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047-260-207 06-1921 iµ c
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BUTTE COUNTY, .�}/ -
13871 HWY 99, CHICOY s 4 $r C
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Cont: AIR VACUUM CORPir4tft�.
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
p
'INSPECTION -CARD
1-
24 Hour Inspection Line: (530) 538-7635 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: 06-1921
Address: 13871 E HWY 99
APN
Owner:
Applicant:
Description:
Issued: 11/21/2006
CHICO
047-260-207 Permit Subtype: AIR FILTER S
COUNTY OF BUTTE
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND "
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVEb BY THE COUNTY BEFORE PROCEEDING
i
Inspection Type
IVR INSP DATE
Setacs
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
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
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801
PERMITS BECOME NULL AND VOID I TEAR
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
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
WEBSTER ELECTRIC
363 CANYON HIGHLANDS DR
OROVILLE, CA 95966
(530)533-8522
BUTTE COUNTY FACILITIE11
2279 DEL ORO AVE SUITE F
OROVILLE, CA 95965
(530)538-7407
FEE INFORMATION
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
WEBSTER ELECTRIC 3664146 / C10 / 04/30/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 11/21/2006
Contractor's Signature
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this peril is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by •
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number. Exp. Date: _
(This section nee not a competed if the peril is or one hundred dollars ($100) or
I1� I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
DJ 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. r
0
11/21/2006
SignftjZ � Date
WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND _
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this peril is issued. (3097 civ. code)
Lender's Address
City
State Zip
Square Footage: .
Primary SF '2nd Occ SF 3rd Occ SF
4th Occ SF 5th Occ SF Total SF
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
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 peril to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
�✓F I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
'I -J CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ .I AM EXEMPT under Section' B. & P.C. for this reason:
11/21/2006
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
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
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above (aentioned property for inspection purposes. I hereby certify that I am the
pro a neo am a thorized to a pao rg behalf.
11/21/2006
Name of Permittee ISI 1 Print Date
Owner Contractor OR. Vgent for Owner ElAgent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address:
13871 E HWY 99
Owner:
Permit NO: 06-1921
APN:
047-260-207
COUNTY OF BUTTE
Permit type:
COMMERCIAL
25 COUNTY CENTER DRIVE •
Issued Date: 11/21/2006 By KEJ
Subtype:
AIR FILTER SYSTEM
OROVILLE, CA 95965
Expiration Date: 11/21/200
Description:
AIR FILTER SYSTEM
Occupancy: Zoning:
WEBSTER ELECTRIC
363 CANYON HIGHLANDS DR
OROVILLE, CA 95966
(530)533-8522
BUTTE COUNTY FACILITIE11
2279 DEL ORO AVE SUITE F
OROVILLE, CA 95965
(530)538-7407
FEE INFORMATION
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
WEBSTER ELECTRIC 3664146 / C10 / 04/30/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 11/21/2006
Contractor's Signature
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this peril is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by •
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number. Exp. Date: _
(This section nee not a competed if the peril is or one hundred dollars ($100) or
I1� I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
DJ 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. r
0
11/21/2006
SignftjZ � Date
WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND _
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this peril is issued. (3097 civ. code)
Lender's Address
City
State Zip
Square Footage: .
Primary SF '2nd Occ SF 3rd Occ SF
4th Occ SF 5th Occ SF Total SF
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
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 peril to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
�✓F I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
'I -J CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ .I AM EXEMPT under Section' B. & P.C. for this reason:
11/21/2006
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
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
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above (aentioned property for inspection purposes. I hereby certify that I am the
pro a neo am a thorized to a pao rg behalf.
