The URL can be used to link to this page

Home My WebLink About042-600-0564, 6 D 0 51b=91BRZIM N, Craig_ - 1 -137- Streamslde Ct, Tot ,.15-A W Ma'po'r ".-Chico (new single family) B06-2725 0412-600-056 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC 1137 WALNUT GLEN 13YNUM, JASON W X766 B68-0760 SCA)OPEI�4 42-�00-056 MISCELLANEOUS HVAC Change'Out CHANGE OUT HVAC 137 WALNUT GLEN CT, BYN"UM7 JASON W N a i' 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 `1It PROJECT INFORMATION Site Address: 1137 WALNUT GLEN CT Owner:BYNUM, Permit No: B06-2725 APN: 042-600-056 JASON W Issued Date: 11/28/2006 By KEJ Permit type: MISCELLANEOUS 1137 WALNUT GLEN CT Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 11/28/2007 Description: CHANGE OUT HVAC Occupancy: Zoning: Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR ALL ABOUT PERMITS Building Garage Remdl/Addn PO BOX 35 3083 WHISTLER WAY LOS MOLINOS, CA 96055 CHICO, CA 95973 Other Porch/Patio Total (530)384-2444 (530)680-7619 ` FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1001 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 GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions Code, and my license is in full forceand affect] 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 11/28/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: factor s S nature 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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 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 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.). l HAVE AND WILL MAINTAIN WORKER'S INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION as required 7r CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 713-0013855 05/0112007 Cartier: Policy Number. Exp. Date: Contractor's License Law.). (This section need not be competed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 11/28/2006 compensation pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 11/28/2006 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building gnature Date WARNING: . LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, WARNING: FVLURE 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 CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to nter he above mentioned property for inspection purposes. I hereby certify that I am the o er m nth ri ed to act the prop own behalf. CONSTRUCTION LENDING AGENCY 11/28/2006 Name dQPerrIuttee [SIGN] Print Date 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) Owner E] Contractor OR; Agent for Owner Agent for Contractor El FILE COPY Lender's Address City State Zip x BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Namep CJ irst Ifame Address 1137 hh1 n o f e (ern 6f - City i Statef1 ,n �1 Zip a� Phone Fax E mail APP.LICANT SIGNATURE For office use only: CONTRACTOR Name ' Addres SRA I City ' StatEr a Zip Phonv r! `� ?4o (4 Fax E-mail Planner Lic. # -`.1,021 1 Class APP.LICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name HVAC Address SRA I City ' State Zip Phone a Fax E mail Planner State License Number APP.LICANT SIGNATURE For office use only: APPLICANT INFORMATION Name alfanheis HVAC Address SRA I City ' State,�+� Zi Phone a Fax((� E-mail Planner APP.LICANT SIGNATURE For office use only: Zoning Property Address 13-7 n ens C� Flood Zone Cross Street SRA I Yes • No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: __ OVER FOR SUBMITTAL REQUIREMENTS DING. FORMS\BldgApplSubRgmts.doc PERMIT NO. (2 (.a �?-5 BP BIN # PROJECT LOCATION AP# Property Address 13-7 n ens C� Ci 8k'C- 0 Cross Street SRA WORKER'S COMPENSATION Policy Number 70 ^ X %.39S_S__ Carrier 61-ehill 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 f Work: 010 HV -RC ujl +Mn V>� Jf1 c lalk Sq FT- Living Garage Open Cov ❑ 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 after the date of application. 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. Page 1 of 2 REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total Page 1 of 2 REV 8-12-05 6't4 A( �I �i%.W At&, +C dMPQ1C'V�_— (:;C 4 RE N IAL 42-60-56 — �1 ' DONALSON, Craig 516-91B,P,E,M r t 1137 Streamside Ct, lot 15-A Wa I , Manor, Chico lnut (new single family) I � O� 9� y M . ` Q OFFICE COPY Address 1137 J 1 GAS Meter ELECTRIC/ fl � / - - Meter ByyY� ___ _ ,_Date _ Z�14� _J OFFICE COPY Address %� 7 GAS Meter By LE _ Dates_ Met _ E • f JOB FINALE Signature I .ti OFFICE COPY Address %� 7 GAS Meter By LE _ Dates_ Met _ E • f JOB FINALE Signature I COUNTY OF BUTTE : , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N5. 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 7 tter, or need additional explanation, please contact this office immediately. 1"" t! t10 r rY'D n K • ; /3 x7 n v,d>> v e 1S►�nt�,e \e .Far /4v0 \ �.ii 44 �!`� 1�ou--Q z S lcd•. r�P y,0 (Ar a .,+ Q 5—` r Date ~/ Inspector COUNTY -OF BU�T�TE�R~��•11 1 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phone:=891-2751 - 7 County Center Drive, Orovi Ile — Phone: 538-7541' Is -,t 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE t 8 O.m Lsoni 5t6 `Cl( 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. Q 1 (, A it .i A I L A -r A /c 11//Rr�,4, etVAA 9g;d UoLT-AC( /cotV Q0Lr1)r(Z R T I Lr 2rt;�Iz2. zo Date Inspector Owner If�p,^,�p�� Permit N o . ENERGY CERTIFICATION L0CA'C I0N�� r DESCR.IPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL A. P. NO. MATERIAL FIBERGLASS BRAND NAME CERTAINT.EED THICKNESS THERMAL RES. 1 CEILING BATT OR BLANKET TYPE..>?S.G gBRAND NAME CERTAINTEED THICKNESS. LOn THERMAL RES`. LOOSE FILLTYPE 'INSUL-SAFE IIIBRAND NAME CERTAINTEED 't:'Vw THICKNESS # THERMAL RES._ FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND.NAME CERTAINTEED,. THICKNESS THERMAL RES. FLOOR, SLA MATERIAL BRAND NAME THICKNES THERMAL RES. WIDTH :f . IJ AL .- M TE IAL BRAND NAME—fr•TY4tD THICKNESS N THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING. IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM N / STATE CONTR. ,LICENSE NO". I ierby cer. t e above insulation and all required items as shown on.the Building Depart. approved plans and attachments 'have been installed as required by the State of California Energy Requirements. ,p All equipment, devices and materials are of the quality prescribed or are specifically approved by the .State of Calif. --- zuj------- ---------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. ATURE OF GENERAL CONTRACTOR/OWNER - / " / I- w DAT This certificate must 'be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 J=OK O = Not OK Not t = 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 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 OWN • \1 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-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J = OK ''U O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL°(Single & Duplex) = Date UNDERFLOOR (Plans) OK except If's tk/pfi ing-Setbacks- Ease ments- ood-Slope , Main; Soils-Elec. G .-/10/" Ftg. Depth g. Garage; Soils-Steel-Elec. Grnd.-Jo /" Ftg. Depth F)6,, Porches & Decks; Soils-Steel-/a/Ftg. Depth lvvmwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. J416M Downs and Special Anchors . Slab eel -Wrapped 8. P' rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Datey n—!7 Card B-1 Date Card B-1 Date 4-ee,A( Card B-1 (;;(:,7, Date Card 13-1 Date PLUMBING (Permit) OK except #'s O.'Water Htr.; Vent -Access -Combustion Air -Baffle Water Pi e & Anchor -Nail Protection D.W.V. T flings &Anchor -Nail Protection 49.-gh"er Pan; Test, First Floor -Tub Access 2e-Xeet Tub & Shower, Second Floor -Tub Access 2 Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date / Card B-1 (' Date Card B-1 T Date ELECTRICAL (Permit) OK except tf's 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ja'Romex Installed Close to Edge of Studs & C.J. 7,.equip. Groupd-ffiade up w/Mech. Fpwers-Bond Za's-& W er 2�/2 Appliance Circuts in Kitchen & Conductor Size/GFI 25 Weed Wire Size / / ga. Cu or AI-A.C. Wire Size t& ga. (�P or Al 2r9151ange Circ. I& ga. Cu or(gOven Circ. / / ga. Cu or Al. Insulated Neutral Yes No ervic onductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 3Z_6lothes Closet Light -Shower Light -Spa Light 3L:�_Smoke Detector Ir Date ee,,4 Card B-1 Date Card B-1 Date l ij ( Card B-1 Ga Date Card B-1 Date MECHANICAL (Permit) OK except N's A.C. Ducts Insulation & Support 6' Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date (�.Q. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA (Plans) OK except k's Sils Proper Material 49 -)Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 46. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps-Anchors-Connector%,,y (Ging. Joist-Rftr. ties -Pu rlin -roof ra s hthng.-Rfng. (Vdggaies or a ireplace Throat clearance . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 44. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 . Garage Fire Protection Framing 5 ,Property Line Firewall & Openings 5 . Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53_.Steirs; Width -Headroom -Rise -Run -Landing -Fire Protection 541*'plyVdod on Roof Overhang -Attic Vents -Rafter Outriggers 5 g -Nailing Veneer (Iffstucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 5_?., -Glazing Area -Glass Protection -Skylights -Plastic 58-SMr Walls; Nailing -Bolts Knsul n-W-CeiI0fgs 6nfiltra ' n -W -Win ows 5-13- t rL Ft2&wAt GG _ iAPQW/L t1 L ' ' 3-24 41 Date /,Q,C, 1 Card B-1 Date r -fi 01,1 Card B-1 'G__r_ Date L¢-1 C (rd B-1 C. Date FIN (Plans) OK Protection -Landings Vents -Clearance -Comb. Air -Connector - e: Above Floor-Ducts-Mech. Protection room Exiting I. & Bath Fixtures (667 Elec. Trtn & Subpanel; Breaker Sizes & Labels & Rails 'F a r Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. B-1 FSK' xt. Appliance; Grnd.-Air Gap -Cooking Clearance EI . Outl is & Receptacles at Kit. Counter Garag ire Door; Swing -Landing -Closer uct in Garage -Damper Wtr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I Gar �e; Above Floor-Mech. Protection 7 . PI re -c. & Mech. Equip. Listed for Location jw'ec. Receptacles in Garage; (G.F.I.)-Rome rotection Q+/. Insulation -Foam -Looked in Attic g Yes R �irs & Deck Construction -Post Caps . ,_i,Pdsk ent Crawl Hole Door -Drainage & Wood -Earth ,grearapee Looked under Floor 0 Yes Fol m n tld.; Drive Y No; Walks Yes 0 No; an s 2 Yes SQ` A<G. Unit; Disconnect, Electrical, Plumbing 83 Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ell; Disconnect, Electrical, Plumbing . E ri2r lec. Trim; G.F.I. Receptacle -Underground ,86olqepation Throughout House i 8VCorrecti s from Previous Inspec ' n -1A-9/,PA89. Ga est -Meters Tagged; G - le ric �Weter & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date ,J,& Card B-1 Date Card B-1 Date 1// Jr 11 Card B-1 �, Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. 51'6-91 v� ASSESSOR PARCEL NUMBER 42-60-56.• ZONING BUILDING PERMIT OWNER . CraigDonalson TELEPHONE 342-8463 $Q, FT. OCC. BUILDING'VALUATION 7� 1,300 R 52,000.00 OWNER'S MAILING ADDRESS PO Box 4055, Chico 95927 420 M 5,880.00 CONTRACTOR'S NAME Owner TELEPHONE 153 1,530.00 CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 60 410.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 316.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1137 Streamside Ct Chico Permit tee � $ 356.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 91 2.00 Solar or heat pump water heater 1 20.00 LOT NO. 15A SUBDIVISION NAME PARCEL MAP I Walnut Manor Water piping 5.00 5.UU Each etas water heater or vent 5.00 USE OF STRUCTURE SFUX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK NewU Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: Mggt-Pr 60-88 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 50OV OR LESS 10.00 100 AMP OR LESS 19 QQ Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode nd my license is in full force and effect. _'Z'A.� License No, Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. � ACC. SLOGS. , �20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea -NO N.RESID BRANCH CIRC ITS POWER APPARATUS t1 SINGLE OUTLET CIR. ) EX. OCCup(OUTLETS OR FIXTURES SALO 30 eALeao Ex. OCCUp. OUTLETSP(RESID )FIXED ALNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): PIe permit is for $100.00 (valuation) or less. "_01have 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.r_11 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling R16. 00 6.00 Hood 3.00 Ventilation .00 6.00 pemit F _ree 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes._ I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequenc the granting of this p rmit. D to ° � / Si at re of Ap i,ant Owner El Con tract Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee c CON TTYF TOTAL F $ '53 .00 HAz. u P RK H �yr I CDF PAY PX i HD ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which. fees have been paid. DIRE ToVF PUBLIC WORKS �` By ate �ZZ PERMI EXPIRES Date 4 -7,--Q Receipt No. a /S d. c) vd WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPECTO , aOLOENROD-APPLICANT 771 Cto L" COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No. / OWNERA/ A. P. No. —( y Proposed Building Use�j� Building Inspector Date at,— _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation / instructions . 0. Fees of 1 ...... v�,.. Z i y k 1. Chico Urban Area fees paid ............ Q 2. Park fees paid ...............�......�.�. 6.tyl Lz 9 (/ S� School District fees pai .��.�•5—•f 14. Sanitation approval from Healtepameni' /4/+�5. City of Chico plumbing permit............ Z 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 Driveway permit (construction approval required prior to occupancy) Pre -In' ' ec. request to 20. Pre -Inspection for required . • • 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 ❑) ..... lLlx �4. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When yVele sue the permit, process as follows: Mail two owner. Mail to contractor. phone and hold for pickup atoffice. Deliver w/inspector. Other Applicant : �. 1 ::11— !.: - Date J �7 Copy of Haz-Mat form sent Health Dept. —Fire Dept. —Air Pollution Date Copy of plans sent --Health Dept. moire Dept. Other Date By The following data must be submitted prior to permit issuance: ircl new ite not ec ve). 1'. Index permit for above items No. Q 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_JnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by—-� Date Sets of plans on hold in File cabinet AP folder J • . COUNTY DF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N f. - ille.-California 95965 - Telephone: 916/538-7541 7 County Center Drive - Or APPLICATION AND PERMIT ZONING BUILDING PERMIT wSg ESSOR PARCEL NUMBER TEEPN N.E S0. FT. OCC. BUILDING VALUATION N °WNE - tJ 0 2 3 1,300 R 52 0Q0Q0.00 ZIA OWN ER'g MAILING ADDRESS - 420M 5.880-00 _ I: :LILTELEPHONE 153 CONTRA(.TOR'S'N AME A CONTRACA TOR'g MAILING ADDRESS Fireplace 1,000.00 UNKNOWN Total Valuation CON57RUG TION LENOER Filing-- 10.00 LENDER'S MAILING ADOR ESS Permit Fee $ 31 LICENSE No. Plan Checking Fee $ . ARCHITECT OR ENGINEER Energy Plan Checking Fee j ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty g j Permit fee $ BUILDING ADDRESS PLUMBING PERMIT I declare under penalty of perjury (check one): Each Trap 1 The permit is for 5100.00 (valuation) or less. on file with the County of Butte Building Department Solar or heat pump water heater PARCEL MAP Water piping Lor o. sueolvlgloN NAMEO� Each qas water heater or vent L� Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer rY� SFU C)uplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W I TYPE OF WORK Mobile Home Installation Fee $ ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee New Addition Contractor Describe work:�D' D ELECTRICAL PERMIT MA�'IF.R Main service jppVAMP LES LESS HO ssue Main service EA. ADD 'L loo AMP CONTRACTORS LICENSE LAW NG OC� NEW CONST. / °WELLIcuP.M OR AOONS. 1 ACC. BLOGS. I declare under penalty of perjury (check one): NEW CONSTR ULTI.OUTLET NON•R ESIO BRANCH CIRC ITS POWER APPARATUS 61 am licensed under provisions of Chapt. 9. DIV. 3 r the d effect. EX fll�^force and effect. SINGLE OUTLET CIR. / ' and Profess n C de my license Is In D✓ ( Ex. Occup\OUTLETS OR FIXTURES FIXED APPLNS. OR License No.9 Classification Ex. OCCUP. OUTLETS IRESIO.1 EA. ❑ I, as the owner, or my employees with wages as their sole compen- is not intended or offeredTemporary MRFCTOR OF PUBLIC WORKS sation, will do the work,and the structure MobilleHome Facilities for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors.. (Sec. 7044) and Professions Code ❑Business I am exempt under Sec._.---. permit Fee for this reason Contractor Filing Fee q_2.00 20.00 5.00 5.00 5.00 5.00 10.00 e 5 10.00 Filing Fee 1 10.00 10.00 10,00 2.50 Y:¢sgft 43.00 2.50 ea 2.00 10.00 15.00 15.00 10 00 I WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FiIIngFee I declare under penalty of perjury (check one): Heating The permit is for 5100.00 (valuation) or less. on file with the County of Butte Building Department O have placed Certificate of Workmen's Compensation Insurance or a Certificate Cooling a of Consent to Self -Insure. so as to become subject 3'00 1 nn Hoodnn ❑I n in any manner shall not employ any perso Ventilation to the W. C. laws of California. If after making this statement, should you become subject Permit Fee $ u nn Notice to Applicant: to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ ;ertify that I have read this application and state that the above information Ordinances and State Laws relating9Y Ener Inspection Fee S no s correct. I agree to comply to all County building construction, and hereby authorize representatives of the County of occ CONST TYPE TOTAL FEE 5 3 b I Q to Butte to enter upon the above-mentioned property for inspection purposes. . the County of Butte against - HAz CUA PARK SCHL FAD ao HO ssue I also agree to save, indemnify and keep harmless judgments, costs, and expenses which may in a y way 'accrue 17AR all liabilities, againsS�said Cot}nty ' consequent f the granting of this , 11 r1mi I T`;s permit is nereby issuea unser the app iicable provl- and/or resolutions to do / ate 2 `I sions of the Butte County Code for which fees have been paid. � work indicated above / - Contractor I Agan, �� MRFCTOR OF PUBLIC WORKS C 'r i �LOr PLAN �y�i-NUT' M,aND� `)U�D�/��IGN, (Me 'sedofP , iept on the job at all times and it is unlawful to make any chagg¢s or alftratioals on same without WrltM3n fr,115 n from the in t# of PWWk We" COW* of �00k. 0 O� ' L See Masten' Plan on fie for build � WWme Of I�L.� � ' � s{;off ra�f5 lamid } r iii