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043-390-004
43-39-4 Jerry Price 844 Carrgrove-Ct:, lot 4, Big Chico Creek Sub, Chico contr: Jerry Price, Ch1c6. Permit #5939-80B,P,E M new single family) • 43- 9 - Permit #969-81B(add open deck/SF) 043-39-0-004 99-0430 B DAVIS, Lenna 844 Cargrove, Chcico (reroof/SF)„� B07-1070 043-390-004 MISCELLANEOUS HVAC Change Out RE -DUCT: R-8 RE-ENGINEER 844 CARRGROVE CT COOK, BRADLEY t RT � �� ���\( jp, S c� e.. V's, Mayt,k' BUTTE COUNTY w 1N1ae- DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1070 Issued: 05/16/2007 Address: 844 CARRGROVE CT Area: CHICO Owner: COOK, BRADLEY APN: 043-390-004 Applicant: GALLAGHER'S HEATINMap Page: Permit Type: HVAC Change Out 14 e - Description: RE -DUCT: R-8 RE-ENGINEER AREA 5 Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING 1 Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Ho l downs 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Rooting Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 I!, Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Set acs 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 1 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Final 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 I rolect 1, inal is a Certificate of occupancy for si tial Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIGR TO EXPIRATION Inspector Copy i COUNTY OF BUTTE._ —' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 00 (L. R - 1 O-� O OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contacts the Building Inspector as indicated below. ,;r >701 " ' I , /IL -1-F /'//r / fL /-VZ/ NLt 7 O A/ (� c 1-+/cr cle Al rL's 1�rPoPZ 1 Date (o -g_-0-7 Inspector 1 ) G REV 4/05 Phone # 3 �n P 2 Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 844 CARRGROVE CT Owner: Permit NO: B07-1070 APN: 043-390-004 COOK, BRADLEY Issued Date: 05/16/2007 By KCG Permit type: MISCELLANEOUS 844 CARGROVE CT Subtype: HVAC Change Out CHICO, CA 95926. Expiration Date: 05/15/2008 Description: RE -DUCT: R-8 RE-ENGINEER (530) 345-3363 Occupancy: Zoning: ASR Contractor Applicant: , Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING & . Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530) 384-2444 (530) 384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 I Total Charged: $55.00 Fees Paid: $55.00 I Balance Due: $0.00 Receipt No: B3101 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; 1 Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION 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 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.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 013855 05/01/2008 State Fund 713-0Exp. Dat Cartier: Policy Number: e: Contractor's License Law.). (This section need not be completed if the permit is tor on3red dollars ($100) or less.) I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/16/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/16/2007 � I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 05/16/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner, a Contractor OR; Agent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip C LRT[ F[C ATL O R F[ ELD VER [ FICAT[ON &'D[ AGNOSTIC TESTING - (P age i of 8) C F4R ProjectAddress 844 Carrgrove Ct-Chico CA 95926. Measured ' Builder_ Name... Builder Contact Insti lling. Contractor Telephone Plan Number HERS Rater m Horn Hoe � Telephone 76_ -768-3228: Sam IeGrou Number . 2 Pan Pba: Cal culated(Nominal: ✓ ❑ Cooling+r ❑ Heating)or V ❑.Measured Co mp I iance Method Prescr i pt i ve• t CI i mate•Zone 1 Cerli fyi ng Signature • 5705/23/071Da_ Electmnicall signed tee Sample House Number. 5: Firm Enalasys.Corp! ❑ Pasia ❑ Fa it HEM Provider _ CFBCAl Strut Address: City�taUPlZip> Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER CO MPLI A NC E STATEM ENT Thr ho use vias: -/❑' Tis Lod •' 36 Apprfl vod as ps i o Fsamplo l�slin , bu l was nbl leslead ' As the HE rater proridi niegnoalic Meati ng a nd f ie ld veri fication I iSBI li fy tha`i the house identif iod on this for m compl ies w iib Abed tested co Bance requi rements as cbealaA *' on tb is dorm. The HERS rater must check a nd veri fy that the nein distribution system is fully ducUad and eorrecttape is usedbeforea CF -4R maybe released on every tested building TbeHEM rater must not release the CR4R "until a proper Iy completed a nd signed CF -6R has been reaei ved for t i�mple and sealed buildingo. ❑ The i nsia l ler bas provided a copy of CP -6R (I nate l lation Certi ficate). 11NewDistribution system,is fully ducted(i.e; does not use building- cavities asplenume or platform returns in lieu ofduct�) ❑ New kvAs ms wh=-cloth backed, rubbrr.adhcsivc duct Lapc is inalalled, mastic and'drawbands am used in cxmbinslion with cloth backed, Tubber adhcm'i caul. laps to tical Icahn al ducl'cannrclioma. ve r MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDTI' Pnaae�w� 0"r ved�Gear,'e,e a,ad d,'r�g,aasr;e le�;,gg o�cr;, d;Sb;6xLeR sydla ies ti e aurt;l�ble ;R RA CIi� Appe,adt� R Cd.3. . Dust Diagnostic Lea kat 0TcsLing Results NEW CONSTRUCTION: Duct Pressurisation Teat Results (CFM @ 25 Pa) Measured ' Values I Enter Tested LealageFlow in CFTdf: 2 Pan Pba: Cal culated(Nominal: ✓ ❑ Cooling+r ❑ Heating)or V ❑.Measured 11400 t Enter Tout Pan Plow in C•PM:' 3 Paas if Lealcage Percentage 60. (.140 s [-(Li ne n 1)1- pne 2)]] ❑ Pasia ❑ Fa it ALTERATIONS! Dura Spstern au&,o HVAC Equipraeut Cb auge-Out Bn1v Tested Leakage:CPlow in CFM from R: Pi+e-Test ofBxestingD`uct3yatemPrior b 4 D uct System A Iteration a nd/or Equipment Cha iige Out. 5 B nte.r Tested Lealage F low i n CFM: Final Test of New Duct System or Altered Duct System L 95 for Duct System A iteration a nd/or Eqdipment Cban e•Out.. Enie•r Reduction in Leakage for Altered Duct System [_(Line* 4) Min us {Line* 5)] 6 (Only if Appl icable) 7 Enie.rTestedLealcagePlow inCFM toOutsride'{Qnly;ifA-*licable). $104x EntireNeurDuctSystem - Pass ifLealmgePercentage 6% 11 Page ❑Pail ine*5 / LineW2 TEST OR VERIFICATION STANDARDS: For Altered DuctSpstern and/or HVAC Equipment Change -Out' Use one of tbe'followi four Test or Verlflcatiou Staudardiforcorapfizutc, Pass if LealAgePercentage:5 15% (144 x ( 95 (LineWf ) /' '1400 (Linewf )]] 6.8 9Tass ❑ Fail to Pass if Leakage to0utsidePercentage 5 1446 (100x.