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HomeMy WebLinkAbout043-253-015B07-0017 043-253-015 MISCELLANEOUS HVAC Change Out CHANGE OUT EXISITING HVAC 706 BIDWELL DR MULHOLLAND, BOB & DOLAN JANE I: 43-253-15 NORA MU 706 Bidwell'' ve. Chico ` /1 Contr: Steve ke Permit t2696-84B,P, addition/SF) 3-253-1519 p Contr a S3. Chico'� DA ��258-85B(add covered patio/SF) 043-253-015 03-1639 MULKEY, GARY 706 BIDWELL DR, CHICO Cont: BARKER ELECTRIC C/O ELECTRIC SERVICE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 706 BIDWELL DR Owner: Permit N0: B07-0017 APN: 043-253-015 MULHOLLAND, BOB & DOLAN Issued Date: 01/04/2007 By GLB Permit type: MISCELLANEOUS 2166 ESPLANADE Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 01/04/2008 Description: CHANGE OUT EXISITING HVAC Occupancy: Zoning: R1 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR ALL ABOUT PERMITS Building Garage RemdUAddn 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: B1374 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (coencing with Secti 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) is in force and ed. 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 X 01/04/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Cofactor's SiotureJ 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 1; v' ` WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED INSURANCE, as required by In{ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon' and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number.713-0013855 Exp. Date:05/01/2007 Contractor's License Law.). (This section need not be completed if the permit rs or ons a hundred dollars ($100) or less. El I AM EXEMPT under Section B. 8 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 01/04/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/04/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig a re Date WA ING: FAIL 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 SU CT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, 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 that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occu p cY of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Countyt an the above mentioned pro arty for inspection purpo I her by certi at I am the m mai ori d act on p rty er's elf: CONSTRUCTION LENDING AGENCY r 04/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a ittee IGN Print Dat the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1Contractor OR: 1:1Agent for Owner gent for Contractor FILE COPY Lender's Address City State zip 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name h/I .. 1 i ,,, i lc:.-, .­ Address City /^ I„ I State � Zip Phone f 1 „ Fax E-mail lU APPLICANT SIGNATURE r office use only: ARCHITECT/ENGINEER Name j e iS H VA C � Address City 1` State Zip Phone Ma Fax E-mail Planner State License Number APPLICANT SIGNATURE r office use only: INFORMATION g�APPLICANT j e iS H VA C � City 1` State- a Zi Phone Ma Fax E-mail Planner APPLICANT SIGNATURE r office use only: Zoning Flood ZoneMApproved: No Occ. _L T Subdivision Name Ma Planner uVER F SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING.FORMS\BldgApplSubRgmts.doc Page 1 oft REV 8-12-05 Receipt Number: B1374 Permit Number: B07-0017 BUTTE COUNTY RECEIPT Printed: 01/03/2007 7 County Center Drive 3:31 pm Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 706 BIDWELL DR Contractor: GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINOS, CA 96055 Fee Description Account Number Fee Amount Heat Pump (Package Unit) 0010-440001-4210500-1010 $55.00 Total Fees Paid: $55.00 Date Paid: 01/03/2007 Paid By: ALL ABOUT PERMITS Pay Method: Check 1350 Received By: KEJ COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDI DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 8-75413^ /6 R NO. (Rev. 12/96) APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 043-2015 ZONING BUILDING PERMIT OWNER MULKEY GARY TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 706 BIDIfflL, DR. CHICO CONTRACTOR'S NAME BARKER ELECTRIC TELEPHONE 342-4806 CONTRACTORS MAILING ADDRESS PQ ROY 8919 CHICO 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 706 BIDI= DR. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheA Describe Work: ELEC. SERV. CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /' •-� License Class Lic. NO. n LSI n -\ OWNER-BUILDERD CLA, AT 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. owELLING OCCUP. OR ADDNS- a Acc. BLAS, s0 3.5QFT: NON-RESID. MULTI -O11 UTLET @7.50 POWER APPARATUS a SINGLE oUfLET C1R. Ex. Occup. (OUTLET GRFocTUREs 20°''00 flAL p .50 Ex. Occup. DFlxurEis PPM.