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Home My WebLink About043-252-02543-252-25 NEAL CAMPBELL DERRYBERRY, Bruce 2940B wk` 1518 Bidwell Ave, Chico _ 2446P Conti: Plod Alexander2 30 Permit#2928-86B(stucco/SF)'* 3-2512:5:!) 93-2806 Bidwell Ave. & Bidwell Dr., Chico . 3-2 -2-025 CONTR: Howard Hamar, 2350 Ceres Ave., Chic CAMPBELL, NEIL (new, single family) 1518 BIDWELL AVE, CH CO t CONTR : DAN JOHNSON � ` /9 -a 5- G Ii REROOF/SF 043-252-025 06-0361 _ CAMPBELL, NEAL 1518 BIDWELL AVE, CHICO C , Cont: GALLAGHER'S HEATING , DUCT C/O 51 Butte County Department of Development Services. f4o T E S 7 County Center Drive, Oroville, CA 95965 _ (530) 538-7601 vnvw.bupecounlynetidds °ouw�y RESIDENTIAL APN: Permit No. Owner. i 43-252-025 06-0361 ` CAMPBELL,-NEAL - Site Address: 1518 BIDWELL AVE, CHICO Cont: GALLAGHER'S HEATING Contractor. DUCT C/O, Type of Permit: CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Ql r DATE JOB FINALED: Q �� N SIGNATURE: = OK nv MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd .Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 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 Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Figs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchirs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °"� °\ °"• d� DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing A " OK ., . _ Not OK .RESIDENTIAL (Single &.Duplex) ,. DATE JUNDERFLOOR DATE PLUMBING 1 Zoning-Setbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils-Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc _ y' 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping - 8 Piers-Frplc Ftg-Steel - l 9 DWV; Fall-Fitting-Test-2-way CIO-Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1j Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C.KA N 1 C A L 13 Plenums &'Ducts; Cirnc-MaterialSupport4nsultn AC Ducts Insulin & Support ' 14 GirdersSills-Anchr BollsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace-Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 4 Z43 0 DATE IF R A M I N G- 17 Sills Proper Materials & Anchrs DATE IF I N A L 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-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs In Garage; abv-flr-Ducts-Meeh Prtctn r • ; 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers-Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop-Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors-Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing-RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-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 Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing-Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 63 Insultn-Foam-Looked in Attic - 3B Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps -- 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood-Earth' 86 Cirnc Dmge Planters ❑Yes ❑No c` 87 Stucco Brown-Finish ' .;., - o'`� m oe m` 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs, - DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 4D Fxtr & Tmsfrmr Clrncans Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 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 lnspctns 44 Eqp Gmd made up w/Mech Fstnrs t 95 Gas Test-Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr$ Sewer Cnnctd-CIO to grade-HD Apprvl., 46 2 Appinc Cires in.Ktchn & Cndctr Sz GFInergy Cmpinc Cert-Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL' M Address Posted _ AC Wire Sz ya ❑ CU or ❑ AL 99 Fire Sprinkler ^ 48 Range Circ ya ❑CU or ❑AL _ Oven Circ ya ❑ CU or ❑ AL - 7-0-0 (0 C , wt Insulated Neutral ❑Yes ❑No`1 o'er o` °moo o� 49 Service-Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp' k "- 51 Clothes Closet Lt-Shwr Lt-Spa Lt 52 Smoke Detector „ --, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636,(OROVILLE) (530) 891-2834 (CHICO) . OFFICE #: (530) 538-7541 PERMIT NO. 8P060361 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: 02/16/2006 APN: 043-252-025-000 the Business and Professions Code, and my license is In full force and effect.//� �J License Classl-i�-G36 LicenlIseNumber:��133 ` Site Address: 1518 BIDWELL AVE CHI Dale` l5 ' OU Contractor:GCLC41 v&Ls RVR G Map Index: Description: COMPLETE RE -ENGINEERED DUCT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SYSTEM Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or. county which 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 Owner: CAMPBELL NEAL S REVOCABLE TRUST signed statement that he or she is licensed pursuant to the provisions of 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 CAMPBELL NEAL S TRUSTEE she is exempt therefrom and the basis for the alleged exemption. Any 1518 BIDWELL AVE violation of Section 7031.5 by any applicant for a permit subjects the CHICO, CA 95926 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 owner of property who builds or improves.'thereon, and who does such work himself or herself or through his or her own employees, Applicant: GALLAGHER'S HEATING & AIR provided that such improvements are not intended or offered for PO BOX 35 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of LOS MOLINAS, CA 96055 sale.). 