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Home My WebLink About063-030-011` ,.063-03=0-011 95-0060'E .SMITH; Wayne &•,sue 4710-Hart1 ey Drive, Forest Ranch; ,.-(subpanel'& circuit) Dur am Elec, - 063-030-011 03-2862 MOORE, CARTER 4710 HARTLEY,DR, FORES Cont: SELIG CONSTRUCTI REROOF & SIDING 4� t B07-0310 063-030=011 MISCELLANEOUS Mechanical HVAC & GAS LINF�4 4710 HARTLEY DR vl "a-3'07 MOORE, CARTER W & KIMBERLY i I E V - .OW � I O -�P �(W6L g) BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 4 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0310 Issued: 02/20/2007 Address: 4710 HARTLEY DR Area:',EST RANCH Owner: MOORE, CARTER W & IAPN: 063-030-011 Applicant: MC CLELLAND AIR CO]Map Page: a 1 Permit Type: Mechanical C-0- f Description: HVAC & GAS LINE Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 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 House 404 Gas Test Yard 404 GC_ a -dl -v 7 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing- - - _ _ . _ 9] ]� .- -t _= _---- OFFICE COPY Bldg Permit: tbove Signed Address: GAS By: lbove Signed Electric By: Dater— 'RbUglTMEchanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: ^..�:ttLLSS��.: ri', t.i'i�iF.y^, f " z�i.��'`� a.�r�, • ''fi�tt �� _ .,k Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Wo r s Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final * *PROJECT FINAL 801 -rrolect rrnar is a cernncate of uccupancy.tor (Residential only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy )i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING "PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4710 HARTLEY DR Owner: Permit No: B07-0310 APN: 063-030-011 MOORE, CARTER W & KIMBE Issued Date: 02/20/2007 By TMP Permit type: MISCELLANEOUS P O BOX 357 Subtype: Mechanical FOREST RANCH, CA 95942 Expiration Date: 02/20/2008 Description: HVAC & GAS LINE Occupancy: Zoning: R1 Contractor Applicant: Square Footage: MC CLELLAND AIR CONDITIONING I MC CLELLAND AIR CONDIT Building Garage RemdUAddn 801 MARAUDER STREET 801 MARAUDER STREET CHICO, CA 95973 CHICO, CA 95973 (530)891-6202 (530)891-6202 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 DBP Gas System (enter outlets) $55.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1882 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MC CLELLAND AIR CONDITIOt 345121 / C20 / 01/31/2008 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, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 02/20/2007 a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 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 ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 of the Labor Code, for the I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractors 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 State Fund 272-0000142 ExpDate: 10/01/2007 Policy olicy Number: . Contractors License Law.). (This section need not a completed if the permit is or one hun red dollars ($100) or ass. IAM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/20/200 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 02/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County Signature Date ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 02/20/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. ElAgent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City State Zip Date: 2/22/07 Job #: 07098 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address 4710 Hartley Drive, Forest Ranch Builder or Installer Name McClelland Heating and Air Builder or Installer Contact Telephone McClelland Heating and Air (530) 891-6202 Plan/Permit (Additions or Alterations) Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample Group Number 1 Compliance Method (Prescriptive) Climate Zone 11 Certifying Signature //� j Dually signed by Mervyn Martin Date f1 �"` / Date: 2007.02.2211:34:27-08'00' Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ m Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. ® The installer has provided a copy of CF -6R (Installation Certificate). m New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ® New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). ✓ ® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ® Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 Enter Total Fan Flow in CFM: 1 000 ✓ ✓ 3 Pass if Leakage Percentage < 6% [ 100 x L(Line # 1) / 1.000(Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct System Alteration and/or Equipment Change -Out. 55 Enter Reduction in Leakage for Altered Duct System L_(Line # 4) Minus 55_(Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System - Pass if Leakage Percentage < 6% ®Pass 13 Fail 100 x 55 (Line # 5 / 1.000 Line # 2 5.50 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x [-_55-(Line # 5) / 1non (Line # 2)]] ❑ Pass ❑ Fail • 10 Pass if Leakage to Outside Percentage < 10% [100 x [_(Line # 7) / 0D0(Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if Sealingof all Accessible Leaks and Verification b Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass 10 Pass ❑ Fail Residential Compliance Forms December 2005 HVAC SYSTEMS Heating Equipment Minimum Distribution Type and Capacity Efficiency Type and Location Duct or Piping Thermostat Configuration furnaceheatpump,boiler, etc. AFUE or PF ducts attic etc. R -Value Type s lit or acka e t'l�t O 4 Cooling Equipment Type and Capacity (A/C, heat pump, evap. cooling) _ Minimum Efficiency Duct Location Duct Thermostat Configuration SEER or EER attic, etc. R -Value T e slit or package) C u 1- "� G Address: o , �- a COMPLIANCE STATEMENT , , This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the Califomia Code of Regulations, and the administrative regulations to implement them: This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. DesiLyner off-icOwner/fuer Rlrcinecc anri Pmfoccinnc L Name: f r Name:^ -- -^ - Title/Firm: Title/Firm: Address: o Address: �,- �- I„ rCA 3 'S Telephone: �` Telephone: License IL (signature) (date)' (' attire) (date)'= "Compiled from pages 1, 2 & 5 of April 2005 CF -1 R form. (ODD BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4710 HARTLEY DR Owner: permit No: B07-0310 APN: 063-030-011 MOORE, CARTER W & KIMBE Issued Date: 02/20/2007 By TMP Permit type: MISCELLANEOUS P O BOX 357 Subtype: Mechanical FOREST RANCH, CA 95942 Expiration Date: 02/20/2008 Description: HVAC & GAS LINE Occupancy: Zoning: R1 Contractor Applicant: Square Footage: MC CLELLAND AIR CONDITIONING I MC CLELLAND AIR CONDIT Building Garage Remdl/Addn 801 MARAUDER STREET 801 MARAUDER STREET CHICO, CA 95973 CHICO, CA 95973 (530) 891-6202 (530) 891-6202 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 DBP Gas System (enter outlets) $55.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1882 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MC CLELLAND AIR CONDITIOI 345121 / C20 / 01/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for I 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, I HEREBY AFF M UNDER PEN OF P RJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing 'lh Section 7000) f Di ision of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a 02/20/2007 civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ontractors Sign tUfe Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors 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 State Fund 272-0000642 EzpDate: 10/01/2007 Carrier. Policy Number: . Contractors License Law.). (This section need not a competed if the permit Vis or on7— a hundied dollars ($100) or less. IAM EXEMPT under Section B. 8 P.C. for this reason: ❑ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ❑ ISSUED, Is haof employ any person n any manner so as to become subject to the Workers' Compensation aws of California, a agree that I should become subject to the workers' X 02/20/200'% compensatio provisions of Secti 3700 of the bor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 02/20/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SI Ur Date WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, i off cers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, includi g death, and property damage caused by, arising out of, or in any way connected with the issuer of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. use oro _. cy of any sidewalk treet, o subsidewalk. I hereby authorize representatives of Butte County to n r the above menti a for inspection purposes. I hereby certify that I am the property eror oa owners behalf. CONSTRUCTION LENDING AGENCY 02/20/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ;,MiniV of Permittee [SI N Print Date ,the performance of the work for which this permit is issued. (3097 civ, code) Owner ❑ Contractor OR. Agent for Ownnt for Contractor FILE COPY Lender's Address City State Zip f BUTTE -COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds , **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name 0 Fiat Nam y c Mailing Address u 3 S --i City — g -,T StateG Lp �—qZ Phone Fax E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR Name Address - . Address . /i q �� S City Zip Phone State,,,, Zip q(S� 73 Phone 5Cr1- .� Fax &q _ 3-1 E-mail Lic. # L-ZU Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name city („' w , Address - Zip G��-73 I City Fax State Zip Phone Fax E-mail State license Number APPLICANT INFORMATION Name n ?,/u / _e-cD Address b 0 t M �� 6/" city („' w , State Zip G��-73 I Phone Fax E-mail APPLICANT SIGNATURE x PROJECT LOCATION AP# Property Address City PERMIT NO. BIN N W0RKER'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: Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits . ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. 063-030-011 i ' , k' .. -, CARTER , 'i 1 03-!2862 MOORS , CARTER �t47-ibllARTLtY DR; FOREST Crit: SELIG CO'NSTR'UCTION REROOF & SIDING COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California -95965 • Telephone (530) 538-7541' PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN TELEPHONE rc n SO. FT. OCC. BUILDING VALUATION SQ, 1020.00 OWNERS MA ADDR S17 0 5711 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS IS !4)R!4)RWV I N MIM Q50 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 9020.0 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4710 HARM DR9 FOREST RANM Energy Plan Checking Fee $ $ PERMIT FEE $ 137.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 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 ❑ Others❑ Describe Work:n�Qr� AM SIDTR11 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r. License Class.fit/ - Lic. No. f�I �Q /, ' J� i - — �+� ,•1,.. • .moi OWNERMUILDER' 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. ❑ 1, 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 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 gelf.in`sureJoj workers' compensation, as provided for by section 3700 of the Labor Code, for the .,performance of the work for which this perrMn:d is issued. have and will maintain workers' coin6grn ation 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 7 t+ / w/( Policy Number +[r� �/5 y / (The above sections need not be completed 0 the permit is for work of a valuation- of on -3 hundrOdojlars.($100) or less.) 1• ❑ 1 certify that in the performa6ce of,tlie 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 prov'sions. X _ Date Signa ure of App(cant - ❑ Owner ❑ Contractor g Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structures over 3 stories in height. P Main Service 200AWEU To IoaoA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50FT. NON gEOSID. MULTI -OUTLET @7.50 „ r POWER APPARATUS + SINGLE cl - B20 @ 1.00 `''EX. OCcu — '66TLE FD(TU ES .50 Ex. Occup. .Fl E.DAa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ • occ coNsr. TYPE TOTAL FEE $ 137.00 HAZ. D. FEES IMP FLOOD COF ;7 PD HD SSUE This permit is hereby issued under the applicable provisions of the .Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By / Date PERMIT EXPIRES ON ' (Date) Receipt No. -�� •� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Galifornfa 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT 03-9869 ASSESSOR PARCEL NUMBER Oil ZONING BUILDING PERMIT OWN Q63 -03E) TELEPHONE OWN�— NCH FOREST RA, CA 99949 SO, FT. OCC. BUILDING VALUATION 17 SQ 1020.00 CONT 8000,00 CONTRR'S NA ACTOME TELEPHONE CONTRACTORS MAILING ADDRESS 47, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9020.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ B, L04710 E HARTLEY DR FOREST P4 -INCH Energy Plan Checking Fee $ $ PERMIT FEE $ 137.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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] Describe Work:— z�l�,,E nF AND SIDI-NG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VMain 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 in full force and effect. C License Class��/(/ . Lic. No. ,r /� -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 zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. so 3.50FT: NID"N-RIpT MULTI -OU 97.50 PoNGLEwER APPARATUS 8 SI OAF= CIR.I� EX, OCCU OUTLET OR FIXTURES �,@': o OWNER Ex. Occup. OFlxNTLeED�A Aa D OR 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: ❑ 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 erformance of the work for which this permit is issued. 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 inNrance carrier and policy number are: Carrier�al Policy Number�/ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prov' ' ns. X Date l%' O3 Signa ure of App (cant - ❑ Owner ❑ Contractor $( 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 137.00 HA2. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated ab vie which fees have PERMIT EX RES ON the applicable provisions Resolutions to do work been paid. �j U Date"9-0-0) ' a 0le ReceiptNo. 385672/$137.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '✓�,`r'it .1^.:r,`r'7"rFw�. �1Lq, .Ri'."a :siaW"• .v,F�y,Y �n ". �.{',. �a wYr_��„yi .tx: r �.. 'A.}w^�. yta.y: .+p t, as �„�.9!7-r. co 'w_cd l'^.: v"i r; ?r�f.Y� �� f.. ' `� ;�+, . a.'r. .�;— n :rycVp.. y "1' " � � . i t 'i'� "2 .v e..y.; �..'. t �.�• .,F"; � i t Ag 063-03-0-011 ` SMITH, Wayne &sue 95-0060 E 4710 Hartley Drive (sub aneI Forest Ranch P &circuit) Durham Elec ` al r 'II II , Gam" , r..r:•1N+ri-�Yu-z,•,-.....�,gl,e'�A�}41f: .:'die ?�-a"T"". �P-.''�'r`;� y�"-'.�°;:'�'•'A77R"'•"'.46�"PaF`. •M:sy"_.; L'^'h„"r.�.e_a �'3 .. _ 4, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI No. APPLICATION ANIS PERMIT�� ASSESSOR PARCEL NUMBER ZONING -4) H,1 BUILDING PERMIT OWNER TELEPHONE WAYNE & SUE SMITH SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 66, FOREST RANCH 95942-0066 CONTRACTOR'S NAME DURH Cnic TELEPHONE 1345-2344 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ' Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4710 HARTLEY DR. R RANCH PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 7. Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W@20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other ❑ Describework: SUBPAN& & CIRCUIT! PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2100V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) S0. 3.50 ST. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I de9ere under penalty of perjury (check one) RI I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. H a % $(„ � Classification (” -) t� ❑ I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) BSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 200 1.00 BAL. 50 FIXED APPWS. OR Ex. Occup' ( O UTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑,This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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-sq.ve, indemnify and keep harmless the County of Butte against all liabilities, )- ,qts, costs, a d�expenses which may in any way accrue against said County in, /con�sequence of th Pa ti is permit. X '( t! <i!i Date/— /.;� — g -S-0 Signature o0'Appl• ant - 1:1 Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE'S1 43.Q0 HAZ. D. FEES IMP F100D CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Q �f By Date ///L / 1,e5 `_ PERMIT EXPIRES ON 6 /Date) Receipt WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT XC', �/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ��/ 7 County Center Drive - Oroville, Califolgia 95965 - Telephone (916) 538-754 PERMI NO. APPLICATION AND PERMIT' D4�� ASSESSOR PARCEL NUMBER —-011 ZONING 1 BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 66, FOREST RANCH 95942-0066 CONTRACTOR'S NAME DURHAM 'F.T.FCTRTC TELEPHONE 45-2301 CONTRACTOR'S MAILING ADDRESS 11017 ORANGE, CHICTO 9999R Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4710 HARTLEY DR, FOREST RANCH PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF l Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation ElOther ❑ Describework: SUBPANEL & CIRCUIT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( 2" OR LESS 00A OR LESS ) 2.'3.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) .50 FTO,. 3 g CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. �s�-7 5`[9� Classification G—) bp' ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occu FIXED APPLNS.OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23 .00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): This permit is for $100.00 (valuation) or less. VIhave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. El I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 va, indemnify and keep harmless the County of Butte againsvall liabilities, j gm s, costs, an expenses which may in any way accrue against said County 1 con ence of a nti s permit. X Date �— � 2 — g_S Signatureppl' ant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3�sstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable PP Provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. g %� By ' ^' ' ` Date z r PERMIT EXPIRES ON 74> IDetel Receipt No. % / J / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT