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HomeMy WebLinkAbout043-390-01243-39-12 Den Durkin & Wm. Drew + 832 St. ant Dr., lot 12 Big Chico Creek Est., co contra Jerry Price, ico Permit �k14 81B,P E,M�new le family).O.��sr 43-39-1� `"john MacTavish 832 St. Amant Dr., Chico contr: Holiday Pools, Chico Permit #1781-81B,P,E(Bew p r swimming pool & spa) I0 043-39-0-01'2 92-0200 AHRENS, ROBERT & GENENE. CONTR: LEE, GARY 832 ST AMANT, CHICO ADDITION/SF ' 043=390-012 PERMIT#97-=22-7-5- AHEARNS,.Robert & Geneve 832 St Amant Dr., Chico Cont.: Baird Roof ing /),., ` 'Reroof/SF /l 043-390-012 06-1061 K S, ROBERT AMANT DR, CHICO OR-CAL REPAIR G s" BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061061 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/08/2006 APN: 043-390-012-000 the Business and Professions Code, and my license is in (full force and effect. : ber: License Class LicenseNum O6sl! I Site Address: 832 ST AMANT DR CHI Date: oG Contractor: Ach4i:,-IM6 Map Index: Description: SIDING 3- 1/2 SQ.'S (T1-110) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: AHRENS FAMILY TRUST permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for such permit to file a AHRENS ROBERT E & GENENE A signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 832 ST AMANT DR she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95926-77.11 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NOR -CAL REPAIR RICH LUJAN PP ( ) owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P.O. BOX1286*: d provided that such improvements are not intended or offered for PARADISE CA sale. If however, the building or improvements are sold within one 95967 year of completion, the owner -builder will have the burden of proving that that he or she did not build or improve for the' purpose of )530) 228-5916 J sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, p'ka Contractor: NOR -CAL REPAIR and who contracts for such projects with a contractor(s) licensed d '¢ pursuant to the Contractors' State License Law.). P.O. BOX1286 PARADISE CA r J rider Article 3 of the Business and Professions Code ❑ I a�7;1o'6 95967 Date: owner: ly"Li Qweof )530)228-5916 t WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 865111 I O I 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. Architect: ❑ I have and will maintain workers' compensation insurance, as I Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 6r-" Carrier: (Ioc_041 e,/t Total Square Ft: 0 S. F, 2 C,V0S S q00 Policy #: b J Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: /�Lfi�l L�C.fGi WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ��-_ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. y ✓ (� :,N-) CONSTRUCTION LENDING AGENCY This permit is h eby issued under the appll ab provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol ions t o work indicated above f f whit fees have been paid. performance 9f� e work for which this permit is issued (Sec 3097 Civ.) Date:%5— F 6 BY � Name: J AB6 4L ��G� C C011017 PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:<�G /G? `7 Signature: Date:/(� G ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 License Detail California Home Mond Page 1 of 2 2006 License Detail CALIFORNIA CONTRACTORS STATE LICENSE BOARD Contractor License # 865111 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base. Extract Date: 05/08/2006 * * * Business Information * * * NOR - CAL REPAIR P O BOX 1286 PARADISE, CA 95967 Business Phone Number: (530) 228-5916 Entity: Sole Ownership Issue Date: 09/30/2005 Expire Date: 09/30/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ClassI Description © GENERAL BUILDING CONTRACTOR * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 661114824 in http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 05/08/2006 K t License Detail Page 2 of 2 the amount of $10,000 with the bonding company LINCOLN GENERAL INSURANCE COMPANY. Effective Date: 09/14/2005 * * * Workers Compensation Information This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 09/13/2005 Expire Date: None Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy { t 4 http://www2.cslb.ca.gov/CSLB—LIBRARY/License+Detail.asp 05/08/2006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE C (530) 538-7541 A FEE HILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Y,jtk I l Name Address 3z sa,h-t amjja- City C h I G a, State C� _ Zip %5cl zc Phone Sad- 3�lS 2- OC Fax E-mail 94 CONTRACTOR Name /&A z'C_1 U h Addressl6 &/00S rfle- � 4 city al,/ A -e- State C. 7p9Tff Phones 30 2-2--k-S4 /0 Fax S f v, g72 - ?6S3 E-mail Planner C APPLICANT INFORMATION ARCHITECT/ENGINEER -dame--- - -- ---- ---- - ------ --- --= - - Address Tip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Tip Phone Fax E-mail APPLICANT SIGNATURE Zzz C X nl For office use only- Zoning Zoning Flood Zone SRA Yes No Occ. Carrier Type Const Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERNIIT&� ,( �&_ P BIN N PROJECT LOCATION Property Address C' - Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a cenfcafe of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address / Description mor -Scope oof_Wo, r.k-....-_ s t Ol l Ll ' an 9-,-A SiG�e OI'. A Gv f Sq FT- Living Garage Cov Structure Built without Permits D Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan cbecked and other department costs are not cU Received bmp, Amount - Bldg SRA Receipt G%l Sheriff SMIP Date: / Other 5-91-06 �[ Q' Total SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS IMLL NOT BE ACCEPTED. ALL PLANS MUST -BE LEGIBLE AND IN INIG ❑ 1. Site plans, 3 or 4 sets,.signed by the preparer of the plans. ND graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate .(if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate 17 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in.triplicate. (D) Floor. plans in triplicate. All of these must be stamped and.wet-signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ - 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). --�-----4,--NP-DESS-orm------ ----------------------------------------.._._..__---------------------- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew Action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plat' check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMSIBUILDING F0R1V1S1BIdgApp1SubRgmts-doc Page 2 of 2 REV 8-12-05 043-390-012 PERMIT#97-2275 AHEARNS, Robert-& Geneve 832 St Amant Dr'. rChico Cont: Baird Roofing Reroof/SF oGOO f4a Vo- pcwaw COUNTY OF BUTTE -DEPARTMqNTOFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538`7541 PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT °�ai"T�_ ASSESSOR PARCEL NUMBER —� ZONING R BUILDING PERMIT OWNER ROBERT & GENEVE IAHEARNS TELEPHONE SO. FT. OCC. BUILDING VALUATION 35 sq —zW • OWNER'S MAILI(J�_2DRE%T• AMANT CHICO COMRACTOR'Sj. JJp,( D ROOFING CONTRACTOR'St,7� 7 AD ALN DURHAM CONSTRUCTIONLLLEENDD ER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ • 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 6:3• UU ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 832 ST. AMANT• N.j. `l. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ • UU LOT NO. SUBDNISION'S NAME 777[!!CEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7,00 USEOFSTRUCTURE v SFX® 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 IN Describe Work: U20OF WITH COW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service 200A 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 n full force and effect. �i (� /� License Class -W /l Lic. No. . Tz / �if{ J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO IOooA 46.00 NEW coNsr. DwEUING occuP. W:0 OR ADDNS. ( Y ACC. BLOS. 3.5¢sD. FT. NON•RE61D. 0,uRLET @7,50 POWER APPARATUS b SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES ' ( '' ` Ex. Occup. ours REQS o.DEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 /%17 c- (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 forthwith comply with those provisions. za' �% /07 7 X � Date d ' / Signeture`of Applicant - ❑ Owner ❑ Contractor `Iq Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83.00 HA2. D. FEES IMP �. FLOOD r CDF pgREL C PD HD Issu� This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutionsito do work been aid. Date Date Receipt No. 2L? Y7 4?0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 - 541 PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT Q,7 - ASSESSOR PARCEL NUMBER 043-390-012 ZONING SI� B ILDINGPERMIT OWNER ROBERT & GENEVE AHEARNS TELEPHON SO. Fr. OCC. BUILDING VALUATION SQ comp 2100.00 OWNER'S MAID ADDRESS X32 ST. AMANT CHICO CONTRACTOR'S NAME BAIRD ROOFING TELEPHONE 42-1631 CONTRACTOR'S 332 ETTA LN DURHAM CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 832 ST. AMANT. CT Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX6 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 ❑ Other IX Describe Work: REROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A 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 'n full force and effect. ? j /� License Class Lic. No. IX �rf )/�( J OWNER -BUILDER EECLARATIOff 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. DWELLING OCCUR OR ADDNS. ( 8 ACC. O 3.5¢S FT. N UTDS. No R SLITI-OD? CCIRCUITS T 97,50 POWER APPARATUS 8 SINGLE OIfTLET CIR. EX. OCCLI . OUTLET OR FIXTURES 209 100 aAL @ .50 Ex. Occup. ourLEETLNS RSDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 M _25LI&,r� Policy Number /A275.f C3 (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 fo with comply with those provisions. �f X _ Dated= Signa ure o Applicant - ❑ Owner ❑ Contractor A Agent An OSHA permit is required for excavations over 5'0" 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 $ 83.00 HAZ. D. FES IMP FLOOD CDF PARCEL PO HO 1SSU 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. / / �� �� �, /��L�Itt�Yr�Y� �V— By // Date PERMIT EXPIRES ON la -az -9R I Date ReceiptNo. LSP y7 20 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pr � C _ PERMIT NO. 147-81B,P,E,M PERMIT EXPIRES 7 Z OWNER Durkin &Drew CONTR. Jerry Price, Chico ASSESSOR PARCEL 43-39-12 LOCATION 832 St. Amant Dr., lot 12, Big Chico Cr.Est.,Chico Temp. Power Pole Called PG&E a Temp. Elec. Service ` _ L%�r✓' I Called PG Temp. Gas Service Called2PG&E JOB F WALED (Date) v Signature ERSET COMPANY WCENDED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS � AT 4e-- /-7, ,Lf le.-- C,Ml 42-r- Z!2:�AT,-S .CL4-CCCS . (location) BUILDING PERMIT NO. /�/'7-�� A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls i3 Ceiling/Roof A230 Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR.. GLAZING: Single Glazed //A - Special `(Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEAVIE RST RIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV 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 0ERTIF IfJCA�E AS SU MIITTED. Insulation Applicator Name 10%rn 5A 6 Signature of Insulation Applicator, (please prigt) State Contractors License No. 3,0 General Contractor/Owner Name-�F-4z�� U. PvZ% ,-L— ((please print) Signature of ^ � av General Contractor/Owner W �1r� Date_ State Contractors License No.J�i� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. �j V = OK I 0 = Not OK ` - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready ` Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) PK except N'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; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except H'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 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 .t' J = OK 0 = Not OK' �. - = Not Applicable , iF = Not Ready 1.` L, - t RESIDENTIAL (Single and Duplex) Date UNDER .LOOK Plans OKexce try's Date FRA"G Continued ji—foning requirements-Setbacks-Eas nt y C✓y Property Line Firewall & Openings , Main; Soils -Steel- d / /" Ftg. Depth 4 • xt. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / 7j/" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection P es & Decks; Soils -Steel- / /" Ftg. Depth 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers re walls, Main; Steel-Blockouts-Wrapped-Slab �,�ng-Nailing-Veneer tem s, Garage; Steel-Blockouts-Wrapped-Slab 5&.--6tteee-Merh-Drip Screed-Fdn. Vents-Underflr. Access iers-Fireplac `Fig. teel 8.D.W.V.: F -Fit ' gs- ay C/ -S est 5 zing Area -Glass Protection -Skylights -Plastic Vis; Nailing -Bolts 9 -hes -Ripe; -Size -Anchors 10eFFkpe; Test -Anchors -Regulator -Service Test Underground 99?- ot=„L4p6 & Ducts; Clearance -Material -Support -Ins. 19,-G4de"-.1,ills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card BI Date Card -BI Date 3 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA Plans) OK except k's Card -BI Date 1,12 Card -BI Date 1 t Date PLU ING (Permit) OK except q's 5 Steps -Door & Sidelight Protection -Landings oke Detector ter Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - InGarage: Above Floor-Ducts-Mech. Protection W r Pipe; Test & Anchors -Nail Protection 1 W.V.; Test-Fttngs & Anchors -Nail Pr ection room Exiting 1 owe irst Floor -Tu cc s S1:F.1. & Bath Fixtures & Tub Access 1 Shower, 2nd Floor -T ccess 6Elec. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size & Anchors ails 6 it place or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Card -B Date Card -BI Date 6 K' . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 'c. Outlets & Receptacles at Kit. Co r Date ELEC ICAC Permit OK except p's a 'ge Fire Door; Swing -Candi RgeQlo§ 4f?, - C, -Duct in Garage -Damper 2 F' ture &Transformer Clearance -Ins. Protection r. Htr.; Vents -Clearance -Comb. Air -Gonne tor-P.R.V.- Inrage; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights & Switches at Doors 7 Elec. & Mech. Equip. Listed for Location e Boxes & No. of Conductors -Stapled ec. Receptacles in Garage; (G.F.I.)-Rom-Protec. mex Installed Close to Edge of Studs & C.J. E p. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 7 Insulation -Foam -Looked in Attic es u d Rails & Deck Construction-Pos ps dn. Vents & Crawl Hole DoAr-D nage & Wood -Earth Clearance L ed under Floor 2 ce Circuits in Kitchen &Conductor Size feed feed Wire - .C. Wire Size / ga. Cu Range Circ. /"G/ ga. CuOv rt Gir>--t--, -gee Cu or AI, I fated Neutral ❑Yes A 7 Following insild.: Drive [3Yes ❑ No; Walks ❑ Yes E)No; Planters El Yes ❑No 2 S vice -Riser Conductors & Ground -Main Disconnect �h-Finish 2 Equip. Clearances; Panels-Motors-Mech. Equip. 7 Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet o es Closet Light -Shower LightI&,-"Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ; Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card BI Date 8 ntilation throughout House Card B -I Date Card -BI Date . tRss GI Protection D e ANICAL (Per except p's _ C ctions from Previous Inspections 8 G est -Meters Tagged; Gas -Electric pfflim A.C. Ducts(Ins ' n Support 41 Ake-w- er & Sewer Connected -C/0 to Grade -HD Approval e t Fan; Ex ove Insulation . Energy Compliance Certificate -Other Certificates _ 51&. nden a Drain & Overflow; Size & Grade T4 -Vent; Access -Comb. Air -Return Air Vent -115V outlet @5.-A#ie 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 FRAMI Plans) OK except q's Comments at Final: it s; Proper Material & Anchors s; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 3 6 ring Walls over Girders & Floor Nailing 3t Stop in Walls (rat proof) _4 F' Stops; Furred Ceilings -Stairs -Chases -Tub _H der &Beam -Size &Bearing 4 H gers-Post Caps -Anchors -Connectors /_ L C g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhno.-Rfnp. 4 F' place Ties or Type AFlue-Firep ,4f _ F` ffff/Liiii`"�/ A Access; Size & Rom otection-Drat'Stop-Ins. fles drm. Windows or Exiting Doors -Sill Hgt. & D'mensions 4 Garage Fire Protection Framing AF - (NOTE: Anentrymust be made each time youvisit jobsite) D c CD c. CD co ;j- 0 75 0 I Of CD CD CL. c I Of COUNTY OF BUTTE DEPARTMENY 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 V-Le4r ��T� e-- ILDING OR PROPERTY 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 corrpetion of work is completed. If you have any question pertaining to this 5/ additional explanation, please contact this office immediately. n W a Inspect %' Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541' ' APPLICATION AND PERMIT ASSES OR PARCEL � JMBER 3—.39 -/JL ZO G S BUILDING PE OWNER - 'b�AJ1 bv_P/1_1AJ , AW` b2e� TELE -PHONE SO. FT. OCC. BUILDIN VALUATION Z Q oSO.Oa OWNER'S MAILING ADDRESS 5 M 47 6 8r. 00 CONT ACTOR'S NAME �%,r %� PR 16 E TE PHONE 3 - 23 8-- 2� Co i � � o . O 0 O/ �"- d 0 CONTRACTOR'S MAILING ADDR S Rr- / SvX -5 /2_/o i Fireplace %a�?7A.p00 C ONSr7 R/�U/C�TION AL SE NYDER/, UNKNOWN wJ /T'Fa �--/V LENDER'S MAILING ADDRESS C7�/C�7 ARCHITECT OR ENGINEER LICENSE NO. - ARCHITECT OR ENGINEER'S MAILING ADDRESS I Total Valuation $ ; Filing Fee , Permit Fee Plan Checking Fee Penalty Permit fee JOLB-d0 $ 10.00 $ SOD $ 7, S0 $ $ 302, 50 BUILDING ADDRESS A",4A/7- ,e I VC 83 Z D PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 ,00 Repair drainage or vent piping 5.00 Water piping SOO LOT NO.SU tB�DIVISION NAME p y e-9ICO CST PARCEL MAP Each qas water heater or vent 5.00. 5,0o Gas piping system 1 - 5 outlets -6,00 ,,/ USE OF STRUCTURE <F ff Duplex❑ Mobilehome❑ Other SPECIFY Building sewer , pa Lawn sprinkler system 5.00 , pV TYPE OF WORK New Addition❑ Remodel❑ Utilities [:1 Installation[]' Other ❑ Describe work: Pt-4A[1S�f 7-V A4,4 S- C—,rZ ZJ&AV 0&0 /r/Ds �r 5t^_ 7� / J Permit Fee $ IS7.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP O0V OR RSLESS 5.00 6-oO Main service EA. ADD'L 100 AMP 2.50 2.S-0 NEW CONST. DWELLING OC OR AODNS. ACC. BLDGS. 20 sq ft 7�0 r 7S CONTRACTORS LICENSE LAW I declare pder penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and m license is in fu force and effect. Y License No. 2AVV � 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) f I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. -OUTLET 2,50 ea NON-RESID BRANCH ..CIRC TS NEW CONSTR. POWER APPARATUS e NON-RESID. %SINGLE OUTLET CIR. @ 25¢ Ez. OCCUp OUTLETS OR FIXTURES BAL@100 Ex. Occup.( FIXED PR OUTLETS (RESID )EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th It 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 beccme 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(% S100 ,1000 DvA-L_ PAA -- Cooling 3 % S -n0 Hood 3.00 3,0 c) Ventilation Permit Fee $ 23, or7 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 Iso agree to save, Ind nify and keep harmless the County of Butte against all liabilities, ju ment , costs, and expenses which may in any way accrue aga st said Co nt in c n quence of the granting of this permit. 1,_//-/— 0/ X' tem Signatu , of App 'cant — Owner ❑ Contracto Agent ❑ An OSH ermit I required for excavations over 5'0" deep and demolitiori or construct- 3 stories iin height. ion of stru ures o// Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 414x2, %$ DCCUP. GROUP R. , 1 TYPE of CONST. IPARCEL �/ PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-�z--' //r Receipt No. `7'% 3 7" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS - BUILDING Dd IV SION 7 COUNTY CENTER DRIVE - OROVILLE, CALI fORNIA 95965 - TELEPHONE: 916/534-4541 „> L/ PERMIT APPLICATION DATA SHEET g� Permit No. AO (tet A. P. N o. ,-,/ _; 9 —/ Z Proposed Building Use v .-s AF Permit Fee Based Upon: Complete Contract Price !/DPW Valuation Other (Explain) 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 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 authoCizatiP`:. .. (��0. Sanitation approval from ��t irZ Health Dept. . . _,/ 7 11. Planning approval for (A) Use: v (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. . . . . . . . .. . request to (Dote)17. Pre -inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail t6 owner. Mail to contractor. Telephone R.3 - and hold for pickup at office. Deliver w/inspector. Other App Ic a n I' t�'11V"� Date Copy of plans sent Health Dept., Fire Dept., +r Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appl'cation, circle item.) 1. Index permit for above Items No. J< 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date / 12 —PQ Other: Copy–DPW OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit47_�, A.P. #- /L- A. GENERAL / . Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN omplete parcel size and dimensions. Setback$, sideyards, easements, etc. `Other buildings or structures. 