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040-650-004
M B07-0208- 04"0-656-004 , •MISCELL'ANEOUS Room Addn First Stiy SF ADDITION 24"SQTT.. ' 1998 CUMMINGS LN DENNIS,: VIRGINIA AS t 1`0 ,. JAMES LEWIS �`t�-Cb50'00� FI [fes 1998 Cummings Lane, Durham /y/a Contr: Rogers & Shields Ele f :5 Permit#2024-85E(ele ser ch & misc wir)SF 40-'16-'70'- `---3288''91B,E '01 DENNIS, Robert,,. >_ 1998, Cummings Ln,.Durham•;,, `cont : Wayne' Carry (addition/sf)' B0.7-1074 ; 040 650=004 MISCELLANEOUS HVAC Change Out,.,% CRANGE OUT HVAC UNIT','.. .1998-CUM1'1 &SLN ' M ' 1� ��'. DENNIS}VIRGINIA A „! f 1 ' ' u t� j f t v 1 ` I i { ' t 1 L t 1`0 ,. JAMES LEWIS �`t�-Cb50'00� FI [fes 1998 Cummings Lane, Durham /y/a Contr: Rogers & Shields Ele f :5 Permit#2024-85E(ele ser ch & misc wir)SF 40-'16-'70'- `---3288''91B,E '01 DENNIS, Robert,,. >_ 1998, Cummings Ln,.Durham•;,, `cont : Wayne' Carry (addition/sf)' B0.7-1074 ; 040 650=004 MISCELLANEOUS HVAC Change Out,.,% CRANGE OUT HVAC UNIT','.. .1998-CUM1'1 &SLN ' M ' 1� ��'. DENNIS}VIRGINIA A „! f 1 ' ' u r Ln til 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1998 CUMMINGS LN Owner: Permit No: B07-0208 APN: 040-650-004 DENNIS, VIRGINIA A Issued Date: 02/16/2007 By TMP Permit type: MISCELLANEOUS 29547 515TH ST Subtype: Room Addn-First Stry WALNUT, IA 51577 'Expiration Date: 02/16/2008 Description: SF ADDITION 24 SQ.FT. Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: OWNER DENNIS, VIRGINIA A Building Garage RemdUAddn 29547 515TH ST 24 WALNUT, IA 51577 Other Porch/Patio Total 24 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $170.47 DBMSC Room Addition -First Stor $255.70 DBSMIP Residential $0.50 Total Charged: $502.37 Fees Paid: $502.37 Balance Due: $0.00 Receipt No: B1722 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License_ OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 02/16/2007 [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section nee not a competed if the peril is or one hundred dollars ($100) or ass. ❑IAM EXEMPT under Section � B. & P.C. for this reason: - ,�.� I\ A I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L0J 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' � 02/16/2007 compo Rs:. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner'so, nature Date provi ons. X .02/16/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea ril does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorizeAto act on the property owner's behalf. / RG II J, 4 Ct-) rt l_S 02/16/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ,Owner 1:1 Contractor OR. DAgent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION c/JNN I s N �ir�t Name V 6/ Mailing Address l(1 & nv-n/h am r )7x4,1. State Zipr 736' CCit�ityr�DU 6-30 S1 g-6A&Z 30 E-mail A_PNLiCANT INFORIVAT1ON .Jame VIP (9/AtA 2l e4 n Address City Phone Sac 5 /S,���Z Fax PERMIT NO. mv-a00 B� #(Q PROJECT LOCATION API o4(o -650 -004-F0bo Property Address 1 C7 9e? (Le 1w /;? 7 In s 4,a44 e cFYZUr)--)a4"'t 0-&_ 9 �8 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 0 )d F e,6aver Y�, dh o -g k i e o haute- Ae'-rove_ ,4ad 8 / o s e_ -7 - Sq FT- ! iving Garage Open D • Structure Built without Permits :J Proposed Change of k.,ccupancy (Note previous use): For office use only: __ Toning '�0 1 ; �r'`' `. t �' ` .Y �Q I CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class A_PNLiCANT INFORIVAT1ON .Jame VIP (9/AtA 2l e4 n Address City Phone Sac 5 /S,���Z Fax PERMIT NO. mv-a00 B� #(Q PROJECT LOCATION API o4(o -650 -004-F0bo Property Address 1 C7 9e? (Le 1w /;? 7 In s 4,a44 e cFYZUr)--)a4"'t 0-&_ 9 �8 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 0 )d F e,6aver Y�, dh o -g k i e o haute- Ae'-rove_ ,4ad 8 / o s e_ -7 - Sq FT- ! iving Garage Open D • Structure Built without Permits :J Proposed Change of k.,ccupancy (Note previous use): For office use only: __ Toning '�0 1 ; �r'`' `. t �' ` .Y �Q I ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State I ice;ise Number A_PNLiCANT INFORIVAT1ON .Jame VIP (9/AtA 2l e4 n Address City Phone Sac 5 /S,���Z Fax PERMIT NO. mv-a00 B� #(Q PROJECT LOCATION API o4(o -650 -004-F0bo Property Address 1 C7 9e? (Le 1w /;? 7 In s 4,a44 e cFYZUr)--)a4"'t 0-&_ 9 �8 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 0 )d F e,6aver Y�, dh o -g k i e o haute- Ae'-rove_ ,4ad 8 / o s e_ -7 - Sq FT- ! iving Garage Open D • Structure Built without Permits :J Proposed Change of k.,ccupancy (Note previous use): For office use only: __ Toning '�0 1 ; �r'`' `. t �' ` .Y �Q I Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0208 Date: 02/02/2007 Location: 1998 CUM IINGS LN By: TMP Parcel Number: 040-650-004 Sub Type: Room Addn-First Str Owner Name: DENNIS, VIRGINIA A Phone: Description: SF ADDITION 24 SORT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS r ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 0 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ■ ■ PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Drhaqi Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 malleo 1; Owrwy- d/g Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 02/02/2007 FILE -•• ,-. .. .F � :.�., t .