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056-120-060
L • -y TED BLACK ZVAI 3/vI>/4/ -60 MCI) `s/s at end of Whispering Pines, app` 1 mi. no. of Maple -Lane, app. k mi. east of Cohasset Rd., Cohasset \Permit ONTR: Pierce Plumbing, Chico h#3408-80B,P,E,M (new SF) _K_ 056=12ib-!b60 r .•' f PERMIT#97 1,758 ROGERS ,' Connie's.61 t254':Whispering,Pines,fCohasset. Cont: El'y Roofing --Inc ,, a w Reroof/SF'.� r 6 • -y TED BLACK ZVAI 3/vI>/4/ -60 MCI) `s/s at end of Whispering Pines, app` 1 mi. no. of Maple -Lane, app. k mi. east of Cohasset Rd., Cohasset \Permit ONTR: Pierce Plumbing, Chico h#3408-80B,P,E,M (new SF) _K_ 056=12ib-!b60 r .•' f PERMIT#97 1,758 ROGERS ,' Connie's.61 t254':Whispering,Pines,fCohasset. Cont: El'y Roofing --Inc ,, a w Reroof/SF'.� r i� LOcfli� c� .t`OY56" 120 060 PERMIT 9 ROGERS, Connie .254 Whispering Pines;�.Cohasseti ,. S. lyoofing, In Reroof% .Sg. p COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7544/ �•, rP`ERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER, . J'--.. .tl —'JU ZONING BUIL NG PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION �w U 5F3 7J OWNERS MAKING ADDRESS .J•, Li:. I_,is1D �,1.Q:;L.. vUI.;1:..:L _ i.. !a CONTRACTOR'S NAME77 ..L) _ 1 it 1,1C TELEPHONE CONTRACTORS MAILING ADDRESS 1. 1L ,u!,trLicLo:.; J?' LaiCJ I - Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ LI ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 �.- Each'Trdp 7.00 LOT NO. • SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 a USEOFSTRUCTURE SF -0 CTuplex ❑ Mobilehome ❑ Other • SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: t/ _t C O o! j w, o/ L 7 yr C z i, v a L — U Mobile Home I S I G W I @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class "- L 0 - J) Lic. No. u U 7 3 o OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages 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 NEW CONST. DWELLING OCCUR OR NS. ( a ACC. ) SO. 3.5Q FT. CONST. MULTI-OUUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 I3AL 50 EX. OCCU FIXED APPLNS. OR p ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: J. W . ' - U I 1 < < ". Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -' % i _f J _ (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. 0 —1 , X / ' .' ��./.Y i 'I , Date - r Signature! of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ L U !- . LJ u' HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ' By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. r •I Date (Date) Receipt No.'-�� WHITE-D.D.S.-B.D. CANARY:ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING Z;- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7PERMIT NO. APPLICATION AND PERMIT AS T9(t�,RPICffMBd60 (� U ZONING BUILD NGPERMIT Donnie Rogers TELEPHONE 345-2287 SO. FT. OCC. BUILDING VALUATION 5015 O N MAILING ADDRESS T4 Whispering Pines Cohasset CA 95973 CONTRACTOR'S NAME Ely hoofing Inc TELEPHONE 343-7663 CONTRACTORSMAILING ADDRESS 13291 Contractors Dr Chico CA 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 81.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 254 Wh i s e r in P – Cohasset PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF )7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )7 Describe Work: PIR roofing W/25 yr cement shakes — 29 s q s Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v OR LESS ( 200A OR LESS - ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C -1 , C - 3 9 Lic. No. 607386 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 NEW CONST. / DWELLING OCCURBLDS OR ADONS. \ 8 ACC. ) SO.' 3.5Q Fr. UTLE NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ER ( & SIINGLE OUTLETTUS C R. ) EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 9 .SO Ex. Occup. FIXED RES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. 