Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
064-240-033
64 -24 -33 - Lois Butters 10 Olivet, lot 21, PP#15, Magalia contr: Sam Intermill, Paradise Permit #1507- 8B,P,E,M(new-single family) 64-24-33 contr: Sam Intermill Const., Paradise °ermit #6-W, �78B(.ew open d ck S ) ne 064-240-033 W98-1690 '"BUTTERS, LOIS P. 13893 OLIVET MAGALIA �NALED RODGE ROOFING t. �03 REROOF 064-240-033 06-1925 BOOKER, SHARON 13893 OLIVET DR, MAGALIAP4 4 Cont: DEL JOHNSON HEAT&AIR HVAC(GAS LINE/ LP TANK) ,-1 -1 -1 B07-2046 064-240-033 MISCELLANEOUS Re -Roof RE ROOF COMP 25 SQ.'S 13893 OLIVET DR BOOKER, SHARON s o6N• 20-0w �3 i BUTTE COUNTY i 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: 13893 OLIVET DR Owner: Permit No: B07-2046 APN: 064-240-033 BOOKER, SHARON Issued Date: 09/28/2007 By TMP Permit type: MISCELLANEOUS P O BOX 2786 Subtype: Re -Roof GRANITE BAY, CA 95746 Expiration Date: 09/27/2008 Description: RE ROOF COMP 25 SQ.'S (916) 989-5145 Occupancy: Zoning: U Contractor Applicant: Square Footage: OWNER BOOKER, SHARON Building Garage RemdUAddn P O BOX 2786 r{ GRANITE BAY, CA 95746 Other Porch/Patio Total I1 (916) 989-5145 FEE INFORMATION DBMSC Re -Roofing $144.50 r+ Gi Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B4806 ,._ - � 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 OWNER / / 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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. 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 09/28/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's 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 "'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 ❑1 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred ($100) or Tess. FiI AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 424 4 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 09/28/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 09/28/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature 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 injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND 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 property owner or am aul rize to act on the property owner's behalf. Q/j� C 09/28/2007 CONSTRUCTION LENDING AGENCY Name of Permittee [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) P Owner ❑ Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REO UIRED AT TRUE OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name '; 1/ , / First �IO / Mailing Address pa 80 City n I �.r ,� , i State C 14 Zip q y L/4 Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip . City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip . City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip . Phone Fax E-mail APPLICANT SIGNATURE X � I.JCJ PERMIT NO. ;9a'7" 26y BIN # PROJECT LOCATION API 0 G 4 a.©33 Property Address 3 ii�%3 �� V �• /� cry /'11 A S t,l WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q� l Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): ; For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. Butte CountyiDepartment of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. 41WOR NO) 2. I (HAVE VE NOT 1GNED 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 CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS 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 Description: RE ROOF COMP 25 SQ.'S Reference Number: B07-2046 Applicant Name: BOOKER, SHARON Owner's Name: BOOKER, SHAR N AP # : 0064-240-033 Signature of Property Owner:aJ`l(i�iy d�� Date: ( o0'JQ% FPOM DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Aug. 21 2006 03:57AM P1 jI DEL JOHNSON AIR (;ONI ITTONING & "HEA'TING 58O0 C(�PELAND RO.Au t I'HC�NF..(530)977-456 ' FAt(530)877-243 CJ L� FACSIMILE.. 'TRANSMITTAL S}IPE'I' TO: FROM: 5 Del Johnson Air Condi.. & Heating, INC CMPY: A DATF: 1• PAx NUToiBBR' TOTAL. NO. OP PAGPM DINy COVER ii 5 , — C_ 4t; PHONS, NUMBER: SENDER'S REFERENCE, NUNISER: 4? { RE: YOUR RP,PFKENCE NUMBER: 1t URcr-NT FOR REVIP.W ❑ PLFASE COMMENT ❑ PLFA:SE REPLY ❑ PLLASR.RECYCLE I 1 t NOTEVC:OMMBN'rs: �L,�.S�. f, r i FROM : DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Aug. 21 2006 03:59AM P4 >30 F)50-1..'I.j.22 p. i ii Date: 61DO6 ' b/t: 06390 C'1L�I1`IIFICA9,TE, OF iFIELD VERI.Ir4CA310N ds DIAGN08-11C. FLSTINC age g 8 CF -4R Ptv,ort Address Builder Name 13893 Olivet Street, Nlegal(Q. Ge. _ _ Del Jo nsan Fleeting fBuilder wrttacr — Telephone 1 ,Olin Ablabrr— _ Del Johnson F(eatin and Air (53(1) 877-4564' ' Rarer ASO Mery Martin 894-6466 Tel*,*ne Sarnote C4nuP Number' _�— vornytlianc® Method(�Lbscri time' i CertifymSipantre {y,., ;6 haw 7D00.G.0ar��:0&yBnt �tOeu GOLe SClamimpaltBe FZ�ouaoe Nue1be1 c,3Y 1.Jr: ! ! firm Energy Calculation Services Peov;drl CF9 RSCS Stseei Addvess: - ---- --- —` — C'/Satelzo574 Menzaneta Ave, Suite 9 : Ch(co,a. - _-- 95925 U! to: BUILDER, HERS PROVWER AND BUILDING DLPAIiTME1�dT �— HERS RATER. COMPLIANCE STATEMENT The house was: v,' 0 Tested V C Approved as putt of sample testing, but was not tested �! As the fi-cRS tatt4 pto� idirtg dittgrostic testing and field v fisaiiort l o�tity that the hour: identified on d form complies With the diagt0ostic torted epoaruttppLeace req�;nmamts ay chCt]cert ace yt:a Roza,, The HEAy rntez mu9t check and ifyy Ihdl the new distributiun 9 stem is . Wiy ducted and correct ape N used hefbt a to CF -4R be released on every r !ding. The HERS rarer must not relearn the CP -4R until a pmporly completed and s:g wd CP -61r has brest reeeived for tl•t a and nested bundings. 