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HomeMy WebLinkAbout064-230-032I MIL�l 64, �` .4.� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 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: B06-2883 Issued: 12/22/2006 Address: 14784 CARNEGIE RD MAGALIA APN: 064-230-032 Permit Subtype: HVAC Change Owner: KIRBY, ROBERT & DARLENE Applicant: KIRBY, ROBERT & DARLENE Description: INSTALL HVAC UNIT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE 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 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 bC_ 1 Z3 -p-1 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy I 77 o ( &(F 3 OWNER PERMIT NO.`i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional ; Date ` ' `' ' 0 v Inspector ( V REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 N �---- ----_ COUNTY OF BUTTE . ......._c��. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r 77 o ( &(F 3 OWNER PERMIT NO.`i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional ; Date ` ' `' ' 0 v Inspector ( V REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 N Ca[CERTS - Certificate https://www.calcerts.com/cf4r_print certificate.cfin?lots-0,50222&U... CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 14784 carnegie rd - magalia, CA 95954 sierra ref htg & air / 452376 Project Address Contractor Name / License No. b06-2883 Contractor Contact Telephone Permit Number John Revilak 530-518-1109 50222 HERS Rater Telephone Sample Group Number December 28, 2006 CC14-1798390804 Certify�fig,6lgnature Date Certificate Number Firm: Revilak's HERS Rater HERS Provider:CaICERTS, Inc. Street Address: PO Box 1609 City/State/Zip:Magalia / CA / 95954 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS® is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R1 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 -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands 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: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage ripe• in GFM9 N/A 2 Fan Flow: Calculated (Nominal @ Cooling O Heating) or O Measured Enter Total Fan Flow in CFM: 1200 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Dud System for Dud System Alteration and/or Equipment Change -Out. 61 6 Enter Reduction in Leakage for Altered Dud System (Line 4 - Line 5) - (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% [ 100 x ( Line 5 / Line 2 )]: 5.08% R Pass ❑Fail 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 ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fall 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )j and Verification by Smoke Test and Visual Inspection El Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fall 1 of 1 12/29/2006 12:59 PM INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Permit Number An installation certificate is requi to be posted at the building site or made available for all arropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment CEC Certified Mfr. tl of HALf Equip Type Name and Model Identical (AFUE- etc.) heat um Number S ?CF-iltvalue)(attic,etc. Duct Location Duct or Piping R-valuc Heating Load (Bbdhr) Heating Capacity (Btuft) � L j eP H7. T h ✓ I / r G /�/ D OD 9 I IV Lv� D as Cooluig Equipment Equip Type heat pump CEC Certified Mfr. Name and Model Number # of Efficiency t Identical (SEER or EER) Systems 2CF IRvalue) Duct Location etc Duct Rvalue Cooling Load Cooling Capacity udhr as 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 1311, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Ffficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. 19ai:-/— h%O/-L Ih s'74;-'lJ'lC✓+ Installing Subcontractor (Co. Name) OR General Contractor (Co. Nam) OR Owner S j `o,,• ��� f .Signature: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 { INSTALLATION CERTIFICATE (Page 4 of 12) CF -W I Site Address PeamitNumber INSTALLER C wLIANCE srt'ATENiENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ IRrested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL. CONSTRUCTION STAGE: D Remove at least one supply and one rebus register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. D If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed ❑'Inspect alljoims to ensure that no cloth backed rubber adhesive duct tape is used D New Distribution system is fully ducted (Le, does not use budding cavities as plenums or platforms returns in lieu of ✓ ❑ DUCT LEAKAGE REDUCTION Prom adam far field vagrn w tion and d & zirasdc to kw ofair da&z-bnd n systeoss are available in RA CM ADven& rRC4.3 NEW CONSTRUCTION: Sim Dud Preswaization Test Results (CFM @ 25 Pa) Measured Values - 1 Enter Tested Leake Flow in CFM: Fera Flow Calculated (Nominal: ✓ IPPCooling %e E3Heati* or ✓ 13 Measured 2 IfFan Flow is Calculated as 400 c lion x number of tons or as 21.7 cf n1(kBUr1hr) x Healmg 'Capacity 1 Z Da ✓ ✓ in Thousands of Btdhr, enter total calculated or measured fan flow in CFM here: 31 Pass if Leakage Petoeatage4 6% for Final or <_ 4`/o at Rough -in: ' ❑ Pass D Fail LOO x_(Line # 1 / # 2)11 ALTERATIONS: Dad Siem and/or HVAC Equipment ChWge-Oat System Prior to Du Enter