1([7 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' COTensation insurance carrier and policy number are: Carrier Vatl Union Fire MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 8241332 (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 t os provisions. X _ Date _ 8-13-97 SignatuA�OfApplicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 101.00 HAZ. I D. FEES t IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B 1' k! r/' Date 94-7 PERMITEXPIRESON d (DU) Receipt No. � WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ila 74- Y171 4 I PERMIT NO. 3408-80B,P,E,M 9 PERMIT EXPIRES VM/ -OWNER TED BLACK CONTR. _Pierce Piumbing, Chico LOCATION (A.P. -56-12L`60 s/s,at end of Whispering Pines, app. 1 mi. no. of Maple Lane, app mi. east of Cohasset Rd., ,,,-Cohasset (new SF) /* Temp. Power Pole Cal1.4/d PG&E Elec.Serv. Called PG&E Temp. Gas Serv. ailed PG&E ALED (Date) (Signature) Fm met n 71 vel 1C SA mbs- HOW- 1 j_ Fm vel VIA, mbs- HOW- 1 Q 01, 4n1j, jwn pm to 212 mv 0 ATAM 'it pz; AW 40 IN ox"'.j Qi "KIT CA, twist. L MM, Volk, ivy took Q R2, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC w6RKS o . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handica a Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Footino ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors ' Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping IAL 16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry'mUst,be made on this form each time you. visit the job site.) RESIDENTIAL (Singia and Duii�'"' "� g'® zts UNOE OOR P d'hs OK eae t #'s ` Date FRAMING Continued Zoning requirements -Setbacks -Easements 484-Pro-perty Line Firewall & Openings Main: Soils -Steel -EI nd.- " Fig. Depth 49. 'E'xr'8tm►s>One 3' -Chock Garage -3rd story, 2 exits tg., Garage; Soils Steel- •' Fig. Depth -Headroom-Rise-Run-Landing-Fire Protection g., Porc*6's`& Dde'K-s; Soils -Steel- ❑" Ftg. Depthly%vood on Roof Overhang -Attic Access -Rafter Outrigga(s fi-.&emwalls, Main; Steel-Blockouts-Wrapped-Slab Ae'llemwails, Garage; Steel-Blockouts-Wrapped -Slab Firepl Fig, -Steel -43--Sfteev-M?3h-Drip i ing-Nailing-Veneer Screed-Fdn. Vent3-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic .W.V.: F -Fi gs-T -2 way C/0 -Sewer Test Shear wails; Nailing -Bolts 9 Gas Pipe; Size-An,chors MLNater Pipe; T -An rs-Regulator-Seryice Test 11 Electric; Underground 12r Plenums & Ducts; Clearance-Materlat-Support -In s. ' 1Wirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date ard•81 Data Card -SI Date Card -BI Date Card -81 Date Card -BI Data d I BI Dat and -BI Date �./ a Date BI Date Date FINAL (P s) OK except #'s to PLUM91_ G (Pe OK except #'s 5. .. t. - &'Sideli tion -La • ' " erector 4. ; Vent -Access -Combustion Air &&., '-Furnace: V -Clearance-Comb. Air -Connector - in Ga ; Above Floor -Ducts -Mach. Protection 15 Water Pi Tet Anchors -Nail Protbction V.; Test-Fltngs & Anchors -Nail Protectiona Exiting .F.I ath Fixtures 8 Tub Access 7. S ; Test, First Floor -Tub Access 1e--TV3T`T'u6'& Shower, 2nd Floor -Tub Access ec. Trim & S noi; Breaker Sizes -Labels IS—Ger Me: Size & Anchors 6 ir i s 63. ", eplace eve; Clearances-Flearth _ 64,ols at Wood Panel; Int. & Ext. rd -BI Date Card -81 Date 6 • Fixt. & A liance: Grnd.-Air Gap-Cookln Clearance .rd -BI Date Card -BI Data 6 67. unter Garage Fire Door; Swing -Landing -Closer • 1te � ELECTRICAL PiAri1t OK except #'s 6F. A.C. n 20 i` tura &Transformer Clearance -ins. Protection 6V--Wt-r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Gara Abova Floor -Meth. Protection Elec. Receptacles Spacing -Lights & Switches at Doors tze Boxes & No. of Conductors -Stapled 7 CW,,lec. Iec. & Mech. Equip. Listed for Location Receptacles in Garaga; (G.F.I.)—ROMe4 PfOtOC. Q Or 2 Romex Installed Close to Edge of Studs & C.J. quip. Ground made up va/Meth. Fasteners -Bond Gas & Water 72• Insula[ oam-Looked in Attic bb!"FAppliance Circuits in Kitchen & Conductor Size 7 a -rd Rails & Deck Construction -Post Ca 26. Subleed Wire Size /- %.i/ ga. Cu or AI-A.C. Wire Size / / ga. Cu f 74. 75. Fdn. Vents & Crawl Ho Door- ge 8 1'I 'arch Clearanco Looked under Floor as _ Following instld.: Drive es Walks es 'Planters ElYes ❑No; CreaURg Dr . Problems ❑Yes . No; No 27. Range Circ./ ga. o even Circ. //b/ g u Al, N I sulated Neutrals No 490"Service-Riser C uctors & Gr d -Main Disconnect equip. Clearances; Panels -Motors -Mach. Equip. C tsh ,�4tG'lothes Closet Light -Shower Light 7 Unit isconnect-Clrnces-•Brkr. & Cond. Size -115V Outlet 78. Ve bove Root; Plbg.-Appliance-Firepi.-Clearance to Opngs. afar W tsconnect, Electrical, Plumbing rd B -I Date / ard-81 Dale ac. Trim; G.F.I. Receptacle -Underground eC 11, ntitation throughout House rd B-1 Date Card -BI Date 82. Glass P tion to MECHANICAL (Permit) OK except #'s 13 «actions from Previous Inspections84. G 31. A.C. Ducts; -insulation & Support 1 r &Sewer Connected -C/0 to Grade -H revel 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade Enargy Compliance Certificate -Otho erotic es -ems 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnish In Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date rd -BI Date Card -BI Date rd -81 Date Card -BI Date Card -BI Date Card -BI Data to FRAMING(Plans) OK except #'s Comments at Final: ja—Ti-11s; Proper Material & Anchors Its; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing 19alls over_Girders & Floor Nailing Draft Stop in t'/ills (rat proof) -- 4EO72 Fire Stops; rr et t -Stairs-Chases-Tub 4A_,lPieader & Beam -Size & Bearing 42.. Hangers -Post Ca s -Anchors -Connectors CI_ng_Joist f r. Tie Purling -Roof Brac.-Truss-Shthng_Ring__ 4 Fireplace Tias or Type A Flue -Fireplace Throat 46r' ttic Access; Size & Romax Protection -Draft S:Op_-Ins. Baffels _ 4$it'uwtm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4JlrC1rage Fire Protection Framing r COUN-TY-OF 9UTTE DEPARTMENTIDF PUBLIC WORKS 695 Oleander Avenue, Chico — `Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott'Road, Paradise — Phone 877-3435 CORRECTION NOTICE • 1 a BUILDING 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 correction of work is completed. If you have any question pertaining to this ratter, or need additional explanation, please contact this office immediately. ��-if/•' i✓�,r�.iG,-�f.:+Jl--�.. s' 3''`'f'..1:iL�i�.-.. r,�%r��. •r.�t: '-°':.us:..s.'.vt/-t' GT.✓'it. �'/.fir'.-w ��.--f .:� /!l.P.. {C.�.--fes .�-L..�'i �F.,:r%AA . : �'i J X -.v %-r:"`:_.s � (t.-. -� .-r �.1--.1� � ����_l. g.^�'°:7� ."f�'yr• %� �: i r Inspector - - Date COUNTY OF BUTTE 3zl© �� ® DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico —Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise '— Phone 877-3435 COR N NO ICE !!--- BUILDING 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 correction of work is completed. If you have any question pertaining to this matter, oyffped additional explantion, please contact this office immed)4! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKX414 PERMIT NO. 7 -County Center Drive - Oroville, California 95965 - Telephone 916/534 - APPLICATION AND PERMIT , ASSES OR PARCEL U BER •- 0-- ZONING ILDING PER F 09 Ow ek TEL ONE SO. FT. OCC. BUILDING VALUATION eaC OWNER'S MAILING ADDRESS de AZ C ACTOR'S NAM L PhlONE rc � 1 U h ' If l / (n �� 6 CO TRACTOR'S MA LING ADDRESS 0_0v-ve — - CONS TION DX— UN NOWN `y}�3 Fireplace -� Total Valuation $ � LEN R'S MAI L �I G ADDRESS -Q, 1 t cv Permit Fee D L"VA/ $ A N G I N E E R I DqpS18,V% LIc2 NO- r Plan Checking Fee r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 e—b Permit fee a BUIL NG AD ss Imo. 4Z PLUMBING PERMIT Filing Fee 3.00 p Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping .021 1 GO LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLIN C OR ADDNS. ACC. BLD 2�sgft CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions � Code and dq my license is in full force and effect.FIXED License No. [x'712/ / Classification �� / `/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR ( POWER APPARATUS &) NON•R ESID. SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 5AL@1 BAL�10¢ Ex. Occup.( O UTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ R Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): E] ;he 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling / T Hood 2.00 Ventilation Permit Fee $ c�d 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 in consequen f the granting of this permit. X foDi 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 hei t. ' Mobile Home Installation Fee $ Land Development Fee $ r TOTAL PERMIT FEE OCCUP, GROUP -3 TYPE of CONST. PARC PD N 5508 ,� This permit is hereby issued under sions of the Butte County Code and/or work indicated above or which fees DIR CT R F PUBLIC P PE EXPIRES Datea71 the applicable provi- resolutions to do have been paid. WORKS Date "� 0 �/ Receipt No. �i WHITE-D.P.W., YE , PI E K -I R, GOLDENROD -APPLICANT P THIS 'I'S TO CERTIFY THAT INSULATION HAS 'BEEN INSTALLED YIN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS., CALIFORNIA ADMINISTRATIVE CODE, TITLE YS. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: _ Whisnerint? Pine Rd.. Cohasset, —TreeLot NumbeF City EXTERIOR MALLS , Manufacturer CT Thickness/Type 31-211 R value 11 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer CT Thickness 1 0 tt No. Bags 4 4 Nt./Bag9_ Sq. Ft. Covered 1439 R value 30 FLOORS Manufacturer CT Thickness/Type 3 15 t R Value 1 1 18 Baffles installed Manufacturer Thickness/Type R Value FOUNDATION MALLS Manufacturer Thickness/Type R Value t GENERAL CONTRACTOR LICENSE NUMBER By TITLE DATE INSULA 10 ONT C T ION LICENSE NUMBER—2 12 4 6 1 BV TLE Vice'PrPs _ DATE 1 9 R!1 RESIDENTIAL 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 1147hisperinR Pine Road, Cohasset (location) BUILDING PERMIT NO. 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 ,/A Fdn. Walls ISA Floors R11 Walls R I I Ceiling/Roof R30 Ducts /& Circulating Pipes(_ APPROVED HEATER&61,?T &0,4 APPROVED WATER HEATERjf4�eCf GLAZING: Single Glazed 122 Special (Insulated) &5LAg 5/ //,�,��7 CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. 610- ' BACK DAMPERED FANS,05 INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES ieirS 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 INSTiT,ATT0N 7*.T.'' . (please print) Signature of . Insulation Applicator State Contractors License No. 212461 General Contractor /owner Name (please print) Signature of General Contractor/ Owner =�L' Date 3 r State Contractors License No. 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. i �� 1 y n; � 1 I � �,� 4�"� " i .li y r� �, a'. i, � � � i. � i i �,.� ji � i i �i � i � i �, : r � r I' � 1 !° r � ��. � � ,-I .. i ; � , '� � r '', u li � ���. �� I n�� � fir; �r' ,i � r "� u I I � � r `r i � i ; �U � i I F �, i j u'� � S� . a � °Y s;i i �� u i j .; i ; 4 1 � �lr„ �Y �, i (� i � ' � T74 � V . �'� i i ' 1.,' � Ni � 1 '., [1 � �I I t i � � I �� C(i� -F �'i,n, 1 � � ������ Ire i � , II t � I I I I LI n _ r III it ,I,• I r ! 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