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041-330-033
041-330-0_13 PERMIT#96-2180 STEPHENS, Golda 4356 Cherckee Rd., Oroville Cont: Mike Hurst Electric j Ele Ser Ch/SF yV 041-330-033 06-1486 UNGERSMA 4356 CHEROKEE RD, OROVILLE , Cont: DEL JOHNSON AC� HVAC W/ ELEC SPLIT B07-2186 $CA/J1J1D 041-330-033 MISCELLANEOUS Room Addn-First Stry ADDITION BA, BR, HALL (360) GAR 4356 CHEROKEE RD BRINGSIORD, NIELS B08-2105 041-330-033 MISCELLANEOUS Electric Panel ELECTRICAL SERVICE UPGRADE 1C 4356 CHEROKEE RD BRINGSJORD, NIELS 33 41 11 3.1 0% 31 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4356 CHEROKEE RD Owner: Permit No: B08-2105 APN: 041-330-033 BRINGSJORD, NIELS Issued Date: 10/15/2008 By TMP Permit type: MISCELLANEOUS 4356 CHEROKEE RD Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 10/15/2009 Description: ELECTRICAL SERVICE UP GRAD] (530) 532-4253 Occupancy: Zoning: U Contractor Applicant: Square Footage: MARAZZO JIM ELECTRIC MARAZZO JIM ELECTRIC Building Garage Remdl/Addn 299 PLUMAS DRIVE 299 PLUMAS DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 (530)589-5567 (530)589-5567 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8861 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 MARAZZO JIM ELECTRIC 669681 / C10 / 04/30/2009 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 (com nc ng with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in f I ice and effe of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not than five hundred dollars 10/15/2008 penalty more [$500]; Please check one of the following: Contra O'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 Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Caner: Policy Number: Exp. Date: (This section need not be completed if the permit rs or ons a hundred dollars ($100) or less.) , ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: I�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' X 10/15/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pro ions. X � 10/15/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: AILURE 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count o enter the above mentioned property for inspection purposes. I hereby certify that I am the prope wner ora thorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 10/15/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name ermittee [SIGN] r t Date the performance of the work for which this permit is issued. (3097 civ. code) O er ZyContractor OR; Agent for Owner ❑Agent 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 1�00um.1400 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY **Wh fl d th' a lkation and all supporting material becomes subject to the California Public Records Act. All en e , is pp related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name AgG�5 O IJ First Name s Mailing Address S� C1 1jG���AJP City OA U State ell- I zip Phone /3 Z C/Z S3 Fax E-mail CONTRACTOR Name � 44 Address 2 q f�G (✓ / t�S ��' City C� (� StateCot— Zip Phone �`S'� Ss(v Fax i 2 E-mail Lic. # Class APPLICANT SIGNATURE X kL2�0 PERMIT NO. PROJECT LOCATION Property Address tl 34Cr �el C city CA UUC C_ (P— 1313 # 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. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name (� 7cD v Address city State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X kL2�0 PERMIT NO. PROJECT LOCATION Property Address tl 34Cr �el C city CA UUC C_ (P— 1313 # 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. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name (� 7cD v Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X kL2�0 PERMIT NO. PROJECT LOCATION Property Address tl 34Cr �el C city CA UUC C_ (P— 1313 # 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. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No 0cc, Type Const. 0417330-033•—, 06-1486 `•ee °rT+ N O T E'3 t UNGERSMA r.-; ,, 4356 CHEROKEE RD, OROVILLE °�� Cont:'DEL JOHNSON AC HVAC W/ ELEC SPLIT I APN: Permit No. Owner. Site Address: Contractor. y Type of Permit: t . pr T 9 .T r i kZ 'i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE t 6 ?E DATE JOB FINALED: Z SIGNATURE: • =OK 0 = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd 'Am -Concrete 6 Yard Gas; Loctn Test -Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line . 