� ... r -..... .... i,.., ' s. -...icy r _ ...1,t,...v _,iT f'`�,�^''—` �. � r�.,.� .-.,. - .... � - . _ . ... BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District, X.O. Number - •Ln�1-� Jurisdiction: .; City Property Owner Property Location) Subdivision Building Department No. Tax Rate Area No. 1�z County i Residential Development No of Living Mobile Home Units Installation Commercial/Industrial 0 Q New Addition Lot No. ............ .........._...................................................... :................. Sq. Footage 2 ddit on/ 'Supplemental to(Group R) Conversion :` . Permit # Cr. Demo - ( ) ............................... u`(No foundation inspection) existing Sq. ft. see attached ................ ......................... Net total sq. ft. .� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) District Identification No: f 12 -School District certifies that V (Payor) il 9,5, �>v �>��� � c4 959'35 (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. /L by payment of $ represer:ting &A squarz feet: FULL MITIGATION $ School District Representative Date Paid by Check # J Remarks: SzbSx1/ . Notice : You may protest the.imposition of the fees identified'above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. ff, subsequent to.the 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 is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) - feeform.xis (12/06)dmm _ BUTTE COUNW g 14 'Z007 r _ BUTTE COUNW g 14 'Z007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds queffod.low- circ wo'F`'``g National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0208 Location: 1998 CUMIVIINGS LN Parcel Number: 040-650-004 Owner Name: DENNIS, VIRGINIA A Description: SF ADDITION 24 SQ.FT. Date: 02/02/2007 By: TMP Sub Type: Room Addn-First Str Phone: By signing below, I the project-owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law., C� Signed: Title: FILE Date: 02/02/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0208 Location: 1998 CUMMINGS LN Parcel Number: 040-650-004 Date: 02/02/2007 Owner Name: DENNIS, VIRGINIA A Phone: Description: SF ADDITION 24 SQ.FT. Signature of Property Owner: Date: 02/02/2007 FILE 'Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.OS R NO) 2. I (9/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 THE 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 Description: SF ADDITION 24 SQ.FT. Reference Number: B07-0208 Applicant Name: DENNIS, V �qINIA A Signature of Property OwnerE& Date: �� D BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (cg"jn.cing with Sectio 7000) of Division 3 of the Business and Professions Code, and my license ism ful Orco and effect. I 05/16/2007 Date . WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. r r lHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0013855 1 Exp. Date:05/01/2008 (This section need not be competed if the permit is or one hundred dollars ($100) or ess. ❑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. -, r / J 1 X 05/16/2007 signature (/ - , 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 INSECTION 3706. OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 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]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such 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 proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I , I AM EXEMPT under Section B. & P.C. for this reason: ❑ 05/16/2007 Owner's Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in anyway connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupant of any sidewalk, street, or subsidewalk. I hereby authorize representativwof Butte County to egter ft above mentioned pr9Perty for inspection purposgs. I hereby certify Kat I am the Owner ❑ Contractor OR: Agent for Owner gent for FILE COPY PROJECT INFORMATION Site Address: 1998 CUMMINGS LN Owner: Permit NO: B07-1074 APN: 040-650-004 DENNIS, VIRGINIA A Permit type: MISCELLANEOUS 1998 CUMMINGS LANE Issued Date: 05/16/2007 By KCG Subtype: HVAC Change Out DURHAM, CA 95938 Expiration Date: 05/15/2008 Description: CHANGE OUT HVAC UNIT (530) 518-0682 • Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING & . Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (cg"jn.cing with Sectio 7000) of Division 3 of the Business and Professions Code, and my license ism ful Orco and effect. I 05/16/2007 Date . WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. r r lHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0013855 1 Exp. Date:05/01/2008 (This section need not be competed if the permit is or one hundred dollars ($100) or ess. ❑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. -, r / J 1 X 05/16/2007 signature (/ - , 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 INSECTION 3706. OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 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]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such 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 proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I , I AM EXEMPT under Section B. & P.C. for this reason: ❑ 05/16/2007 Owner's Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in anyway connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupant of any sidewalk, street, or subsidewalk. I hereby authorize representativwof Butte County to egter ft above mentioned pr9Perty for inspection purposgs. I hereby certify Kat I am the Owner ❑ Contractor OR: Agent for Owner gent for FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONN: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 ��� O 1 OFFICE #: (530) 538-7541 I A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE r office use only: OWNER INFORMATION Last Name Address Ue Ay), First m �C�j� , l q I C City Addres State Zip PhoneFax Stater- lJ Zip�r UU E-mail 2L4 0 ! `r i APPLICANT SIGNATURE r office use only: CONTRACTOR Name j „ _'S HVA C � Address Addres City City L . Stater- lJ Zip�r UU Phone�g ! `t 2L4 0 ! `r i Fax E-mail State License Number Lic. # �.� Class APPLICANT SIGNATURE r office use only: ARCHITECT/ENGINEER Name j „ _'S HVA C � Address SRAI Yes City �l State Zip Phone Page_i Fax E -nail Date Approved: State License Number APPLICANT SIGNATURE r office use only: APPLICANT INFORMATION Name Cl j „ _'S HVA C � Address SRAI Yes City �l Slat e Zi Phone Page_i Fax E-mail Date Approved: APPLICANT SIGNATURE r office use only: Zoning Flood Zone SRAI Yes • No Occ. Type Const. Subdivision Name Map Book Page_i Lot # Planner Date Approved: IJV CK rUK Z)IJbIVII I I AL KLQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: K ,jam Amount: �5 cogld . Receipt #:esO N4AQ1 Dates. I b— ®7 SRA _Sheriff SMTP Other K5:C:f:0___To'taI REV 8-12-05 RE _I. _ IAL 4 -16-70 328& 91B,E ' DENNIS, Robert 1998 Cummings Ln, Durham cont: Wayne Carry (addition/sf) JOB FINALE Signature ✓=OK O = Not OK Not = Not Readyable MOBILE' HOMES 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 i 7. Well Clearance & Disconnect 8. 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.,,._ 7 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector, <<-3 _ 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 .Y MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements •' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors 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 ti Date Card B-1 Date Card 6:1- Date -TDate 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 boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. a .Y MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements •' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors 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 ti Date Card B-1 Date Card 6:1- Date -TDate 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 boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. 4.= OK =' Not OK `= Not Applicable Not Ready RESIDENTIAL ,fSingle & Duplex) ' = Date UNDERFLOOR (Plans) OK except ti's Vil'Zoning-Setbacks-Easements-Flood-Slope . Ftg., Main; Soils-Elec. Grad. -/t&" Ftg. Depth 3--Flg-,-Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4-14g., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped malls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test V1."Water Pipe; Test -Anchor -Regulator -Service Test 12s-EfeCtric; Underground 13. F2aenmms & Ducts; Clearance -Material -Support -Ins. . rders-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date i Z-P-Oi 1 Card B-1 1-_e_- Date I _ I � AZ Card B-1 ( (. DaleTd�4 Gdrd B-1 (1. [ Date Card B-1 Date -' -;PLUMBING (Permit).OK except ti's SSSS - 16. - ter Htr_: Vent-Access=Com ion Air -Baffle -SSSS-- ------SSSS-- - -SSSS-- 17. Waie e: Test & A or -Nail Protection --- - ----------------------------- 18. D.W.V.: �gs&hor-Nail Protection SSSS- - ------------------ Shower r -Tub Access SS20. Tes uor-Tub Access ----- -----SSSS-SSSS-- ---------SSSS-- 21. G6s Pipe: Size & Anchors Date Card B-1 Date Card B -1 ----------SSSS-- ---SSSS-- SSSS -SSSS-- -- ---SSSS-- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's Fixture & Transformer Clearance -Ins. Protection SSSS -SSSS-- -------------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors ---------�-! ------------------------------------------------------ 14. Size Boxes & No. of Conductors -Stapled 2S. Romex Installed Close to Edge of Studs & C.J. ---�---�- ---------------------------------SSSS-------------SSSS-- 24-- quip. Ground made 'up w!Mech. Fastners-Bond Gas & Water --------- ---------------------------------------------------------- 2f-e-*ppliance Circuts in Kitchen & Conductor Size!GFI - ------------------------------- ----------------------------- 2&--Btefeed Wire Sizer r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI �U�e-6irc. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- - ❑ No SSSSSSSS--------------------------- 34)-Serriee_Riser Conductors & Ground -Main Disconnect ------------------------------------------------ _ 31 -Equip. Clearances Panels-Motors-Mech. Equip. ----- 32jC1 hes Closet Light -Shower Light -Spa Light ---SSSS-- -- - ----- - - --SSSS-- SSSS -SSSS-- -----------------SSSS-- Smoke Detector Dale ------- -- ---- Card -B _ -- - - --- - ------ Dale ------------ Card B -_ ------ ---- --- ------- Z'a ------------G-G--------------------------------------------- Date `1-�a Card B-1 &<; Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A. Ducts Insulation & Support ----------------SSSS----------------SSSS-- ---------SSSS-- ---------------------- 35. Vent Exhaust ab nsulation -------------- - -- ----- ------------SSSS----- --5 -- 36. Condensate n & Overflow: Size &Grade ---SSSS-SSSS--------- SSSS - ------SSSS-Size---Grad ---- - ----- - --- ...... 37. Furna Vent: ss -Comb. Air -Return Air Vent -115 outlet ------SSSS--SSSS-------------SSSS- ------------------------------------------- 38. A is -Access-&- Platform i rnance in Attic ------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 - --------------- ------ -------SSSS- - ------------------------------ Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except ft's Sils. Proper Material & Anchors -SSSS-- --------- -------------------------------------------------------------- . Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----SSSS-- S -SSS--------------- 4 Bearing Walls over Girders & Floor Nailing -- - -- "-�------------------------------------------------------------------ 4/-uraft Stop in Walls (rat proof) ------------SSSS-- ----------------- ------------------------------------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------- - --------------- - Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 40'-C'Ing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng. -Rfng. --- 4,. Fireplace Ties or Type A Flue -Fireplace Throat clearance gd. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5B -Garage Fire Protection Framing Property Line Firewall & Openings Z Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53.94eirs; Width -Headroom -Rise -Run -Landing -Fire Protection --- - -----,5{h plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5,5lSiding-Nailing Veneer ---------------SSSS-- -- 56--c4"cco Mesh -Drip Screed -Fd. Vents-Underflr. Access r Glazing Area -Glass Protection -Skylights -Plastic _ 57. -Sar Walls; Nailing -Bolts -------- 59. Insulation -Walls -Ceilings Infiltration -Walls -Windows - - 9- date-- - Card B -t �� - Date?-1.QCard B-1 Date I-- Z �-1��Card B-1 ��� Date Card B-1 Date FINAL (Plans) OK except ti's J41Txt. Steps -Door & Sidelight Protection -Landings -- --------------SSSS-- -- 62-S-moke Detector 68'-Pnrnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------- �edroom Exiting 6fiT�F.I & Bath Fixtures & Tub Access -Spa 6 6ec. Trim & Subpanel; Breaker Sizes & Labels ------------- ------ - - --------SSSS-- 61-STMrs & Rails -----------------------SSSSSSSS--SSSS-- - 6 ,re lace or Stove. Clearances -Hearth ---------------- 6Q-.EL". Outlets at Wood Panel; Int. & Ext. - ----- - - -- -----F------------SSSS-- 7 ixt. & Appliance: iance: Grnd.-Air Gap-CookingClearance ------ --... --- -------------SSSS 71�'Ei2>;. Outlets & Receptacles at Kit. Counter -----SSSS-_ . --- -SSSS-------SSSS-- -- --SSSS-- 7& -@fare g a Fire Door Swing -Landing -Closer --SSSS73."i-Duct in -Garage -Damper SSSS-- -------------------SSSS-- - 74.tr. H1r.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --SSSSSSSS-- ------------------- 5.- - S Plb.. Elec. & Mech. Equip. Listed for Location - SSSS--SSSS-------------SSS-SSSS-- 76T�C. Receptacles in Garage: (G.F.I.)-Romex Protection -SSSS--SSSS-- --- - ---- 74'."1 nsulation-Foam-Looked in Attic ❑ Yes -------------- ----- ------------------SSSS-- - - 7 Guard Rails & Deck Construction -Post Caps 79d'Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth - - - - - -- SSSS- Clearance Looked -under Floor- ❑ Yes -----------------SSSS-- - Bp.e�ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------SSSS-- -- 81-5kwcco: Brown -Finish 82--A-6--Unit: Disconnect Electrical, Plumbing --- 82,-.1Lealc-Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 8 . ater ell; Disconnect, Electrical, Plumbing -------------------------------- 8 5. ---------- -----------------S85.. Exterior Elec. Trim; G.F.I. Receptacle -Underground _ BtirVentilation Throughout House --------SSSS-- iieGlass Protection _.. - - - - -- - - -- - -- -----------------------------------SSSS-- Corrections from Previous Inspections - - -- - --- -- - SSSS -- - -SSSS-- _`Gas 10 -Meters Tagged Gas -Electric --------- 9U. W r & erCSewonnected-C/O to Grade -HD Approval - 1 nergy Compliance Certificate -Other Certificates Date Card B-1 Date _ Card B-1 ------ 3�'`�Z----------GG--------SSSS-- -- Date ( �2 Card _B-1 Date Card B-1 Date Card B-1 Date Card B-1 :omments at Final: EV GY INSTALLATION CERTIFICATE Building Owner Building Permit Building Location DESCRIPTION OF INSULATION ROOF Material Thic!caess(inch es) M="R. IOR WALL Material `7 S Thickness(inches) CEILLYG Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELLZIATED Material Thickness(inches) �o FLOOR, STAB Material Thic'_cness (inches) Width(inches) FOMMATION-WALL " Material Thickness(inches) Brand Name The --=1 Resistance (R Value) Brand Name f2//4llJ 0 /L L E Thermal Resistance(R Value) / Brand Name_%AW o/G,6. t Thermal Resistance(R Value) 30 Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(P. Value)__ Brand Name 1W.Q V 14 L,6 Thermal Resistance(R Value) / Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ I hereby- certify that the above insulation was installed in the above building, is consistent with approved building department plans -and attachments -and con forms with requirements of Chapter 2-53 of State of California Energy Requirement NA��/OW STATE CONTRACTOR'S LICENSE N0. SIGNA r OF IN U' .;a1ON APPLICATOR DATE I hereby certify the required features, devices, and equipment, .ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWFNE.R (Please Print) (FIRMS I) V SIGNATURE OF B /OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 4/7 � z DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE R/OW`(ER DATE THIS CERTIFICATE MUST BE ON FILE. WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 % r ... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 n 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasp'contact this office immediately. r- w A L. Date 3.3\ -5 z inspector .11 ',AA,� REV 11/91 COUNTY OF BUTTE° DEPARTMENT OF PUBLIC WORKS ' • ' 196 Memorial Way, Chico — Phone: -$91-2151 S 7 County Center Drive, Orovi Ile — Phone: 538-7541 -, 747 Elliott Road, Paradise — Phone: 872-6307 �' CORRECTION NOTICE 32asg- ci� 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. -X' I01\1 rj eft ro SOLrr CSAS r1rr-51T \ 0 Lf3S �A Mlnll . vx ; rN sr .�3 •a �n •F 5 Date 3 ' C1 Z Inspector /J .:.AIGI .N ' r 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. 1Zr- lId, -2i' VJIbT Vt n V m-� T _ R N Q HACK Date i - P - q P Inspector ti,u COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico= Phone: 891-2751 'N 7 County Center Drive, Oroville — Phone: 538-7541 }s 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE "DEt-A M IS 32 SO - q( 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. 1Zr- lId, -2i' VJIbT Vt n V m-� T _ R N Q HACK Date i - P - q P Inspector ti,u /0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 t APPLICATION AND PERMIT . A n ASSESSOR PARCEL NUMBERZOJJING 40-16-70 - A5 BUILDING PERMIT OWNER ROBERT DENNIS TELEPHONE 345-1111 SO. FT. OCC. BUILDING VALUATION 741 R -17791 OWNER'S MAILING ADDRESS 1 XMMIN SLN DURHAM 95938 CONTRAC TOR'S NAME WAYNE QARRY CONST TELEPHONE 877- 513 CONTRACTOR'S MAILING ADDRESS 147 A Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 229-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1998 CURMING LN DURHAM Permit fee $ 368-50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RCCEL MAP (QO Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF MX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ®X Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: VRT) A ath?—y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury y (check one): �I 'IFXxi I am licensed under provisions of Chapt. 9, Div. 3 of the Business f I and Professions Code and my license is in force and effect. (� License No. C��7 (2- 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) ❑ 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.61) yzQsgft OR ADDNS. ACG. BLDGS. NEWCONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS o- (SINGLE OUTLET CIR. z00sot Ex. Occup OUTLETS OR FIXTURES eALO 30 FIXED ALNS. Ex. OCCup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ 28.50 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. rit I shall not employ any person in any manner so as to become subject Y� 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 Filing Fee 10.00 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 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 agai t said County i c equence of the granting of this permit. X DateR`-13�21 Signature f Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavatio over 5'?deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOT L EE $ 7.00 HAz. cuA PARK D EDF PAR Po I HD ssuE This permit is herebv issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated efor which fees have been paid. D OF PUBLIC WORKS DateQy—'�� PERMIT EXPIRES Date h/ ,(¢ —7'!// Receipt No.�� —/ '30By WHITE-D.P.W.. YELLO -ASSE3OOR. PINK -IN P CTO., .OLDEN... -APPLICANT 0 ,\.r.rT•'t•. _ ..-.,,,.,K,,,....t...�„f97yi ..•�..q�,��n,..a� r`r't`r F"1.,�`"':,,�,�:,:��3�Q,;;,r�,;, � + COUNTY OF BUTTE - DEPARTME rT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT Arwr_ "TIO -V DATA SHEET OWNER lfoi 'Ro- ori✓/C Proposed Building Use SX0 ri> v �'��- Building Inspector_ Permit No. A. P. No. q0 - %.5- 7 e- *,-i Date 9 - /:3-117- 1 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 ......... -� Statement of Intent for Non -Heated and AC Buildings .. Engineered truss details and layout in duplicate (required prior top Ian check) 9. Mobilehome installation data including manufacturer's installation instructions......... _06 ® Fees of $ `� `J ,8 y i°/,Ib.✓ . 9%. ... �i=cir,� q: 11. Chico Urban Area fees paid ....................................... ark fees pald School District fees paid .............. �-- Sanitation approval from W1,4 Health Department / d 15. 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 ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... / 25. Letter of signature authorization .j ....... .... ... . 