11 144 Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. ,.2-- Required windows for light and ventilation (Sec 1405). ,43'.7 -Required windows for second exit (Sec. 1404)./<�" ,4- Allowable glazing for energy requirements (42Q% max. per.State law). 'Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles mechanical equipment. j �9 L for maintenance of 000- Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. „j.Q�* Garage firewall, door size, and closer (Sec. 503(d)(4)). A#f. 1 -.3'0" exterior exit door (Sec, 3303d). Y2: Fireplace location. fj�77-s• ..�---T Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS S./' Foundation plan complete enough to construct building. ee''�� .20 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct 4 ..*Roof construction details complete enough to construct building. — Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR .� CCX plywood on exposed locations and overhangs. Stairuay details (Sec. 3305). jo:� Guardrail details (Sec. 1716) . Brich of stone veneer (Chapter 30). f/ Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. X87 Garage door or porch header sizes. Adequate bracing. L ding. (State law). 1 Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. a 4 Two (2) exits on three-story dwellings (Sec. 3302). - t% O T rC- This set of pplains esnd specifications MUST be kept on the job at all times and it is unlawful to rne� gnu r_Itanne�d ear dl+Arm+mne nn ccM2 xsithout written permission from the Department of Public. Works, County of "aa A setback of 5 ft. from the Property lines and a setback See diaster Plan on file for building. of Soft. from the road plans. ctntearline shall be clear of �G structures or equipment exopfp k w -V, Or fear a 2 f} eave overhang, ' 131.OLI . I . ' N '07 k 3Z ��,v Per- i d -�- _ PL4$4' 1.-70 -V o r- AUK 1 2_t�t:NG 1 Z IZr7 LF. vfo _ I p kZO Com.(- J— V vt �- w BEV. J ZZI Z _ i, 'PL. CiM1 , PONT t_ ArPROVED i • X PERMIT APPLICATION WORK SHEET Zoning Use Proposed Permit No. /y;7- �>/ A. P. No. 39- /7 Approved Not approved Permit fee based upon: .1. Complete contract price. 2. Partial contract price (explain) . 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 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. Fees of $ -------------------- 6. Letter of,signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------- Pre-inspection request for - Improvements Improvements - ns roe ired � DPW approval. ----------- 19. Other --- -- /dLr/SS /'/��s 4j- /l�� By Date e4�- Bldg. Inspect During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date, en permit i"sued, process as rottows;' _)e -`Mail to owner. 2. Mail to contractor.v?-P7#/ 3. Deliver with inspection. 4. Telephone and hold, for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Seat 'A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C: Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other RgSIQENIfIAL 043-39-0-012 92-0200 AHRENS, ROBERT & GENENE' CONTR: LEE, GARY 832 ST AMANT�'CHICO ADDITION/SF JOB FINALE Signature (� Sac -amcn�o Ave - L;5 t;l ve L;5t;l 12 zr. . 4 " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA- (916) 891-27-61° 7 County Center Drive, Oroville, CA (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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 notify this office when correction of work .a . is comple . If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. " V%rj ac -t1 L vM('LtGNNCw C ti P i 1 F IC /\ T V T-�1 �N(\l-• Date q -If?- Inspector /1 _.LLIVJ!� REV 11/91 kA � ©y3 -ago -ole. ENERGY INSTALLATION CERTIF ICATI 1 Building OwnerIQ�+ Ma/y�nS r building remit T Building Location 83-), ST. " 4-N`J'- DESCRInION OF I`iS T-A.TIO:i RCAF ' i!.atar-al Thictcess(inches) =ERIOR WALL -k_, Itataria l Thiclkness (inches ) CZ== -TG Batt or Blanket Type -30 hnTfs Thic?=ess(inc hes) Ib Loose Fill Type Thickness (Tnczes) Area covered (ft. ) FLOOR, ELIZ7ATM 111a aria 7 Thickness (incases) FLOOR, SAB 'Kate Thic?=ess(inches) Width (inches) FCUNDATION WALL Material Thickness (inc hes) Brand Naae Thermal Res--;stanc e (R Value) Brand Thermal Resistance(R Value) -'}Z— Brand Name / —I un�--Ug Thermal Resiszanca(R Value) 73o Brand Name . Nt.ber of Bags Wt. per bag 1b. Thermal Resistance(R Value) Brand Name Thez---al Resistance(R Value) Brand Name .Thermal Resistance(% Value) Brand Name Thermal Resistance(R Value) I hereby cert fF that the above insula tion was installed in the above building, •fs consistent with approved building department plans -and attachments -and con --'- forms with requirements of Chapter 2-53 of State of California Energy Requirement Co SIG�iATURL 0 L�+TS�iLL3TI0N 3PPLICATOR ST3T. CONTRAZTOR' S LICZZNSc NO. 2_ DAA I hereby certify the required features, devices, and equipment, .az shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTOROWNER (Please Print) I •1 NAN�SE ) S NATURE 05 BUILDING CONTRACTOR/OWNER HVAC FI 111 NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/ OWNER i1SIgSa STATE CONTRACTOR'S LICENSE NO. (9,7e DATE 145-1 y Sa STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE. WITH THE BUILDING DEPART1-T-NT PRIOR TO FINAL INS?E :TION APPROVAL AND A COPY SHALL BE PCS—ZED WITHIN THE BUILDI�+G. SE?TF-%!BER 1988 J=OK O = Not OK N t Readyable' MOBILE HOMES 4 Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. -' / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage, Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch .� 10. Cert. of Occupancy i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements "`< 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI . j- 6. "6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w6' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test R Date Card B-1 Date Card B=1. Date Card B-1 Date Card B-1 ,1' 'J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = I Date UN RFLOOR (Plans) OK except ff's & Duplex) Date FRAMING (Continued) + 1 01 n ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd' / /" Ftg. Depth -B-Etg siarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth --1FTg-Porches & Decks; Soils -Steel-/ /Ftg. Depth 1-6-94amwalls, Main; Steel -Bloc kouts-Wrapped ,-6-Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. X�Downs and Special Anchors twl§iab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test D6 Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ----------------- --- - - - - -- - - -- - - -- - - -- ----------- -- - --- ------ --- -- -- -- 2,. Romex Installed Close to Edge of Studs & C.J. --- ---------- 28'-E7uip_Ground made up w!Mech. Fastners-Bond Gas-&- Water - ----------------------------- - 2:F Appliance Circuls in Kitchen & Conductor SizerGFl ------------ -- - ---------------------------- Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI ' 29.