11/21/2006
Name of Permittee ISI 1 Print Date
Owner Contractor OR. Vgent for Owner ElAgent for Contractor
FILE COPY
BUTTE COUNTY
"DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name County
First Name Butte
Mailing Address 25 County Drive
City Oroville
State CA
Zip 95965
Phone
Fax
E-mail
- CONTRACTOR
Name Air Vacuum Corporation
Address 6 Faraday Drive
City Dove
State NH
Zip 03820
Phone 800-540-7264
Fax 603-743-3111
E-mailairvac9l1@aol.com
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City Oroville
Address
Zip95965
City
Fax 538-6337
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT INFORMATION
Name Facilities Services
Address 2279 Del Oro Ave. Suite F
City Oroville
State CA
Zip95965
Phone 538-7407
Fax 538-6337
E-mail FacilitiesServices@buttecounty.net
APPLICANT SIGNATURE
X
For office use onI
AP# 047-260-207-000
Zoning
City Chico
Flood Zone
SRA
I Yes
I No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP Uo—
BIN #
PROJECT LOCATION
AP# 047-260-207-000
Property Address 13871 Hwy 99
City Chico
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Install engine exhaust air filtration systems in
County Fire Station appartus ba
Sq FT -'Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
Date:
Other
Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-11-06
Ai#v:
Manufacturer of Air Filtration Equipment
and Supplier of Replacement Filter Products
a i r v a c u u m c o r p o r a t i o n
PRICE QUOTATION — STATION #41 c ++«o o14 a T
Safety Officer"Steve Weston DATE: 4/13/2006- --
Butte
Butte County Fire PHONE: 530-538-7173
3-A County Center Drive, FAX: 530-538-676.0
Oroville, CA 95965-6760
DESCRIPTION
QUANTITY
UNIT COST
TOTALS
AIR VAC -911 EXHAUST REMOVAL SYSTEM - Single Ph. 115V
3
$2,940.00
$8,820.00
AIR VAC -911 FILTER PACK (4 -Stage Filter Pack, "Main Filters")
3
$300.00
$900.00
AIRVAC-911 FILTER GAUGE (Min. one per building section)
1
$100.00
$100.00
UL 508 APPROVED CONTROL PANEL - MGH/AVEC4C
1
$740.00
$740.00
ACTIVATION PACKAGE - ALE RA70D PHOTO EYE &
2
$200.00
$400.00
N505ATM/ST TRACK MOUNTED DOOR SWITCH
4
$38.00
$152.00
CASE OF 12 PREFILTERS (Change on dates indicated below
12
$6.25
$75.00
ESTIMATED INSTALLATION "TURN -KEY" & DELIVERED
3
$1,599.00
$4,797.00
nnAn1= IISI TI -4I= I Imo®
♦ FREIGHT: FOB Origin, Prepaid ♦ TERMS: 1/2 Payment with the order & final payment prior to release.
♦ Lead -Time 8 to 10 weeks. ♦ Buyer is responsible for all applicable taxes related to the purchase of product, shipping and
installation or must provide all necessary tax-exempt certificates; state, local and/or county to Air Vacuum Corporation.
Each AIR VIAL -911 Unit. Is Provided With a TWO YEAR WARRANTY On The Motor Stoker System.
STATION NOTES:
Width: 35.5'
Depth: 58.5'
Height: 15'
No. of Air Vac -911's = ( 3 )
Air Changes Per Hour =( 8.7 )
Approximate Filter
Life Expectancy
Prefilters 2-4 months, Main
filters 12 TO 24+ months.
P.O. Box 517 • Dover, NH 03821-0517 • Toll Free 800-540-7264 • Tel 603-743-4332 • Fax 603-743-3111 • www.airvacuumcorp.com
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This quotation has been prepared By: Thomas J. Vitko Date: 4/13/2006
Quotation Prices are valid for 90 calendar days from quotation date.
STATION NOTES:
Width: 35.5'
Depth: 58.5'
Height: 15'
No. of Air Vac -911's = ( 3 )
Air Changes Per Hour =( 8.7 )
Approximate Filter
Life Expectancy
Prefilters 2-4 months, Main
filters 12 TO 24+ months.
P.O. Box 517 • Dover, NH 03821-0517 • Toll Free 800-540-7264 • Tel 603-743-4332 • Fax 603-743-3111 • www.airvacuumcorp.com