Tested Leakage Flow in CFM from Pre -Test of Existing Dud d 4 System Alteration and/or Fqu#unent Change -Out. Eater Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5Smystem for Dud System Alterafton andlor Enter Reduction is Leakage for Altered Dad System = `: 6 _---(Line # 4 Mmes ire # — if cable 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ Entire New Dud System - Pass ifLeakage: %= mtage <— 6% for Final Pass D Fail8tj00 x # / ZOO Line # 2 0 TEST OR VERIFICATION STANDARDS: For Alter Dad System and/or HVAC Etuipmco' Change- ✓ �/ Oat Use one of the fifflomft four Ted or Ver ficatien Standar& for camplianm 9 Pass if Leakage Percentage <-15% [100 x [ (Line # 5) / (Line # 2)]] D Pass D Fail 10 Pass if Leakage to Outside Percentage:5 I09A [100 x [__(Line # 7) / (Line # 2)]] D Pass D Fail Pass if Leake Reduction Peke ;-- 60% [100 x L_(Liae # 6) / (Line # 4)]] D Pass D Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing ofall Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑Pass ❑ Fail. Pass if One of Line. # 9 # 12 D Pass D Fart ✓ E3L the undersigned, veafy that the above drwmwdc test results were performed in conformance with the regruremeds for compliance credit 1, the undersign, also certify flag the newly installed or retrofit Aff Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of20B//nrilding Enera Efficiency standards. �%i��Ltlnr05 Installing Siu1>contrddor (Co. Name) OR General C0nftWt0r (Co. ) OR Owner Sim Dam Copies to: V(%/D]iNG DEPARTMENT, HERS RATER (IF APPLICABLE) BUHDING OWNER AT OCCUPANCY Residerdial Compliance Forms September 2005 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: 14784 CARNEGIE RD Owner: I Permit No: B06-2883 APN: 064-230-032 KIRBY, ROBERT & DARLENE Issued Date: 12/22/2006 By KCG Permit type: MISCELLANEOUS PO BOX 1211 Subtype: HVAC Change Out CAVE JUNCTION, OR 97523 Expiration Date: 12/22/2007 Description: INSTALL HVAC UNIT (541) 592-6363 Occupancy: Zoning_: R-1 Contractor Applicant: Square Footage: ALL AIR CONDITIONING KIRBY, ROBERT & DARLENI Building Garage Remdl/Addn P O BOX 4336 PO BOX 1211 CHICO, CA 95926 CAVE JUNCTION, OR 97523 Other Porch/Patio Total (530) 532-1855 (541) 592-6363 . FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1288 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ALL AIR CONDITIONING 826491 / C20 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/22/2006 the applicant to a civil penalty of not more than five hundred dollars [$500j; 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 Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or 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 Fit I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; 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 Cartier. State Fund Policy Number: 550-0000940 Exp. Date:05/01/2007 Contractor's License Law.). (This section need not a completed if the permit is oror on h dred dodollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 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 12/22/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provi 'ons. X 12/22/2006 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 Slate laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr perty owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 12/22/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for FrRittee NI Print Date the performance of the work for which this permit is issued. (3097 civ. code) ® Owner Contractor OR; E]Agent for Owner ElAgent for Contractor FILE COPY Lenders Address City State zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARL * * _j+ Aq -2n _ yp�o OWNER INFORMATION Last Namei / - Name , Mailing Address d f6 12-11 CityC14 _J S(>e 7Lt3 Phone Fax E-mail CONTRACTOR Name ,L,L l�c,c k k,4L Address City StateZip Page Phone 87�, �kSS Fax E-mail Lic. # 2 Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Ow �� Address Subdivision Name City Page State Zip Phone Name Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Ow �� Address Subdivision Name City Page State Zip Phone Name Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION /PROJECT AN Property Address 4/2 A2_%� City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 00 Received by:.'Y, , Amoun� 5- Bldg SRA Receipt #: Sheriff SMIP Other Date:1 • 22' �� Total 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: 14784 CARNEGIE RD Owner: Permit NO: B06-2723 APN: 064-230-032 KIRBY, TRUST Issued Date: 11/28/2006 By KEJ Permit type: MISCELLANEOUS PO BOX 1211 Subtype: Wall Furnace CAVE JUNCTION, OR 97523 Expiration Date: 11/28/2007 - Description: REHANG EX FURNACE, NEW DUC Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &, Building Garage Remdl/Addn PO BOX 35 PO BOX 35 ; LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530) 384-2444 (530) 384-2444 FEE INFORMATION Air Handler w/ducts to 10k cfm $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B998 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) i full force and ffe of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 11/28/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ontractor's gnature Date E]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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 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 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier:State Fund Policy Number. 