800-892-3556 ❑ 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: GALLAGHER'S HEATING & AIR PO BOX 35 ❑ 1 am Exempt underArticle 3 of the Business and Professions Code Date: Owner: LOS MOLINAS, CA 96055 800-892-3556 WORKERS' COMPENSATION DECLARATION 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 License #: 777334 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit —/is issued. insurance, as 0 I have and will maintain workers' compensation Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrierandpolicy num Iber.are: Carrier: PolicyM �i 3 O� �C S� Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `0 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 permit is hereby "ssued under the applicable provisions of the Butte County Code and/or I her affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.)' -Resoiuiiolis to i.k Indite ed above for which fees have been paid. 1 performance of the work which permit BY:Date: Q U 4p Name: ` PERMIT EXPIRES 0 • ' Address: 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. O 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 p ses. Je G V-k,b-cIr- Signature: Print Name: t +' Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address" t s /� �--r�(.• � , �. i.�-� -•� ,T(�i� �� Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ ❑ DUCT LEAKAGE REDUCTION Procedures for field verification and dia,-nostic testink of air distribution systems are available in RACM. Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured �' Values •�"t,.�;,� 1 Enter Tested Leakage Flow in CFM: € '•" ''* Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating' 1100 Caacit in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage:— 6% for Final or:5 4% at Rough -in: 100 x Line # 1 N / Line # 2 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct �" `' ,� ''y z , .,.3 System Alteration and/or Equipment Change-Out. �.�•'��; Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chan e -Out. Enter Reduction in Leakage for Altered Duct System 6 Line # 4 Minus Line # 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage:5 6% for Final or <— 4% at Rough -in 8 100 x Line # 5 / Line # 2 ❑Pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage 5 15% [100 x [ (Line # 5) / (Line # 2)]] ,5 ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [100 x [ (Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑pass 11 'Fail 12 Pass if Scaling of all Accessible Leaks and Verification by Smoke Test and Visual Inspection :r "'%s" ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass :r`,ir ❑ Pass ❑ Fail ✓ ❑ I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 m of the 2005 Building Energy Efficiency Standards. S' at e Installing Subcontractor (Co. Name) OR t e "/ 1 ` ( �(f General Contractor (Co. Name) Residential Compliance Forms March 2005 • 'may . J •:,i° CERTIFICATE F FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF4R Project Address I Builder Nap 2 Telephone Plan umber r "RaterTelephone A.icri S le Grou Number 3 I Pass if Leakage Pere, ALTERATIONS: Duct Climate Zoae ate I Sample House Number F _ I HERS Provider et Ad `ice I „� rr�.�„� i V�tate/Zip: 1UU '1_, . (_1�} cl TggI optes to. BUILDER, HERS RATER Ci The house was: ✓ E As the HERS rater pro, the diagnostic tested cc distribution system is f rater must not release t3 buildings. ❑ The installer has ❑ New Distributioi ❑ New systems w combination wi ✓ ❑ MMZUM F Procedures for field Duct Diagnostic L NEW CoNSTRnri Duct Pressurization 1 Enter Tested Leakag 2 Fan Flow: Calculates Enter Total Fan Flom 3 I Pass if Leakage Pere, ALTERATIONS: Duct 4 Enter Tested Leakag, Duct System Alterati 5 Enter Tested Leakagf for Duct S stem Aloe 6 Enter Reduction in U (Only if Applicable) 7 Enter Tested Leakage 8 Entire New Duct Syst 100 x rLine TEST OR VERIFICA'T�� Use one of the followin f 9 Pass if Leakage Per 10 Pass if Leakage to Ou 11 Pass if Leakage Redu and Verification b Si 12 Pass if Sealing of all J Residential Compliance ... � uia:.a� nt�u D V iLL11�,17 L1iYAK! iv�,ly 1 PL'LANCE TATEMENT steel ✓ Approved as part of sample testing, but was not tested Dcd ago tic testing and field verification, I certify that the house identified on this form complies with requirements as checked ✓ on this form. The HERS rater must check and verify that the new lusted and correct tape is used before a CF -4R may be released on every tested building. The HERS .