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE—INSPECTION 23.00 PERMIT FEE $ 66.00 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 Lfo h comply with thos rovisions. ate nature of Applicant - ❑ ner ❑ Contractor gent An OSHA permit is required for excavations over 5'0" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE FEE $ 66.00 HAZ• �__ D. FEESOD a ______ COF PARCEL PD -- HD — ISSUE This p mit is hereby issued under of Butte County Code and/or in 'sled above for which fees have By PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. j �� /a1tee 6 L Da ReceiptNo. 381912 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '..»xsep �--a�..o.y�;;,:wast#.��j"'Zfrw!*`e.ir«.+�{i��+�"`„�,r3re3°'fi�T,•'r,7"�s`•A�i��-i'<'. ,,. r."'.�+i'r����f,°}iGt•�'9`y'iry'y;5�'$'xt�y,•S'`�,�a�iti`+;r�7{�i3.`•.C�" - a�`�'ra' re _ 1 1 f t7 t ' �♦r 1. 4 r f 4!�4'. '�.�, ..-:-...-•�.rr,�.%x,.+rvwpGf'�'�'fx"1'�.�i�'y'"�'R/f+si�"scv►��, •�'a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUIL I, G DIVISION 7 County Center Drive, Oroville, CA 95965 phone (530)538-7541 Fax 5 0)538-2140 PERMIT APPLICATION DATA SHEE fn 4 I�^ OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: le 0 AISCounter Technician: Date: Items required in order to apply for a permit All boxes MUST be checked 40tarked NA in or er to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4 ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. .. t Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when -required, items are received. 1. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) F ❑ 14.. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ;;1. Encroachment Permit for driveway from the ublic Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name St , Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑. 25:., .Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑, w26`) Letter of Signature authorization.................................................................... IEI•27.`• Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance...:........................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: I S When issued Telephone and'hold for pickup. I have been inform o the above items requirements for obtaining a//building permit. Applicaht: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: _ _Structural approved by: Yellow: Building Division Date: Date: tpoo�—,Ot-4 4—- 4P SS _ .�. r �>. ^.``t ` ^ d`. \\ �, ` - "'` � � - :`Y'1,� � '� �' 'rte''` 1 t _ .��.. • �. � 'C �5�. ,:; �� .. �, � -. ♦ � �. \, �i ��� � ��„ -"" ,. ti _ � . r � \ , ��� ��` `�^ fit' "� Y f ;"`". ?l�� A • �, ..^' � ,. :,5 e ll�`` a 1 �f � ..1 �� 1'�.f \� L ' �, d _ � l .\ iIv - 1 9 PRE -INSPECTION REPORT OWNER U LOCATION:7N-011-d CONTRACTOR PRE-INSPET10N FOR DATE TO INSPECTOP- 01 l C- _0 0 PERM HISTORY:( ) NONE DATE: q" 0 ZONING: FOLLOWS: BUILDING RMPBCTOR'S REPORT . Building Description: ComawciaMsW Residendalt# of Units:_ Currently 0=upied ' Abandoned/Vacant Electric: yes Ll No Electric currently On Off Condition of Electric �'il/'�✓ Gam Natural Propane None. Currently On Off Obvious Problems. Sanitation: Plumbing Worldna Well Workiait Potable Water Obvious ScwageProblems '/' Comments: ACTION RECOMMENDED: ISSUE: v HOLD FOR Inspector., _ 1 Date Sketch buildings on reverse and indicate location on proper r . i 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ER NO ev. t 2/96) APPLICATIONANDPERMIT _ (° {{{ ���• ;;MBUILDINGPERMIT ASSE6SOR PARCEL 11JM9EAING VALUATION Dw"�CMRS�00TOR CDh6TRUGTION LFJIDER LENDERS MALWO ADDRESS ARCt4 ECr OR E"GvekA A=WECT OR ENOWW;M WU14 ADDRESS aV=1NO ADDRESS '70 % UST N0, SUBDIM ONT NAME USEOFSTRUCTURE SF pk,,?uPiex 0 Moblehome 0. Other CPO TYPE OF WORK New 0 Addition O Remodel O th &OS 0 In 0 Other Describe Work: Total Valuation S Frrnp Fee Permit Fee Plan Checking Fee Energy Pian Checking Fee PERMIT FEI PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system f - 5 outlets Building sewer Mobile Home I S 1 (31 W g 20.00_ s S� S S s Firing Fee 20.00 --'-7.00 .. 23.00 15.00 15. DO 15.00 1 s.00 @20.00 Erc. Occup. OunEr OR FvaUREC PERMIT FEE _ ELECTRICAL PERMIT Firing Fee 20.00 Main Service Maur Service asDODDA OR t 2W& To INCA 23.DD 46.DD NEW Comr. OA AODNS (' DWEL.NO oc IP. i ACC. e(DS. . 35¢rr- Erc. Occup. OunEr OR FvaUREC aAL ® .w EfRESro.DRR, vErSA� L Occu n 5.00 Temporary Service 23.00 Moble Home Facilities 20.0D P OR MIT FEE S <OC MECHANICAL PERMIT Firing Fee 2D.00 6.50 PERMIT FEE 1 9 Mobile Home Installation Fee S Energy Inspection Fee S DCC MUST. TYPE TOTAL FEE $ -Z• D. FEES IMP FLOODI GDF I PARCEL PD "D � 6JE This permlt is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fetes have been paid. By Date ------- PERMIT EXPIRES ON 43-253-15 NORA' 'MhKEY 706 Bidwell -Ave, Chico i� n Contr: Steve Spike Permit #2696-84B,P Bim,addition/SF) 3-253-15 ^ e Co.ntr - e Sick -e, Chico 0 IX -71J #258-85B(add covered patio/SF) 3 2 r ��3f i r � " s -i,�1i--`` �s t:' �'�cr_rf �r�nK'+4`• i"': '�ss,�?= Y rx;P��' L�-=7j �.i% � "r4 Jse :4? -,,��Y 1-�.. �ly�. c, ., 3�k'k� _ ,�� _t�;: y�,.,, '� i•. iL � � _ . PERMIT N0. 2696-84B,P,E ' PERMIT EXPIRES OWNER NORA MULKEY' Y CONTR. Steve Sicke ASSESSOR PARCEL 43-253-15 M LOCATION 706 Bidwell-AAPe, Chico r l I I r � r Temp. Power Pole Called PG&E Temp. Elec. Service 4 ' i Called PG&E � Temp. Gas Service n' Cal led PG&E { hh� An JOB FINALED (Date) x Signature s, 's J = OK 0 = Not OK = Nbt Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ✓<'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool L''ghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card-BI Date Card -BI Date Card B-1 Date Card -BI Date Card -131 Date Card -BI Date tir J = OK .* 0 = N% OK - = Not Applicable * --Not Ready RESIDENTIAL` (Single and Duplex) Date Uk=RFLOOR Plans OK exce t#'s Date FRAMING (Continued) oning requ irements=Setbacks- Easements i 4be*Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- /Ig Ftg. Depth i9oExt. Doors -One 3' -Check Garage -3rd story, 2 exits feel- /. /'.' Ftg. Depth -6Q. -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection g., & Decks; Soils -Steel- / /" Ftg. Depth -61- Plywood on Roof Overhang -Attic Vents- Rafter 'Outr i ggers IV Stemwalls, Main;.Steel-Blockouts-Wrapped-Slab 42r- iding-Nailing-Veneer nmekkaftCaMe; Steel-Blockouts-Wrapped-Slab 115(g./(Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access place Ftg.-Steel lazing Area -Glass Protection -Skylights -Plastic . D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test fay. -Shear Walls; Nailing -Bolts 91 Gas Pipe; Size -Anchors, /10.1 Water Pipe; Test -Anchors -Regulator -Service Test 11.1 Electric; Underground 12 Plenums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI 9 Date Card -BI Date Date FIN (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s . E t. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Wer Ht.; Vent -Access -Combustion Air _&8 --furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection A 9Wter Pipe; Test & Anchors -Nail Protectipn D.W.V.; Test-Fttngs & Anchors- a' o ecti Bedroom Exiting 17 hoover Pa6;-Test, First Floor -Tub Access F.I. & Bath Fixtures ,& Tub Access 18 Test Tub & Shower, 2nd Floor -Tub Access Alec. Trim & Subpanel; Breaker Sizes -Labels 19. as Pipe; Size & Anchors _*2`Stairs & Rails Fireplace or Stove; Clearances -Hearth Slec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date • Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 405Elec. Outlets & Receptacles at Kit. Counter Date &LEPfRICAL Permit OK except #'s arage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper . F'xture & Transformer Clearance -Ins. Protection fit% Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Ele .Receptacles Spacing -Lights &Switches at Doors _7*-' Plb., Elec Mech. Equip. Listed for Location i Boxes & No. of Conductors -Stapled I1. Elec. Recep cies in Garage; (G.F.I.)-Romex Protec. o ex Installed Close to Edge of Studs & C.J. uip. Ground made up w./Mech. Fasteners -Bond Gas & Water Insulation Foam -Looked in Attic E] Yes ja Guard RIs &Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7-0rLoo Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No . Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; PlapLRrs ❑Yes 11 No 2 ervice-Riser Conductors & Ground -Main Disconnect cco; n -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ac --Equip. Clearances; Panels-Motors-Mech. Equip. *.'Clothes Closet Light -Shower Light 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. FIT. -Water Well; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground I&WExterior Card B -I Date (I Card BI Date 8.1 -"Ventilation throughout House -$2 -Glass Protection Card B -I Date rCard-BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation &Support Corrections from Previous Inspections -44--Gas Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA.LNG(Plans) OK except #'s Comments at Final: Sills; Proper Material & Anchors Walls; Studs Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) - gq�re Stops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing 42,.Hangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss_-Shthng.