( (Linen 7) / {L ine1Y2)]] ❑ Pasg ❑ Fail 11' Pass if Lealc�ge Reduction Percenisge 2 644 j 144 x ( (Li ine. i16) ❑ ��❑Fail and Verifimtion b 3molceTesl'andVisual In tion 12 Pass if Sealing of all AccessibleLeaka and Verification by Smob-- Test and Visual Inspection. ❑Paas ❑ Fail Pass if One of Lines JY 9 tbrougb ;V 12 pass ix Pass ❑ Fai I Re6deAund Ca,cpt,'a ece FG.Fn¢s' Ap„I 20i05 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Permit Number 844-Carrgrove Ct.-Chico CA 95926 8 An installation certificate is required to be posted at the building site or made available foi all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heatpump),Number Cooling CEC Certified Mfr: Name and Model # of Identical Systems Efficiency i. (AFUE, etc.) 2&-1R value •Duct. Location attic etc. Duct or Piping R=value .Heating Load BluAv Heating Capacity Btuihr Package AC_tGa Apr can Standard? 1 C' C10 0 /' FAR-1 0 0 4 002 0 C70- 0 Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiencyl (SEER or EER) 2CF-IR value) Duct Location attic etc. Duct R -value Cooling Load Btu/hr Cooling Capacity 131tAr Package AC +_Gasa,94966978 Apr can Standard? 1 C' 2 0 A l 0 0 410 00 4 002 0 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. rX-I I, the undersigned, verify that equipment listed above is: I) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for. compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner.:Gallagher's.A0 Signature: dwAs�avv Date: 05—/23%0 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms A, 'ril 2005 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number 11 844 Carrgrove Ct__ Chico CA_ 9592_6 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ [ Cested 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 ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ [3 DUCT LEAKAGE REDUCTION Procedures or fwLd ver' cation and diagn ostic testing of air distribution systems are available in R4 CM, Appendix RC4.3 NEW CONSTRUCTION: Gallagher's Air. Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ IX 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 400 Capacityin Thousands of Btu/hr output, enter total calculated or measured fan flow in CFM her - V11 V-1 3 Pass if Leakage Percentages 6% for Final or15 4% at Rough -in: ❑Pass ❑Fail 100 x ine # 1 / Line # 2 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 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct _ 5 System for Duct System Alteration and/or Equipment Chan a -Out. , -95 Enter Reduction in Leakage for Altered Duct System 6 r Line # 4 Minus Line # 5 — Onl y if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage <_ 6% for Final ❑Pass ❑Fail 8 100 x L_Line # 5 / Line # 2 ] TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or EVAC Equipment Change- ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x [ 9ri (Line # 5) / 71400 (Line # 2)]] (g,g IR Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [ 100 x [ (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail I 1 Pass if Leakage Reduction Percentage >_ 60% [ 100 x r(Line # 6) / (Line # 4)]] ❑Pass ❑Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass R Pass ❑ Fail ✓ EI, 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. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Gallagher's Air. Signature: Date: 05/23/07 ((Electronically signed) Copies to: BUILDING DEPARTMENT, IIERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms ,September 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number 844. Carrgrove Ct-Chico CA 95926 D ✓ CX i THERMOSTATIC EXPANSION VALVE (TXV) Procedures for f eld verification of thermostatic expansion valves are available in RAW Appendix Rl. ✓ 0 REIFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermnstatic Rxnaneinn Valves Outdoor Unit Serial # 3498 3H8371 Access is provided for inspection. The procedure shall Roof Outdoor Unit Make American Standard Outdoor Unit Model consist of visual verification that the TXV is installed on Cooling Capacity 4-2-0-0-01 Btu/hr Date of Verification ✓ lR jYes ❑ No the system and installation of the specific equipment Cxl ❑ Date of Thermocouple Calibration 05/� (must be checked monthly) shall be verified. Yes is a pass 1 Pass 1 Fail ✓ 0 REIFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermnstatic Rxnaneinn Valves Outdoor Unit Serial # 3498 3H8371 Location Roof Outdoor Unit Make American Standard Outdoor Unit Model AP61242069781 Cooling Capacity 4-2-0-0-01 Btu/hr Date of Verification 05/16/071 Date of Refrigerant Gauge Calibration 05/15/07 (must be checked monthly) Date of Thermocouple Calibration 05/� (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55OF and above): Procedures for Determining Refrigerant Charge using the