713-00'Exp. Date:05/01/2007 Contractors License Law.). (This section need not be competed if the permit is or once hddoollars ($100) or es— s ) ❑ 1 AM 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 11/28/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date rovision s.1 11/28/2006 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 ature Date WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to entell the above mentioned property for inspection purposes. I hereby certify that I am the roparty _o e o a aut rized to a on the prop o es behalf. CONSTRUCTION LENDING AGENCY (i di il!`7(Ul l/28/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o Ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner 1:1 Contractor OR.Agent for Owner ffAgent for Contractor FILE COPY Lenders Address City State Zip i' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" For office use only: OWNER INFORMATION Last Name ' irst me Address , C7 4 ea r b City j/1/) �Q� Stat Stat /b/1 1•�� Zip Phonel O Fax Fax E-mail Lic. # �.071 1 For office use only: CONTRACTOR Name ' Addres Z5 City C 65 DILI. n tr Stat Zip lD�IDC �J PhonZI ( 040 L4 Fax E-mail Planner Lic. # �.071 1 Class For office use only: ARCHITECT/ENGINEER Name HVAC Address Z5 City ' lnos State Zip Phone Book Fax E-mail Planner State License Number For office use only: APPLICANT INFORMATION Name ca(Anheis HVAC Address Z5 City 105- ' lnos Slate�� Zi Phone Book Fax E-mail Planner For office use only: Zoning Property Address '14-18 C4_m e Flood Zone &q&a[al SRA Yes • No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS IN6 FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION AP# 00 10 Property Address '14-18 C4_m e &q&a[al Cross Street WORKER'S COMPENSATION Policy Number Carrier 6 _J 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 qr Scope of Work: QirolTj?�40-0_ of dw,# 1A)rk4 Scl FT- Living Garage Open Cov O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Receipt #: SRA Sheriff SMIP Datell h' U� Other Total REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARL * * _j+ Aq -2n _ yp�o OWNER INFORMATION Last Namei / - Name , Mailing Address d f6 12-11 CityC14 _J S(>e 7Lt3 Phone Fax E-mail CONTRACTOR Name ,L,L l�c,c k k,4L Address City StateZip Page Phone 87�, �kSS Fax E-mail Lic. # 2 Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Ow �� Address Subdivision Name City Page State Zip Phone Name Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Ow �� Address Subdivision Name City Page State Zip Phone Name Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION /PROJECT AN Property Address 4/2 A2_%� City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 00 Received by:.'Y, , Amoun� 5- Bldg SRA Receipt #: Sheriff SMIP Other Date:1 • 22' �� Total RESIDENTIAL 3 755-90B,P,E,M, Mike - o 14784`�arnegie Rd, Magalia Contr: Mike Carver I (new single family) w 1 OFFICE COPY Address I e l �B l te— ELECTRIC Meter By Datejj��! J JOB FINALE Signature RESIDENTIAL 3 755-90B,P,E,M, Mike - o 14784`�arnegie Rd, Magalia Contr: Mike Carver I (new single family) w 1 OFFICE COPY Address I e l �B l te— ELECTRIC Meter By Datejj��! J JOB FINALE Signature =QK O = Nat OK = ot Applicable Not Ready RESIDENTIAL (Single ' =N Date UNDERFLOOR (Plans) OK except #'s i 7/Ftg. ain; Soils-Elec. lam.-/[X:-Ftg. Depth t arage; Soils-Steel-Elec. Qrnd' Uov' Ftg. Depth oe-fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Sip; Steel -Wrapped ie -Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas , Size -Anchors 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Z `'(,o Card B-1 Date 41-70 Card B-1 Date z/• /0.20 Card B-1 4V/1- Date 412- Pc,, Card B-11_0� Date P UMBING Permit OK except #'s bJ 1 ater Htr.; Vent -Access -Combustion Air -Baffle 1 ater Pipe; Test & Anchor -Nail Protection 1 .%�t.V.; Test -Fittings & Anchor -Nail Protection 1 ower Pan; Test, First Floor -Tub Access 2 . t Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date S'-44.> Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s .-_22.. Fixture & Transformer Clearance -Ins. Protection 2 lec. Receptacles Spacing -Lights & Switches at Doors 2ize Boxes & No. of Conductors -Stapled 2 . omex Installed Close to Edge of Studs & C.J. 26,Eq'uip. Ground made up w/Meth. Fastners-Bond Gas & Water V-1 Appliance Circuts in Kitchen & Conductor Size/GFI <28.-3obfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / ga. Cu ven Cir . / / u or Al. Insulated Neutral Yes 'so 3 . ervice-Riser Conductors & Ground -Main Disconnect 3 quip. Clearances Panels-Motors-Mech. Equip. 9e.. 6'e has Closet Light -Shower Light -Spa Light 3jmoke Detector Date 09 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s 3".C. Ducts Insulation & Support 3 et Fan; Exhaust above insulation Co densate Drain & Overflow; Size & Grade 3 �rnance-flerrt-.-Access-Comb. Air -Return Air Vent -115 outlet 3 . Attic Access & Platform if Furnance in Attic Date i= k>-awCard B-1 11f Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 ils, Proper Material & Anchors 46. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41 earing Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing & Duplex) Date FRAMWG (Continued] 44-49. ngers-Post Caps -Anchors -Connectors Cing_Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. %,Firriplace Ties or Type A Flue -Fireplace Throat clearance 4 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles X -Windows or Exiting Doors -Sill Hgt. & Dimensions SA-derage Fire Protection Framing 4I W71-PrdWrrty Line Firewall & Openings 512. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 59:-9tmm-Width-Headroom -Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 . iding-Nailing Veneer -56-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -5Z lazing Area -Glass Protection -Skylights -Plastic. 58. Sh ar Walls; Nailing -Bolts ~ . Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date -/J _-W Card B-1 Date Card B-1 Date -/`f- Card B-1 Date Card B-1 Date FINAL ns K except #'s 63-1fxt,,5te'l5s-Door & Sidelight Protection -Landings mo Detector Ba-r urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection i Exiting Bath Fixtures & Tub EletyTiim & Subpanel; Breaker Sizes & Labels ¢YStai Rails 6 . it d' ce or Stove; Clearances -Hearth fif'Elec_Qu4i�gIs at Wood Panel; Int. & Ext. 7QO_xt. &Appliance; Grnd.-Air Gap -Cooking CI Elec Outlets &Receptacles at Kit. Count 7 a -rage Fire Door; Swing -Landing -Closer Uuct in Garage -pamper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 5 b,.bec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protection n ion -Foam -Looked in Attic 0 Yes Guard.Rails & Deck Construction -Post Caps p ­rd -n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor _. 0 Yes 80. Following instld.; Drive 9'%s 0 No; Walks des 0 No; Planters 0 Yes 0 No qxw, grown -Finish A.C. nit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to _Openings . Wat Well; Disconnect, Electrical, Plumbing Exte 'or Elec. Trim; G.F.I. Receptacle -Underground entil tion Throughout House s'Protection Air-cgf.Fe,ctions from Previous Inspections t-Meters Tagged; Gas -Electric L9eWaW'& Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date - f�Card B Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 LOCATION V A. , P. NO. ROOF MATERIAL-_�__, BRAND NAME THICKNESS EXTERIOR WALL _ THERMAL RMSTANCE (R VALUE) MATERIAL FIBEGLASS�- :BRAND NAME CERTAINTEED THICKNESS (INCHES)'THERMAL CEILING RESISTANCE (R VALUE)^ BATT OR BLANKET TYPE FIRC! CLASS„ BRAND N( ; ERI TAINTEED THICKNESS_ _ THERMAL �'lSISTANCE (R VALUE) LOOSE FILL TYPE -FIBERGLASS BRAND NAI�iE CERTAINTEED �+ MINIMUM THICKNESS (INCHES) ~ AREA NUMBER OF BAGS,Zq_�WT PER BAG LB COVERED (SQ FT) .2, THERMAL RESISTANCE (R VALUE).3 FLOOR, ELEVATED MATERIAL FIBERGLASS_ . BRAND NAr4Z CERTAINTEED THICKNESS (INCHES)"_ THERMAL Ri--SISTANCE (R VALUE).-^�-�j'�.. FLOUR, SLAB MATERIAL BRAND NE:; ,E THICKNESS (INCHES) FOUNDATION WALL ;THERMAL RLSISfAlVCE (R VALUE) MATERIAL BRAND NI,, jE._. THICKNESS (INCHES) THERMAL f�._SISTpNCE' (R VALUE) I HEREBY CERTIFY THAT THE A OVE INSULATIC119 WAS INSTALLED "IN THE ABOVE BUILDING IN CONFORMANL,E WITH THE ST -TE OF CALIFORNIA ENERGY REQUIREMENTS. t HAWKINS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DAjqbo TE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED*`ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIAL.S ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY•,7'.HE STATE OF 'CALIFORNIA, co FIRM ME/OWNERk STATE CONTRACTOR'S LICENSE N0.~ l`OR/OWNER SIGNATURE GEN. CO NT R.AC CDATE :;: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 '14 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE' T -OWNER. PERMIT NO. A routine inspection indicates that the following• violations of County Ordinance exist at the above addressiand' should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this, ma�iter, % �ored addit ional explanation, please contact this office immediately. 3y rOL, 16010- OLrG_ !�toL� C 0 r. Se/V S&_4 C4 -c- Qr� tz� 11 0 Date— Inspector 1))_* tl ti Inspector Date +' ,41 - COUNTY OF BUTTE I , DEPARTMENT OF PUBLIC WORKS • • ` 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Courity Ordinance r exist at the above address and should be corrected. Please notify this office 4 when correction of work is completed. If you have any.question pertaining to this matter, or need ad Inntional explanation, please contact this office immediately. w cJ( g. tl ti Inspector Date +' ,41 - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ` 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 r CORRECTION NOTICE - �'v :RMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Ins ctor Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviI1e — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE C CL -41%04--1 1!9 7 Cr./ OWNER PERMIT NO. 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, or need additional explanation, please contact this office immediately. s' 'J L 41�r��- o.\� tNSn¢c YcoNS S•2 t— cx. C KC N C "k Inspector Date y — Z - 10 ' Z. z . CWiUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND_,PERMIT„/ PERMIT NO. ASSESSOR PARCEL NUMBER 4-2-3-32 ZONING ' _ BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1411 R 56,440 OWNER'S MAILING ADDRESS P.O. Box Chico 95927 476 M 6,664 CONTRACTOR•SNA E Mikp TELEPHONE 102 Open 510 24 COV 240 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $64 854 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 328.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14784 (.Arnt-Rip Rd Permit fee $ 368.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Ma alga Solar or heat pump water heater 20.00 LOT NO. 90 SUBDIVISION NAME Paradise Pines #14 PARCEL MAP Waterg pipin 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5-00 Building sewer Mobile Home S G W#i4 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 Bdrm. Master #9-88 Permit Fee $ 50-00 Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 11V OR LE 100 AMP ORSLESS 10.00 10.00 Main service EA. ADC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No?� y�i Z2—. 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) EJ I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&47.20 OR ACDNS. � ACC. BLDGS. 2/4sgft NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC', TO 2.50 ea (POWER APPARATUS a� SINGLE OUTLET CIR. Ex. OccU OUTLETS OR FIXTURES p� 20®500 eAL®30 FIXED APPLNS. EX. Occup. OUTLETS IIRESID IREA.) 2.00 Temporary service 10.00 10,00 Home Facilities 15.00 Misc. Ilyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6-00 Coolin 9 .00 Hood 3,00 Ventilation 3.00 Permit Fee $ 28.00 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. 1 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 sai u in consequence of the granting of this permit. X 3—/f (d Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" de an) Volition or construct- ion of structures over 3 stories in eight, j Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o c CONs_T�iYPE `UVJ' fN� TOTAL FEE $ 555.20 cuA ” PARK Sc D PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov for/which fees have been paid. DI EC R 0� PUBLIC WORKS�L ;/'7/1 By. Dat PERMIT EXPIRES Date V Receipt No. :3 t-�i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECT GOLDENROD -APPLICANT 0 `13 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965- Telephone: 916/538-7541 APPLICATION AND PERMIT . ASSESSOR PARCEL NUMBER ZONING BUPLDING PERMIT OWNER A ��� T �EPH NE S0. FT. OCC. BUILDING VALUATION ' S OWNE 'S MAILING ADDRESS 0 /�o �G 6 CO TRACTOR'S NAME ITELEPHONE f JlO �✓ OAtO CONTRAC R'S MAILING ADDRESS Fireplace A/pp0 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 4 O 54 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 9100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /SOO Energy Plan Checking Fee $ 15-1 D ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee oo $36k,I PLUMBING PERMIT FiIingFee 10.00 Each Trap (9 2.00 off% 00 rA Solar or heat pump water heater 20.00 LOT NO, SU BDI VI N AME S PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 S D USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ' (� Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New,. Addition ❑ Remodel ❑ Utilities ❑ Installat'on❑ 0 er ❑ Describe work: R�-. S7 -69— 4 Permit Fee $ S-0.001 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10 0 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ACDNS. (ACC. BLDGS. h¢sgft tj NEW CONSTR. RANCH T LET NO N•R ESID BRANCH CIRC ITS CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200SOt eALM 30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Q,QO Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 6.C7d Hood 3.00 3 0 Ventilation Permit Fee $ (7O Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for'excovations over 5'0" deep and demolition or construct. ion of structures over 3 stories in het t. Mobile Home Installation Fee $ Energy Inspection Fee $ 30r0 occ CONST TYPE i TOTAL FEE $ O HAZ CUA PARK scHL FLD PAR Po Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. -1? Z �gq WHITE-D.P.W.. TCLLOW-ASSESSOR, P K -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # . Driveway permit Z y�� has•been issued for the above property. s ature o 1190 date 1 TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Gll.O Location AP# y Plan Approved for: Sewage Disposal/�_ Water Supply . Hold final for: Water Supply Final clearance O..K. for: Water Supply Clearance for 1 _ bedroom z le home. Other NOTE * * * J/7" C: / 2e1/1 G U /' . e�/�2B cG� J -v2 Q- V 10 2-3 Sanitarian Date COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1/d 621�e_d A -0-e A. P. No. 6-1 Proposed Building Use /l/i���'�' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by prepares of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .. 10. Fees of $ �)?5 ' 3 11. Chico Urban Area fees paid ....................................... Park fee,§ paid 3. ffig&cho,ol District fees paid .............. 3 3 0 -IqD 11n_0 - 14. Sanitation approval from Health Department _3La'9t�-) 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1;618. Improvements may be required. Contact Land Development Section DPW 19.-Driveway-perffi (construction approval-required-prior--to-occupancy-).--3 -30-?o 11W O , 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21/Contractor's license information (No., Name Style, Classifications ... �. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... Ja -Qd 7 T 25. Letter of signature authorization ................................... �! 26. 27. .� When you issue the permit, process as follows: Mail to owner. Mail to contractor. 1- Telephone- Telephone 2!3/— Zh and hold for pickup at _office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_ma'i'1=counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW p64 A on EsvOtA wifa. rp f 0,01 fid' ma V?Mwui ------- --------- wayhr'smmp Shoo Bs in NOT ---,off rc*defth **wfth Grc..*,r(-4 Praefices aid ii will Rm,4, oiu " t, � the snec use in the codas md 140056, io. I sve Yoe Wof ck t\-\foac se " Clear of 'o, a? V\Wl par. A 0 7' V%\e C )ee -q-b IN RE04STE6 Sy: 'Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 Q- 1 2 9 5 0 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County "Code ' requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjaceni' to eland or included within an area "zone- 90-012950 Rec Fee 7.00 for agricultural purposes, and residents;, Total 7.00 of this property may be subject to inconftt Recorded veniences or discomfort arising from thf, Official Records use of agricultural chemicals, including, County of but not limited to herbicides; pesticides Butte and fertilizers; and from the pursui^ Candace J. 'Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing 8:01am 2 -Apr -90 JK 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that r al, -property situate in the County of Butte, State of California, described_ as follows: WCA - See Attached description Date: ?a State of CALIF ) ) SS County of BUTTE ) . DAVID HALKO'F N07ARB tte Coun!ZA ORNIA �� My Commissionxpires March22,11 64-23-32 Present A:P-No PROPERTY OWNERS: MICHAEL L. CARVER On this the 30TH day of MARCH , 19 90 , before me, the undersigned Notary Public, personally appeared MICHAEL L. CARVER ® Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(R) whose name(R) TR subscribed to the within instrument and acknowledged that HE executed the same for the purposes in contained. IN WITNESS WHEREOF, I hereunto set my hand a officia seA., __11 Notary Public X0-03658 .. �--. �Q- # 290 PARCEL : LOT 90, AS SNOWI-I Oil 'l.'I1AT CER'.I'AIN MAP EwrTTLED, ".PAR11DTSE . PTIIES lltl.l'l' 1t(). 1.4", MITCH MAP WAS RECORDED 'll Tfir, OFFICE: OF'- THE REcORDE:R OF TIIE:. COUNTY OF' 1311'.111:', S'.1 -ATE OF CALIA"C RIl fA, Cit! ;1111.M I.5, :19.1.1., :111 HOOK 38 OF MAPS, AT PAGES 37, 38, :39 40 AND 41. E:X(.'EP'i`TIIG7 '.I'll EREF'ROM ALL MINERALS, OIL, GAS, ASPIIAI.l.I'(lli Atli) O'I.'lIEt2 IlYDROC:ARB011 St. BS.'FANCES, lgC'.['Il PROVISION I'IIA'.I' ANY Atli) ALI. U[IEI ATIOIIS SIIAE,1s HE DONE FROM OR.:I:FLI,ES OU'1'S'fUl '.I'IIE SURFACE AREA OF' THE .LAND DESCRI.BEDIIERE.4t Atli) TIIA'I.' 1,10 DAMAGE SIIAIJ., BE DONE 'J'O SURFACE OF SAID I.AIID. PARCEL, 11: A 11011 -EXCLUSIVE. EASEMEIVI.' OVER L,O'.I.'S A AND 13 ('.l.'llE C019M01.1 ARIA) OF SAID PARADISEP:I:MES UNIT IJO. 14, AND '.FIIE: LO -YS DES:I.GNATED F'011 COM -1011 Atli) RI--:CRPATTOIl AREAS, AS DESCR.TBED Ill '.['IIE DECLARATION OF AtINEXATI:ON FOR [.1t11:'.1.'S IV, VI, VIII, X, XI, XII, XIII AND X -TV. END OF DOCUMENT END OF DOCUMENT BUTTE COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) - A. P. 'Number . �p�"o2- ' ,��- Building Department No. School District.City, D .County �Jurisdiction Property Owner Project Location/Address ���� �(�,,, Q�,¢� oj2�-- SubdivisionIs�jl�re� Residential Development: # of Living MHI Units Lot Number g� Sq. Footage /Wi/ Addition (Group R) Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel). DistrZt--`Id No. School District certifies that (Applicant Wame). (Phone Number) (Str/tet 'Address.) (City) (State) (Zip Code) has complied with the ✓�requirements of Resolution No. by' theray t 'of • $. a�%�v /�p representing square feet. S-p-ool District Representative / D to PAID BY CHECK NO. BANK NO' 91j - 04-1, P) REMARKS: PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT *.: J � 7�\ PERMIT NO. � r ASSESSOR NAF..:" NUMBER •• 64-23-32 ZON NG RT1 BUILDING PERMIT OWNER Michael L. Carver TELEPHONE 891-8830 SO. FT. OCC. BUILDING VALUATION 108 open 540 OWNER'S MAILING ADDRESS P.O. Box 6226 Chico 95927 CONTRACTOR'S NAME same TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 11.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee E. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING14784 Carnegie Rd. Permit fee $ 36.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ma alfa Solar or heat pump water heater 20.00 LOT NO. 90 I SUBDIVISION NAME Paradise Pines Unit 14 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Y� SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New F-1 Addition[�X Remodel❑ Utilities❑ Installation[] Other❑ Describe work: Arid' 1 SQ_ FtR _ _ for ##755-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions de and my license is in full fore and effect. License No. Z� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2/a¢sgft NEW CONSTRESIC. RANCH TLEET NON-RESID BRANCH CIRC ITS CIRCUITS) 2.50ea POWER APPARATUS e) SINGLE ouTLET cIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20e50C SAL(P30 Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabi'H ' s, 'udgments, costs, and expenses which may in any way accrue against id my in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE . TOTAL FEE 3 .50 HAz / CUA PARK / SCHL FL PA i HD, •, v I s This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees IR O F PUBLIC BY PERMIT EX IBES Date the applicable provi- resolutions to do have been paid. WORKS, �/010 ate 30 Recipt No. 64291 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Pill I COUNTY OF BUTTE - DEPARTMENT OF,PUB;LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT &PL-IGATIOWDATA SHEET Permit No. OWNER �� UF. %� f /yl �C ill t1 t _ A. P..No._3^ 3Z Proposed Building Use 14120 S© 1Frco Building Inspector. Date S -3 'g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 DATE RECEIVED APPROVED 1. All items have been submitted. .-::�.. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .: 5. Hazardous Material Form ....................... ...........:. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings,-" ........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions................................ ill"i................ 10. Fees of $ .................... 11. Chico Urban Area fees paid..................Y..................... 12. Park fees paid .................................................... f 13. School District fees paid .............. a�14. Sanitation approval from,' Health Department 5-3-5 0 15. City of Chico plumbing -permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ......r- 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ' 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When y u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone WZ i-3and hold for pickup at •office. Deliver w. /inspector. Other 01 Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone --nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—maller by date Plans checked by Date Plans approved by cou Date �O d Sets of plans on hold in File cabinet AP folder )t' Copy—DPW Iy t TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance G lva- ee,v C -I 7 6 y- -~ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply clearance for bedroom mobile home. other i� dleG NOTE *** - Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND=PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (0 3 — 3 Z ZONING j BUILDING PERMIT OWNER CAJ12VGle- cH F, TELEPHONE SO. FT. OCC. BUILDING VALUATION NER'S MAILING AD RESS OWz5 0 Z !C Z �' 1-Ap CONTRACTOR'S NAMEf CA /Y?TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN - Total VaIUeIIOn is LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ , •;v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee I $ r7D ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. �0 SUBDIVISION NAME 1�ADI�ADIS1� NES �%NT 1 /4/7 ARCEL MAP Water piping 5,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFIm Duplex❑ Mobilehome❑ - Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 Sal TYPE OF WORK New E] Additional Remodel[] tili,ies❑ stallation❑ Other ❑ Describe work: a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 1OOVAMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I d ciare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered - for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.8 OR ADONS. ACC. SLOGS. , /20saff NE w CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS &) (PO OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES Ie ALP 30eFIXED APLNS.I EX. OCCUP• OUTLETS PIRESID IREAJ 2.00 Temporary service 1.0.00 Mobile Home Facilities Mobbi. 15.00 MiWiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): � Thg.permlt Is for 5100.00 (valuation) or less. �f/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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating I Cooling Hood 3,00 l Ventilation permit Fee $ Contractor I Certify that I have read this application and state that the above Information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Y Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. Xfn.s Date Signatu.e of Apphcont — Owner L_ . ContractorIr_, Agent Cj LE An OSHA permit is required for e:covatlons over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee g -- --- -- — OCC CONS: 'v P: TOTAL FEE S HAz I CUA PARK I sCHL I FLO I PAR PO i HD ISSUE permit Is nereby Issued unser sions OT the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Dale the appilcable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (0q,;?q I WK-E•c. ►. w., rr.lo..-Asscssc4, o•an NSPECTO-. GO' DEr+-aa•AoeLICAwT %'ajjo1AS roec% Plans and IS cl jj, e� In same. he kolb It 11 IierattOns Or Opt a changes the�epert�n� ! =�� row) PST sio 161 '%V�to. out wtl"n -S or rnis �n Workmanship S%d so In 'AD materials WIDAI Go and iE�rvood Proc", vAth Recas Use In the the S Oct a bjj'g.& M'T'tiaj codes and uwowak tie Mai b,c J) io -T7 A) C- UAJI A SGOA& Of 'L " froma V* Cd Vopeny Oros "tmick S - frorn theroad o ft centerline shall be clear of structures or oquonwO exow • BUTTE COUNTY I for a 2 ft. offv* OvsfiwV. 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C rf 1 Y i;+ , •.P�.Y� 1"l�� 9f.�" j J {it 1 f3� a y��j S tr , • s !�%� t 1 r � ' � :/j: , � ,. a 4+. �� tt � � _• 4.1 ' J t =1t{ � / 1�'I 4t �•�ti r,�. �. 4 pl }fi.1 J_ Ir . r: dr urv� � IrpY i j r � £ f y � t � ; } ,tri f • 4 3t .u'�A 1.�, it A ; � LFlT� . 1, �^�' 1 � 1 r t• �-„t ft 1. � j C rri rMyi '.l ;; •,� 3.•::•4'�,d' `t1:ti�16n':,3=1 ', YFi"5 {t` i�a,� j•i� :';�� r'p• Y R1Y �"'7{!tY 1? ls�d'C;'+.. t fdl,'r, v'. vf� r ' ! � ti � rtcl't l �,' f xyl •MI • ii b� �� `�,W.•'t� 1 '.ick' r 1 „Z' 1 ` �'t.� 't � x If .'"'. �!, i� O �'{,'.�w..!+r��Ngrrt C r • 1 �„futidls �` ,w ��. l.•l ��, 1,,. I o�'a' r x), J��.i •, a! .ti. h i 1 u �T'-•Y b - t I f • �r�tl iY, I "�`'1�7�'i _,C� t� � ' , Ca���• * t� V i t; f 1 '1 ' + . t 1 •.. � r t ' cv fy3;j'Yy�V1 l=+• ' ,� rt1.. ��yllr4�ta 1 !', I S><' �o rfF t.,�. V, ,,' '�� 1 �y,'.. �{� �.t�i 1 ' f tr (r ♦ ='1 ! C� { ji,;; 1 \' 'C. ! rja. wt ,�J. ;. � ,AV :i '•(r•frrr i 'j, 's.� !� • Tot�p� +� •V N` _ }•�� �!!i �'�r��'' �' � '. � ., �pp''���f�r.gy. by '`�������' �, ?I of 0 Z a LA `a 4 41 D `_ 1 a -ANO 3 { ti .�{:_��. --__ - . ; ,�= � gip; � � � • ; ; , • ! a2''u O E 4 �e. m V4 j po N 1 o D BUTTE COON SUILQING DEPART NT .• APPROVED 1 -J } i � _ _ _ ._ ...� � � ...-s�:>r�vn-�Fi>a+IIw�^'r, �.^^,a.-.''�Mf�t..,� �..y.w '--•... ..-...w .-. — •r—� ,; .iy �:-y---.y f �.�.1 f► . V' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ! r RM1T, NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1– ZONING Qr / BUILDINGPERMIT OWNER I Wo & 4 / Ze or, I TI V f k TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME t d u.-� TELEPHONE g?7-G,r�y CONTRACTORS MAILING ADDRESS CONSTRU TION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS `. 12#fEnergy Plan Checking Fee $ PERMIT FEE $ LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE // SF CB*Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CYOther ❑ Describe Work: �/V -S !+ �� �/ �C rj <' "+� �/' ✓ / Gas piping system 1 - 5 outlets 15.00 N4 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ V ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�o.OR LES 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 fyl force and effect. ��/ y" License Class / Lic. No. r/ 3I �+ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WELL To 1E0EA 46.00 NEw CONST. DWELLMIG occuP. 3.5QF°. OR ADDNS. ( a ACC. S. NON.RESID. ' MULTI.OUC.TLETITS @7.50 PSO APPARATUS a SINGLE OurLEr C'R. 20 Ex. Occup. OUTLET OR FIXTURES BAL ®'.50 Ex. Occup. ouTLEEDrs RRSID°Ew 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: ❑ 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 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 insurance Carrier and policy number are: Carrier F,,,n C MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Policy Number 34 49 or) 1 1-6Geku0 (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 f:71/wit•comply with those provisions. _` X . , y Date /_12 `?i Signature of Applicant - ❑ Owner ❑ Contractor JR -Agent / r 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 $ 7o o -o HAZ. D. FEES IMP FLOOD I CDF PARCEL PD I HD ISS 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 t��" =' Date �� C f/ L PERMIT EXPIRES ON / / / 1 91 �'/ 1 / pate Receipt No. i� `�- %� 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 (530) 538-7541R NO. (Rev. 12/96) APPLICATION AND PERMIT Q2gZ7 ASSESSOR PARCEL NUMBER I — ZONING /_— r/ BUILDING PERMIT OWNER W L or ot � u s! TELEPHONE/ SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS ! CONTRACTOR'S NAMt a a d A-- u -d- TELEPHONE CO TORS MAILING ADDRESS a s� g596 CONSTRU T10N LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CA' 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: %/L S '1-u !! r -� S ��`^� °r "' �GGS 5 A0 -� Gas piping system 1 - 5 outlets 15.00 B'o Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35 - a -b ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 20OA 0R 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 f9 force and effect. License Class Lic. No. 7-313/e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 40oA To 46.00So CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. _NON-RCONST.SIMULTI.OUTLEi 97,50 POWER APPARATUS 8 SINGLE OIlrLE7 CIR. EX. Occup. OUTLET OR FD(TURES 20 .00 SAL x,50 Ex. Occup. oF"(LIT M °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 erformance 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' compen�att insurancegarrier and policy number are: Carrier �J7gT2 n Policy Number - G000O 2 cl (rhe above sections need no 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 fort t mp1 ittI ose provisions. �� X ` Date GC% Si ature of Appli nt - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 5 Cooling Hood 6.50 Ventilation PERMIT FEI: $ 3 �7 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70, e D HAz. D. FEES IMP FLOOD I CDF PARCEL I PD HD I SSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ` PERMIT EXPIRES O_4 the applicable provisions Resolutions to do work been paid. Date G� 1 () 1 Date ReceiptNo.3 %—J) WHITE -B. D. ANARV-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT