils - special foundation design.. _._. aining walls requiring design.. ` nusual shape, size, or split level. -house requiring- lateral'..design.: .. Flashing at- all exterior- openings. RESIDENTIAL PLAN CHECKING GUIDE 5/89 (S.F. , DUPLEX & iIISC. ONLY) _...... _ _ Bldg. Permit OWNERAAAJA.P. Q GE�NER�AL Zoning requirements: (side yards and number of permitted living units).., V/luation. - lans signed by designer. V Energy Design and Compliance. Existing violations on property. - Items on data sheet. PLOT PLAN mplete parcel size and dimensions. Setbacks, sideyards, easements,. etc.. Other buildings or structures. rading, fills, drainage.. - Flood hazard. - Special conditions on creation map or - compliance document. FAU & FAS road setback. FLOOR PLAN //,Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). /,Required windows for second exit (Sec. 1204), .Skylights (Chapter 34.& Sec. 5207). uman impact glass (Sec. 5406). _ Required room sizes, ceiling heights (Sec. 1207).. FCIs in baths, garage, and exterior outlets (Article 210-8). Light:fixtures,.switches,...receptacles, and exterior receptacles for --maintenance ,%� of:. mechanical: equipment::.. Ill... L ations"of water heater,*heating and cooling equipment, other electrical or-' D,rage s equipment, and plumbing fixturesfirewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). ireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). STRUC-=URAL DETAILS foundation plan complete enough to construct building. R.Fireplace oor construction details complete enou h to construct buildin . 8 gevations and wall construction details coinolete enough to construct building. of construction details complete enough toconstruct building. construction details. and calcs if necessary. MISCEL,LANEOUS ITE`1S TO LOOK OUT FOR it . t it way details: .landings, rise and run, head clearance, handrails (Sec. 3306). %Y. uardrail details (Sec. 1711 & 3306(j)). Brick_. or. --stone. veneer (Chapter 30) . 'I/- 7S -,'PERMIT NO. 5 191 — 7 5-13 P E. P E M 4 MH UTIL. .vPERMIT NO. -3! PERMIT EXPIRES 'OWNER Dr. Richard MacDonald CONTR. Holiday Pools, Chico '1 OCATION (A.P. 40-37-30 ,1 V123 Estates Drive, Chico 7 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED. (Clife) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD :. ®fes BUILDING (Cont'd) PLUMBING Setback —3 (r Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out •—�_. Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. StemwaII Slab Prov. for physically handicapped F1 _ '_ Appliances Carport' Footings Conformance of ex. structure Gas Piping & Test % Temp. Gas Slab Final oef Sanitation Patio FIREPLACE Fina1 .7— Footin s Footings Footing ELECTRICAL MasonryWalls [D Throat A Rough _,'_ Reinf. Steel ✓diLo Final Fixtures Bond Beam FIRE SPRINKLERS Motors , Framing Test ' Water Htr. Stucco Final Sub anels Mesh MECHANI AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final / Z, — — 7 c� f/, -/— �S DATE REMARKS OR CORRECTIONS 1b1A0%- /ok &GW l P A /C9/ -?7 , 264A,) N t3 6- 77 -77 -7-77 leyoole clo; ze) o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �rcJ /�`/` 7 County Center Drive — Oroville, California 95965 Tel ephone:- 53404541 APPLICATION AND PERMIT autnonze representatives of the county of tsutte to enter upon the above-mentione perty for inspection pufposes. X Date Si re of Per/mitee or Agent Recei o. / __36. F�1 5 r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P)J$LIC WORKS By Date iJ •� �ildin-q'permit'expires Date 3 011 a BUILDING • /r Owner1f1r c a/02/d SQ. FT., OCC. /BUILDING VALUATION G -- Mailing Address L-15 749 e Fireplace Contractor�aa Total Valuation. 6 G 0 j Mailing Address / _ Permit Fee Plan Checking Fee &/or Penaltq' Permit Fee Building Address Xa — 6fs d, PLUMBING'- No. @ PERMIT FILING FEE $3.00 -Each Trap 1.50 n Repair drainage or vent piping 1.50 , Water piping v 1.50 Each gas w er heater or vent 1.50 A P V� 3- O Zoning & Planning. Gas pig system 1 - 5 outlets 1:50 16-0 Each additional outlet ' .30 F esi i re Dept. Fire Zone Use Permit Building sewer 5.00 - EQA Parking Flans Parcel Declaration Parcel Ma p 60' R/W Im rove ents p Lawn sprinkler system ,. 2.00 d� P rc App.rovaI tPermit Pla Approval Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 less) (morethonl2) Single_ Family ❑ Duplex ❑ Mobil Home ❑ Others Range,'Cook-top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20(a2 Receps., switches & fix outlets, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / O / a v ©O S Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump •Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Q o —s� License No. ��Classification C_/� a02"Jo�d Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. " I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ❑ permit ,is issued I shall not employ any person in any manner so as to become subject to•the Workmen's Compensation Laws of California: PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above 'information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives of the county of tsutte to enter upon the above-mentione perty for inspection pufposes. X Date Si re of Per/mitee or Agent Recei o. / __36. F�1 5 r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P)J$LIC WORKS By Date iJ •� �ildin-q'permit'expires Date 3 011 a }s ,� �. , i r k 'i 1 .E,' .. , � � r COUNTY OF BUTTE- DEPARTMENT OF 1010 _00!JIENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING / BUILDINGPERMIT OWNER Tom Dauterman TELEPHONE 93-8940 SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 123 Estates Drive, Chico, CA 95928 Remove Existing tile, remove membrare, i stall new membrane CDNTRACTDRFour Counties Roofing 43H-1416 and re lace existing the CONTRACTOR'S MAKING ADDRESS 3 Crusader Court Chico CA 95973 28 squires 175DO per square CONSTRUCTION LENDER s 4 900 O Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 4.900.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDIJrJ3 Estates Drive, Chico, CA 95928 Energy Plan Checking Fee $ $ PERMIT FEE $. ~ 92. 00 LOT NO. S UBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: remove existing tile, remove membrai inatall new membrtne and replace existing til Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 obile Home IS I G I W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service EOOV OR LESS 200A 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 C-39 Lic. No. 489246 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as oWher of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. 1 ; Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT; No RE31pT' MSI -O RCLET 97,50 PSINowER APPARATUS d GLE OUTLET CIR. OUTLET OR FOCTURES 20 @ 1'00 Ex. Occup.ent @ .50 Ex. Occup. OUTIETSPRES D.OEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �J I 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' com ensation insurance carrier and policy number are: Vilan CareQV�I_ rir _., Policy Number '336 1_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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. ��� 11/18/88 -)/z.,? X :: :. L/i D Signature of Applicant - ❑ Owner ❑Contractor Chgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 92 00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE 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 G ; is !-, .. Date C! PERMIT EXPIRE ON r Dela Receipt No. IS g2- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE- DEPARTMENT OF,'bEV,%LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541(W,_�•J�M�NO. (Rev. 12/96) APPLICATION AND PERMIT _I aa / Gt_ ASSESSOR PARCEL NUMBER E7 -- -v ZONING �- BUILDING PERMIT OWNER Tom Dauterman TELEPHONE 93-8940 SO. FT. OCC. BUILDING VALUATION Remove Existing the remove OWNER'S MAILING ADDRESS 123 Estates Drive, Chico, CA 95928 membrarie, iristall new membrane CONTRACTOR'S NAME I Four Counties Roofing TELEPHONE 43-1416 and re lace existing the CONTRACTOR'S MAILING ADDRESS 3 Crusader Court Chico CA 95973 28 squares 175.00 per square CONSTRUCTION LENDER _ 4 900 O LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4,900.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 72. 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDI3ft 3 Estates Drive, Chico, CA 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: remove existing tile, remove membraL&obile install new membrane and replace existing til Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service io no,R s 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.POWER License Class C-39 Lic. No. 489246 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BFT; SO NON•RESIDT M cT,,OUTLET @7.50 APPARATUS ITNGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 00 SAL @ .50 Ex. Occup. ouT TS REwSID.0E.. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 76 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 Villanova MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 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 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. 11/18/98 X7 ______ Date __ Si tura o6f A ant - ❑ Owner ❑ Contractor CXAgent An SHA 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 $ occ CONST. TYPE TOTAL FEE $ 92.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE 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 PERMIT EX IRES ON 2-.3 pw, ReceiptNo. �S�3c/,�- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi!le, Cc YWfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES'j OR-NARCEL NUMBER ' 40-37-030 ZONING BUILDING PERMIT OWNER Thomas Dauterman TELEPHONE - S0. FT. OCC.1 BUILDING VALUATION 412 R 16480.00 OWNER'S MAILING ADDRESS 123 Estates Dr., Chico 95928 168 M' 2,352.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $18 832,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $134.50/ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 67.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $226.75 PLUMBING PERMIT Filing Fee 10.00 193 Estates Dr., Chiro Each Trap 2.00 4,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 5. 00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home I S FG1w1 10.00e i TYPE OF WORK New ❑ Addition [3 Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Add a Craft Room & Storage Area _ I Permit Fee L4.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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.SINGLE 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLOGS. 2�20sgft1A r NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu o 20@50C Occup(OUTLETS OR FIXTURES SALO 30qt FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 94-50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Duct 10.0 10.00 Cooling g Hood 3.00 Ventilation 1 B.00 13.00 Permit Fee $ 2-3.00 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, judg en costs, and expenses which may in any way accrue against id Coy. ' con equence of the granting of this permit. X 0h Date (" 0�7 `q ® Signature of Applicant - O nerIK 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 $ '28. 5 HAz cu Pnsx y sc F A H s Th's permit is nereby issued under sions of the Butte County Code and/or work indicated ab ve for which D OR F UBLIC BY PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. 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