-4R until a properly completed and signed CF -6R has been received for the sample and tested i i a copy of CF -6R (Installation Certificate). ET, is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in oth backed, rubber adhesive duct tape to seal leaks at duct connections. ULKEmENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Srcation rntd diagnostic testing of air distribution systems are available in RA CM, Appendcr RC4.3. ge Testing Results =t Res�tilts (CFM Q. 25 Pa) Measured Flow in CFM: Values (Nom+al: ✓ ❑Cooling ✓ ❑Heating) or ✓ ❑ Measured nage : 6% [ I00 x✓ ✓ [__ ___(Line #:1) / (Line # 2)1] 0 Pass ❑ Fail ystem Iand/or HVAC Equipment Change -Out Flow t i CFM from CF -6R: Pre -Test of Existing Duct System Prior to a and/or Equipment Change-OuL Now in CFM: Final Test of New Duct System or Altered Duct System Lt on and/or Equipment Change -Out ige for Altered Duct System L_(Line # 4) Minus (Line # 5)) >w iii CFM to Outside (Only if Applicable) - Pass if Leakage Percentage <_ 6% ✓ ✓ / Line # 21P ❑ Pass ❑ Fail STANDARDS: For Altered Duct System and/or HVAC Tat or Verification Standards for compliance: Equipment Change -Oat ✓ ✓ ge 115% [100 x L_(Line #/ �� (Line # 2)1] 13 Pass ❑Fail ie Percentage < 10% (100 x [_�(�e # / (Line # 2)]} ❑ Pass ❑ Fail in Percentage z 601% 1.100 x e__(Lme # 6) / (Line # 4))] ce Test and Visual Inspection ❑ Pass ❑ Fail essilile Leaks and Verification by Smoke Test and Visual on ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ p ❑Fail s I April 2005 1 i T T � f, V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 PERMIT NO. SP060361 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: 02/16/2006 APN:O43-252-025-000 the Business andProfessions Code, and my license is in full force and effect•�J License Class G3$ License Number: Site Address: 1518 BIDWELL AVE CHI �Date -t5'()(o Contractor:Cal�q F. s I-f�/R (. Map Index: Description: COMPLETE RE -ENGINEERED DUCT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SYSTEM Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city orcounty which 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 Owner: CAMPBELL NEAL S REVOCABLE TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CAMPBELL NEAL S TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 1518 BIDWELL AVE violation of Section 7031.5 by any applicant for a permit subjects the CHICO, CA 95926 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 owner of property who builds or improves, thereon, and who does such work himself or herself or through his or her own employees, Applicant: GALLAGHER'S HEATING & AIR provided that such improvements are not intended or offered for PO BOX 35 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. LOS MOLINAS, CA 96055 sale.). 800-892-3556 ❑ 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: GALLAGHER'S HEATING & AIR PO BOX 35 C3I am Exempt under Article 3 of the Business and Professions Code Date: owner: LOS MOLINAS, CA 96055 800-892-3556 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for License M 777334 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ----Nave insurance, as 0 I have and will maintain workers' compensation Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and num /policy Iber.are: Carrier: Policy#: Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 s provided for in Section .3706 of the Labor code, interest, and attorney's fees. y„J� CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resolutions to d k indica ed above for which fees have been paid. performance of permit BY Date: Name: ` U ' PERMIT EXPIRES O • Address: 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 ses. t'1 V) jPe- ' G Y_ �,kV)- • Print Name: cJ� I Signature: 2-- -❑ Date: 0 Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 OWNER INFORMATION Last Name -Firsl r City S I 0 Address I I BUTTE COUNTY # II o DEPARTMENT OF DEVELOPMENT SERVICES �p� pBUILDING PERMIT APPLICATION o AND SUBMITTAL REQUIREMENTS Fax 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636• CHICO: (530) 891-2834 o o OFFICE #: (530) 538-7541 C— A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 000 Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY"' OWNER INFORMATION Last Name -Firsl a e City S I 0 Address I I City y (� State Zip State A PhoneI —� Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name n City S I 0 Address Address �0 35 City City US M D L l n o S, State A r Zip%o[ `1 V :�"� Phone '2p Q U11u J0 Fax Fax E-mail Lic.#I�, 33 180 1618 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City S I 0 Address Ziq &09C City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name -10L a � 4Vf IlJ Address -PO 3&- City S I 0 State CA Ziq &09C Phone 7N4 Z5 Fax E-mail or office use only: Zoning Pro y Addres Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Ed Planner Date Approved: MMD Cnp QI1PAniTTAI RFnlIIRFMFNT_q PERMIT NO. BP ' . y3 1 BIN 9 PROJECT LOCATION 2 Pro y Addres Cil l Cross Street WORKER'S COMPENSATION Policy Number �oo ` Carrier S,A-o.