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HomeMy WebLinkAbout047-330-042r - Ij ------------- V 4-3- 2 • Fra-k�h .47-33-42 4116- Smit orner eefer'Rd. — Chico C s' SMITH, Frank '" �_ Y- �o% _ 1 wri ontr: Jay Allspaugh, Chico 4202 Keefer., Rd ,`.Chico 4' ` Contr: AME s- P rmit #7382-79B,E�ddd family room/ F) (vinyl siding/sf) 02 2190 047-330-042 SMITH, FRANK',, 1 " 4202 KEEFER, CHICO `CONT: SIERRA ROOFIN_ G ,RE ROOF` t� • / 1 1 J 1 � M M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541ERM 0 0A- (Rev.12/96) APPLICATION AND PERMIT qb ASSESSOR PARCEL NUMBER /� ^ ,.7� ` ;(,�, J l • ST3 / (•_ ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION ZO .OWNER UUD2— �CS'� /' _ �f (50 I [/i��L—Lam/_"'/ 0 � CONTRACTO NAME TELEPHONE ' CONT70R;LINO ADDRESS r2_ C��� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ � ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS LV t%v Energy Plan Checking Fee $ $ PERMIT FEE $ a LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ S Describe Work: �e� �� �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is jPforce and effect.' /�/2 EOE lGJ( /7 License Class LIC. NO. 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 PCoA TO 46.00 NEW CONST. DWEWOCCUP. NG SO CCU OR ADDNS. ( a ACC. S.3.50FT: NEW CONST.MULTI.OUTLET NON-RESID. CU @7.50 POWER APPARATUS a SINGLE CUTLET CIR. Q 100 Ex. Occup. oun ET OR FIXTURES BAL Q .SO FIXED APPLNS. OR ouETs RESID. EA 5.00 Ex. Occu tt 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. O� 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 worke compensation ' r nc ca r and policy number are: Carrier lth Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any erson in any manner so as to become subject to workers' compensa ' n I s of Californi end agree that if I should become subject to the workersm sati n sion f section 3700 of the Labor Code, I shall forthw' 0 y wi s pr ' Ions. X Date i/Vof Signa re oVApfifid9n - 0er Contractor ❑ Agen An OSHA permit is requi d for a/xca ions over 60" deep and demolition or construction of structures over 3 stories in heigh . 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 $ 7 HAZ. D. FEES IMP FLOOD CDF PARCEL PD SSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Da PERMIT EXPIRES ON ( /� I I(D,te Receipt No. 1-� WHITE-D.D.S.-B.D. CA ARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. 1'r�MfY`iYy���`+�`�T1b��T5+1'i�'JreR'��.ri. +'�.✓ryX)9,v-^�`+sy.��n,.}n�s�a�f�iK"-``�y^�3ilAi.C�`R �rrr'�'�.•sr�a'�7�„ � 4y �• 4 1a-. j 47-33-42 4116-90B .�.,� .� � �•� 3,�r '" y �IITH Frank 4202.Keefer' Rd, CI- Ico- - Contrc AMRE .(vinyl :siding/sf ) r7,`1.1. SRYA aA c X� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER.. .. 47-33-42 ZONING L BUILDING PERMIT OWNER FRANK SMITH TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONTIR 4000 OWNER'S MAILING ADDRESS 4202 REEFER RD., CHICO, CA 95926 CONTRACTOR'SNAME AME TELEPHONE CONTRACTOR'S MAILING ADDRESS 4949 W. ROYAL LN., IRVING, TX 75063 Fireplace 4f ? TRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 NOlIBECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4202 KEEFER RD., MCO Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Uti lities ❑ Installation[] Other ® Describe work: VINYL SIBING _ _10-00e L I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1,00v OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �( WI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCodeand my license is in fug force and effect. 473042.-L7 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 ADDNS. ACC. SLOGS. I 2/20sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@030 5AL@30 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. jeI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g leod 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said oy i consequence of the granting of this permit. (� Q X a� �y r % Date /� �`30";/� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 54.50 HA2 I CUA I PARK I SCHL I FLO I PAR PD r. ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do worfer-indicated above for which f�ds have been paid. DI=E-CtOPU LIC WORKS X11 /30/90 By _ Dat 11/30/91 PERMIT EXPIRES Date �Jj� Receipt No. T5 1 WHITE-C.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilbe nia 95965 - Telephone: 916/538-7541 APPLICATIOR'AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 47-33-42 ZONING BUILDING PERMIT OWNER FRANK SMITH TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONTE 4ono OWNER'S MAILING ADDRESS 4202 KEEFER RD., CHICO, CA 95926 CONTRACTOR'S NAME AMRE TELEPHONE CONTRACTOR'S MAILING ADDRESS 4949 W. ROYAL LN., IRVING, TX 75063 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4202 KEEFER RD., CHICO Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: VINYL SIDING _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): j( �j I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full force and effect. License No. n 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.( OR ACDNS. DWELLING OCCUP.N ACC. BLDGS. 2 , h¢sq ft NEW CONSTR ULT' -OUTLET NO N•RESID .BRANCH CIRCUITS 2.SO ea POWER APPARATUS e (SINGLE OUTLET C'R. ) Ex. Occup(OUTLETS OR FIXTURES 20@50C BALI 30 Ex. OCCUp. OUTLETS FIXED P(RESIC.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Air I have placed on file with the County of Butte Building Department J� 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said county i consequence of the granting of this permit. X Date 11-3o le) Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overj/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 0 FEE $ 54.50 TOTAL AL E HAz CUA PARK PAR PD ISSUE This permit is nereby issued under sions of the Butte County Code and/or wor icated above for which fes DI OF PU I BY PE MIT EXPIRES Date _ the applicable provi- resolutions to do have' been paid. WORKS Datel l/30/90 11/30/91 Receipt No. T� WN'TE-D.P.W., YELLOW-A99C990 R, PINK -INSPECTOR, t:OLDENROD-APPLICANT COUNTY OF BUTTE – DEtPAQTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil7e. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. As SSLR PA NUMB E — ZONING _ BUILDING-:.PE.RMIT____—_____.� ow R V, ( SinSO. TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S MAILING ,q,DDR /1 a/Ll 0DDI,([, /(,( CONTRACT R'S NAME TELEPHONE C N RACTOR'SM'AILING DRESS ) -T uV t/ / 1,1(/` Ty % Fireplace CONS RUCTION LENDER I UNKNOWN Total Valuation Is LENDER'SMAILING ADDRESS Filing Fee $ 10 .00 Permit Fee $ ARCH TECT OR ENGINEER md LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 4 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 CLj 0. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF/�f Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New❑ Addition[] Ftelnodel❑ Utiliti dinstallation❑ Other Describe work: f e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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.B ON. S. ( A , New AD , iosgft S MULTIOUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P e0050t 2ALO 30 Ex. Occup. OUTLETS RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ TOTAL FEE $ 6 HA2 I CUA PARK scHL I FLD PAR PD HD ISSUE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable proi- v resolutions to io have been paid. WORKS Date ri Receipt No. "/ WHITE•D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLOENROD-APPLICANT '7 P01MIT NO. 73$2-79B,E- PERMIT EXPIRES ✓� OWNER Frank Smith CONTR. .Tay Al 1 Gpaiigh , Chico 47-33-42 LOCATION (A.P. ) NE corner of Keefer Rd. & Caruthers,Chico l5Li l f 4y i 1 'i a' j Temp. Po er Pole Calle PG&E Temp. lec. Serv. Ca ed PG&E r Tem Gas Serv. ailed PG&E FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Firewall Parapets Sol l Ipin I sk loor Main Bldg. Restroom Finish 2ndNO–or Footings Windows zz 3rd Flo Stemwall 1117 SidingTo out `— Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Slab Prov. for ph sically�--- handica ed Conformance gPox._ structure Final A liance Gas PIDK9 PI'&Test Tem Gas S tation Patio FIREPLACR 01final Footlnas Fnntinn Gi c!`TOV`AI Reinf. Steel mvo�a.�nvmc nva�..a. ter. Final v Fixtures Bond Beam FIRE SPRI LE RS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh A Eg'�kkNICAL Grd. Fault Pn Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun� Interior Lath Ventilation Permanent - Door Closer Final Final MOBILEHOME UTILITIES Elec. Serv' a Elec. Pedestal Water Piping Sewer 41 Gas Piping --------------AUpport Elec. Continuity Water Piping Drainage Gas Piping DATE R ARKS OR-ICTIONSt— (NOTE: An entry must be made on this form each time you visit the job site.) z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Vc '� Tel epnone: 5S4-4541 ' APPLICATION AND PERMIT All/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % 2- ,� A l a of Permitee o Agent Rec/,I-gno No. 1 5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE R LIC WORKS / By Date �• Building permit expires Date/"2�— 6 BUILDING Owner SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. /� f� Contractor 74 7 `� 4 L S P/UGH Mailing Address ;ST AL � Fireplace Total Valuation cCO y4 �Sq ele hon No. C — 7 P , Building Address C- CoA e �S�� !� Plan Checking Fe /or Penalty .Q0 ( Fee , d , � 4 640 PLUMBING PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C`# Repair drainage or vent piping 1.50 A. P. N e 33 —(42— oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes C. L Sar on I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans P rcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 BKdg. Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ /T/'►I ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR L Main service 10000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. G OCCUP. �\ OR ADDNS. A GS- / 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name sty leFIXED NEW RESID. BRANCH CIRCUITS) NON RESID. � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L2; APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities15.00 1— cam - License No.— l� � 5 Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2. $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rtify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee is TOTAL PERMIT FEE $ W", authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % 2- ,� A l a of Permitee o Agent Rec/,I-gno No. 1 5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE R LIC WORKS / By Date �• Building permit expires Date/"2�— 6 DUPLICATE RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENTTr ENERGY CONSERVATION REGULATIONS AT Keefer Road. Chico Ar 5f'Y7 ,'i'A locati A BUILDING PERMIT NO.A. P. 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 N/A Walls R11 Ceiling/Roof R19 Ducts f----' •. Circulating Pipes APPROVED HEATER APPROVED WATER HEATER GLAZING: Single Glazed. Alk Special (Insulated) y CERT. & LABELED WDS. & SLIDING DRS'.. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES_/A I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH_THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON :INSU (please print) Signature of`^,� Insulation Applicator`' State Contractors License No. ' 212461 General Contractor/Owner Name J'Ai, ( (please printf Signature of 101 General Contractor/Owner Date �Q S ate Contractors License No. -3 5 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.