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignla Numbers Serial Numbers 00 MISCELLANEOUS - DEC KS'COVERS•CARPORTS'GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; SoI"zZpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/Handral is 4 Wood Awn; Posts-Seams4 ttrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-Rf rs Tnisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls d'f e`er � rya 1 Setbacks -Easements _ 2 Soils; Compactlon-Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI _ 5 Elec Pool Lting; 15 volts-GFI _ 6 Elec.Encisrs; Conduit Entries Terminals-I-isted 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Gmdng; Eqp w/5',Crcltng Eqp-Pool Ightg Boxes-Endlsr;461boards4nsultn to Main Conduit • 9. Health Dept AppM _ 10 -Plmb; Cir Test-Wtr Supply Test —I I Lt Niche , 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide da da' o'er 0`41 Drawing 0 = Not OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR. DATE IPLUMBIN=G 1 Zoning -Setbacks -Easements -Rood -Slope 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle ' 2 Ftg Main; Soils-Elec Gmd Ftg Opp 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SailsSteel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Ptfctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, Fust fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub '& Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas.Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE IM E C H A N-1 C A L 13 Plenums & Ducts; Cirnc-MaterialSupport-Insults 61 AC Ducts Insuitn & Support 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & VnUtn 63 Condensate Drain & Ovrfiw, Sz & Grade 16 Insulation 64 Furnace Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic ell #P �P _. De DATE FRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders .& fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof) 68 Furnace Vnts-Dimc Comb, Air-Cnnctr 21 Fire Stops, Furred CeilingsStairs-Chasers-Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & BeamsSi &-Bearing* 69 Bedroom Exiting 23 Hangers-Posf Caps-Anchrs-Cnnctns TO GF18 Bath Fxtrs &Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlln-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue=Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz kkih i Prtctn-braft Baffles Stop -Ins 73 Stairs, Guard/Handrails 27 Bdrm Wndws or k iitlng boorsSiil Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctri Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs • 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd. Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper. _ 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clrnc Dmge Planters Q Yes ❑ No a,.• �s' oa• �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd DATE ELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lespctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz as ❑CU or ❑AL 98 Address Posted AC Wire Sz pa ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ya Q CU or ❑ AL Oven Circ Q CU or ❑AL Insulated Neutral QYes El No 0�� �.• 0,s` 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector 40 elf d 411 0 :4. Rpr 25 07 09:11a Dell Johnson HVAC Jun 21 20DE 11:ti313M -ECS CERTIFICATE OF FIELD VERMCATION & D t'rojas-t A•3drese "� ' 4356 Cherokee Road, Paradise, Ca. Builder C.,ntact Del Johnson Heatina and Air Mery � .�^' `. GptetyyN�Oy ��avya 6Lrr. , ice• Energy Dalculation Ser,-ites 574 Marzanft Ave, Sulte 9 5308772435 p.3 530 8L+4-3922 F-6 Date- 6/1412006 Job#: 116307 TESTYG- (PAge 1 of 6) CF -45 Del..iahnson Hea±,n X _": an Number Samvls Oroup Nurnner Climate Zarc � 1 Sample House N=ber _ CHW.ERS City/Stetcrzip: Chico, Co. 95926 copies to: Bull -TIER, ETERS i OVIDiBR RNID BU DING DEPARTMENT -A k1ER.S RATER COMPIJA CE ,,RTATE112EW The house was: ✓ 0 'Tested ✓ [] Approved as part of ss-nple testing, but was ant tasted As tltc HERS rater providistg diag;tsstic testing and field vetcaticn, L cern! that the house idea tified or. this form cornpliss with lice diagttoetie bcshd comppliance rrgiti�remants es thecL ed ✓ on t!;is iersn. I��e H$RS ieoer mwct che: It and t�eairyry that t'.e nett' distribtmoa ss�sieat is itdl�� ducted end carred is;se is t;aed beicre a CF -4R m be nIeasod oa every ouiid� 2;,e .HERS rates rsust avt release rise Cir-4Itrtil a proaer;y completed enc signed CF -6R has been r:real fort e�senpla d !estod buildugs;. 0 Tile WvWier bias providers a copy offCF-6R (hwWatirin Certificste). ® New r+istribution `ystem is YWL- ducted (i.e., does Lot use haf1ding cavities as pien,,_s or plgtform returns in lieu of ducts). 0 Wew systems where cloth backed, ru*of adhesive duct tripe is ir. stalled, mastic _Tad drag: bands ttre used in _ combination with cloth backed, nibber adhesive duct mpa ro sea, leaks at duct conn --;,lions. ✓✓ W -X1N 1 VLN1 REQUIREAUNTt9 FOR DUCT .LEAXkGE REDUCTION COMPLIANCE CREEDIT Pr0c,-0d11res forfleld,w fwatlon and diagwstir resthw of ah- disrribz4on sysumrc rm mWllrb!e in 1UC14 .S,nt-+endtV RG4.3. Duct Diagnostic Leakage Testing Results NEW COi`STRUCTION. _ Duct Presauuizwion Test ResitsiVleaturcd (CFiy1 g 23 Pa) Values „ s i ' Entex Tested Leakage F) is CFLA. i 2 an Flow: Calculated (Nominate � ID Cool igg 1 ❑ Heating) yr V D .Meastred -- i F.otcr ictal Fan Flow in CF1,1/1: 1 1,700 V/ i 3 Pass if Leakage Percentage 5 6% [ 100 x [ _(Line a i );' 1.2DO (Lina 4 2) jj�. ___' _._�_ ❑ p4� G :ail ALTERATIONS: Duct stem and/or RVAC F utpmest Chxtnp-Ou: 4 Eater Tested Leakage Flow in CFM from CF -6R: Pre -Test of xisting Duct System Pttor to i Duct Systect Alteraliun arsd%er Ecuipanent Cham Ulu. IEnter Tested Leakage Flow ;n CHM: final Test of New Duct Systzrrs or Altemed Duct Systrut as rpt: fo- Duct 3vstem Atteration 2ndior E ui meni Chan a-O--ai. (,s tri Enter Reduction in Leakage for Altered Duct Sy�,t L, z # s2 (Line # S)j ' _-- --i. 6 (Ong• ifApplicable) i 7 i Eater Tested Laaksge Flow in CFM to Outside (Only if A;piicable) yi 8 Entire New Duct System - Pass ifLeatsagc Perc-entages Sao El 00 x ( 52 (L.ine # 5)I �20t: 1Line # 2)11 0 Pass C. Fail TEST Oat I'ERIRCATIO't STANDARM,. )For Altered puct Syste� a HVAC Equiprneat Cbange-Out V i Use one oPthe followl:su fetir Test o r VeriBcatioa Standards for compHowee: g �Pnas if' "bile Peiz.-ntpge 5 15% 1100 x i 62 (Line # 5)1 1,207 (l,iaa � ^)jj--moi I }_t3 'Pass G • Fa: 10 Pass if Leakage is Outside Percenvage S I0% [ I00 x j_ (Line 0 7) / _ 1,200 (Line # 2)11 `� D Pass ❑ Fail Pass ifLeakage RednctionPercentsge>_ti0%[100xf (Lina #4;j) I and Venfi,,ation by Smoke Tes: and Visual IaMec:ion ! ❑ .Pass 0 fail 12 Pass if Sealinu ofall Accessible Leak; and Jerificatior. by Sm.3ke Test and Visual Ire eaicn i O Pass ❑ Fs Pass if One PILine3 # 9 througbW !� 0 Pass D fait he;id�stru,►t,;rrnliancc Forms Rpril2045 __ __ Apr 25 07 09:11a Dell Johnson HVAC Jun 21 2006 11:5513M [CS INSTALLATION CERTIFICATE Site Address 4356 Cherokee Road, Paradise, Ca. 5308772435 p.2 530-894-3422 p.7 Date: 6/14/2006 10154 06307 (Page 3 of 12) CF -6R Number An installation certificate is required to be posted at the building site or made t:vailable for all appropriate irspections. (The information providod ou this form is required) Atter completion of final inspection, a copy must be provided to the building department (upon requeat) and the building O%ww at occupancy, per Section 10- 103(a). HVAC SYSTEMS: Herding Egaipmem i CE C C"W'd W. E9lheat I Name and 'Modal Number 6 of 14eetlaw S atxna GE4 ' (AF116, etc.)I 2CP-1R Vdue Duct Loestion Attic. etc. Duct or Piping R•value Hestia8 Load ttr >kedn 8 Capacity Bt%dhr HP S011 Bryant 223ANA048 1 10 hspf Atilt: 8 48000 48000 1 l I i Comltng Egulpment �mp Type I(74 heatPUMP) CEC CerdBnd Wa Name and Model Number of EtYicitacy Identfad I (SEER or EER) r XF-IRvalue UN DWi Ltuuion attic ate. f m Duct Load Awe:ue tater Cooling Capsehy HP Solt: Bryant FX4CNX048 1 13 Attlo g 48000 l i 1. a symbol mads greater than or equal to what is t» dYcared on rhe CF -!R value, Include both SEER and EER if compliance credit far high EM air conditioner is claimed. ✓ ❑I, the undersigned. verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to cr mane effioieat than that specified in rho certificate of compliance (Form CF -1R) submitted for compliance with the Energy actency SYomdards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Anpllonce Efficfmcy Regutadons or Part 6), where applicable. Installing Subcontrector (Co. Name) OR Ge eral i Contmotor (Co. Name) OR Owner Signature: : Date: Coplre to: BUILDING DEiPART1I-NT, HERS RATER (18 APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April2005 Apr 25 07 09:10a Dell Johnson HVAC Jun 21 2006 11:5GPM ECS RgSTALLATION CERTIFICATE' 5308772435 p.1 530-894-3422 p.8 Date-. 611412006 lobar 06307 - (Page 4 of 12) CF -6R rcrrn rvumpe[ 4356 Cherokee Road, Paradise, Ca, MSTALLIER COMPLI&NCE STATEMENT FOR DUCT LEAE;AOE B(STALLiER Ct3WLIANCE STATEMENT - — The bailding was: V OTested at Final ✓ Q Tested at Ret gh-ir INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: 0 Remove at least one supply and one return register, attd verify -at the spaces bcr mi -he register 'oy: and the interior fuusMng wall are p mpcaiy styled. 0 I?the house rough -in due leakage tea tv&q conducted witI t ail air handler installed, inspect the counectlon points bu,,voen the au hendkr and the mppiy and return p,euums to verify that tate costreedor, points ars prgpce y sealed. r Inspect all joints to assure that no cloth backed rubber adhesive duct tape is used ✓ 13 DUCT LEAKAGE REDUCTION NEW CONST'RUC'TION: ` butt Fresnaizsti m Test ResulM (Cc74 r� 25 Pu) I -La er Tested Leakage Flow is CFM: Values ua %.wung r u )t4MRn8) 0r N U ;4[esStrcd I 2 It Fan Flew is Calculated as 400 eft/tan x number of tons or. as 21.7 c Hesti} �Cay"ir+ in l lwumads of Btulhr, eoterwtai nalcuilated or mes;stured fan flow itt CF'M r ern: 3 I Pass if —0Mk +go Percertage g 6% ti r FicW or .5 44,e at Ro*-!C: i .1100 x _- (Line # l) i 12Q0 (Line # Z)il I-a-aL-Tom£—RA—TIaAtU:;Iuct Syahm and/or HVAC Eclat creat Ctaaa tt ¢� Enter Tested Leakaw Flow in CFM from ?'rt -Test of Existing Duct system Mor to Dur, j System Alteration andlor Equipment twaatt(,e-Out. ; Easter '_ entd Leakage Flag• in CFM from Final Tesi cf New Duct System or Alt!ned I lint 5 1 SyStem foT Duct SvsI= Ahmatirm anak-r Ftn.inv .... 162 e- -9 Pass 0 Faii Enter Reduetwo in Leakt ge for Altered Duct system f !tins A 4) 1,ya us 92 (Lina 4 5) - (O.nty if Ayp:icable) +� , i 7 . Eater Te•.sted Leaage iFlow in CPM to Outside (Only ifA,ppucable) EntL•e New Duct system - Pass if age Percentage S 6% for Final ar S 4% at Pnugh-in g — -� i 100 x f 62 (Line # 5) 1 11 000gYJ ine «)ii 5.10 ;�a Pass 0 csil : TE5T ®R VERMCATION ST:1.MAM; For Altered Duct System and/or RYAC Equiproeat Chenge— 1 Out Use one ofthe folks% nff lour Test or VeriSaation Standards forcomvlilance: Pass if Leakage Penn ftc S I5010 [ 100 a [ (Line # 5) ! 12oo (Line *6)]) 1, w ., '- j- - i i u as M Fait �13 Par 0 pall l i Pass iflAa *ge Redaction Percentage Z 60% [100;: [ (Line # 61.' (bine f+ 4110 ' orf Vericcatiou by Smoke Tesr and Via►zst Tnanwrrinx I ❑ Pa..s O ret: %c"W o, sJwca K 7 curvuEa a .t psss_ 1 ;1 1F?•i W Prtss 01 Fail ✓ CIL the undersigned, ver* that the above diagltosdc teat results were per"arn ed in 0-0af0nTA axe tN ith the iroyuirenients for compham credit- 1, the Undersigned. 2lto ce tify;tat the uwwly insWled of Tvmfit Air -Distribution Syootur Ducts, Niaruuns and Fan, corrlpip with hUndawry, requirements speciEod in Section 150 (m) of the 2005 Building EnerLy Effcitrcy sw1datets. arzmung �iut:comraetor iQo. Koine) JR Ge-imii Contractor (Co. Name) OR owner SiLanettue: I pate: /����' �-..._._ --•-- =� Copies to. BUILDING DEPARTMENT, ITERS RATER (IIF APPLICABLE)(W-1IL RING OWNFA AT C VCVPA.NCY Rssictart:al Con phaw r Fon ; s prll ?G'US `°' % BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061486 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 06/21/2006 APN: 041-330-033-000 the Business and Professions Code, and my license is in full force and effect.GZo �_ License Class: y7 License Number: 7319 Site Address: 4356 CHEROKEE RD ORO Date: 42/-O4 Contractor:.15/.J22tdU_5� t�U�G Map Index: Description: HVAC W/ELECTRICAL NEW SPLIT SYSTEM OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: UNGERSMA STEVEN J &DAWN K 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 pursuant to the provisions of 4356 CHEROKEE RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965-9116 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DEL JOHNSON AC &HEATING INC owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of 5800 COPELAND ROAD proving that he or she did not build or improve for the purpose of PARADISE, CA 95969 sale.). (530) 877-4564 ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: DEL JOHNSON AC & HEATING INC ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 5800 COPELAND ROAD PARADISE, CA 95969 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (530) 877-4564 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 373198 Labor Code, for the performance of the work for which this permit is issued. vd I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: AD ozo G boo S -s - Policy #:(/,4100 �.l%SL% ��iUG �•�DU� ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permityishreby issued unde a pplicableprovisions of the Butte County Code and/orI hereby affirm that there is a construction lending agency for the Resol tionso work indica ,abo for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) .. Name: By: Date: 16 Address: PERMIT EXPIRES ON:� U Z Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature:�� Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �UT%'�—Yw � BUTTE COUNTY Oo DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 ' — - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 =--- �'- 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION �001�� Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name i ,/Aj first Narpe.£N�i/2� Address y _3s -z. 12o City � Stated 7'p7„ -5_2F/, S Phone 3y �z s3 Fax E-mail CONTRACTOR Name CA� c�L d/ �.T/ T �/ `fi4C f�� Addres�1�,� City City Zip Zip? Phone� � Fax E-mail Lic. #_37,1Q, - lass 2o C APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Planner Fax E-mail State License Number APPLICANT INFORMATION Name 13 Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc I PERMIT BIN # PROJECT LOCATION C� Property Address S� ell5 2 A''FE City Cross Street � �� WORKER'S COMPENSATION Policy Nu ber �GCiG / 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 Page 1 of 3 Description or Scope of Work: Sq FT- Living Garage Open Cov O Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year atter the date of applicad'on. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: Date: C� Amount: e Bldg SRA Sheriff SMIP Other CO Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS, The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. , Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss.details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Perri* W S'T FPH E7Ns OWNERS NAME �d d �4)%% PRINT LAST NAME FIRST ADDRESS / LOCATION: ��'` �' (1-71,1/E' /2 d 2 P I NUMBER - V/ COUNTY ZONING � DESIGNATION: (,�_ FLOOD MAP: FLOOD ZONE: JC APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRiOR TO APPROVAL—. DEED INFORMATION: D9 OR MAP PARCEL CREATION BY DEE v • DATE OF CREATION: 19 �C^, DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO . . COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDiTIONS: MAP INFORMATION: DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WiTH OLD SUBDIVISION LOT ORDINANCE REQUIRED? - (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO.. IF YES, MARK APPROPRIATE ITEMS) BELOW: . A. Construct road to B. Meet parcel size required by zone. C. Meet curm t E.HA. faqur+emMls. s.- •..: r c�l:ii Via; : r.:,, CHECK SPECIAL CONDrTi M WHICH APPLY TO MAP. ALL FEES T1D REPAID TID THE BIALDING D WW LMLESS GT1a>9�I �IYb1® �1. Maintain a 50 ft. buiWbV setback from oenterflne of road. —2. Maintain a R building setback from rightof�way/centerline _ 3. Comply with Zoning code lbr building setback from road. —4. Maintain a 100 R leachfleld setback from all existing wells. —5. Maintain a R leachfleld setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire DgWtnwL 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Conned to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be Installed in all residential structures in 8c00 darxe with the 111101 l In Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and moble homes. NFPA Standard 130, unless a pressurized community water system, with hydrants that meet Fire Depaftwd spedlicaftlS. ttervea the parcel. -11. Pay T.D.D. (Thermalito Drainage District) fes in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Gams for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traft mitigation fee for eiai new or additional living unit shan be paid. Pay the amount of t -- as stated in the OrovM* Area TrafAc Mitigation Fee Agreement. Payment to be mads to dw Planning DilvIW*n. _ 15. AN new residential burgs shall be constructed to comply with the requirements of the Uniliorm Bull ft Cods for seismic safety. Mobile homes shall be constructed on a permanent foundation system which compiles with the Selamle Zone 3 requirements of the Uniform Bonding Cods. _ 18. Deer Mitigation fees are to be paid, If such fees have been adopted by the Butte County Board of Supervisors. 17. Pay school impact rdtigadon fees. x,18. � rent Impact The for aherHf shorn be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County _19. Wood stoves and *eplace inserts shall be EPA approved and designed to meet the er fission requirements of the California Clean Air Act of 1988 as amended. —. ._ 20. If any cultu it resources aro armintered during ground dWkffbfng actio(ties, all work shall nesse in the area -of the find pending examination of the sibs by a professional archaeologist This person would then be able to assess the site signMcanos and suggest appmprk to m ftatlon measures. - 21. 22..... -A • ..... —25. —28. N 3.un8 40 Klwo0� sss� z � Ndr a3ni3�3a it FORMS\BLDG PERMIT CLEARANCE Ve r /y /I Y- �c C9 0-n s 96 ci-©9,5 G- .[ ll �_ Sc v� ✓o� I g Ir vc l 0 "C rth�r� J Zia,' C� S (� de e n Lc z [ Cil ► dlg UW e- b �n sfo b lto r40� e r��f �G�C'' 05 �� Sfrucl� Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: A.P. # OWNER: ®�u cS-T LOCATION: CONTRACTOR- PRE-INSPECTION ONTRACTOR PRE-INSPECTION FOR PERMIT HISTORY: ONE TYPE OF OCCUPANCY: _ DATE: A.P.#: ZONING: DATE TO INSPECTOR BUILDING INSPECTOW S REPORT no Description: [ ] Commercial/Usage: [ ] Residential/4,of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. ices [ ] No Electric is currently :[ ] On [ ] Off Condition of electrical? f . Natural [ ] Propane[ ] None[ ] Cu:y-rently On[ ] Off[ ] Obvious problems: itation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] PotablewaLer: Ye:[ Obvious Sewage Problems:— lection Recommended:( ]Issue [,Hold for:,2o? .�rr�..-s ex lf�r [nspector• Date: 2 I s� � _SDs` .� ,j%,� a�46� � I k . rC J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O ,/\ �7 vO S ' ;"ON'"' BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWNER(/ c,, , L Q�1 � / f f� TELEPHONE OWNERS MANNG ADDRESS �S// � � / 01 CONTRACTOR'S NAMETElERgN CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER U71xNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS ., PERMITFEE S ' PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP SOIe! or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ / Describe Work: [% C� ��Q� �„�(/ �� Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor , ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 20000A A OR LESS ) 2OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 111 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. NEW CONST. OWELLING OCCUR 50. OR AODNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI_ OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 (a POWER APPARATUS SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 ED _ EX. OCCUp. OUXTIETS RESID.�EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ q I HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMITEXPIRESON provisions to do work paid. I ReceiptNo. ___ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �8z) ASSESSOR PARCEL NUMBER /'� �/ �) /� v -/'I— 33— V �3 ZONING BUILDING PERMIT OWNER GOLDA STEPHENS TELEPHONE. - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4356 CHEROKEE ROAD CONTRACTOR'S NAME MIKE HURST TELEPHONE 589-5330 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILD141!3MESCHEROKEE ROAD, OROVILLE -FJ.J� PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heateW12 00Water piping 00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent00 Gas piping system 1 - 5 outlets00 Building sewer 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: UPGRADE ELEC SER Mobile Home S G W00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. c� moi± License ClassC- g Lic. No. J ,j '� 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FDCTURES ) 20 B4L SO FIXED IDoE) Ex. Occup. ( OUTLETSRES.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE TNqP 23.00 PERMITFEE S Contractor 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner X Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HA2. I D. FEES I IMP I FLOOD Z F PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for fees have been paid. BY ate PERMITEXPIRESON o (Date) Receipt No.© WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -2 m . .,...• ... �, .se,"...,...-�c+�:a^,�1►+rver t.,r,f,e,..� .....•. r.,„ ,.aT. ;,TwT3: *i .4,..,... - - ' _-�.r. ��;. pl: J4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. ` APPLICATION AND PERMIT ' ffn �- ASSESS�RPARCELNUMBER ��%�- f7d 33 nn n nen — =33 9" r„r ZONING BUILDINGPERMIT OWNER GOLDA STEPHENS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4356 CHEROKEE ROAD CONTRACTOR'S NAME MIKE HURST TELEPHONE CONTRACTORS MAILING ADDRESS 4 Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCH ITE OR ENGINEERS MAILING ADDRESS Penalty $ BUILLDI14135. ESCHEROKEE ROAD-,n-Clt(OVILLE -e-/-!� PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. .7-7 SUBDNISION'SNAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 y '"t USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UUIities ❑ Installation ❑ Other ❑ is Describe Work: UPGRADE ELEC SER Mobile HomeS G W @20.00 PERMITFEE, S Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service0 OV oR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 _ - 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 ClassC`�Q Lic. No. 33S1L 7 �+ ., OWNER -BUILDER DECLARATION I hereby affirm u5der penalty of perjury that I am exempt from the Contractors License Law, or the fc�►Jowing reason: ❑ 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 W*sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors,'PRE to construct the project. t' p` ❑ 1 am exempt under Sec. Business and (Profe"ssions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 `r r ( 8 PSINGOWERLE APOUTPARATUS LET CIR. Ex. Occup. (OUTLET OR FIXTURES) ZL V. �°� �° Ex. Occup. FIkED,APPWS. OR p .. ('oLITLETS (RESID.) Ea) 5.00 eJnporary Service 23.00 'Mobile Home Facilities 20.00 Misc. Wiring 23.00 INSP nn PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATIONt } ' ? I hereby affirm under penalty of perjury one of the follow ing�declarattions: t, ❑ I have and will maintain a certificate of consent to 'se'lf'-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. I have and will maintain workers' compensation insurance, as,repuiredi 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 .,?, 7 ECHANICALPERMIT Filing Fee 20.00 Heating Cooling i' f Hood 6.50 Ventilation �� ' PERMITFEE $ "'Contractor Policy Number (The above'sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ., I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t&,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 w,th those provisions. t X _ _ Date Signature of Applica6t - ❑ Owner )U Contractor � ❑ Agent' An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. IQ Mobile Home Installation Fee is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ '66. 00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for .eb fees have been paid. By ate �44 PERMITEXPIRESON e I (Date) Receipt No. Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r y - 4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER,�. ZONING BUILDING PERMIT OWNERGOLDA STEPHENS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4356 CHEROKEE ROAD CONTRACTOR'S NAME ALIKE HURST TELEPHONE CONTRACTORS MAILING ADDRESS - 1 - Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is Filing Fee $ 20.00 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 $ BUILOINDAES EROKEEROADo OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: UPGRADE ELEC SER — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.0023.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( 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. ,`A `/�7 // ^/ License Classy",!�, Lic. No. �+� I II / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law,for the following reason: ❑ 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.Z. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 j ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES ) 20 @ 1.00 BAL .50 Ex. Occup. (OUTLETS (RESD.�EA) 5.00 Temporary Service 23.00 'Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE TNSP PERMITFEE $ Contractor -MECHANICAL 66. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:` ❑ 1 have and will maintain a certificate of consent to self -insure for workers' `. compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 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 w'th those provisions. X �/� __— Date-- Signature of Applicant - ❑ Owner Contractor ' ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ corlsr. TYPETOTAL FEE $ 66.00 HA2. I D. FEES I IMP, I FLOOD I CDF PARCEL PD HD 7 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 ate PERMITEXPIRESON e (Date) Receipt No. 0(p WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n 041-330-033 PERMIT#96-2180 STEPHENS; Gojlda 4356 Cherokee Rd., Oroville Cont: Mike Hurst Electric Ele Ser.Ch/SF C COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 f PERMIT NO. APPLICATION AND PERMIT In 1 ASSESSO1JP4RZONING e%gqOWNER(?LDA BUILDING PERMIT S'TEPMS TELEPHONE SQ. FT. OCC. BUILDING VALUATION ESS OWNERS IAA 1�=RER01l/L ROAD CONTRA;ffT iyR'pSS NAME �t�1 �IAR MS TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 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 $ BUILD JJ SMMKEE