+-e, -�u, n J 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 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In prder 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: Amount: Bldg SRA Receipt #: Sheriff 14 I SMTP J , Other Date � � b`� v Total Description or Scope of Work: _ AJVC T Sq T- 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 prder 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: Amount: Bldg SRA Receipt #: Sheriff 14 I SMTP J , Other Date � � b`� v Total 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, sighed 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 AIC 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 bldgs: (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). 0 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). El 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 KAFORMMBUILDING FORMS\BldoAoplSubRamts.doc . Paoe 2 of 2 RFV 8-12-05 ' _ - ,,:,ti _ �;, �7 .r ... ..� . zi" --• •- 4-+ fi r�, �;�i. •:..+••r�••i'*:a+r . •":t y.�P..,J•r ;,e ..,.�:.tSri'- �- � ff • 043-25-2-025 =B)(CAMPBELL, NEIL 1518 BIDWELL AVE, CHI CONTR: DAN -JOHNSON ' REROOF/SF P y 4 f f 6/� 5�� i tv i • t z. t t IJ 6 V / w rryr+ .-•rr .w._r. _' L _ ;... ...---•-*r •--•,. _ .,..-r-r-'� _ Y u:�sv*-. ��..�--�-+--.•R'�Ri�ii9;%7j'k�M^�a"..-.� ��wwee^+�+. r: ECOUNTY OFIBUTTE `. DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING- DIVISION 7 County Center Drive- Oroville; California 95965 -Telephone (916) 538-7541 APPLICATION�_AWPERMIT, l PERMIT NO. 93-2806 ASSESSOR PARCEL NUMBER•�'�e • Y �w 043-252-025 ZONING R1 BUILDING PERMIT NNUL CAMPBELL ! TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1518 BIDWELL AVE CHICO 96996 29 1740 CONTRACTOR'S NAME DAN JOHNSON TELEPHONE 1 894-5440 ` CONTRACTOR'S MAILING ADDRESS 331 W 11TH AVE CHICO 95926 a Fireplace CONSTRUCTION LENDER , r UNKNO( N j1 Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS `,- • , ` • • i Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS .a. .'.. �. 1518 BIDWELL AVE, CHICO PERMIT FEE $ 61.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE - «,� SFJ9 Duplex ❑ Mobilehome ❑ Other ' 1 SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home'—.1 S I G I W I 1 1 @20.00 �. 'TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF 1\ a • PERMIT FEE $ Contractor �• ELECTRICAL PERMIT Filing Fee 20.00 - i R ';�w•. • , 1 !~ �•+'+w+. 1f ti tix ,. f 600V OR LESS Main Service '1 200A OR LESS ) 23.00 -Main Service ( 200A TO 1000A ) 46.00 j ` { NEW CONST. DWELLING OCCUP. OR ADDNS. ( &`ACC. BLDS. ) .. 3.50 S0, pT, • NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) R @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) a ®� I am a licensed under provisions of Chapter 9, Division 3 of -the Business and -Professions Cpd_, and my I' se is in full force and effect., " L�,`. License No. e6 Classification *4 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors.I(Sec 7044) 1:11 am exempt under Sec. Business and Professions Code forthis reason 1 POW ER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 EX. OCCUp. FIXED APPWS. OR ( OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities / 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE ,�` I declare under penalty of perjury (check one): y ,I]' This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J@ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. a Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling t ` f Hood 6.50 Ventilation PERMIT FEE $ Contractor .. , I certify that I have read this application and state that the above information -is correct. I agree to comply to all Butte County Ordinances and California State Laws4elating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 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 Coun/t�y�i'n consequenceof th. granting of this pgrmit. X ,(/,4',g,,.te,. �f i-� Date' J > Signature of Ap licant _ ❑ Owner ❑ Contractor ❑ Agent (, /, An OSHA permR Is required for excavations over 5"0" deep and demolition or construction of structures.over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU_BLI.0 WORKS %�- r {� By tTt.7r �'' ,,: ' �'N ` ..�",1 Date PERMIT EXPIRES ON (Date) ' .f / Receipt No. 14149 WHITE-D.D.S.-B.D. CANARY-ASSESSORPINK-INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERV E UILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 -Tele a (9 6) 538-7541 PERMIT NO. APPLICATIOIW�=,�CND`PERM 93-2806 ASSESSOR PARCEL NUMBER 043-252-025 ZONING R1 BUILDING PERMIT OWNER NEIL CAMPBELL TELEPHONE SQ. FT. OCC. BUILDING VALUATION 29 1 • 40 OWNER'S MAILING ADDRESS 1518 BIDWELL AVE CHICO 95926 CONTRACTOR'S NAME DAN JOHNSON TELEPHONE 894-5440 CONTRACTOR'S MAILING ADDRESS 331 W 11TH AVE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1518 BIDWELL AVE, CHICO PERMIT FEE $ 61.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFD Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20"00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1:1Installation EIOther 11y Describe Work: REROOF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service , BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. 8 ACC. BLDS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW, I deglare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C d and my ice se is in full force and effect. p License No. ch Classification 4 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. / BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BA0 Ex. Occup. FI%EDAPPLNS. OR p" ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a t Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 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 Count consequenc of t granting of this permit. X 4 A Date P �� Signature of Ap Ii nt - ❑ Owner O Contractor ❑ Agent An OSHA per is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTO ORKS By A� Dat 2S PERMIT EXPIRES ON n� /Date! // i/ Receipt7 ! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF BEVEWPMENTS IC S- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI122 , C�ALIFORNIA95965 - LEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / Proposed Building Use Building Inspector A. P. No. 1-13 — Z 5 �_:, Z r_ Date At time of per application, I was advised the following data,. must be submitted prior to permit processing and/or issuance: t DATE RECENED BY 1, All items have been submitted.r.:........:............................. . 2. Plot plans, 3/4-9ets, 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 . ......................................... 1,6. Plot plan and business license approval from City of Biggs/Gridley. ............. 17, Planning approval for (A) Use: (B) Parking: 18. -Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for PieI"spectien reauests - 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 . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. i/Mail to contractor: Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Polluti6j Date Copy of plans sent Health 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 Y � � P. Y�Y �r. VIAP beWr COUNTY OF BUTTE - PAEPAMENT OF PUBLIC WORKS NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ��PERMIT APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER --5 -- ZO 1NG BUILDING PERMIT OWNER 1 . f_ 1Ao� �� a Q ! f .. TELEPHONE -77 SIS"� `� S0. FT. OCC. BUILDING VALUATION el,, hi+ nn . !i o OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ( / TELEPHONE CONTRACTOR'S MAILING -ADDRESS , "Sr, ra, . �, Fireplace CONSTRUCTION LENDER UNKNOWN( Total Valuation $ —, r, o, 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee J $ :yo. Sc, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ry A4 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I `SrdlwC�� ^s Permit fee $ U. S PLUMBING PERMIT Filing Fee 10.00 Each Trap. 2.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE • i SF R. Duplex F-1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remode1 ❑ .Utilitiiees ❑ Installation❑ Other ❑ Describe work: _14Z tom: e3 4 Kv C 4„ .• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADONS. ( ACC. SLOGS. ) /20sgft NON•RESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES SALO 30 Lo FIXED APLNS Ex. OCCup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner 'r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ n, S -u OCCUP, CONST.TYPEJ_kl", IFLOODIPARCELI PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for- which fees have been paid. DIRECT.OJA OF PUBLIC WORKS / + By l'f� Date c� ...' � �I/ �-,U� Y, 7 PERMIT EXPIRES Date Receipt No. I WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP4TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER-- �� .— �S' ZO G BUILDING PERMIT OWNER IV94& TE/L�EEP`HOyNE e-OWNER'SAIL SO. FT. OCC. BUILDING VALUATION 0 QO�� NG A�'/j 492 CON RACTOR' NAM TE�LyEPHONE CONTRACTOR'S MAI ING ODRESS 1 , e., Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 00. ® 43 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ S -T, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS oo Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 It lCU Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF&L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _54'. cdc o ae S il.rcz Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under p y of perjury y (check one) F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai) yzQsgft OR ACDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCU, TS2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050t DAL@30 FIXED APPLNS. \\ Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-]Thepermit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I I shall not employ any person in any manner so as to become -subject 4� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue ag st said Cpunty i conseque ce of t e granting of this permit. %� r Date � 3o T 0o Signature of Applicant — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height., Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP! FLOOo PARCEL PD No 1990E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By D e 90 PERMIT EXPIRES Date -�Z Receipt No. � o�-s WNIT!-D.P.W., YFLLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT