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064-216-032
64-26-32 George Egan Ponderosa Way, Magalia contr: G. R. Everhard, Magalia Permit # - -749B,P,E (news s�ing family) 4 064-260-032 PERMIT#9.8-0256 BORGEN, Larry 6183 Ponderosa Way, Magalia Temp Power for Fire',R(E� /SF 1134 w / :Ln g IT#9-� �6 ga J'a a /SF r 064-260-032 PERMIT#98-104078 '.BORGEN, 'Larry 6.183...Ponderosa Way, Ma'galia' Cont: Cleanrite Inc. Repair -Fire Damage/SF pct — z(OC) 00� ?i RESIDENTIAL 064-260-032' PERMIT#98-0408 BORGEN, Larry PERMIT NO. 6183 Ponderosa Way, Magalia - Cont: Cleanrite Inc. PERMIT ExF 'Repair Fire Damage/SF //7 OWNER QQ f� `1 C— 4 CONTR. ASSESSOR PARCEL LOCATION r, Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK Not • = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1Date Card B-1 T 1. Zoning Requirements - Setbacks - Easements Card B-1 Data Card B-1 2. Soils, Special MH Support Sketch ' Card B-1 Date Card B-1 3. Sewer Location-1mt-FaU•CI0to MOBILE HOME INSTALLATION (Plans) OK except #f's 4. Water, Location -Test -Easement Needed (Sketch) .' 1. Zoning Requirements Setbacks Easements 5. Electricity; Location-Clearances-Gmd-/ /Amp•Concrete 2. Footings; SiaeSpacing-Maniage Line 6. Gas; Location-TestWrap; / /L'R / /Nat. or/ /L'1t./ /LPG 3. Gas; MH V%iDemarKWaheConnector 7. Well Clearance & Disconnect 4. Electricity; MH Test-Crossovem-Breakers-Clearances 8. Utility Clearance �116CELLANEOUS Date D€CKS, COVERS, CARPORTS, GARAGES (Plana) OK except ¥'s 1 I11 I ]'. Zoning RequU*nerft-Setfsecics-Easements 2. Fo4q!Wtr Soils Sita Deptlh�Spedrig Corxhectors SteN •3: DeAo; Girders and/or JoistsDeckiryBraci gStairs-Rails " 4 VY -00 Awn.; Posts-Beams-RfIrs.-Connectors- Sh!V.-ifg -Bracing 5. Alum. Awn.; Columna-CmnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric. 8. Fang.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailirg-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext„ Step9-0oored.andi gs 12. Braced Wall.Panels Date Card B=1 Date Card B-1 Date Card B-1Date Card B-1 Date Card B-1 Data Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #f's 1. Zoning Requirements Setbacks Easements 2. Footings; SiaeSpacing-Maniage Line 3. Gas; MH V%iDemarKWaheConnector 4. Electricity; MH Test-Crossovem-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Data Card 0-1 Date Card B-1 Date Card B-1 �116CELLANEOUS Date D€CKS, COVERS, CARPORTS, GARAGES (Plana) OK except ¥'s 1 I11 I ]'. Zoning RequU*nerft-Setfsecics-Easements 2. Fo4q!Wtr Soils Sita Deptlh�Spedrig Corxhectors SteN •3: DeAo; Girders and/or JoistsDeckiryBraci gStairs-Rails " 4 VY -00 Awn.; Posts-Beams-RfIrs.-Connectors- Sh!V.-ifg -Bracing 5. Alum. Awn.; Columna-CmnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric. 8. Fang.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailirg-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext„ Step9-0oored.andi gs 12. Braced Wall.Panels Date Card B=1 Date Card B-1 Date Card B-1Date Card B-1 Date POOLS (Plans) OK except 8's 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability 3. Pod S4ucture; Steel -Connections -Thickness ' Dead Men -Lining 4. Elec:;. Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. wffl Circulating Equip.-Pool.LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 = OK OK RESIDENTIAL Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ 1 Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main;*Steel-BlockoutsaWrapped 6. Stemwalls, Garage; Steel-BlockoutsA(rapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Toff Brac.-Truss-Shtinq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles .� 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions / 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Staff; Width -Headroom -Rise -Run -Landing -Fire Protection . zQ(26K2W.. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass ProtectionSkylights-Pias ' -Shear Walls: Nailing -Bolts hfi Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infil on -Walls -Windows ,_7e Dae Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #s _-62:_E9t Ste s -Door & Sidelight Protection -Landings moke Detector --ft-Furnace; Vents -Clearance -Comb, Air-Conector- In (' age; Above Floor -Ducts -Meeh. Protection ed1pef�i Exiting .FI. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels -19 -Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. ,�tyEft. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance --Elec. Outlets & Recepticales at Kit. Counter -;"arage Fire Door; Swing -Landing -Closure .G :F-' 4.C. Duct in Garage -Damper --7i6 h/tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Gar , Above Floor -Meeh. Protection , Elec. & Mech. Equip. Listed for Location -iS-fElec. Receptacles in Garage G.F.I. -Romex Protection ation-Foam-Looked in Attic uard rails & Deck Construction -Post Caps CB4- Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor fl Yes eer-Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No --80. tucco Brown -Finish a-bi:-yR.0 it Disconnect, Electrical -Plumbing encs Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings -46 -Water Well, Disconnect, Electrical, Plumbing ._47Exteri2r lec. Trim, G.F.I. Receptacle -Underground ntilation Throught House s rotection :t--eorrections from Previous Inspections -91. 'bas Test -Meters Tagged, Gas -Electric -e299-Water & Sewer Connected -C/O to Grade -HD Approval --93--Energy Compliance Certificate -Other Certificates Date 1j-jV7CZ6Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comm nts At ina : COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorl;a 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��,d ging-, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TARRY BDRM TELEPHONE SO. FT. OCC. BUILDING VALUATION ESE 45,800 OWNERS MAILING ADDRESS 61R3 PONDEROSA QY CONTRACTOR'S NAME C[ FAMIM DE TELEPHONE -17111911 CONTRACTOR'S MAILING ADDRESS 190014 EAST ME CHIM - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS N Energy Plan Checking Fee $ PERMIT FEE $ LOT NO.SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other '.] Describe Work: 1�AR RODFM — K.g-yon, 4L1,Lt' Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 47.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.AORLE:S 23.00 LICENSED CONTRACTOR'S DECLARATION 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. License Class a Lic. No. a.� lOEx. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. BLOS. SO 3.5¢F_ NEICo S9 NON -R S11DT MTLETULCI'lCU 111 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Occup. OUTLET OR FIXTURES .50 SAL @ 1 FIXED S(RES o.D Ex. Occup. o 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ 43.00 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 performance of the work for which this permit is issued. O 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: Carrier b1Q tdEJM E4-�Vt-e �nLS LAD- A+J C e MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling+ Hood 6.50 Ventilation PERMIT FEE $ Policy Number N 0r-% - 1-4 !l) to 3-i - ©0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ a efson In any manner so as to become subject to workers' compensati law of California, and agree that if I should become subject to the or mpen atio provisions of section 3700 of the Labor Code, I shall folwith ompI with hose provisions. X Date _f7- __ Signal re o pplicant - caner 'P' Contractor O Agent An O A permit is required for excavations over 60" deep and demolition or construction of str ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 510.00 HAZ. D. FES IMP I FLOOD = PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date lj / _/7(? - / ?'-,9F- ,9FWHRece Date o. 231670 $510.00 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. Al. COUN T Y,0F-BWTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 { .. CORRECTION NOTICE OWNER t f j PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r - REV 10/92 ' COUNTY OF BUTTE BUILDING DIVISION ; DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Orovllle, CA - (916) 538-7541 t �. CORRECTION NOTICE - ! OWNER PERMIT,NO. A routine inspection indicates that the following violations of Butte County -Ordinances exist,at the above address and should be corrected. Please notify this office when'correction of w`ork, is completed. If you have any questions pertaining to this matter, or neeid additional explanation please contact this office immediately. 9 J Y D4P•¢/z4.�- I Date / - lU —qO Inspector REV 10/92 ��...'14 �',.,•��,,..�,,,�,-.w� cv.wwy?;-x��•g'7•f,.r-�^-..vn.v..c.ew•p..»w,.w.. r.. ,., .. r. �.�; . .... ..... ...•-.�-�7rvsw`C-^r os!1}+v".`l�ir"..`-1���•i�$"i.:*:�ii;?n��'n. �-�...•. " `�* w , 064-260-032'. PERMIT#98-0256 ` BORGEN, Larry 6183 Ponderosa Way, Magalia ' Temp Power for Fire Repair/SF { .r J{ r r { 1 .��`• +` �/fir' tF `/ � � M �i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 464 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT �g' 0-05 fp ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER LARRY BORGEN TV's -N' 693 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 115183 PNKDEROSA WAY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6183 PONDEROSA WAYgy Ener Plan Checking g $ MAGALIA PERMIT FEE $ LOT NO. 'S NAME SUBDIVISIONS PL MAP ARCE PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF (i Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 ❑ Other ❑ Describe work: TEMP POWER TO REPAIR FIRE DAMAGE ON SF. FIRE REPORT TO GIVE VALUATION Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoaUSS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License ia�,fo the following reason: �CiFas 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 I 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: Carrier Main Service To 46.00so CCU000A NEW CONST. DWELLING OCCUP. WE OR ( 8 ACC. BUDS. SO 3.5QFT. CNS. NpN.q g",pT MULTI -OUTLET 97,50 OWER APPARATUS a SINGLE OUTLET C1 R. EX. Occup. OUTLET OR FD(TURES 20@'•50 BAL SO JS Ex. Occup. ouTLEETS RES D.oEA 5.00 Temporary Service 23.00 • Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 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' compensatioh%,provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X-� ��'- - Date G 1 /_� Signature of Applicant --0 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE. v This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have `- / By 7 ! a Gl ;� f # PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ? c o Date 'T _ Date Receipt No. 231606/$43.00 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Q COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��-L�� ASSESSOR PARCEL NUMBER ' 064-960-039 ZONING RT -1 BUILDING PERMIT OWNER LARRY BORGEN TELEPHONE 873 3693 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE /9 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6183 PONDEROSA WAY Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 ❑ Other O Describe Work: TEMP POWER TO REPAIR FIRE DAMAGE ON SE, FIRE REPORT TO GIVE VALUATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 2I IA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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. License Class LIC. NO. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License the following reason: , 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 reason42 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. ❑ 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: Carrier 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 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. p. � a`�^-- Date Z - Z 3�C1 X �ApZpliicant Signature of - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IIIOA 46.00 NEW CONST. DWELLING OCCUR So OR ADDNS. ( 8 C.B.S. 3.50FT. NEWCO9 NON -R SNDT (TI CU1 CLOT @7.50 UITS POWGLEER APPARATUS 8 SINOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ '.50 Ex. Occup. ouT :TS REFS o.DEa 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50' Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D. FES IMP FLOOD FFFF"F;Z;79 PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. -3 9 / to Receipt No. 231606/$43.00 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, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARC Proposed Building Use: Q R= - Building Inspector: At time of permit application, I was a iced the following data must be submitted prior to permit processing and/or issuance: 111. All items have been submitted. 112. Plot ans, 3/4 sets, signed by the preparer of plans. a Complete plans, 3/4 sets, signed by the preparer of plans. C 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. 07. Statement of Intent. for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. MM of Home data and installation instructions including Tie Down Specifications. d10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑1.166.. P t plan and business license approval from the City of Biggs. _ /� �i Planning approval for (A) Use: (B) Parking: �� T,T, �U r Q(� ❑ 18. Contact Land Development about ❑ Improvements, ❑ ❑ tO kms- C/'\ p p Drainage, Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029,J:1433 A, ❑Grant^Deed, ❑ M.H. Title, ❑ Check to H.C.D $ d30. Other:,�A 1 Uo nec�' tiln ��x�/'i1i► ..1 When you issue the permit, process iglollowsfvllail to owner4MMail to contractor. ❑ Telephone 3693 and hold for pickup at office. ❑ Deliver with inspector. Applican Date: 2-22 `/ EXPIRATION OF APPLIltATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major 1 and materials for construction of the proposed prop provement : YES[ NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: 'O % `T s DATE: Z- ? —,75f' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2•26 :.:...FER:I1EIt::FfR1ATT Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project. and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks'are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely. Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 . 16-- -- A-73 -3( q3 OWNER: - Q O / , LOCATION: ( P (� ? l�V CONTRACTOR: ZONING: w. DATE TO INSPECTOR: 02 PERMIT HISTORY: [ ]NONE ]AS FOLLOWS: C1 -C91 -0 V TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT I ig Description: . [ ] Commercial/Usage: [ ] Residential/9 of Units: [ ] Currently Occupied. [ ] AbandonedNacarit. _es [ ]No (j Electric is currently :[ ] OnI 0/01F Condition of electrical? Mobile Home: Yes[ ] No[ ] Natural [ ] Propane[ None[ ] Cu i'rently On[ ] Off[ ] Obvious problems: Sanitation:. Plumbing working YesZNo[ ] ' Well: Yes[ ] . No[� Obvious Sewage Problems: Potable water: Yee-"J�No[ ] _ of Damaged Area: &'OE timate valuation of Damaged Area: Spector: Date: Ix �%Ci q � r . �--� vim- , �ecQ • , l�ctQ.u.��s-. �-© ��� ��Q.�.�t�� w ` COUNTY OF BUTTE, -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM1 oa. 17,OR, APPLICATION AND PERMIT* y11E,4DRP„ rIMNu BUILDING PERMIT SOFT' OCC. BUILDIVt VALUATION OWN11117 hMa,NG oRE, CONTRACTOR'! NAME TELE10"ONE CONTRACTOR! MAIJNG ADDRE,s CORiTRUCTION Local Fireplace LANDER'S MAR/q ADDRL„ • Total Valuation ARCMFMCT OR ENGINEER UCZNBE NO' $ Filing F4Fee 2C Permit $ ARcWECT on ENGlIFERV MALMG ADDRESS $ Plan CMULONGADORESS EnergyFee $ S ,oTNo. suaDlvslarreNAaE PARCEL °1"° PERMIT FEE _ PLUMBING PERMIT Fling Fee 20 Each Trap 7.00 USEOFSTRUCTURE SFA Duplex O Mobilehome O Other SPWWY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ installation O Other ❑ --�^Q _ j7�� ^ „ �r1�` Describe Work: A 't' / l�u� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE _ ` 24 iLl ELECTRICAL PERMIT Filing Feel 20. eoov oR aces Mein Service xoA OR u:ss 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 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. O I, as owner of the property. am exclusively contracting with licensed contractors to construct the project O 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: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (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 oro 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. X ___ Date _ __ Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over S'0' deep and demolition or construction of structures over 3 stories In height. Main Service 20" TO ,00,A 48.00 NEW CONST. OWEUJNG OCCVP. ,O OR ADONS. a ACC, UDS. 3.5CR:T. MULTFOtlTLET 7.50 NW&RESID. a CIR °S; LE OMS A°OUTLET ° OUTLET OR FWURES Ex. Occup. DAL so FlXEOPPINa. OR AS.00 Ex. Occup. ovrLErs ESIo. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20. Heating Cooling Hood 8.50 Ventilation PERMIT FEt S Mobile Homs Installation Fes : Energy Inspection Fee $ oee eo,eT. rPE 2 TOTAL FEES J , .0 Z. 1 o. FEES IMP noon Co/ PARceL PD ND s This permit is hereby issued under the applicable p rov13iC of the Butte County Code and/or Resolutions to do we indicated above for which fees have been paid. By Date EXPIRES ON --— LLr� ReceiptNo.PERMIT wwlrE 0 0 3 .9.0. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANT r PERMIT 348�79B,P,E,M ` NO. PERMIT EXPIRES George Egan OWNER CONTR. G.R.Everhard, Magalia LOCATION (A.P. 64-26-32 �16 07 Ponderosa Way, Magalia JSE 7 Gv E - wk �S � py al(4 .tz' NO 6A) ' pw / L' O 7 y itEiJt/i �,z 7 s T r r lcdc4 o EaG�-l000, , Ly 101JI, �` li•> , a , t Temp. Power Pol xis !it /�,1if ��,cJl z4 �0�(/ J Call d?P G& E J / .3 V, Z �y�T" Temp. Elec. Sery Ca1 l ed PG&E oAy4>,� ti Tem Gas Serv. Cv 17-f /, / 5 Called PG&E JOB FINALE D T s . Y£ s7z�d �7 ,� en p tGr r r plCi4Ar /?ooul Y --,Z �k �'C� ���G'� y'�s' ,O��v<.v� Zv G✓�T��r l� rs `'/v T Ca�✓7 `vciv c! ,t y dv o(gu • �F,aue.l �sr��s Sladik..r/�y Gc�Sz 6W17- F Tc/ 5-12aj<j� Rod` � ^lam-�s� 4T" %,� � t- /�/,r 416)0 vi 7- a7-* • ;,COUNTY, OF BUTTE - D'0-PGG..ART-MEN`_' -QF PUBLIC WORKS BUILDING INSPECTION WORD : BUILDING 'BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping% Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor (4- ° 79 • Footings Windows - 3rd Floor StemwaI l Siding y To out - 7 Slab Roof Sheathing - - Water Piping coUX Piers Roofing fj�7 J• ' Sewer + Garage Fdn. Vents -19r- ZZ Fixtures 7 Footin sGare a Vents , , Water Htr. w 3 Stemwall nsulatlon). - -7 i Heaters c�a Slab Pro yslcally A I .`q Carport Conforms ce of ex. Gas piping & Tes .-� - Footings' structure TemD. Gas H 1 Slab Final San a tt� -Patio FIREPLACE Final o 1 Footin s % Footing ELECTRICAL - Masonry Walls Throa - ✓!2 Rough y 9� Relnf. Steel Final 'L - Fides Fixtures eog Bond Beam FIRFE SPRINKLERS Motors Framing 7`1 Test Water Htr Stucco Final Sub aneIs - 7� kMesh MECHANICAL Gird. Fault Prot. .2 Scratch Heating 7f Service Brown Cooling Z- Temp. Role J Finish Ducts Underground Interior Lath Ventllatlon - %1� Permanent Door Closer Final Z„ - % ne MOBILEHOMEUTILITIES .................. Elec. Service Elec. Pedestal 6%) Water Piping Sewer Gas Piping �\i MOBILEHOME INSTALLATION ........... -- . Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 311 W� 6 y A144 le cd d€ (NOTE: An entry must be made on this form each time you visit the job site.) ,y V� f x ti� tJ- t d r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i- 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA autnorize representatives of the County of t3utte to enter upon the above-mentioned ropert r inspection purposes. I— / /", /�, Date Signature mitee or Agent �c�C Receipt No.9-d 6 2-7�3y White-D.P.W. — Yellow s grLlwTnk-In actor — Gol�g-JCpplicant This permit is hereby issued under the applicable provision56� the Butte County Code and/or resolutions to do work-tt� above for which fees have been paid. DIRECTOR OF ABLIC WORKS 'P�li!!�i '��i►F3i= Building permit expires Date In, -7 BUILDING Owner 6�� �' SQ. FT. OCC. BUILDING VALU TION Mai I i ng Address 2 J Telephone No. / ao r /L� w Contractor Mailing Address �j a G� Fireplace f / oc3z7 C'd Total Valuation ® p low- Telephone No. 16-00 Permit Fee 4577. Buildin Address 9 S% p pTCJ �bS/� �/�'� P I an Checki ng Fee &/or Penalty Permit Fee 67, ,9 S/ d1 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Each Trap y 1.50 /0 Repair drainage or vent piping 1.50 /�� A. P. No. z " �+ " "Zoning & PI ning Water piping 1.50 0 �0 Each gas water heater or vent 1.50 es S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plbrfs Recd ParcetA roval Plan Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ a),06,$ tJ 16C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .�y0 Main service 100 AMP ORV OR SL_SS 5.00 Single Family„a Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 100 AMP O OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O CUP OR ADDNS. ( ACC. BLOGS. 22 sq ft > 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 style of: p ^^ �� � V ek-0 8A K n N -1Q 177, NEW CONSTR MULTI -OU NONoRESIDw BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 11 NON-RESID. (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTURES BAL@1ICO Ex. Occup. ( OUT LE P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 % p License No. A,9 I 5�Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ y %j a $ -7 14J 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this /Apermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.id 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 relatinq to buildinq construction, and hereby PERMIT FILING FEE $3.00 -6,(36 Heating /4po Cooling n� Ventilation Hood 2.00 , �. Permit Fee $ / C Land Development Fee $ )6' 6C: $ , CL' TOTAL PERMIT FEE - $ , G autnorize representatives of the County of t3utte to enter upon the above-mentioned ropert r inspection purposes. I— / /", /�, Date Signature mitee or Agent �c�C Receipt No.9-d 6 2-7�3y White-D.P.W. — Yellow s grLlwTnk-In actor — Gol�g-JCpplicant This permit is hereby issued under the applicable provision56� the Butte County Code and/or resolutions to do work-tt� above for which fees have been paid. DIRECTOR OF ABLIC WORKS 'P�li!!�i '��i►F3i= Building permit expires Date In, -7 Mrs. Denney Butte County Department of Public Works 7 County Center Drive Oroville, California 95965 Dear Mrs. Denney: Q August 6, 1980 With reference to our telephone conversation today regarding the final inspection of our home.located at 460 Ponderosa Drive, Paradise Pines, Magalia, California. Inasmuch as we have not as yet moved into the house and are still residing in Daly City and since the Inspector will not be available on a Saturday, it will be necessary for us to take a weekday off from work in order to come to Paradise to make the final inspection. I will advise you as soon as arrangements can be made to do so and try to schedule a day that the Inspector can be available - probably a Friday. Hopefully, this will be the latter part of August or the first part of September. I hope this will be -agreeable to you and if there are any questions please feel free to call me at the following telephone numbers: After 5 PM 415/755-4224 (residence) 8 AM to 4 PM 415/467-1300, Ext. 209 (business) Inasmuch as our office is moving on August 15th, my new business phone number will be 415/872=1600. Thank you for your help in this regard. Yours very truly, I�V�.OiOCA (Mrs.) Georg L. Egan 378 Abbot Avenue Daly City, California 94014 cc: Mr. Tom May, Building Inspector Department of Public Works - Oroville, CA. 95965 - a�-3C�' n 47 r� r� R1-: SI'DEN'I'1'A1, I-:Nk:I\'(;Y CO SERV.AIION S'J''ANDARD," CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT f), P O N �) F2 0 --C- L ,J . (location) BUILDING PERMIT N0, ti4(9 A. P. NO,(�2 THE FOLLOWING HAVE BEEN INSTAL -LED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. /A Fdn. Walls ti Floors , Walls Ceiling/Roof t/ D,cts Circulating Pipes APPROVED HEATER 1/ APPROVED WTR.}ITR. GLAZ INC.: Single Glazed Special (Insulated) , CERT. & LABELED WDS. & SLIDING DRS, t/ WF.ATIII RSTRIPPED DRS. f BACK DAMPE3RED FANS INCE MI'1"1'I NT IGNITION DEVICES J.� CERT. APPLIANCES y/ I DECLARE T11AT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORJ)ANCE WI1:11. TIII: ENERGY CONSERVA'11.0N .RE?QU1"R1?i`•[I NTS AND ACItI.-;E TO 7:11L; GOMI''L1?'Cli',NI:SS OF CII:I:S CG:It'1:"'-'I.CA' I': AS S17"' Insulation Applicator Name Signature of Insulation Applicator. mate Contractors License No. General Contractor/Owner Name Signature of General. Contractor./Owner—-Y_ �.Itc_ L;itc C: a rttractc�r I.-i.cense No. C5 1 To 0 1:1':11'1 I I' I I if, vI, 1'111;4 1 111 I'll I I I I' mill 1'111 III I it 1' 1111. Ill. I' l' 1111' l l j I'il l l ilt Ili 1'111t111'�il lti', 1' II�I.'.I 11'1'.1'1 I 1 1111 11111 Il.tl I 111 I �':II I. III ., I,I!'.I'll I�!q'�1 i'I! /:) li'�I