ROAD, OROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑XDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: UPGRADE ELM SER — Mobile Home IS I G1 W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 20:00 Main Service 2000AA OR LESS ( 20OR LESS ) 23.00 3.00 W Main Service ( 200A TO 1000A ) 46.00 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. �+-j / License Class( `{Q Lic. No. 3J f (I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law..for the following reason: ❑ Tba-S 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. ❑ 1, 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 NEW CONST. DWELLING OCCUR OR NS. ( a ACC. ) SO. 3.5Q FT. NEW CT CONST. MULTI.OUTLETLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup.(OUTLET OR FIXTURES ) 20 Q 1.00 BAL so FIXED Ex. Occup. ( OUTLETS (RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23,00 PERMITFEE S Contractor 66.06 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' s compensation, as. provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � I certify that in the performance of the work for which this permit is issued, I shall , not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X f " t �__-- Date —Z!Q Signature of Applicant - ❑ Owner Fly Contractor ' ❑ Agent' An OSHA permit is required for excavations over 50" deep and demolition or construction\�V of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is ;' OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ I D. FEES I IMPq FLOOD CDF PARCEL Po HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for hich fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date z_ (Date) Receipt No. ' _4 V rrW WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IFROM BUTTE CGUN•Zy BUILDING DIVISION 1 7 COUNTY CFmm DRIVE ORO TLE. CA 9 965 TO ,.MIKE.HURST ELECTRIC._ 15 OAKCREST .DR:J �« ..OROVILLE,, CC95966...,. 041-330-033 PERMIT#96-2180 -STEPHENS, Golda 4356 Cherokee Rd., Oroville -Cont: Mike Hurst Electric Ele Ser Ch/SF v 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. t 041--3307033_..___ PERMIT#.96-2180..,... I1.STEPHENS, Golda 4356-Cherokee"Rd. , `Oroville""'I `.Cont:TMike Hurst -Electric ,,Ele 4 Ser Ch/SF� . . PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Kougn numbing Rough Electrical Rough Mechanic Framing Shower Pan ............ ........:,... Insulation I Fireplace Footing mas o: ot: onUnue{.prep ace,Until Ab* ove Signed Stucco Lath Scratch and Brown Sewer Service I I _ Water Service Pool Final Plumbing final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY . Addresses Information.. .24=Hr.,tns Oroville 7 County Center Dr. 538-7541 538-7636 Chico tr 891-2751 891-2834 Revised 7/94 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER o Ua S Li kW S No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan c eck list. 33. 4Q IM5400tdj"npiS1w aa Nice/ C 34. When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Mail to contractor. office. Deliver with inspector. Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from . the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant a-001)NTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION - OROVILLE, CALIFORNIA 95965 - 7 COUNTY CENTER DRIVETELEPHONE (916) 538-7541 ( !. PERMIT APPLICATION DATASHEET OWNER USel /l Fl? S I No. Proposed Building Use 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 BY 1. All items have been submitted . ......................................... 2., Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form....................�.......................... 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ............ 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule ................................ 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . 1/19. Driveway permit (construction approval required prior to occupancy). ...P�l;eo; reqs est 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... `22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list. ....... 1 . ............ . 33. l'nQ Ion 34. yy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. - Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent .Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Healt�,Dept. Fire Dept. Other Date By The following data must be,submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date - Plans checked by Date Plans approved by Date Sets of plans on hold in. File cabinet AP folder Copy - Department of Public Works