StandardMethod are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF s erheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db - Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat -Target Superheat (System passes if between -5 and +5°F) OF Temperature Split Method Calculations for Adequate Airflow Nnht Mathnd Cnlrulatinn i.c not norac.enry if.Qdom,fnto Airflnw rrodit ie tnlron Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -3°F and -100° O. Residential Compliance Forms April 2005 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: 844 CARRGROVE CT Owner: Permit No: B07-1070 APN: 043-390-004 COOK, BRADLEY Issued Date: 05/16/2007 By KCG Permit type: MISCELLANEOUS 844 CARGROVE CT Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 05/15/2008 Description: RE -DUCT: R-8 RE-ENGINEER (530) 345-3363 Occupancy: Zoning: ASR Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B3101 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is ' ull force nd ect. 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 05/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: tractor's na re Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 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 INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by 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 013855 05/0112008 Carrier. State Fund Policy Number: 713-0Exp. Date: 0510112008 Contractor's License Law.). (This secn need not be completed if the permit is for one Ilars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/16/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date � jrovisions. z�vj� 05/16/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building i ature V Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County, to enter One above mentioned property for inspection purposes. I hereby certify that I am the rope o err utho� to ad on t roperty o rs b elf. CONSTRUCTION LENDING AGENCY /2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o e mittee [SIG ] Print ua e the performance of the work for which this pertnil is issued. (3097 civ. code) 1:1 Owner 1:1 Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip r� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONII: 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 Nam Firs a e Address City i , O State/ Z6o Phoned,/ I. /' ri,7,A „ Fax E-mail\J`_f APPLICANT SIGNATURE P& office use only: CONTRACTOR Name oi- hf 5 HVAC Addres ISRAI Yes City jjs Occ. Stat - Zipr�/_g�G lW�� Phone3S � / o ` .24 ; + r r `t '-t Fax E-mail Date Approved: Lic. # -�.� Class APPLICANT SIGNATURE P& office use only: ARCHITECT/ENGINEER Name hf 5 HVAC Address ISRAI Yes City Occ. Stale Zip Phone L Fax c-, ail Date Approved: Slate License Number APPLICANT SIGNATURE P& office use only: APPLICANT INFORMATION Name al hf 5 HVAC Address ISRAI Yes City Malmo Occ. State( 7 Zi 055 &6 Phone L Fax E-mail Date Approved: APPLICANT SIGNATURE P& office use only: Zoning Flood Zone ISRAI Yes I - No Occ. Type Const. Subdivision Name Map book Page Lot # Planner Date Approved: PERMIT NO. BP q1- 10-70 UVtK I -UK SUt3MlI IAL REQUIREMENTS K:IFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 Received by: 6 Amount: �� Do Bldo Receipt #1, 3 Nck-44 11-112—) Date: 5- I6 _0� SRA Sheriff SMTP --- Other Total Total REV 8-12-05 Vi`Z`/�h'i��*CY�3l/�ty.'$'+�r�."•a:rr.eil!sAK75:"`:4Vj✓s 1C�.-i�:L�"..I�'^��:'C'C'!R'`.r �..s.r1Y:•."Ik�F7'.=ri:Y'?�:vsx; .'..Yrry,.rrn;-v..,�:.tin•ra' .�...R,"� ._-�.: iTy V 043-39-0-004 99-0430 B `DAVIS, Lenna 844 Cargrove; Chcico. (-reroof/SF); 3 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 61 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBEF1 ,w+ `-1 �► ZON17 5,2 / BUILDINGPERMIT OWNER DO o G TELEPHONE So. FT, OCC. BUILDING VALUATION -OWNERS MAW NG ADO SS j I & CONTRACTOR'S NAME V TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ .p0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �[ O ') (.t 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO.SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each nas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _�( Q 1L/ "� l� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..A' OR LESS 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.--y� License Class R— Lic. No. i( J�Y�/ 2 OWNER BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO F.; =RES,ur. MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDrTUREs 20 .00 BAL @ 1. 0 Ex. Occup. OFIxUTLEEDTS A� D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 'PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the , workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tose provisions. _J)('� G X i1 / / _ Date �/ Signature of App(ican - ❑ Owner ❑`Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE FEES IMP I FLOOD CDP 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. By Date- Y -i t J EXPIRES ON 3 7µ "2 c�UC> Date ReceiptNo. 1 41191 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754_ PERM T NO. (Rev. 12/96) APPLICATION AND PERMIT 9 / _O A ASSESSOR PARCEL NUMBEf� , /� — 3910-06Y `1/ ✓^ U U ZONIN SR '`J BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION ' 00 OWNERS MAILING ADDS n/��90 a r ` CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 'j y 100 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 19qL1 Energy Plan Checking Fee $ $ PERMIT FEE $ 10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF )( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I?�n4 �J 0a Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR UE Main Service zo.A OR LESS 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. �� OWNER -BUILDER DECLARATION 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 astheir 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. s0 3.5¢FT. =R61D MULTI.OUTLET 97,50 OWER APPARATUS 8 PSINGLE OUTLET CIS. Ex. OCCU OUTLET OR FIXTURES 20 @ I.W SAL @ .so Ex. Occup. DFlxurlFrs oEE. RFS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 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.) ❑ 1 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 forthwitcomply with ose provisions. �ry X Date / Sig ature of can - ❑ Owner ❑Contractor O ,g nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $'4z/ - 0d HAZ. D. FEES IMP I FLOOD I CDF I PARCEL 1 PO 1 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. By Date PERMIT EXPIRES ON 3 'J -'Ld LSO (Da te Receipt No. Jr- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M!2t,. - - rte'E COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:' ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------- .-------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------------------ =--=-- -------------------------------------- ❑ 9. Manufactured Home data and installation instructions -including Tie Down Specifications ---------- 0 10. Fees of $--------------------------- ------------------------------------------------- El 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------` ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------- Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- '. ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- f} ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other When you issue the permit, process as follows ❑ Mail to owner,VWail to contractor. / ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant Date: ' Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ollution _ ate: By:_ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: s "- i !Date: By:_ 1. Index permit application for the above items numbered: 4 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: von,,.,, r .., no.....-..___,.cri�_. i -- _• -- --- .� Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service a Called PG&E JOB FINALED /(Date) Signaure el /,V /X 4 u PERMIT NO. ,., .. 969-81B PERMIT EXPIRES E� / �►'� U� OWNER Jerry Price . CONTR. owner ASSESSOR PARCEL 43-39-4 LOCATION 844 Carrgrove Ct.,lot 4, Big Chico Cr.Sub, Chico i E l Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service a Called PG&E JOB FINALED /(Date) Signaure el /,V /X 4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service a Called PG&E JOB FINALED /(Date) Signaure el /,V /X 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER UJ :3r- .=1- Z01.4 ING _ I. 'w�.- BUILDING PERMIT OWNRr '� T�� �`. TELEPHOrrE SQ. FT. OCC. BUILDING VALUATION A,.J F4 �A(al ^qty OWNER'S MAILING ADDRESS � j _ t.i Q C. m u t, ' t CONTRACTOR'S NANaE,�l TELEPHONE G� CONTRACTOR'S MIAILI G ADDRESS R -y I u (Is `,!i I Q �" � �' Fireplace CONST -RUCTION LENr.).E.R n�u M `;;u ;- UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ & ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1yy� yi= Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS . 4 ��"� �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �/, USE OF STRUCTURE SF LJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 ,/ TYPE OF WORK P --Remodel New Addition - Remodel ❑ Utilities ❑ Installation ❑ Other ❑ F1P F� Describe work: "r.. _? 1.a �'� �` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 ` � t � � �`'-✓I� + Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i OR ADDNS. 1 ACC, BLDGS. 20 sq ft CONTRACTORS LICENSE LAW --***'NEW j 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 CONSTR I -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS] NEW CONSTP- / POWER APPARATUS 9 (SINGLE SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES_ a @� 00 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. E] --,T 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County.of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1 X _ �'° I Date Signature of Applicant — OwnerEl Contractor ❑"' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.'' Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0"1,8 OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ��� _. a'�.1�.+ ` " PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,,,r a 4 Receipt No. d WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J = OK 0 = Not OK+ Not Applicable MOB�ILEHOMES MISCELLANEOUS - Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 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; Location -Test -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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 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 Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and = Not Ready Duplex) - Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements-Setbacks-Easements - 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. 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 51. 52. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers-Fireplace Ftg.-Steel 54. Glazing Area-Glass Protection-Skylights-Plastic 8. D.W.V.: Fall-Fittings-Test-2 way C/O-Sewer Test 55. Shear Walls; Nailing-Bolts 9. Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Support-Ins. 