-RTrrsge Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 38f3'ervice;Riser Conductors & Ground -Main Disconnect ------------ - -------------------------------------------------- 3A-Et'rip_Clearances Panels-Motors-Mech. Equip. ------------ ------------------------------------------------ 39'Clothes Closet Light -Shower Light -Spa Light ---------- - - ------ - ------ ---------- ------ - ---------- 33 Smoke Detector ----------------------------------------------------------------- --------------- Date Card B-1 Date Card B-1 � - ---2�a-._-------- �------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A. Ducts Insulation & Support 35. Vent Fai . xhaust above insula -- -------- - -- - ---:---------- Size ------------- ----------- 36. Conden.ate D & ow: Size &Grade --------------- ---- -- - - -------------------------------------...--- 37. Furnance-Ve ccess mb. Air -Return Air Vent -115 outlet - ----- ----- - ----------- - -- -- - ------------------ -- 38 Attic ess & Platform if Furna Attic ----------------------------------------------------------------- ---------- Date Card B_1 Date - Card B_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 54 Sils. Proper Material & Anchors - --- - - ------ ----- 44'Walls Studs _Nailing Spacing &-Bracing_Plates-Sound --- 4;<., Bear ng Walls over Girders & Floor Nailing ------------------ -- --- Draft Stop in Walls (rat proof) ----------------------- Fire Stops, Furred Ceilings -Stairs -Chases -Tub •------------ ----------------------------- 91, eaders & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors _ 46- Cing. Joist-Rftr. ties -Pu �lin-roof Brac-Truss-Shthng.-Ring. 4T.-R'replace Ties or Type A Flue -Fireplace Throat clearance *8 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4iL@drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 55 Garage Fire Protection Framing ;yr Property Line Firewall & Openings 52' Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53-15teirs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. -plywood on Roof Overhang -Attic Vents -Rafter Outriggers 51' Siding -Nailing Veneer 56 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57'Glazing Area -Glass Protection -Skylights -Plastic 58 -£,rear Walls: Nailing -Bolts 59. I ulatio-WaIISL�e IipCfs 60. I at, -Wall -Win ows ----------------�------- - _Date 3_ZGG��Card B_1 GG - Date Card B-1 Dale Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's i3e�?xt. Steps -Door & Sidelight Protection -Landings ------------------ --- . Smoke Detector _------------------ - - 63 E"Qace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection . ------------ 6 In Exiting 69. O.F.I.& Bath Fixtures & Tub Access -Spa --�------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- ---------------------------- 6 airs & Rails _ 68 Frm-place or Stove: Clearances -Hearth - - - -- -- ----- ---------------------- 69­9&@es. Outlets at Wood Panel: Int. & Ext. 7T-9-itFixt & Appliance; Grnd.-Air Gap -Cooking Clearance --------...------------------- ---- - 71.,E -1n Outlets & Receptacles at Kit. Counter 7 Gar ge Fire Door: Swing -Landing -Closer ------------------------------------ 73<A.G-9uct in Garage -Damper --- ----------------------------- ------ 74w 1Utr. I4tr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 7 -i," E ec. & Mech. Equip. Listed for Location ------------------------ ------ ----- b"'EMr-Receptacles in Garage: (G.F.I.)-Romex Protection 77.`M%uration -Foam-Looked in Attic ❑ Yes 7&- � Rails & Deck Construction -Post Caps 79±-F IrrVents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No, Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------- -- - -- ---- --- Stucc------------- o: Brown -Finish _ 82..4,4. Unit: Disconnect. Electrical, Plumbing ----------------------------- B,Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Wa r Well; Disconnect, Electrical, Plumbing ------------ ` - ---------- -- 8&1-1 Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------- ---- 8 -Ventilation Throughout House .. _ .. - -- - 'r��� . ----------- ---------- 8yGI.ass Protection --------- Corrections Corrections from Previous Inspections 8a --hes Test -Meters Tagged, Gas -Electric _ -- 9jj� & Sewer Connected -C/O to Grade -HD Approval- - -- - - rgy Compliance Certificate -Other Certificates ------•-------------------------------- ---- --- Date ACard B-1 Date Card B-1 ------- - Date B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 12. Electric; Underground 13. Pienums & Ducts: Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date - and B-1 ate Card B-1 Date - Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------- ------------ ---------------- --- .------ -------------- --- 17. Wate e: Test & Anchor -Nail ction -- -- -------------------- -- - ----- 18. D. .; ting s & or -Nail Protection ------------------ ------------------ -- 19. Shower Pan: T loor-Tub Access --- - - 20. TestTu Shower, Second -Tub Access --------- -------------- - ---------- 21. Pipe: Size & Anchors Date ------------------------------- Card B-1 Date Card B-1 - - -- ----------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's --------------------------------------------------------------------- 22. Fixture & Transformer Clearance -Ins. Protection D6 Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ----------------- --- - - - - -- - - -- - - -- - - -- ----------- -- - --- ------ --- -- -- -- 2,. Romex Installed Close to Edge of Studs & C.J. --- ---------- 28'-E7uip_Ground made up w!Mech. Fastners-Bond Gas-&- Water - ----------------------------- - 2:F Appliance Circuls in Kitchen & Conductor SizerGFl ------------ -- - ---------------------------- Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI ' 29.-RTrrsge Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 38f3'ervice;Riser Conductors & Ground -Main Disconnect ------------ - -------------------------------------------------- 3A-Et'rip_Clearances Panels-Motors-Mech. Equip. ------------ ------------------------------------------------ 39'Clothes Closet Light -Shower Light -Spa Light ---------- - - ------ - ------ ---------- ------ - ---------- 33 Smoke Detector ----------------------------------------------------------------- --------------- Date Card B-1 Date Card B-1 � - ---2�a-._-------- �------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A. Ducts Insulation & Support 35. Vent Fai . xhaust above insula -- -------- - -- - ---:---------- Size ------------- ----------- 36. Conden.ate D & ow: Size &Grade --------------- ---- -- - - -------------------------------------...--- 37. Furnance-Ve ccess mb. Air -Return Air Vent -115 outlet - ----- ----- - ----------- - -- -- - ------------------ -- 38 Attic ess & Platform if Furna Attic ----------------------------------------------------------------- ---------- Date Card B_1 Date - Card B_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 54 Sils. Proper Material & Anchors - --- - - ------ ----- 44'Walls Studs _Nailing Spacing &-Bracing_Plates-Sound --- 4;<., Bear ng Walls over Girders & Floor Nailing ------------------ -- --- Draft Stop in Walls (rat proof) ----------------------- Fire Stops, Furred Ceilings -Stairs -Chases -Tub •------------ ----------------------------- 91, eaders & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors _ 46- Cing. Joist-Rftr. ties -Pu �lin-roof Brac-Truss-Shthng.-Ring. 4T.-R'replace Ties or Type A Flue -Fireplace Throat clearance *8 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4iL@drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 55 Garage Fire Protection Framing ;yr Property Line Firewall & Openings 52' Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53-15teirs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. -plywood on Roof Overhang -Attic Vents -Rafter Outriggers 51' Siding -Nailing Veneer 56 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57'Glazing Area -Glass Protection -Skylights -Plastic 58 -£,rear Walls: Nailing -Bolts 59. I ulatio-WaIISL�e IipCfs 60. I at, -Wall -Win ows ----------------�------- - _Date 3_ZGG��Card B_1 GG - Date Card B-1 Dale Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's i3e�?xt. Steps -Door & Sidelight Protection -Landings ------------------ --- . Smoke Detector _------------------ - - 63 E"Qace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection . ------------ 6 In Exiting 69. O.F.I.& Bath Fixtures & Tub Access -Spa --�------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- ---------------------------- 6 airs & Rails _ 68 Frm-place or Stove: Clearances -Hearth - - - -- -- ----- ---------------------- 69­9&@es. Outlets at Wood Panel: Int. & Ext. 7T-9-itFixt & Appliance; Grnd.-Air Gap -Cooking Clearance --------...------------------- ---- - 71.,E -1n Outlets & Receptacles at Kit. Counter 7 Gar ge Fire Door: Swing -Landing -Closer ------------------------------------ 73<A.G-9uct in Garage -Damper --- ----------------------------- ------ 74w 1Utr. I4tr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 7 -i," E ec. & Mech. Equip. Listed for Location ------------------------ ------ ----- b"'EMr-Receptacles in Garage: (G.F.I.)-Romex Protection 77.`M%uration -Foam-Looked in Attic ❑ Yes 7&- � Rails & Deck Construction -Post Caps 79±-F IrrVents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No, Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------- -- - -- ---- --- Stucc------------- o: Brown -Finish _ 82..4,4. Unit: Disconnect. Electrical, Plumbing ----------------------------- B,Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Wa r Well; Disconnect, Electrical, Plumbing ------------ ` - ---------- -- 8&1-1 Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------- ---- 8 -Ventilation Throughout House .. _ .. - -- - 'r��� . ----------- ---------- 8yGI.ass Protection --------- Corrections Corrections from Previous Inspections 8a --hes Test -Meters Tagged, Gas -Electric _ -- 9jj� & Sewer Connected -C/O to Grade -HD Approval- - -- - - rgy Compliance Certificate -Other Certificates ------•-------------------------------- ---- --- Date ACard B-1 Date Card B-1 ------- - Date B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL NUMBER 43-39-012 r ZONING ASR BUILDING PERM OWNER 19BENT & GENEME AHRENS TELEPHONE 8 S0. FT. OCC.1 BUILDING VALUATION 170 R OWNER'S MAILING ADDRESS 3 832 ST AMANT CHICO 95926 CONTRACTOR'S NAME GARY LEE TELEPHONE 343-2518 CONTRACTOR'S MAILING ADDRESS 196 WHISPERING PINES CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 8,670 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS DR SST AMANT C Permit fee . PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition [k Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: OFFICE/CLOSET Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I decVInder penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&\ OR AODNS. ACC. BLDGS. // 3.64 sq.ft. 5.95 NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. OR FIXTURES Ex. Occup(OFIXED 20 76[1 120 APPUTLETS Ex. Occup. OUTLETS IIFW1D.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 20.95 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T e permit is for $100.00 (valuation) or less. Ihave 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, judgments, costs, and expenses which may in any way accrue against aid County in c nsequence of the granting of this p r it. X=� s Date ? 7 �— si nat of Applicant - owner g pp ❑ Contractor ❑ Agent An o ff permit is required for excavations over 5'0" deep and demolition or construct- ion o st uctures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCCCONST 7jVN TYPE I TOTAL FEE $ 190.95 HAz OFEES I IMP FLOP vv CDF PARCEL V PD V1 IssuE This permit is hereby issued under and/or sions e B to gfr w indi d abh fees LIC BY PERMI 'EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Z /� Dale 7 14, Rece t No. 109540 �� $105.00 110617 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .,,..R � .rrs •- y.,r�,_,„ .-...... _ .... .. �,.. v`f?7j>!`�" a'r•.�,.�iEie',-}+�wnw7►-.�1P'A""'�i:9c7"cP�3sr1 � a--" � r -. r .�.wp,_-... ,.-c,r--•-•pt •rt� COUNTY OF BUTTE.- DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 1 ION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 _ `PERMIT A'P_P.L^TCATION DATA SHEET Permit No. j OWNER ��� �!� �C%'�CZi�/'� A. P. o. Proposed Building Use /�I�l>1771I.�U 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 APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. bilehome installation data including manufacturer's installation instructions -46 10 . Fees of $_. - - �,. 11. r hico Urban Area fees paid ....................................... Pare Id ... (� School District fees paid .............. 14. Sanitation approval from off 0 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... `s 242 Let of signature authorization ................................... 7. la,C,Lc sT When you -issue the permit, process ollows: Mail tw`ner. Mail to contractor. _ Telephone and hold for pickup at e-- Q�/ office. Deliver w/inspector. Other y� Applicant c"t Date a3 , Z� Copy of Hdz-Mat form sent Health Dept. I e Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p io o er itis ance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor esig , owner, was advised of above required data by phone___jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by �� D to 7--/3-97--Plans approved by R � Date �Sets of plans on hold in ZFile cabinet AP folder Copy—DPW lim I a Lw V15 NVI U Zt � a Lw V15 TO Huildina Department FROM: Environmental Health , e SUBJECT: Sanitation Clearance j(a,�N7�� 1P�7//�,%�����> �3Z S7: i�l���fir`-z�f� z - Owner Location err/�o AP# Plan Approved for: Sewage Disposal .--Water Supply Hold final for: .Water -Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile homy;. Other HOTS s► * x � / S /� .