-Rfn_g_._ -AA-Fireplace Ties or Type A Flue -Fireplace Throat @5e -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Ak-Bom. Windows or Exiting Doors -Sill Hgt. & Dimensions .Y?o-Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) Owner: /lluil� e.; ,(/a rw Permit No. ENERGY C E R'T .I F ICAT ION 206 84,-C it N q.3 -�_S 3 -I E LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL MaterialF heYY..,4�Iass Thickness(iri6hes) CEILING Batt or Blanket Type I3�tf Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material h'6erjhKs Thickness(in hes) 3 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Dry ew Co r N N� Thermal Resistance(R Val -6e) It Brand Name w Thermal Resistance(R Value) 36 _ Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name f)L,,rkj Thermal Resistance(R Value) 11 i Brand Name f Thermal Resistance/(R Value).,' Brand Name Thermal Resistance(R Value) -I hereby certify that the above insulation was installed in the above building in conformance with:the State of Califoriaa.Energy, Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. 4 �,� xx SIGNATURE OF INSTALLATION APPLICATOR _T DATE I hereby certify the above insulation and all required 'items as shown on the .Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. i►�y� JIc��G lr�NCYa Loa�v0.��or 3),013K FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. L129 /?s IGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 ` COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS - - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 2k7 td �L/ 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. Inspector =� = `� Date t a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` d 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION IA.NB PERMIT PERM�T 0.� ASSESSOR PARCEL NUMB r ZONING //-I�- � BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC, BUILDING VALUATIO OWNER'S MAILING A DRIESSS� ^ L ��f\ CO T OR'S NAME TELEP ONE% S — r �t CONTRACTOR'S M LING ADDRESS Fireplace CONSTROCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER AJ LICENSE NO. Plan Checking Fee $ Penalty/raw 4C_ $ -. Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Dbo Solar Water Heater 20.00 Water piping 5.00 . LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,�-, / USE OF STRUCTURE SF P Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 ,Q Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ UnM Other ❑ Describe work:�'Y►1 ,�� �l'r c,��; f ��\ �� 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING S. & OR ADDNS. ( ACC. BLDG 1 2hP'Sgft CONTRACTORS LICENSE LAW I declare rider 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 ful 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 CONSTR U TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e0 50 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 id County in co equenc of the granting of this permits X� Date —� _! Signature of Applicant — Owner ElContractor❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIRECTOFJOF ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PER IT FEE $ , OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND VSSY This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which UBLIC BY 4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ?_/q 1J Date I O c r Receipt No. <J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 258-85B -&PERMIT EXPIRES 3h (J OWNER NORA MULKEY CONTR.. Steve Sicke ASSESSOR PARCEL 43-253-15 LOCATION 706 Bidwell .Drive, Chico Temp. Power Called P( Temp. Elec. S Called P( Temp. Gas Sei Called PG JOB FINALE[ Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DE5)K, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—EasementsjjjVK_?,-1ing 2. Soils; Special MH Support—Sketch Requirements—Setbacks—Easements . Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concretecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) &.. "'Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures rports; Windows—Doors 7. Utility Clearance lec. Card -BI Date Card -BI Date Card -BI —Date. Jf Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 11's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date p� Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 6. Gas and Electricity Tagged t 6. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ; 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test 1Card-BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date jCard-B1 Date Card -BI Date J = OK 0 = Not OK ' = Not Applicable �E = No[ Ready RESIDENTIArL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / ./" Ftg. Depth, 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Stsel-B lockouts -Wrapped -S lab 51. 52. 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel • 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic' Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector-, In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24, Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.:Drive E) Yes [-)No; Walks C:1 Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing &Bracing -Plates -Sound 36. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANEITERMIT PERMIT NO. ASSESSOR PARCEL NUMBER J ZONING BUILDING PERMIT OWNER' TELEPHONE S0. FT. OCC.1 BUILDING VALUATION d OWNER'S MAILING W'RS. // CONT OR'S 19ME lor T LEPHONE LJy� ✓7 CONTR CT R'S MAILING D RESS e Sr .— Fireplace CONSTRUCTION LENDCR ItNKNOWN Total Valuation $ '\ Filing Fee $ 10.00 LE ER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ , () BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �. Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e 11_T YPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installatio ❑ Other ❑ Describe work:/, h ?.Q CJ /%r- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONSDWELING O OR ADDNST ( ACCLBLOGS.CCUP.&) 21/22sgft 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 nd my license is in full y�rce 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 CONSTR. ULTI.OUTLET 2,50 ea NON•RE."D BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON•RESID, (SINGLE OUTLET CIR. Ex. Occu 20e50t p�OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 C unty in cons ence of the granting of this permit. 1 _�� X Date 31 Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,Issu OCCUP. GROUP I TYPE OF CONST. PARCE PD ND This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR^ PUBLIC BY PE t' EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date fmy�� -7-1 V — �/9= Receipt No. f /_�— Z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT JLJ 10s and splecifidatlonj This set Of plans -MUST-lie kept &n the job at all times and if Js unlawful -+.O m4e n V' changes or'alieraf alterations on na usame without writtenfrom the Department permission of Public Works, County of Butte. - NOTE.--A11-Materials & Workmanship Shall Be In Accordance -with Recognized Good' Praefides'and of a qua,"z1,/-pres-r;Le_,1 for- the Specified --use in -the-- - Uniform Building, Plumbing & Mechanical Codes and. 1 - the National Electrical Code 74 11040tkaf 5 -ft. -from th —property lines e»c? - �;f-50ft- f rom-the-roacj- cenferlineshall-be-clear-of- h _ structures or. equipment Ment- e_ 'ept ' ��eC% _ - for 2. ft. eave overhang. - Z.5 8.85 -BUTTE COUNTY ---.,-,BUILDING DEP tRTM-ENT- A R P R-0 VT D----- n__i 71 4X6 � • ;�}roti: •� �• .. 1 S r (r: ✓a� .tiC:.i r` s s ( ' .- 'f t1 • kt n | ~~ � .- — ' — 40 CO____.— ' - �l^�'- - --- -- ` 77 7' ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. PACKAGE "A" (Additions) NAME I(lo JOB ADDRESS TYPE OF WOR FORM '7 ae ll I FAN = 79111 I FACI a New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,.converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING R-30,� R-30 _ _ R-38 'WALL R-11 Me aj C., c.► R-11 R-19 FLOOR R-11, p/esjq �",, - R-11 R-19 SLAB R-_7-- r R-11 R- 7 GLAZING ,65 .65 .65 SHADING X SOUTH --OPTIMUM OVERHANG )e or .36 S.C. WEST - .36 S.C. LOOSE FILL•INSULATION (Density) -x INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) �DUCTS PER UMC - Ch, 10 � LIGHTING KITCHEN &THS NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 11W, OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION'SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 (Describe) ' *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form,#4) or other approved methods, section 2-5352(8), and fill out the following:, Heating: Winter design temperature , elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU' Cooling: Summer design temperature ', cooling load BTU + *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of, solar panels. ® ' DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. :• 't SIGNATURE 0 BUILDING DESIGNER OR APPLICANT FJ . *1 HEATING VENTILATING, AIR CONDITIONING SYSTEM ; (A) Heating ' ❑ Central Gas Furnace 7 ; (brand and model number) SE Btu/hr .(heating capacity) ❑ Heat Pump ' + (brand and model number) ACOP, Btu/hr, (heating capacity at 47°F) ' ❑ Active Solar ' type (liquid or air) Collector brand and i ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope "y ❑ Other (describe) *1 (B) Cooling t: # ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑Electric '� Heat Pump • . .. EER Btu/hr (cooling capacity at 95°F) - .❑ Other (describe) DOMESTIC WATER SYSTEM [3(B) Gas Only Gallons (brand and model number)'' (tank size) ❑ Heat Pump w/Electric Backup - (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar -fraction) 2 ft (backup heater type, brand and model number) (collector area) ,(collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ' *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form,#4) or other approved methods, section 2-5352(8), and fill out the following:, Heating: Winter design temperature , elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU' Cooling: Summer design temperature ', cooling load BTU + *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of, solar panels. ® ' DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. :• 't SIGNATURE 0 BUILDING DESIGNER OR APPLICANT