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Card-BI Card-BI Date Card-BI Date Date Card-BI Date Date Card-BI Date Card-BI Date Card-BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps-Door & Sidelight Protection-Landings Card-BI Date Date Card-BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent-Access-Combustion Air 57. 58. Smoke Detector Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors-Nail Protection 16. 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card-BI Date Card-BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance Card-BI Date Date Card-BI Date - ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. 68. Garage Fire Door; Swing-Landing-Closer 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. 71. 72. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insu tion-Foam-Looked in Attic ❑Yes 22. Size Boxes & No. of Conductors-Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water 7 uard Rails & Deck Construction-Pos ps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. 27, 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No Service-Riser Conductors & Ground-Main Disconnect 74. Fdn. Vents &Crawl Hole Door-Drainage &Wood-Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 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. Ventilation throughout House Card B-I Date Card-BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 83. Corrections from Previous Inspections 84. Gas Test-Meters Tagged; Gas-Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected-C/O to Grade-HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate-Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade 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 FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 41. Header & Beam-Size & Bearing 42. 43. 44. Hangers-Post Caps-Anchors-Connectors Cl- Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue-Fireplace Throat _ 45. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 46. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF B JTJE - DEPARTMENT OF PUBLIC WORKS PET7. J 7 County Centet' Drive - Oroville, California 95965 - Telephone 916/534-4541 j APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER. {V - ZO I BUILDING PER owty� TELEPHO E S0. FT. OCC. BUILDING VALUATION OWNER'S MAI LINGIADDIRESS _ � r CO TR TOR'S NA npr_ TELEPHONE CONTRNCTOR-S-MrILIWIG ADDRESS ' ( (�Q_—ax f-- r -b -V C Fireplace 4$ CONS UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS • Permit Fee $ ARCHITECT OR ENGINEER ' - LICENSE NO. Plan Checking Fee $ 10. Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent' 5.00 Gas piping system 1 - 5 outlets � USE OF STRUCTURE SF E Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system' 5.00 TYPE OF WORK New AdditionP--Remodel❑Utilities ❑ Installation❑ Other El Describe work: co Permit Fee $ Contractor ELECTRICAL PERMIT FflingFee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 -� Main service EA. ADD'L 100 AMP 2-.50 NEW CONST.. ( DWELLING OCCUP.5i OR ADDNS. ACC. SLOGS. 2� sq ft CONTRACTORS LICENSE LAW --"NEW I declare under.penalty of perjury (check one): Qum licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and m license is in full force and effect. !j y n License No. l////� Classification ❑ I, as the'owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason CONS TP_( I -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID. -SINGLE OUTLET CIR. / @ 25¢ Ex. Occup(OUTLETS OR FIXTURES BAL�1 FIXED APP * OR Ex. Occup.(OUTLETS (RESIESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee -$ Contractor MECHANICAL PERMIT, Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (—j Tlye permit is for $100.00 (valuation) or less. ' L;aJ ll have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save indemnify and keep harmless the County of Butte against all iabilities, jud m nts, costs, and expenses which may in any way accrue agal st s id C unti ofTsequence of the granting of this per 'it. X �(� �`�" D e W , f Signatur of Appli ant – Owner Contractor [gent ❑ An OSHA ermit i required for excavations over 5'0" deep and demolition or construct- ion of strut res ov r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ A-0 , OCCUP. GROUP TYPE of CONST. PARCEL PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. g�jL�3 WNITE-D.P.W., TELLOW-ASSESBOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i t OWNER COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7kCOUNTY CENTER DRIVE �4OVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 P � r .�.�: ,�-•���� PERMIT APPLICATION DATA SHEET Permit No. A. P. No. �3,3 %— u Proposed BuildindLfse Permit Fee BasedvvUpon: Complete ontract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised t6 following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization %Sanitation approval from _ Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required. In request to (pole) p q Building Inspector 18. Other When you issue thecpeCmit, process as follows: Mail o Qwner. Mail to contractor. %/Telephone0 7�`�T SVO and hold for pickup at CAkACnoffice. Deliver w/inspector. Other Applicant �� � 4 Date 5/AC1 ( V i Copy of plans sent Health Dept., Fire Dept., Other Date 4 During the plan checking process, the following data must be submitted prior to permit issuan" (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail' Other By Date Plans checked by 0 Date Plans approved by Date Other: I Copy—DPW To: Building Department ° Froim: Environmental Health Subject: Sanitation Clearance LQC'Ve /C. Owner Loca%ions Plans approved for: Sewage Disposal Mater Supply _-- Hold final for: dater Supply Final Clearance O.K..for: eater Supply Clearance for bedroom mobile home. Other -� Clearance for addition of Note • Sa�aifiarian- - Hate 172.:go 1 r NOTE:—All Materials..:& Workmanship Shall ge In 70 ' . 44 Accordance with Recognized Good Practices and J/11 �_. I`j cp I of a quality prescribed for the Specified use in the a Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 1--7t.,,411 a al5.071 A setback of 5 ft. from the - -`"j`-- property fines and a setback ♦+ 1g, 40' _ l., X4.111 of 50ft. from the road centerline shall be clear of N A /V structures or equipment except N �z 58 for a 2 ft. eave overhan. - -� 19t rpo 1 1 F N. PSV• x PLAN I /3.5 r b3� LEY AFIN a- � -,, _ r 'coat.- ', � - • I ""/E co 11• c PP IL TW44 k �L.i :Z TFW N CH l�io.00l - See Master Plan on file for building plans. J� riy tort This set of plans and specifications MUST I;e BUTTE COUNTY kept on the job at all times and it is unlawful to BUILDING DEPARTM NT make any changes or alterati©ns on some without written•permission from the Department of Public y P D R O"_C__P yoAs.Cauntof Butte. �t�* 71 — C�vELoPE �5 G}�IGv r Gam• r V / r PERMIT NO. ,; 5939-80B,P,E,M i / PERMIT EXPIRES I� 141OVI OWNER Jerry Price CONTR. owner ASSESSOR PARCEL 43-39-4 LOCATION 844 Casrgrove Ct., lot 4, Big Chico Creek Sub, Chico E Temp. Power Pole Called PG&E Temp. Elea. Servide E Y Called PG&E Temp. Gas Service / f Called PG&E it �J JOB FINALED (Date) Signatu 1 COUNTY OF BUTTE 1 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER • 43. 3q- q ZONING /_I S',�. f r-IZ,_/A) �� BUILDING PERMIT POW OWNER r_� y `�� 66 TELEPHONE SO. FT. OCC. BUILDINGVALUATION � o 4X `�,I5U• v0 OWNER'S MAILING ADDRESS `► 5�if✓ M U 77 40. 44 CONTRACTOR'S NAME TELEPHONE 27 r/ `:? ! VC) ADDRESS/' CONTRACTOR'S MAILING T 13 le / ox _7&4 . C %�/C (1 � �S�!1 z� Fireplace cP—m—i1i ,- ocd. co CQNSTRUCTION LENDER 776-5 t9l)llk UNKNOWN Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESSFiling /tv4/V e ee, vc- /I C16. ��f� %C U� G 4S9Z(,, Permit Fee $ S03-0-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /()/.S() Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .31y.50 BUILDING ADDRESS gcfl,..� C�fiC,ic��L�- ��k r PLUMBING PERMIT Filing Fee 10.00 Each Trap f7_1 2.00 241.()0 Repair drainage or vent piping 5.00 Water piping 6-vo LOT NO. SUBDIVISION NAME 'f Fj �� �/y/`(a �!r /< PARCEL -M7AP / �� /y water heater or vent 5.00 5iCV Gash piping piping system 1 - 5 outlets Fa', (J c, USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer �T. 0& Lawn sprinkler system 5.00 5, a p TYPE OF WORK New U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ G Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR L 00 AMP ORSLESS 5.00 J. G Cr Main service EA. ADD'L 100 AMP 2.50 2,<u NEW CONST- I DWELLING OCCU;P.Ej OR ADDNS. % ACC. BLDGS.p-�_j/ 61 — 22 sq ft 50, Z p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO and Professions Code and my license is in full force and effect. 7 /,/ Il -- Classification `4� License No. -� - ❑ 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 -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIR. @ 250 Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ q7, 70 Contractor MECHANICAL PERMIT FiIirig 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 6O, 000 5.OG WL /"RIC - Cooling 3'�/2 7- -7.50 Hood 3.00 �,pV Ventilation Permit Fee $ 'Z�, 15�0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment's, costs, and expenses which may in any way accrue/2.. against said County -in consequence of the granting of this permit. X '���,` 1 �j,� �`� `*� ' "�f Date -•* - -1 �`a' Signature of Appl cant - Owner ElContractor ElAgent❑ An OSHA permit islrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7-0 OCCUP. GROUP ) ' 5 I TYPE OF CONST, -� f \/ PARCEL / PO J HD SSUE �•' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �- �:.•""'�.- ��� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/ 3 - ib •-- t .�� /in 4/4 Receipt No.5_0Y WHITE-D.P.W., YELLOW -ASSESSOR, PINK-IN5PECTOR. GOLDENROD -APPLICANT t it = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = • Not Ready s MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. , Zoning Requirements -Setbacks -Easements • 2. Soils; Special MH Support -Sketch 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; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L''ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea 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 q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 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 t 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. 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 Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date tl • , k e-. UNDERFLOOR Plans OK exce lays Date C� f J = OK 40 ., Zoning requirements -Setbacks -Easements O = Not OK 48. - = Not Applicable i= Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce lays Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. 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 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 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 #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 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 q'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 ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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-1 Date Card -81 Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except 11'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 Approva 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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 FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors CIng. Joist- ftr. Ties-Purlin-Roof Brac.