26. C // 1,u7 )� S%�,�. ; = mod /�%G; 1� �iG' �.�/ '27. , When you issue the permit, process as follows: Mail to owner. ail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other I Applicant Date 9 Copy of Hdz-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 is ce: (Circle new item not checked above . 1. Index permit for above items N14 , -'s, 2. A itional items required: Ss 'Ir vr2�r ,/ cerci nw, AV_Fa ��C' a. Contractor designer, owner, was advised of above required data by v hone_mail_counter by /31/..date �S C� Contr qr, designer, owner, was advised of above required data by phone all counter by QL�date v Plans checked by Date Plans aKproved by Date s�1 & !:4-94— - Sets of plans on hold in File cabinet AP folder —/O 'q/ Copy—DPW 4 r . TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ' ---Owner Location A?# Plan Approved for: Sewaqe E Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE posal Water Supply Water Supply Water Supply Other N2&L kPYWry,, ,L nrw Saitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR EL NUMBER 70 ZONING /1 " 5 - BUILDING PERMIT OWNER ® Nss TELEPHONE y� 1� S0. FT. OCG`. BUILDING VALUATION '37 79/ OWNER'S MAILING A.DDRES I 4? 9 6 CivInmilivos L.v IQ UMHAM C/d G1�9 319 CO T ACTOR'S NAME WA 111 f Gt..-is A c ev TELEPHONE 87 7- 35/3 CONTRACTOR'S MA ING ADDRESS /� l�7q% 0n/ES Ln/ 441/0,0/ f Ci@ Fireplace LENDER UNKNOWN C qCONSTRUCTION Total Valuation $ % Filing Fee $ 10.00 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 $ 366-50 PLUMBING PERMIT Fi ingFee 10.00 N Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other le,SPECIFY Gas piping system 1 - 5 out is 5.00 Building sewer 5.00 Mobile Home I S IA 1W I 10.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 6M/Q0DM Permit Fee $ Contractor ELECTRICAL PERMIT Main service 6101 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST./DWELLING Oc�u .el� OR ADDNS. 1 ACC. BLDGS. Filing Fee 10.00 —10.00 _ 2.50 '/:2sgft %g , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 251 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.( y05747— Classification, 13 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) ❑ 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 CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 6 (SINGLE OUTLET cIR. Occup(OUTLETS OR FIXTURES Ex. Occu AL@ BAL03030 Ex. DCCUp. OUTLETS 4RESIO IFIXED APLNS. REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 216,50 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. 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. MECHANICAL PERMIT FiIingFee 10.00 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 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, judgme ts, costs, and expenses which may in any way accrue again said County i co uence of the granting of thiss permit. X Date_1—��—CA Signature of Allplicant — Owner ❑ ntractor J& Agent ❑ An OSHA permit is required for exc va ons over 5"0" deep and demolition or construct- ion of structures over 3 stories in h ght. Mobile Home Installation Fee $ Energy Inspection Fee $ 30 — occ CONST TYPE `� TOTAL FEE $ L11(e ,.,AZ CUA PARK scHL FLo coF PAR PD ,— �. IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 13W15-1// WHITE-D.P.W., YELLOW-AyeESSOR, INF-INSPEC O . GOLD ENROO-APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 12/90 Bldg. Permit # OWNER �6?)l.'a1w4 / S A . P . # yQ— /6 — 7 0 Plan Checker GENERAL a.Zoning requirements: (sideyards and number of permitted living units). ,^/aluation. �• Plans signed by designer. +!Proper description of work on application. �tems on data sheet. (W.C., fees,. Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN _,---Complete parcel size and dimensions. --2�. Setbacks, sideyards, easements, 3. G-t*e- b-url-d-i rrgs—o r s t"ra-c-t-uses . 4. adin _ ,z-1-�s ; dr�anage Flood hazard. Special conditions on creation ustible, and foundations). ;�.�Building AU & FAS road setback. or utilities across lot FLOOR PLAN etc. map, (noise, CDF, fire sprinklers, non -comb - lines (Record form). lete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). 3r"IRequired windows for second exit (Sec. 1204). y-�(Cha_ptex 34 &-Sec--5207) . Duman impact.glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). in -ths, garage, kitchen, and exterior outlets (Article 210-8). 8. res, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. moo-amiens—©f—wa-t-er---heater, heating and cooling equipment, other electrical or gas equipment. 19�Gar-age firewall,-door—size, and closer (Sec. 503(d)(3)). 14-.--l-- 3'0" exterior exit door (sec. 3304 (f).E,Yts>s p --e-a at4en-,-a-lc.oves,_a-ad-c-l-eaT-an�c-e . 1 Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1./ Standard bracing or engineered design (Table 25V) eT—a^p^li le� ei--Iteuse-regu t no 1 ,4 , a .sign. 3.� ndation plan complete enough to construct building. ��✓ For construction details complete enough to construct building. !Elevations and wall construction details complete enough to construct /Roof construction details complete enough to construct building. 8 Fit-P•�t-�e9-�•r baa ming-� i� ge-be-a� `iu/SS � J' . • po s. 1@ --Stud heights. n. 1 a r Y building. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR • e, s 4-Se4,3306) . plaster er roof pitch for roof convering (Chapter 32). Roof covering type - (-firez -a). 36" halls and stairways. F.L i an p s s, etc. C �ttic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). 13--a arb;i tine air -r F ti—v'v'�'-,nsz^r — vD1 351 2s�TP—C7�'T-e�131-e{i3e13�s. r-emenTs-o-a•n-�-eac e s . i E` gydesign. 16Flashing at all exterior openings. g 1q. C� � �✓.. V4 s . . VL ,,=1-i/ jr,pnv c � G ��� 4.,V FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under /build- ing permit application at 199 &,"y3 'h /,q!as A. P. # �(I w forL��/TiO� 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 ADDRESS PHONE NO. 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. CO�D WILDINGEPT NOY 13 1.331 f ,.. .. ti C +4v� 1�.f ..pr.+v,...�.... ., ._.,�t_ _ r :� C:�'�r�ils�w�i'a'ti�i t����1'n _'�.k.' "�,,aew+.'•,t�+'i��''�.�'�na&� ivr�pw_;};3'++07� ._ .. .- , BUTTE COUNTY SCHOOLS DEVELOPMENT FEE_ CERTIFICATION FORM .ba (One Form4per Building) l A.P. Number y® %b -7 Building Department No. P, �. . School DistrictNVQ M/Q/1� City County •� Jurisdiction Property Owner i Project Location/Address , /qqq C om1i6f/;_j LTJ Subdivision Lot Number Lq Residential Develop int: r ,rr�'Q2 Sq. Footage v s # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage �w.�..� 'New Addition ( Including Exterior .�-- Roofed Areas) `Btfilding Department -Representative DcYte. ?4(Floor Plans -reviewed by School District Personnel) District .Id No. School District certifies that (Applicant Name). (Phone,Number) /9 9d" C1241.v.1"I (Street A dress)- ....,° (City) (State) (Zip.Code) h — ' + 3 has complied with the requirements of Resolution No. by the payment of $ / /.,�5. 96 representing %L%l square feet. fft_X fi GW60 ool District Representative PAID BY CHECK NO. BANK NO PAID BY CASH Date •• . _f AkJ white -applicant, yellow -building -department, pink-school.distri,ct SCHOOL.FEE (8/88) `' �� { C ri SV COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 't 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ASID PERMIT f ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME r i - r { �: � 1 � TELEPHONE � �• ter, CONTRACTOR'S MAILING ADDRESS -�„ r �•' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER '' , r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS / �'"• r '� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME _7;,PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherE]-- Describe work: r '� �` -' '��= f~. '�,� r — Permit Fee $ -Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LE Main service 10000 AMP ORSLESS 10.00 , Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/,Osgft 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 sale.(Sec. 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 CONSTR. MULTI -OUTLET 2,50 ea NON -RES,., CIRCUITS) &j NON NEW -CONSTR RESID. ( SINGLE OUTLET POWER APPARATUS CIR. / 2oss0C Ex. Occup(o OR FIXTURES 9ALe 300 FIXED AX D APP LHSOR . Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiringr � � t,. , r 15.00 /. r , Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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 r• " Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ YISSUE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No.' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • - • , 1 1 „ (*fly. •/ / / � V � ii•� I' / �s _ /•• • �OFFICE COPY Addressq GAS Meter `By 1 ELECTRIC�p s� Meter BY S ,Date' "i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA-ION 4ND'PERMIT ^��•=��1�^^R. vmocry - �o '� OWNER ZONING I ' BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AILING AD RE5S CO7 AC 1 OR'S N Am E TELEPHON ' ' CONTR CTOR'S AING ADDRESS �_ Fireplace CONSTRUCTION LEN ER�� - UNKNOWN Total Valuation Is LEND R'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER ;.� LICENSE No. Plan Checking Fee $ ARCHIECT OR ECT OR ENGINEER'S MAILING ADDRESS Penalty Y $ Permit tee $PLUMBING BUILDING ADDRESS ` /, PERMIT Filing Fee 10.00 Each Trap 2.00 LOT NO. SUBDIVISION NAME PARCEL MAP Solar Water Heater 20.00 Water piping Each qas water heater or vent 5.00 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF uplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: '5 fc7 C��/��- _ �T Permit Fee $ ctor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 V OR AMP LES 10 10.00 U Main service EA. ADD'L 100 AMP 2,50 V CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed underNON-RESID. provisions of Chapt. 9, Div. 3 of the 7usinessEx. and Professions Code and my license is in full force an 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& h2sq ft OR ADDNS. ( ACC. BLDGS. 2I NEW CONSTR ULT'.OUTLET NON-RESID, BRANCH CIRC ITS 2.50 ea N E W C ON ST R. / POWER APPARATUS & 1 %SINGLE OUTLET CIR. / Occu zo@aoe P(ouTLETs OR FIXTURES DAL@30Q Ex. OCCU FIXED APP LNS. OR P• OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring �/ 15.00 Permit Fee $ D 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. (Cf' I steal I 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 Filing Fee 10.00 Heating Cooling Hood _ 3t00 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 Countyotro Butte to enter upon the above-mentioned'for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabII'ties, judgments, costs, and expenses which may in any way accrue against r id County in conseque a of the granting of this permit. }( ;/<���;.j'•' �� 7_ j/. _ C> Date Sli ature of Applicant — Owner,&' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation .Fee $ TOTAL PERMIT FEE $ OC CU P, GROUP TYPE OF CONST. PARCEL I—PIHD SSVE This permit is hereby issued under -ions of the Butte County Code and/or work indicated above for which DITCT �R OF PUBLIC B Com(/ �,� 66Kr/' Y PERMIT EXPIRES D to the applicable provi- resolutions to do fees have been paid. WORKS �J Date � •—� receipt No.� �? � / NHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECT OR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca'ifornia 95965 - Telephone 916/534-4541 APPLICAT16 AN6 PERMIT' PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE- SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING N vim/ CO T AC OR'S NAME TELEPHON ' CON R CTOR'S A ING ADDRESS ` Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LEND R'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �9 ILI LICENSE NO. Plan Checking Fee $ Penalty $ ARCHI ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS/ PLUMBING PERMIT Filing Fee 10.00 owl Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF uplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe WOrk:f���G7 �74&�� *- �— _�� C� Permit Fee $ ctor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR AMP ORSLESS 10.00 zaoo Main service EA. ADD -L 100 AMP 2.50 - NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ihdsq 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 and my license is in full force and effect. License No. Classification ❑T 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 NEW CONSTR (MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR (POWER APPARATUS &I NON-RESID. SINGLE CUTLET CIR. Ex. Occu / 20@500 P\o OR FIXTURES 9AL®ao FIXED A R Ex. OUTLETS (RESID.)EA.) 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring U 15.00 Permit Fee $ 7a 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. 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. MECHANICAL PERMIT FiIingFee 10.00 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 Countyof 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, d expenses which may in any way accrue agains id County in conseque a of the granting of this permit. X ��r �- i"� Date i ature of Applicant — OwnerSS Contractor ElAgent F1work n 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE 'This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DI CTR OF PUBLIC By< -&W PERMIT EXPIRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �(,7-�% WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT IJI PORTAN4M ESSAG FOR p. --M., DATE ab f $ TIME. (N -t-, M OF -PHONE AREACODE - 'NUMBER EXTENSION ;. k TELEPHDNED �x['�''.��' %��Cv�A. �ILLL��A��d�.�,4.. r NOW; 17, 4+ P6�IALA`yT".i2fTYSE%N�.T'2ImaDcN`, b � h 'P( NOTES 141_� COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: t R()bE22T fiE�/y15 P4:,:F-lz C��/U�� sfrr-�a•v 12UT Ste W17z/ / el2Ve { t J }( buted loads R ' �� Mem Sloped uu� Pro'. Local UDL Triangular �he'�m4l. No. No. r./rt slope K norzz k/ft perp K/ft parll K/ft 0 GJ Cha`nge` 0 0 0 ~n�� -.02 0 0 0 - � -.02 0 0 0 ' 4 4 o -.02 0 0 0 0 .`~^e~ � I. Sl , Projected UDL & Point Loads act in the global coordina.e.syst. 2Local I rpendicular, Local Parallel, Triangular Loads act in the l cal member coordinate system. 3Tri- ar Loads are 0 at the lower joint with the magnitude specifi'�d�at tgreater joint. ''' ^ - ` ~ __________--- __________________________________________________-_____''�. / ~ ^ -- !t:tt--LQ8Q COMBINPjT ON DATA .. Load Load Comb Load Comb Load Comb Load Comb Load Comb Comb Case Fact Case Fact Case Fact Case Fact Case Fact C/ oo ``�'�'" - ac - 1 1 1 2 1 3 1 P -FRAME Input Data Str No A.M.D. 27 Sep 91 1:0 ROBETSON and DOMINICK - WILSON HOME COLLAR TIE ANALYSIS load # loaded # support # loaded describe case jointst DEAD N _^^. �.~. .�== ^ =p=��r��o as self-weight.u z t a d Member load data for L~~. ~=== ^ is iy//u,eu Self -weight is auto(ally calulated. , . ` `. ' ^ ° ^~ °ec Mem Sloped UDL rroJ. um- Local UDL Local UDL Trianguler' --l` '''�� No. No. K/ft slope K/ft h perp K/ft parll K/ft � GJ 1 1 0 0 0134 0 0 2 2 0 0 .0092 0 0 0-' 3 3 0 0 -w0092 0 0 0' ''�' 4 4 0 0 -.0134 O 0 0 5 5 0 0 / -.0113 0 0 0 buted loads R ' �� Mem Sloped uu� Pro'. Local UDL Triangular �he'�m4l. No. No. r./rt slope K norzz k/ft perp K/ft parll K/ft 0 GJ Cha`nge` 0 0 0 ~n�� -.02 0 0 0 - � -.02 0 0 0 ' 4 4 o -.02 0 0 0 0 .`~^e~ � I. Sl , Projected UDL & Point Loads act in the global coordina.e.syst. 2Local I rpendicular, Local Parallel, Triangular Loads act in the l cal member coordinate system. 3Tri- ar Loads are 0 at the lower joint with the magnitude specifi'�d�at tgreater joint. ''' ^ - ` ~ __________--- __________________________________________________-_____''�. / ~ ^ -- !t:tt--LQ8Q COMBINPjT ON DATA .. 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