� �/l'G/iGa .-Y� �� � �-cG'. �iJ�r lj`i /`7i' S � .�CC�f OGS-.�/ . �. Date Santa an COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone. 916 '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER I zONI G� 33 BUILDING PERMIT Ow ER _ I' L PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS STI l -W-7- Q �o CONTRACTORS NAME TELEPHONE. _i CONTRACTOR'S MyIJ„ING ADDRESS�� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 I LENDER'S MAILING ADDRESS I Permit Fee $ 0,00 ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ aQ .0 ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 9:JILDING ADDRESSPermit > „I"y tee $ '7d, a PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 j LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or v t 7.00 ' USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other ` SPECIFY Gas piping system 1 - 5 utlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK 1 New I . Addition Remodel ElUtilities LJ Installation❑ Other El Describe work:_05;E 14 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 j Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 10o0A, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I '—I 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 J 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 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) i ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW coNST.DWELLING OCCUPM ' OR ADDNS. ACC. BLDGS. _37.50 3.6C sq.ft.�Q NEwCONSTR.ULTI.OUTLET NON .RESID. BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS &) SING LE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES 20 764 R FIXED Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 01 q Contractor — WORKMEN'S COMPENSATION INSURANCE j 1 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. t Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I iqg Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permlt F $ I Contracfor ' 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 I Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations ave 5'0" deep and demolition or construct- Ion of structur s over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ G, HAz 0FEES I IMP I rLE65M PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date i applicable provi resolutions to do have been paid. WORKS Date / I Receipt - /95_ I NNITE•D. P. W., YELLOW -ASSESSOR, PINK -(NSP E R, GOLDENROD -APPLICANT t 1 -•�M?,;•`,,.+„�v1'Y'.�r3'r:C«•-1.t'-•.,q..,.�+!'+'o1Fi►.�ay�.�$�j'ae„1vrFe°iMws?L"{i"fi•.'�}c;.�i!9rlt2t?.�.?s"h�t�rii.�w^.+"i•;re:r�.,,.*�..•s''-a.�r w:"-.� ...`�.`�f•,. " O �a ' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 4/ Z— Z— Building' Department No. School District 45:_ �� City D County l Jurisdiction Property Owner �Are7` Project Location/Address Subdivision Lot Number 1 �u s' Sq. Footage Addition (Group R)' Residential Development: � a # of Living MHI t /Units Commercial/Industri•al:-' ( ✓ dSq. Footage New Addition (Including Exterior ,.-- Roofed Areas) Bulidlyq Department Representative Date r � (Floor Plans reviewed by School Dstrict`Personnel) District Id No. wlp , School' District certifies that Applicant Name) Ln f n n n. n^ :i6. « t A. Phone Number (Street Addres$) CO\J,-�g�9a- (,City ) (state) .-(Zip Code) has complied with the requirements,of Resolution No.�p�q by the pa yme of $ �' representing 170 s are feet. Sc d 1 Distric Representative PAID BY CHECK NO. REMARKS BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) a FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE -"A" (Additions) Owner A H (z E_ MS Climate Zone � Permit # 92 - 200 Floor Area I70 The following data showing mandatory and required features of Package "A" shall be installed 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 existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH OPTIMUM OVERHANG R-30 -11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient 'WEST - .36 Shading Coefficient ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip=doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL'CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WA MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZIN � � ��� FT.A MK. NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. o (YE C.OUNn OTHER d -APPROVE-tJ 12/85 *1 > . HEATING. VE14TIIATING AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace 7 (tirand 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 ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ 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 ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 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(g), 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. tt) L 1781-131B,?,E PERMIT NO. PERMIT EXPIRES John Mactavisl OWNER i Ho Way Popls, Chico CONTR. ASSESSOR PARCEL 43-39-12 3 LOCATION 832 St. Amant Dr., Chico 1 y 4 .f �1• t � M. I� J 11 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service t Called PG&E JOB FINAL/ (Date) Signature V = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready i r + MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soirs; 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 Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date _ POOL lans) OK except q's 1. Zoning Requirements—Setbacks—Easements . Set cks—Easements 2. Footings; Size—Spacing—Marriage Line A,,8b' ; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector ool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval lec.; Receptacles and Lighting; Distances—GFI _-Kec.: Pool Lighting; 15 volts—GFI 11 c.; Enclosures; Conduit Entries—Terminals—Listed ec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged lec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. �/c Boxes—Enclosures—Panelboards—Ins. to Maih< Conduit?anle� 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ea!epartment Approval lumb; Cir. Te —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 JrCard-BI Date r A/O T T r �fo %( = 0* �► y � O = Not OK + = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'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 -F ire.. Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-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 Date Card -BI Date FINAL (Plans) OK except t1's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p'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. 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. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 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 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 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails &Deck Construction -Post Caps 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 AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 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. Ventilation throughout House Card B -I Date Date Card -BI Date - MECHANICAL (Permit) OK except M's 82. Glass Protection 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. 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 FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 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. Hangers -Post Caps -Anchors -Connectors _ 43. 44. CIn­ g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-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: Anentrymust be made each time youvisit jobsite) s COUNTY OF BUTTE - DEPARTMENT.OF PUBLICA_�45 PERMIT NO 97 County Center Drive - Oroville, Californip 95965 - Telephone APPLICATION AND PERMIT A S4,50R P RC L NU ER • ? ZO N� S BUILDI G IT WE71A6 � ' � — v LEP oNE V MNER s MAIL G ADD�SS S SO. FT. OCC. BUILDING VALUATION O TRA R'S NAVE C _ T CTOR•5 ILI G ADDRESS 0 �� _I J C , Fireplace CONSTRUCTION LENDER U N K OW LENDER'S MAILING ADDRESS ITE O ENGINEIFR r"1 LICEE NO. I_V\ ^` R ITECT R ENGINEE 'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit tee $ 10.00 ; ,OIp ,$ �Q $ ;�- �,gING ADD PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping 9, a6 S.6o LOT NO. 2 SUBDIVISION% {IME Cr ' ! PARCEL MAP c K Co Cra t k.. eC 4r 72 Each qas water heater or vent 5,00 S.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE f SF ❑ Duplex ❑ Mobi lehome ❑ otherJ?fNQXL_ two S ECIFY Building sewer Lawn sprinkler system 5.00 -► 9— , ICU TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �� �� Permit Fee $ 'lrS-0 Contractor AH V06 US ELECTRICAL PERMIT Filing Fee . 10.00 BOOV OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.81) OR ADDNS. \ ACC. BLDGS. 20 sq it TRACTORS LICENSE LAW _ I declare under penalty of perjury (check one): M�11'1 am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions ode and /my license is in f II fore and effect. License No. r Classification G� ❑ 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 NEW CONSTR. -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTFL / POWER APPARATUS D\ NON.RESID. (SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES a �@1 a00 (.FIXED APPLNS. OR Ex. Occup. �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 J.!S�b_ Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �1 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 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 liabili ' , judgments, costs, and expenses which may in any way accrue against(<(d arty in con equence ofVTing of this permit. X Date S -I S-8'1 Signature of Applicant - Owner 9 PP Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" da`ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEL PD ND esu Thispermit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PEW XPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 4 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r b • INV amino ija A►Nn©a • i 1 INV amino ija A►Nn©a _ I _ ~ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Ce,;.ter Drive — Oroville,°California 95965 — Telep o e: 534-4541 OWNER\' /�`� S • L%�( Proposed Building Use 1)Y i vG tk_._ Permit fee based upon" I Building Inspector ( V C6 At time of permit applicaCion,lwas Issuance: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14 15 16 PERMIT APPLICATION DATA SHEET e. ea I , Permit No. A. P. No. Q 'ti..' q r-- 1 plete Contract Price DPW Valuation Date e following data must be submitted prior to permit processing and/or DATE RECEIVED APPROVED All items have been submitted................................................................... Plot plans in duplicate/triplicate............................................................... Complete plans in duplicate/triplicate................................................... Complete engineered plans and calcs..................................................... Plans with Energy Design Compliance Statement ............................ State Energy Forms No. .................... Statement of Intent for Non -Heated & AC Buildings ................... Feesof $.................................................. Letter of signature authorizan-C.......................................... Sanitation approval from Health Dept.... Planning approval for Certificate of Workmen's Compensation Insurance Contractors License Information (no., name style, classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre -inspection for required. Pre.inspec. request to ,� bldg. -inspector (data) Other When you issue the permit, process as follows: Mail to owner ` / Mail to contractor. R 0 Telephone and hold for pickup at office. Deliver w/inspection. Other Copy of plans sent Health Dept., Fire Dept., Other Date1 During 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 Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW To: Building Department From: Environmental Health olubJect:- Sanitation Clearance 93 a 57 / 3- 3GJ, - on Alg_ Plan approved for: Sewage disposal water supply Hold final for: wat8r supply Final clearance O.K. for; gator supply Clearance for bedroom mobile home. Other, ,Clearance for.additionof _S1 9C �7tz Note # ' old 00 0 I ;ZO4.0 r cl /xIt on CHECKED. DATE SCALE JOB NO. SHEET OF 1 SHEETS /70 0 47Y 0! 2- A2TSee. OVED fueti, t -7 ><411 pott A �4; J .7 1 % TO .16 AM= t4- -T 7 it e— Lq tr7 �j 7 Q V Jill J� Z ITtof rol— '4r. L4 as t t V, M47 - L 0 7, 461 ki + r _tbr &qt,&PS 't A �J]14 11 t ?1"0 I&.Wl Sutho 'Vol* V- deformed ba�i 460iiftkitti L4 pt .;ty A0 i ur ng 'c IV: Aja Y; te all- be'�Iac4a: 77 , *fiL 1p y-&', all peirsoti.4.-,Od ��Ott algainst� r IjitTnent Sb&U roved 901, y d .1 1 11 �6r S :eLSL and r1m ne. b�y jkM JjAbi ty, ana qMd e7� -par tj4 14i f8:L Zj,,n 'tee WIth irt'� are not 3 j!"j dr 14�CCjjn JablI �tyL '61i g4own Ott aM�s nq j�= t w 7. �.4, ca (*n �a 1�ill adequote-f ftx* e by �'q ve rmp C6jitatter ti�ir a!#�49 triav Snal-L' 9 :D"r ent. CIAT aty f rom - t1j6s& 0 plasteri of p0b 001 gsrir. rig E 8 f 1.6 a ny- Out irift,� . " "i "'L , , M c CA I N ASSO t sm 464:�4 - , �r p 492 ROO LINDO AVE. CH160,CA.95821B 8911865 rical bonding' 4 Ir t ol -elecl.ix r al CONSULMING ENGINCEPS SURvr=YORS f eS-.^hd ft s r -wrduit i 00i, 1�6 iu Mot, j D 0 1 a to JC4- .4�6a " , t1jele geo 't)f the" I I - . m I I - don work e tow consi6ere6­ -StAndard i f gt'6u'fi ter tov 1 10. bL r Vben� ra ag 'be id,44 i 1:;�, " ;,, , I Ong T"r pl- "ed' -4 4c -e, IG PC*. .6.6 ' y At'lltional f La e "*dv temill 0 c ee ru edtj6d, _biliaL a �7 _0 E LAS SEIM AV E' PL�� by 't eL 0 1(240ent prov et, Hjrdftii�t t a One 4M C Ir j t around talve' n "Water 06= 150 �04 C 0 AL 41 (Ine"t be H I F0 R N 'IP Job, No: a in 25', of.-pe#meter of 'i)601 Ir WL checw.. -BMU OUNITY "PST, , 78 _ 4'B MIX�-bb:bac ne ApproWj MING DEPARTMEN! ,-.T rrA A F . . ........ bir V V C - mmmmentm PER! 51981 SSOCIATES