-Truss-Shihnp.-Rfng. _ Fi_replace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) �, �; i << �� J'`j �'� 6-S 1: r 1 i J = OK 0 = Not 0K - = Not Applicable 4 = Not Ready RESIDENTIAL )Single and Duplex)`~ Date UNDERFLOOR Plans OK exc�q's Date FRA G Continued Zo - requirements -Se back se s 4 Property Line Firewall &Openings ig. ain; Sall - -EI - / /2/" Fig. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits t , Garage; Soils -Steel- / " Fig. Depth 50--6**F&�-WM h -Headroom -Rise -Run -Landing -Fire Protection FI ., Porches & Decks; Soils -Steel- / /'' Ftg. Depth PI .wood on Root Overhang -Attic Vents -Rafter Outriggers �z(y tem ails, Main; Steel-Blockouts-Wrapped-Slab5p,-,Siding-Nailing-Veneer _ mw IIs, Garage; Steel -Block s -Wrapped -Slab h -Drip Screed-Fdn. Vents-Underflr. Access rs-Fir pl -f_ Glazing Area -Glass Protection -Skylights -Plastic F nt -T -2 way e -S r s -Anchors 5Z Sbaat- a ts; Nailing -Bolts 1 er Pipe; Test-Anchors-Regulator-Serv' est Underground 1*--P+ermmrS[Sucts; Clearance -Material -Support -Ins. III-&-rders-SiHs-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Car( -BI Date 4 Card -BI Dat Card -BI Date Card -BI Date Z Date FINAL _tans) OK except p's Card -BI Date Card -BI Date _ _ Date _ - ^ PLUMBING ( ermit OK except q's 42 _ • r Steps -Door & Sidelight Protection -Landings Sm a Detector urnace; Vents -Clearance -Comb. Air -Connector- " In arage;,Above Floor -Ducts -Meth. Protection 4 Water Ht.; en Access -Combustion Air 1 ter Pipe: est '& Anchor's=Nail Protectiojr 1 D.W.V.; Test-Fttngs & Anchors -Nail Prote tion. B.9droom Exitin 7 1;—Sho,_LZon; Test, First Floor -Tub ssG .I Bat ix & Tub Access _ &Shower, 2nd Floor -Tub Access Elec & Subpanel; Brea es -L 1 as Pipe; Size & Anchors el . Fir a or Steve ClekAa s- . Outlets at Wood P 'net; Ind Ext. ixt. ; G tr Cooki arance utlets & Receptacle .at Kit . Count r Card -BI Date 1, Card -BI Date Card -BI Date Card -BI Date Date Ll ELECT ICAL Permit OK except q's Garage Fire Door; S -La g- er uc i Gara a -Dam er 2 ure & Transformer Clearance -Ins. Protection tr. Htr.; Ven Clearance -Comb. Air-Connecto P. - 1 1 In Bove Floor -Meeh. Protection 7 I lec.,& Mech. Equip. Listed for Location 21 1 . Receptacles Spacing -Lights & Switches at Doors - 2 . ize Boxes & No. of Conductors -Stapled t E I e eceptactes in Garage; (G.F.I.)-Rome otec. 2 omex-Installed CIo e"to Edge of Studs & C ui Grou a up w/Meth, Fastener and Ga r 7 nsul n-Foam=Looked in Attic Ms — -- ppliance Circuits in Kitchen'& Conductor Size 7 ward Rails•R D_____ �_-Qonstr3stion-Po ps - a. Cu or AI-A.C. Wire Size / / ga. Cu o 74 n. Vents & Crawl Hole Door-DD.6ainpe &4YUbTEarth Clearance Looked under Floor, ❑.YWZ4C- '� ,• ange•Circ. // ga. Cu r A Ov -Ctrs e�Cu or Al,-••' •- •••• ' Insulated Neutral U --Yes L o owing in�st�ld.�rlbe ❑ No; Walks es ❑ No; Planters GLV s EJ No ' �' ""-' ice -Riser Conductors & Ground -Main Disconnect -.g*ewn-Finish I ip. Clearances: Pan for ech.a Equip. 77. A.C. nit; Disconnect-Clrnces=Brkr. & Cond. Size -115V Outlet _- f�� Clothes -Closet Ligh Showb j: 7 --Vents Above Roof; Plbg.-AppliaricQ=F'irepf.-Clearance to Opngs. connect, Electrical, Plumbing E ' r Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date474y Card -BI ✓ Date_ t3 Ven ' ion throughout House t lass Protection Card B-1 Date y Card -BI Dale Date MECHANICAL (Permit) OK except q's 83+--6erse�tiene.lrom Previous Inspections as t -Meters Tagged; Gas -Electric 2 et & Sewer Connected -C/O to Grade -H15 Allproval Energy Compliance Certificate -Other C. Ducts: Insulation & Support V_ -VZ nl Fan; Exhaust above Insulation T V39--6�aQ sate Drain & Overflow: Size & Grade �--Certificates kl-Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet s s & Platform if Furnace in Attic Card- Dat Card -BI Date X I Date Card -BI(' /� -Date Card -B — _ __vA Caid•BI Date Card -BI Date Card-BI� Dat Card -BI Date Card -BI c Date Card -BI Dale Date FRA NG(Plans) OK except q's Comments at Final: Proper Material & Anchors _�_Sy'lls; Its: Studs -Nailing, Spacing & Bracing -Plates -Sound V/t" aring Walls over Girders & Floor Nailing_ raft Stop in Walls (rat proof) 4 ' e Stops; Furred Cei •n s -Stairs -Chases -Tub _ e ing H gers-P i Connectors 4 _ ei der & BeaKle g: Joist-Purlin -Root Brac.- uss-Shthng.-Ring. ypa.A_�iee=Firepla• hroat is Acce_ ize & Rom rotection-Dra top Ins. es roll/ �P4�ir:m. Windows or Exiting Doors --Sill Hgl. & Dimensions age Fire Protection Framinc (NOT e: An entry must be made each time youvisit jobsile) COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OROROPERTY ADDRESS 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 J7 -J Inspect f �4 Date / J I ®R 11 a m c m m o o 3 ^8 1v � � N � 0 ERSET COMPANY LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMArCE WITH gRRENT ENERGYCONSERVATION REGULATIONS AT .� 71 (loca on) BUILDING PERMIT NO. '3' A.P. NO. �3�> %-•"_ � 4 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable)- INSULATION: pplicable)- INSULATION: Slab Edge Fdn. Walls Floors Walls. Ceiling/Roof . Ducts Circulating Pipes APPROVED HEATER & APPROVED WTR.HTR._�� GLAZING: Single Glazed MIA Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name 6(W,,r1f9T/� M Signature of (p ease pri ) Insulation Applicator, -� State Contractors License. o. 0S83�/' General Contractor/Owne Name M�. 1%LvL- lease print) Signature of , General Contractor/Owner Date..vi .-C# Sta a contractors 3 License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUES.TING.FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Jerry Price Rt, 1 Box -704 A Chico, CA 95926 Attachments * Chico Jean:, 5t. 1982 Omers Jerry Price I V16181 43--39-4 5939,80 (GF) BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD �+ Deputy Director Jan; 5 � 1 1982 • Owner: Jerry Price•• Jerry Price RE: Building Permit No.5Q32_2 (SF) Rt;..1 Box 704 A Expired IP 16Am Chico, CA 95926 (A.P. No. _3,; 0;64 ) With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Shoduld our records be in error or should your construction be completed, pleasetadvise this office immediately. Thank you in advance for your prompt attention concerning this matter. Yours very truly,, f1 , Clay -Castleberry Director of Public Works. F. G1 nder JFG:dd Chief Building Inspector Attachments Y P.S. For your convenience, we are attaching a renewal application form which may be completed•and.signed by you where indicated and returned to this office together with the fee shown. cc: Building Inspector 0 Chico COUNTY OF BUTTE = DEPAPITMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL UMBEF� y�3-WA1 ZON G BUILDING P -- � OWN R UC2P,Y F2ic� TELEPHONE SO. FT. OCC. BUILDING VALUATION ov OWNER'S MAILING ADDRESS '590 M 617 Z®. W COONE TRACTOR'S CtS71 38 2 6 .Ov e7_CONT/�c"TF�oR(`I'Os MAILING. n9� Ess n J C, ! Fireplace A good. Ov �i SJRU�TION SENDER ��� UNKNOWN Total Valuation $ '5/6 O,0 0 Filing Fee $ - 10.00 1, j� 0SG7� LENDER S,MAILING AgEO /q t/6 &211-1C,0 hr' Permit Fee $ S03, 00 A�,Rr�CCH/ITECCT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1011-50 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit tee $ 3 . Sd BUILDING AD ESS .(,7 CA e -,e 104 PLUMBING PERMIT Filing Fee 10:00 Each Trap J4 2.00 Z .00 Repair drainage or vent piping 5.00 Water piping .6,0,0 LOT NO. SUBDIVISION NAME &j e`T/Co Cw1<,-- PARCEL MAP q Z Each qas water heater or vent 5.00 15j 00 Gas piping system 1 - 5 outlets p Z) �-/ USE OF STRUCTURE SF L'�J Duplex ❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 5, 00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ Jrl.O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 ✓/ � 00 �- Main service EA. ADD'L 100 AMP 2.50r-90 NEW CONST.DWELLING OGGS� . OR ADDNS. ( ACC. BLDGS.L f fJ' 20 sq it 50.Zo CONTRACTORS LICENSE LAW lar I decunder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ft-Lforce 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 -OUTLET 2,50 ea No .RES'D BRA CH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. I SO @ 2S¢ Ex. OCCUp OUTLETS OR FIXTURES gqL ami Ex. Occup. (O UTLETS FIXED P(RESID•)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $-,57,70 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. �ffave 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 60 apv -00 ti(jAL PA(� Cooling 3� T- -7,45-0 Hood 3.00 3, 0 4 Ventilation permit Fee $ 2 ,50 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I Iso agree to save, i de if and keep harmless the County of Butte against al liabilities,'judgme t costs, and expenses which may in any way accrue aga st said Cou ty 'n nsequence of the granting of this permit. X Date --,,,(_— C) Signot a of Applic nt - Owner ❑ Contractor ElAgent El An OSH \ rmit isf ryuired for excavations over 5'0" deep and demolition or construct- ion of struct res over in height. Mobile Home Installation Fee $ ''c/ TOTAL PERMIT FEE $ ,70 oeeuP. GROUP ' TYPE OF CONST, .� PARC P JV1 ISSU E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z"'t e.—e / rrstories Receipt No. 7I/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION / 7 County Center Drive—~0roville, California 95965 — Telephone: 534-4541 v OWNER ,/i Proposed Building Us Permit fee based u PERMIT APPLICATION DATA SHEET Complete Contract Price er (explain) Permit No. A. P. No.3~ 3y_ Building Inspector 1,11 -VI Date /Z — Z 8' y DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ . 9. Letter of signature authorizpa.6ri............................................................ C' ,? Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) 16. Other Whengou issue the permit�,mp rocess as follows: Mail to owner Mail to contractor. (� Telephone �� —5' G3�� and hgL'�d.�for pickup at" office. Deliver w/inspection. Other r Applicant.�v`� Date Copy of plans sent Health Dept., \Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. - - 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by rians cneCKea Dy Plans approved by OTHER: Copy/DPW Date Date Telephone Mail Other Date C. To: Building Department -From: environmental Health Subject: Sanitation Clearance 741 Uwner Location Plan approved for: Beware Disposal � dater Supply Hold Final for: Water Supply .. Final Clearance O.K. for: Water Supply Clearance for 3 bedroom mobi t"w UOther Clearance for addition of Notes t rian Date t �y jj q.z. c 4 � rt II' p 77 i ' i I f i , I y.. 3' {� !; ' ... - .I• -, ..fir , S ,y r L , �' �+ I v - fff Y I 1 . ` w I + J P �7 r a tt IJ } , k i 4 �{ t , v 1t. 1 'f ON 1 , 1� G, V 1 1 1 i i3 c ry '1 I i) r '� ; ^•'�{' . � � "Fl. � , ;l . i '}� u h ,,, .. � . �� _ tl ...,,_ � I { �L'I"s.,.'�i � . � . i>.., . {t.'..,..x..,I...,aasil�l " rd cti �.'.ulna; i, i�F�.:�t3},_2 j c., r1 �`;.r. k �'�. �;,.'�!z'4 ,F T�.�.j( R :''•11 p "✓,: 7 .,(I ': �" '1 j c a r r t u i 2 =r. r P a tf �,�`�t ^ �' ' Y. 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