'The installer hes pnavided a copy of CF-dR (Installation Certificate). O New Diyttihition system is fully ducted (ie., does not use buila;rtc caartles as pleranns or P.larforra r s in lieu af ducts). O New systems Where clogs backed, rubber adherivt duct tape .is installed, ina,Rtic amd drawl) ' s amused ir combination with cloth backed, nibber adhesive dud tape to seal leaks at duct comlectious. f R1 ]VIm1mum REOV11 E1 iF.NTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE GRED Procedrrrrsfor fleld ver jica.lon an,d diagnostic resgng of op drrrrib lion systems ave available :n. R.4a::M, A dtr RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION:_•— ' i�1c2a nxt RessttrintioD : ca'e itesuitq (CFM ®25 Pa) —---•---.�—_ - -- •---..._.... I i Enter TestCd Leakage Flow io CFh1- --� — -- 2 Fan Flow: Calculated (Nominal: Q Cooling -e 0 Having) or O Mae3grod _tr Total tare Flaw in CFV: 31 Fass :f Leakage PeroontRge s 6%- [ 100 x (__(Line 0 I )1 t •aoo (Lina a a)]] — ❑ Pass o Pawl ALTERATIONS: Duet System andior HVAC Equipmtst Champ -out _ 4 Enter Tilted Lealtage Flow M CFM brom CF-dR: Pre -Test of Existing Duet SYatem Prior to Dant System Alteration and/or BquiptaentCiaettltt-Out. S Eater Tested Leakage• :Flow in CFM: Final Test of New Duct System or Altered Duct 5yst:ers 1 � - _ for Dui eoarr Alb. -ration andfar u' allot Change -Out. 2 Ewa- Reduction in Leakage for Altered Diet System L_ine N 4) iVRracv i�2 (Line !% S;]� - l 6 I (Only if Applicable) (Ls 7i E: ter Tested Leakage Flow in CFM to Otttside (Only if Applicable) a/ f ' Esstire Ncw Duct Systam - Pass if Leakapje I?Wccentage 5 6% --- - g 0 Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct Systom and/or: IWAC .Equipment Chun -Out f f Ilio fine of the faliewtne tour Teat or VeritlesUob Standards for coLagance.. 9 Pass if Leakage Percenm9e 5 15i'o (00 x 1_ t4z (Line N 5)1 (Lire k 2)]j- 1 2 _j_.!® Pass O Fait 10 Pees if Lealeege to Outairte Pareentagc 5 10% 1100 x r (Elie ti 7) l 1y000 (Line t'2)1�iS p Pan E3 -'ail11 1]) Paas efT,ealcaxe Reduction Peruoett:aga 2 40'►61100 x ( Q.iae M d) (I ine e 4 - -- ' — �--- -- and Verifwati= by Smoke Test and Visual h=ection I I ❑ Pass ❑ Fail. Paas ItOne of Liam 0 9 thsoorb O o iZ pass Pass ❑ Fail Resrdennfa! Cnntp!lance Form i Apra 2005 FROM : DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Aug. 21 2006 03:58AM P3 Hub qS :'170c 5: LOAM ECS SSC Dt34-342. F' 9I Date: 812/08 Dobii 06390 INSTA&.LATION CERTIFICATE- Pp e 3 oili 2 CF-6RSitr_ Address — Ptrtnit Number 11 '43893 Olivet Street, Magalie, Co. An install& ion certificate is re aired to b+: q pontcd at the boiidinm site or made tnailabie for all appropriate itiections, (The vtfotrmatfon provided on twfb= it required) ARS compier,on of. final. 4napececn a copy rnus( tie provicl®Qglo the building department (upon request) and tic building caner at occupancy, pct Section 10-103(a)• 31 R VAC SYSTEMS: YeadAg E'quoilut a .I j L IN Ibpalvu CBC CoAitiodMfr. Neale Pool L! Pttl:ieeey (�Fl1H,eic.) t 1)aet Doctor �? eta _ xe�tloa k .heat 1fo7t► and !Madel Nua>tier Ids 8 mama 2t`P-lR �iluo) � Leoutcn attic etc. pipiVs R-Value(BIW Lo Capccity teau hr` GWe-;Ddit PASM90 EIRVAMT674AWAOMMCNA 1 80 C-mwhPum 4.2 70000 I � _ F' I Coa ing Fgzo ant �+ �I Equipype Typo hest tam CEC Canfud MO. Ihareaad Modml Vumba R Of Identiel 5 stoma ixtfcfcrp t (SSERar t?8ii) acF-MysiaeCaw; Dnat Lxatiam cmc.) [loot &%-Alue s• C Cao. _coling Lo Capacity B 'Sadhr) GaalElacuic PwJwo ewyAMr.5U&NM2fi&WA 1 13 Crawlspem . 4.2 j 30000 1. > symbol reeds g inter than or equal to what is irrdtcated on the CF i R vacua. include both SEER and BPA if compl4'tttoo credit fbr high BER air conditioner is .claimed. 11 ®l, the undersigned, verily teat equipment listed abrive .is: I) Is the arcual egwpinent hlftllad, 2j �ralatt 10 cr more efficient St= Tbut gwiffed in the cadifioato of comoiance (Form CF -1R) subnt:tted for camp ce xxth the inergy Fjlcreney Standards for residential buiildinp, and 3) equipment that meets or exceeds approlalare r quirenews for manufltcauvd devices (from the Appliance �lclency Aegulatloos or Fart 6), where app le. Contnteror (Co. Name) OR Owner Data: e ,—DG COPIoo tot BUILDING IDEFARTMX.14T, HERS RATCR (Ur APPLICABLE) BUILDING OWNER AT OCcUP. a' Cy Resddentra; Complrance Fornar 2005 • � a FROM : DEL JOHNSON AIR CONDITIONING PHONE NO. 5308772435 Aug. 21 2006 03:57AM P2 -f324 - 3422 i Dale: 14/1Os !oto 063aC 1 INSTALLATIOIti CERTIFICATE ��(I'tt e 4 eek 2,) CF -6 Site•Adtltt!SS PerTtll Nurnber � _13893 Olivet Stregt,'Maeelia, Gra. a! INSTALLER S'�'AifEl'�.P�1VT F'UIt !lUCTX,.EAIKA ' ; -- I'NSTALLERCOAI?L1AN E c crATamxIv r The beild'ing was: r ®Tested at Final V 0 Tested at R ougi ~tr, INSTALLER MUAL INSPECTION AT FINAL CONSTRUCTIO14 STALE: 0 Rrmove at least one wapply and one return registet, and vwlfy diet the spares hetwetnr rhe.re&tur boot the in(trior y finishing wall aro properly sealed. ,h+ ❑ If the house rough-ir duct leakage last was oonducced wit6ou; er air ttattAler irustalled inspect the care or pohrts betty= the air handler and the sttpp}y and rtU n Flerzw to vt>afk�v that the conaeclion points we prop sealed. ❑ Inspect tall joints to ener:oe that no cloth backed rubber adhesive duct tape is used �V ✓ 0 DUCT LEAKAGE REDUCTION ' Procetabt for He& wrMadon and dltwmAsik gesfing o aGb dlslribartfcrt XpSICIM tie available is RIC+tP I dux RCI.3 NEW CON917RUCTION. Duct Parsstrrization Teta results ;CFM @ 25 Pa) M 1 Enter Tested Leakage Flow in CFM: 1. Fan blow: Catoulated (Nortriaol; d ❑Cooling ✓ O He+stslg) or ✓ ®.measurad 2 If Fan Flow is Calculated as 400 chroon x number of turas tr as 21.7 cfrn/(kBhvhr) x Heating 1, icomity in 'lbousands of Rtwk entar total caloulated or measured fan flow Ln CFM here: r ✓ vI 3 Peas if l.aaktrgie >Netoemteges 6•ie for Final or 5 A% at ldrruglr in: t� 100 x -._ (Linea 1)t 2ice #M M O Pass C Fai) ALEEiiATIONS: Duet System and/or nVAsC Ems, uilpment Change: -Out ��------TTT---- l 4 Pater Tested Leakage Flow is CFIV from Pr+t-Test of E)d3ting Dqct SystPrn Prior to D uer System Alteration and,'or Equipment C.hmlgo-Out f Eater Tasted Leskage Flow in CFM ffurn FInat Too of New Duct Systata or Akered Duct 5 S stem for IAu;t S tem Alteration anri/a uipaueni Chaage-Out, 4 ti Enter Reduction in Leakage or Alteavd Duct System (Line 4 41 Mknus (Line #5 -- C ipa fA rlic$biel _ __ � 7 Enter TePW Leakage Flow in CFM tc Outside (Orly if Applicable) V/ 6 Eaztiae New Duct System - Pass if Leakage Pacer!taf@#e S 6% for Final. a S' A% at Rough -apt pay O Pail 100 c ine 015 ire k 2 1 _ TEST OIL VERMCATION STANDARDS. For Aftend Dual system andVor HVAC Equipmew Cha, ✓ � Out Use one tithe folowinp four Test or Verillcotiota B.tandarsls for compliance: 9 Pass If Leakage Percentage S 15% [I00 x [ __(Line r! 5) / -- _— _ (Line 4 2)1}1dr [ Pass. O Fail ' ►0 Pass if LftWze to Quiside Pcrwntsge 5 19% [ S 00 x �� (Line !! 7) / I.icre a 2 r -� _ _ - ( )1i i O Pass Foil . Pass if Leelcoga Reduction I'er oetstage Z 60?�e ; l0U x # 6) ; ^� (Linc 4 4)1l •',q l I I and Verif=tion Smoke Test tad Visual. los w: �` 1 7 Pass L Fail 12 Pass i8 Sealing of all Accessrblo Leaks and Varmctation by Stroke Test ar5d visual Insp>xiion .©.peva' D Fai- - -- --- ✓ ❑4 the undersiffr ed, verily that the a*ova &Vaogtie last reaulla were performed in oorhmu ntoe with 'quirerrenws for compliance. credit. 1, the undersigned, also certify that :he newly installed or rarofit Air-Distriburiou Systeo ossa, Plenums and Fans comply with Mandatcay r egrtiroments specified in Section 150 (tut) of eic 2005 Building Eneag�r Effie• , cy stance. hismilMg Subcontractor (Co.'Name) OR General '—' r`-- --- `--- ---- Contmcmor (Co. i`le,re) OR Lrwncr LSi.�netur - '— Date: Coples its: BUfLDING ]ORPARTMENT, HERS RA71&R (IIS APPLICABLE) DVn&IING OWNER AT OCCUP/i CY ai Resfdeadal Cotg1twrae Fopmr 1� Apr#200,5 {+ a gi 064-240-033 a NOTES BOOKER, SHARON 13893 OLIVET DR, MAGA'LIA Cont: DEL JOHNSON HEAT&AIR HVAQGAS LINE/ LP TANK) 1 RESIDENTIAL APN: Permit No. 1 Owner. Site Address: - Contractor. Type of Permit: r ti SPECIAL CONDITIONS . CHECKED BY 0 SRA 0 FLOOD CFJYTIFKCATE EQUtRED JO Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION. TEEMS f Q VERIFY Q USE PERMIT CONDITIdNS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID 0 ENv HLTH CLEARANCE O ZZZ-7 DATE JOB F04ALED: • SIGNATURE: as »;: = OK o = Not OK MANUFACTURED HOMES DATE I Lj PERMANENT FOUNDATION SOFTSET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test-, FalUCIO-Concrete 4 Wtr; Loctn Test-Easeinent Needed -Regulator 5 Elec Loctn-CImcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH TestDemandValve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-CIrncs 10 Drain; MH Test -Fail -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowgs O Foundation 14 Exits 15 Cert of Occupancy 16 HUD LabeUinsignia Numbers Serial Numbers Drawing ti MISCELLANEOUS- 0ECKS-C0VERS-CARP0RTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoiisSz-0pfhSpacing-0nnctrs-Wel 3 Dedcs, Girders/Jois"cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rtirs-C_nnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctrtsSpliceDecal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Silts-AnchrsStuds4ltrs Tnisses 9 Siding; Nailing-VeneerStucco-lath 10 Root; Shthg-Roofing 11 Ezt; Steps-Doors-1-andiitgs 12 Braced Wall pnts _ 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining _ 4 Elec Rcptds/LUng; Distanee-GFI _ 5 Elec Pool Lting; l5 volts-GFI _ 6 Elec.Enclsrs; Conduit Entries-Terminals-I-isted 7 Elec Bonding; Metal w/5'-CrcItng Eqp4itr _ 8 Elec Gmdng; Eqp wIT Crcitng Eqp-Pool ightg Bmcgs-EpEL .-prilboardsansultn•to Main Conduit 9 Health Dept Apprvl . _ 10 *Plmb; Cir Test-Wtr Supply Test _ 11 Lt Niche ; _12 Endsr•, Fencing -Alarms _ 13 Bogdutg, Diving board or Slide d� cid aT� a = Nct OK RESIDENTIAL DATE JUNDERFLOOR 1 ZoningSetbacks-Easements-F1oodSlope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg PorcheslDecks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Sternwalls Garage; Steel-Biockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftp -Steel 9 DWV; Fail -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupport-Insultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation o' 4& da DATE FRAMING 17 Sills Proper Materials & Anchrs 18 W611s Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girdert*A fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeiGngsStairs-Chasers Tubs 22 Headers 8 BeariisSi &•Bearing' 23 Hangers-P•ost'Caps-Anctus-Cnnctrts 24 Ceiling Joist-Rftr Ties-Purli"oof Brat TrussSMhg 25 Frplc Ties or Type A FIU'6* ' Ic Throat Cimc 26 Attic Acc; Sz &•RFiiz pitcin_Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Fit & Dimensions 28 Garage Fire Puri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3'-t;hedc Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Rum-Landing-Fre Prtcbi 32 Ptywd on Roof Ovrhng-Attic Vnts4'tftr dtitrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrftr Acc 35 Glazing Are PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimc4ns Prtctn 41 Elec Rcptc s Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cnde" Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GF 47 Subfeed Wire Sz rn ❑CU orAL AC Wire Sz w DCU orAL 48 Range Clic 1:PC�U:HAL AL Oven Circ Q, Insulated Neutral es No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirnrs pnis-Motors-Meeh Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector oma- �� o. Single & Duplex) DATE PLUMBING 53 Wtr Htr, Vent-Acc•Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr•Nail Pdctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tubi & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping r o' � � ds � . • 0. DATE IMECHANICAL 61 AC Ducts Insults & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace Vent Acc-Comb Air RtrnIVent 115 Outlet 65 Attic Acc & Pitfrm if Furnace In attic off` �sy dam. ys DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-lir-Gap-Cooking Clmc 77 Elec Outlets & Rcptcis ai Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GF) Romex Prtctn J 83 insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnet, Elec-Plmb 89 Vnts abv Roof, Plmb.Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnct, Elee, Plmb 91 Ext Elec Trim, GF Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fre Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061925 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/10/2006 APN: 064-240-033-000 provisions the Business and Professions Code, and my license is in full force and effect. C906/ `'�i�3 Li\cense Number: .3 %-3/ 9� Site Address: 13893 OLIVET DR MAG LicenseyClass : �, Dale: /'ZT Gw Contractor. 644 6W4L Map Index: OWNER -BUILDER DECLARATION Description: REPLACE HVAC INSTALL NEW GAS LINE I hereby affirm under penalty of perjury that I am exempt from the Slate License Law for the following reason (Sec. 7031.5 FOR LP TANK Contractors' Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior the applicant for such permit to file a Owner: BOOKER SHARON M to its Issuance, also requires signed statement that he or she is licensed pursuant to the provisions of P O BOX 2786 the Contractor's State License Law (Chapter 9 commencing with Section the Business and Professions Code) or thai he or GRANITE BAY, CA 7000) of Division 3 of she is exempt therefrom and the. basis for the alleged exemption. Any 95746-2786 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the properly, 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' State License Law does not apply to an does Applicant: DEL JOHNSON AC &HEATING INC pp owner of property who builds or improves thereon, and who such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one will have the burden of 1147 WAGSTAFF RD year of completion, the owner -builder proving that he or she did not build or improve for the purpose of PARADISE, CA 95969 sale.). (530) 877-4564 ❑ I, as owner. of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, for such projects with a'contractor(s) licensed and who contracts pursuant to the Contractors' State License Law.). Contractor: DEL JOHNSON AC & HEATING INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1147 WAGSTAFF RD WORKERS' COMPENSATION DECLARATION PARADISE, CA 95969 1 hereby affirm under penalty of perjury one of the following declarations: (530) 877-4564 ❑ 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 License #: 373198 is issued. ❑ 1 have and will maintain workers' compensation insurance, as 3700 the Labor Code, for the performance of required by Section the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: / Carrier: Policy #: ��i�%T c ©OJ ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to the workers' compensation laws of California, Valuation: $0.00 become subject to and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applica WARNING: Failure to secure workers' compensation coverage is employer to criminal penalties and one unlawful, and shall subject an hundred thousand dollarsin addition to the cost or compensation, damages as provided for in Section 3706 of the Labor �� I' J. .code, interest, and attorney's fees. This permit is rdby i d under a applicable provisions of the Butte County Code and/or CONSTRUCTION LENDING AGENCY lending agency for the Resolulio o in scaled abo for which fees have been paid. XU `J I hereby affirm that there is a construction performance of the work for which this permit Is Issued (Sec 3097 Civ.) ^ C/J\l1CJ� By. / J Name: /Dlate: Q ,7.. PERMIT EXPIRES ON (Date) Address: this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, ❑ 1 hereby certify that the use of handling and use of hazardous materials. California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Notification in accordance with Section 19827.5 of O Attached are copies of the required E.P.A. notification forms. is and that I the owner or the duly authorized agent of the owner. I agree to comply with I hereby certify that I have read this application, that the above information I correct, e substance off any official form or document of Butte County. I hereby It is unlawful to alter the all county and slate laws relating to building construction. acknowledge County to enter upon the mentioned property for inspection purposes�i���+� authorize represseenttatiivves of Butte above e�� iC�w/V Signature: Print Name: ,b�.4UL Date: L9�Contractor ❑ Agent for Owner ❑Agent for Contractor ❑ Owner B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY oOOTr DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT 0� n 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) 0 0 OFFICE M (530) 538-7541 PERMIT'NO. BP061925 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7.000) of Division 3 of Issued Date: 08/10/2006 APN: 064-240-033-000 the Business and Professions Code, and my license is in full force and effect. 4f'-90_6 398 Site Address: 13893 OLIVET DR MAG License Class : ,,/ �3 License Number: AlDate: 7 ?_ a! Contractor: t $lam 7 L Map Index: OWNER -BUILDER DECLARATION Description: REPLACE HVAC INSTALL NEW GAS LINE I hereby affirm under penalty of perjury that I am exempt from the FOR LP TANK Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 Owner: BOOKER SHARON M signed statement that he or she is licensed pursuant to the provisions of P O BOX 2786 the Contractor's State License Law (Chapter 9 commencing with Section GRANITE BAY, CA 7000) 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 95746-2786 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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' State License Law does not apply to an Applicant: DEL JOHNSON AC &HEATING INC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one 1147 WAGSTAFF RD year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of PARADISE, CA 95969 sale.). (530) 877-4564 ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a'contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: DEL JOHNSON AC & HEATING INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1147 WAGSTAFF RD WORKERS' COMPENSATION DECLARATION PARADISE, CA 95969 1 hereby affirm under penalty of perjury one of the following declarations: (530) 877-4564 ❑ 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 License #: 373198 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: &V14" Policy #:-&44; C v ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applican` WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 1 /� hundred thousand dollarsin addition to the cost of compensation, damages as provided for in Section 3706 of the Labor .code, interest, and attorney's fees. This permit is r by i d under a applicable provisions of the Butte County Code and/or CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Resolutio - o m icated abo for which fees have been paid. (C� 1.1 U By. s ) performance of the work for which this permit is issued (Sec 3097 Civ.) Date: 1 O Name: PERMIT EXPIRES ON (Date) Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. ndtification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county. and state laws relating to building construction. I acknowledge, it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Signature: Print Name:r Dale: _ / z % El Contractor ❑ Agent for Owner ❑ Agent for Contractor - B. C. Building Permit 01-16-04 pg 1 0 a BUTTE COUNTY PEItM11' DEPARTMENT OF DEVELOPMENT SE ICW&TE NO. BUILDING PERMIT APPLICATIUP COUNTY G(o)qa- AND SUBMITTAL REQUIREMENTS �P 24 HOUR tNSPECI ION#: OROVILL£: (530) 538-7636 • CHICO: (' 9J -�310d 6 OFFICE t!: (530) 538-7541 BIN # A FBF' WILL BE REQUIRED AT TIME OF'A.PPLICIJII,OPMENT Website: www.buttecounty.net/dds SERVICES **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name °`5��/i42J Address 3 4 '?� 4!, CityO Staff ZiR�Jt - c� Phony/i.. tea;.. 4/ cl Fax CONTRACTOR PJairle TZ Address City: Stated. _ _ Zip x%24-KIf:. Phone d 87: -.ys6 Fax' E=mai.......,. _, Tq'i Lic # Class. - ARCHITECT/ENGINEER ._......_...... -_ Address - .. .. - ... City .Z State Zip Phone Zip Fax E-mail Fax .. ,.. State License Number ,_..,.. APPLICANT SIGNATURE Fps office use onl APPLICANT INFORMATION Name Type Const: Address .Z City ----------------- State Zip Phone4 ....._ Fax .. ,.. ,_..,.. APPLICANT SIGNATURE Fps office use onl Zoning Flood Zone SRA Yes' 'No Occ. Type Const: Subdivision Name ivlap Book Page T LOCA �P# �ropert3 ®GlUr� City A2/,4- ; ossStreet Eo_vDE12-0s/1- WORKER'S COMPENSATION Povtey Cartier N hiring anyone other than license rontractors, a certificate of worker's compensation must be shown at the time of permit Issuance. I LENd31NG AGENCY i Address 4.:DeSCt'ipt1ol3 or ScQa@ ql YYorR Sq FT- Liv' g Garage Open Structure Built without ermits Cov 0 ' Proposed Change of Occupancy (Note previous use): " 5diRATION OF APPLICATION II Applications for which 'a pertriit has not been issued will expire one I year after the date of application. In order to renew action on an application after ex.piration,.a new application, plans and fee will be required REQUEST FOR REFUNDS Refunds can, only,be.made-upon -.written request,by the person. wbo paid the fee. The request must be made prior to the expiration of the permit and no construction. work;hsybeen,sdpns; Filing fees, plan :.check fees::for wgrk; plan checked and ether depLrtment,costs arc not. refundable. ;Received by: Amount: Bldg Receipt #:. _ .. :. ` Sheriff SHIP ..—Other Gate: OVER FOR SUBMITTAL. REC3UJKtzMtN 1 Page 1 of 2 REV 8-:2-05 K TORMSWILDING F0Rk.1S\B1dgApp1SubRgmts,doc 064-240-033 9 8-1690 BUTTERS, LOIS P. 13893 OLIVET MAGALIA RIDGE ROOFING �REROOF',, COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California :95965 • Telephone (530) 538-754U9 MI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBfJc cl - - (.1 a • 3 ZONING t? '7 - 1 BUILDING PERMIT OWNER /t - l%)y-+� TELEPHONE / SO. FT. OCC. BUILDING VALUATION �IL �•t, .u- q!.+ / � . OWNERS -.MAILING AD,.ORE)f o V -441"L / 1 ''S CONTRACTORRV. NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ _'9 9106 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / ,L. Energy Plan Checking Fee $ PERMIT FEE $ IS c7 n/ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IC�4� �(� e��/ , C �C11a r Gas piping system 1 - 5 outlets 15.00 Building sewer JI 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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. 'CHI, I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To i000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a Acc. Bins. SO 3.5,FT T. RESINEW D. MULTI -OUTLET 97,50 ARArus PSOWEINGLE OUR APPTLET US a Ex. Occup. OUTLET OR FDCrURES za p I.00 64L Q .SO FD(EO APPLNS. OR Ex. Occup. ouTLETs RESID. EA 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 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.) •O.. 1 certify that in the perfofimance 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 should become subject to the workers' compensation - provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f X J �` FI Date ,-: "' / �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OccCONsr-TVPE . 3 P TOTAL FEE $ ' HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By !7 %t (t f:.a.a t_ ��:LDate• PERMIT EXPIRES ON �� the applicable provisions Resolutions to do work been paid. ��J 'r% 3 G Date Receipt No. esp 9 y'7/ -;L 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) 538-754PE — /&P�RM!(�T NO. (Rev.12/96) APPLICATION AND PERMIT �/� ASSESSORPARCEL116 , ^ (4 - 0 33 MNG BUILDINGPERMIT OWNER � TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER I NG OBEX 10,1617 Li�/tyC✓�.C/� / • IV ! CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ , ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS b 7 Energy Plan Checking Fee $ $ PERMIT FEE $ S9. LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1. 7.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1�—� OC� SQ.--�1MJ Gas piping sy2tem 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 'OOVORUE Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. D 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 7200A NEW CONST. DWEWNG OCCUP. CCU000A/46.00so OR ADDNS. ( D7 ACC. BLDS. SO 3.50FT. EW N"ONRESD. RANCHO RCUUITS T @7.50 POWER APPARATUS 8 SINGLE OurLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL I.0 A. Ex. Occup. OUTLEETS REESIDOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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- 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. ry G X l < > Date / 3 p ! 8 Signature of Applicant - ' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c 3 PE TOTAL FEE $ 591 (JC) D. FEE, IMP I FLOOD I CDF PARCEL PO HO SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for which fees have been paid. `1 3G J? By ate / O PERMIT EXPIRES ON I Date Receipt No. A I/ C/:5,-/ ?_ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 1507-78B,P,E,M PERMIT EXPIRES r, V/0 17q OWNER Lois Butters CONTR. Sam Intermill, Paradise LOCATION (A.P. 64-24-33 10 Olivet, lot 21, PP#15, Magalia r, V L� R' .f( h, �J Temp. Power Pole Called PG&E _ Temp. Elea Serv. _� Called PG&E Temp: Gas Serv. Called PG&E JOB ) FINALED L (Date) (Signa ure) THIS IS TO CERTIFY THAT INSUkATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE YS. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: eLot NumbeF- Iract EXTERIOR MALLS ManufactureQre� lckness/Type �/ R Value CEILINGS Batts: Manufacturer Thickness R Value Blown:_, Manufacturer � _T M, Thickness R air No. Bags 94 mt./Baggy_ Sq. Ft. Covered 1?()n R Value 1 Q FLOORS Manufacture .""' '--2hfckness/T a 4i R. Value YD SLAB ON GRADE Manufacturer Thickness/Type R Value Width of insulation Inches FOUNDATION MALLS ^ {� Manufacturer; 1 f Thlckn ss Type R Value GENERAL CONTRACTOR LICENSE NUMBER 2 2-2 - -A?-/ BY TITLE PDAffFHOLSON IN�Ii� ATlrlw� 1N TIOH CONTRACIOR L10EN4S�. IM�R EIGHTH AVE. PH. 343 - nn 0, CALIF. 9592 DATE LIQ'. 031 a si--- DATE REM RKS OR CORRECTIONS 4)� U �JVL aA,4 J (NOTE: An entry must be made on this form each time you vislt the joo COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD' ` BUILD-IN9 B ILDING (Cont'd) PLUMBING Setback ID Firewall I ,L�'1� Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Window -%P-- A 3rd Floor Stemwall Siding To out Slab Roof Sheathin -%2 Water P1 Piers 5-;c>-17 Roofing Sewer Garage Fdn. Vents N- u' Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters—� Slab Carport Footings Prov. for phsicaI1 __ handicaped Conformance of ex. structure �— Appliances Gas Piping &Test Temp. Gas �--- Slab Final Sanitation Patio FIREPLACE Final Footings Footing LECTRICAL Masonry Walls Throat dq Rou h Refnf. Steel Final -Z, Fixtures • ( L Bond Beam FIAE SPRINKLERS Motors ` Framing 6 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. / L1 17 � Scratch HeatinIn, Service "�^- -� Brown Cooling Temp. Pole Finish Ducts % Underground Interior Lath Ventilation Permanerxt,.$� Door Closer LL i 4-. Final I Q, I Final 31 ))k MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEM21ME INSTALLATI N - -- - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM RKS OR CORRECTIONS 4)� U �JVL aA,4 J (NOTE: An entry must be made on this form each time you vislt the joo ,/' C COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .- Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize epresentatives of the County of Butte to enter upon the above- a 44xQed property for inspection purposes. X Date J -31 - 7k -_ Signature of Permitee or Agent Receipt No. .1 _7\/G'3 V White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be id. DIRECTOR F P BLIC WORKS B Date Building permit expires Date BUILDING Owner 11913 ZVX SO. FT. OCC. BUILDING VALUATION Mailing Address R Telephone No. Contractor s j t? K..," / �L Mailing Address ��� f L� Fireplace O� Total Valuation f(S hone�NR % �J t� r Permit Fee 1.77 - Building Address�_ G���� Plan Checking Fee&/or Penalty Permit Fee $ I J171 -- d .'a / 1114f PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 9 yficafion OnIX Repair drainage or vent piping 1.50 %� / A. P. No. l� Y �� _ lk�o r Water piping 1.50 Each gas water heater or vent 1.50 F s W.C. S on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Parcel Pans Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. tyens Rec'd Parck4pyroval Plo pprovol Lawn sprinkler system 2.00 NEWN ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 100 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING P s OR ADDNS. ACC. BLDG 20sq ft 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: NEW.NONRESID. MULTI -OU T ESID. � BRANCH CIRCUITS 2.50ea CONSTCONTRACTORS NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g LFIXED ALNS.�j Ex. Occup. ( OUTLETS P(RESID.)REAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,2 2 -- / 2 35`1 Classification �%�- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $TFF 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 Land Development Fee $ o;I TOTAL PERMIT FEE $�.i '>o� authorize epresentatives of the County of Butte to enter upon the above- a 44xQed property for inspection purposes. X Date J -31 - 7k -_ Signature of Permitee or Agent Receipt No. .1 _7\/G'3 V White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be id. DIRECTOR F P BLIC WORKS B Date Building permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. OWNER. A.P. A. GENERAL Zoning requirements (sideyards and parking). Valuation. 3. Signature by R.C.E. or Architect (if required).. B. PLOT PLAN -Complete parcel size and dimensions. �'Setbackv, sideyards, easements, etc. -.'Other buildings or structures. 4.. Grading, fills,.drainage. Pe it # c� -6 — 7,k # vY 16-61 - C. FLOOR PLAN -Complete to scale plan with dimensions. 8J Required windows for light and ventilation (Sec: 1405). Required windows for second exit (Sec. 1404). .Allowable glazing for energy requirements (20% max. per.State law). z5—Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). 4t:--G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). -#-,—Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 4*��bocations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. b'S.Garage firewall, door size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). Fireplace location. 35, --Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. -Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct fir-.-- Roof construction details complete enough to construct building. — Fireplace construction details and calcs if over one-story in height. c�! Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3., Guardrail details .(Sec. 1716). 4. Brick or stone veneer (Chapter 30). 5., Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). SC— Rafter ties or bearing ridge beam. Garage door or porch header sizes. equate bracing. building. (State law). 10.,'Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 0. 11. Two (2) exits on three-story dwellings (Sec. 3302). PC-RMIT NO. 6357-78B n PERMIT EXPIRES OWNER lois Butters Sam Intermill Const., Parad b-- CON T R. ' LOCATION (A.P. U 64-24-33 10 Olivet, lot 21, PP#15, Magalia f f �n 4 is 1, r .iy W .Oe — to i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. 1Called PG&E JOB FINALED 1 (Date (Signature a§ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ' Setback Firewall 11 Sall Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings. Windows 3rd Floor StemwaII Siding To out - Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically A Ilances Foot Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer IL Final MOBILEHOMEUT.ILITIES -----------------•Alec- Service Water Piping Sewer MOBILEHOME INSTALLATION - - - - - • - - - - - • • Support Water Piping Drainage DATE REMARKS OR CORRECTIONS rr Gas Piping & Test Temp. Gas Sanitation Final ELECTRICA Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 _ Tel eptlone: •534-4541�� APPLICATION AND PERMIT aumorize re resentanves of me county or ttutte to enter upon the above-menY ned property for inspection purposes. X Date 10-25"- 7� Signature ofnt Permitee or Age fP Receipt No. / a V, / 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE ORO F BLIC WORKSZZA / % By Date-// ` —! Building permit expires Date 11—L� 7 BUILDING Owner �V/3 �u T-rA;rZ SO. FT. OCC. BUILDING VALUATION 0-1 70 may® , 0C) Mailing Address Telephone No. Contractor —5'eAl f AJ7�iQ L Mailing Address Fireplace Total Valuation 4p(, , J/.Scgo7 Telephone No. 7,.s -g/> Permit Fee , o� Building AddressPlan O d�' �� -� Checking Fee&/or Penalty Permit Fee G, e;v (o �c PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ell"� - 33 zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 a n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 __!QA Parking ParcelEach J Plans Declaration I Parcel Ma • 60' R/W Improvements additional outlet .30 Building sewer 5.00 �� Bldg. alms Rec'd Parcel A' roval Plans Approval Lawn sprinkler system 2.00 NEW E] ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 0f'8 -X) M _W/SD7-7,ffd3Pr�IY1• ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR101 OR L LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST % ACC. BLDGS.CCUP. 4') 22Sgft 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: !�a-Lt4 ir%7"-P /-1 L �D�/iT— NEW CONSTR ( BRANMULTH CIRCUITS) NON-RESID. (BRANCH CIRCUITS) 2.50ea NEWCONSTR.POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR. Ex. Occua(OUTLETS OR FIXT11RES 13 L0; FIXED APPLNS, OR Ex. Occup.. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 6 c) aumorize re resentanves of me county or ttutte to enter upon the above-menY ned property for inspection purposes. X Date 10-25"- 7� Signature ofnt Permitee or Age fP Receipt No. / a V, / 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE ORO F BLIC WORKSZZA / % By Date-// ` —! Building permit expires Date 11—L� 7 j ('_. _ .T" .-t- r ;.-�- F-17-17 T- 71 • 1- L: , w �• j,< - Wit,..{., 1..1.. i i i'Ta H_ F, T_ ! , ' -1 • i 1. jj j� low H 4 J• 1}. !To�p� rail }to be? 3!6 in, high kda'h i' i_ �terrnediat'e; rgils to' lap rta' op ;VMS,' t! P 14 - r _ ,ice .!. �. +:.Qit t.1^j .�.;-1.�...�-;_:�4_ acNi�lFNr • T4 � ... � � e � � •_ ; .�� ii_• �� � � : } i #em hric� loat�, X 1, to be r , i ` nti-elt�i b:1 --�--;•--F , -i j � i , � Y � t1 !' � , , i - , � 1 I 1 ' ' Y r � ., - i' (-1 �. ��i � i -a. -. , TY _� i � ,�' �. ! �I i , i i.' r � ; Y i 5 U, ... { l ..l. i } � .� , ,� • i } Th etbo,4k sial , S f#: from the _ M rte, , .`, I sidrop rt lin�j+ land }50 , f t, .from the c$ terline fiche r, ttin "1 g • ' L'�•- � � -, , . �-, ' � f -{ f , {--, !•- �- j �tnt�im df raj ' , ,_ �� il., a maxi- e.ave ov but ng entirelq _ 901 of all asjements r TIE !� c-i+ri�l & War�k�angip $� IBe iii.' ' , This spt of a nspedic be M' d 'a(t6s MUST i Or roAei wit�r R ogni�ed M, 0- "Pracitce$ lain me kt6ori't�iq jo'bf t a!l' imp enc Prt=is unla�ful tc a iii nescribe fior t o p i ie d o fh"Y'c e (pt ra i ns. i # .� Y p � l5 e �_ I , • ' ! ' g �� io + i an Same Withou, Y p ' , wrtlt 'n �r 'is �o ;from he Department of Pub. , ifor t ifdi Pum & �vMdch, i al cis{gntl a-, P n1 x- - I a orial Ffrica-Code.,. l } _ i_-� . �lic �Vdrks{ Coiuni of ate, j r,,.___ t�,.f ;.,:,► ; j.�;1i. i_�-�!i-, �j;(; !; ; ��' 3!57- g { PUT ft COU NTY �YIL' PINGI DEPARTMENT ; ; Ovi� ! ED r it ; i,i4ii i.` ; it j F r- -r ' }�'� ( $0�! , + ! .i �� '; .110' . :160' �o ��a. �� � i� i � i y :,,� 9 i t I, .. ` I 1' I �� I � I � � � � I , � � � � I I F I�'� 1 �� I