Loading...
HomeMy WebLinkAbout066-300-02266-30-22 ROBERT DASCH - 4 13792 Ferguson Dr, lot 56, PPCC#4, Mag. Permit#1203-83B,P,E:M(new s'ngle family �. l7 t B66-2595 ,i� �� _ 066-300-022 •MISCELLANEOUS HVAC,ChangetOut, REPLACE HVAC & DUCTING_ 13792 FERGUSON DR ; DERRICK, JOHN ROBERT & MARY O O cfli cfl� � cW2 1 � o 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: 13792 FERGUSON DR Owner: Permit NO: $Q6-2595 APN: 066-300-022 DERRICK, JOHN ROBERT & M Issued Date: 11/03/2006 By AAM Permit type: MISCELLANEOUS 13792 FERGUSON DRIVE Subtype: HVAC Change Out MAGALIA, CA 95954 Expiration Date: 11/03/2007 Description: REPLACE HVAC & DUCTING Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: MC CLELLAND AIR CONDITIONING I MC CLELLAND AIR CONDIT Building Garage Remdl/Addn 801 MARAUDER STREET 801 MARAUDER STREET CHICO, CA 95973 - CHICO, CA 95973 Other Porch/Patio Total (530) 891-6202 (530) 891-6202 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B762 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 MC CLELLAND AIR CONDITIOt 345121 / C20 / 01/31/2008 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 0 'vision 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 rce and act, 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 11/03/2006 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION 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 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 ❑ 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. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: State Fund Policy Number: 272-0000642 Exp. Dale:10/01/2007 Contractors License Law.). (This section nee not be competed if the permit is for one un red dollars ($100) or less.) ❑ IAM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/03/2006 co nsation provisions of a io 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pr v ions. X 11/03/2006 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 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. fty to enter the abo mentioned property for inspection purposes. I hereby certify that I am the o er or orized to act on a property o ers b alf. 11/03/2006 CONSTRUCTION LENDING AGENCYty I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o Perml 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 INAgent for Contractor FILE COPY Lender's Address City State Zip 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 OF APPLICA TION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name iQ/ first 0 Mailing Address / l� ✓Zip City /I Sf9tr Phon (�, Phone V! Fax E-mail CONTRACTOR Nameloj 4 Cl Address d City GH �� State Zip 5 Phon (�, Fax E-mail Lic. # 1 Class - --- W ------APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number - --- W ------APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE Off—K-Amoolf For office use only: AP# Zoning Flood Zone SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# Property Address 37 2-- sot.2, Cit� / /f/La G i Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier S74 72-, FL) ID Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date: LENDING AGENCY Name Address De/sscdption or Scope of Work: Sq FT- Livine 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. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total dCQC�-3UC�-0�� (go UNIX FIRE INCIDENT Ll INCIDENT NUMBER 13579] DATE 111412004 EVENT NUMBE 13691 LOGGED B TMJ REPORT TIM 19:30 LOCAL FIRE NUMBE r RO PORTER STATE FIRE NUMBER 614' Af} `}A}A FIA ! n.o.e BI CASE NUMBER � A�rAAa s MEDICS LOCATION 13792 FERGUSON DRIVE PRA V2 ECC ❑ RP BEN PHONE NUMBER 873,3808 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES 0 STRUCTURE FIRE RESIDENTIAL OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT " COMMENTS Y EMD ❑ OES ♦ New Incident FIRE INFORMATION FIRE INFO SENT HO EMAIL J BY TMS TO FS33 7 -DAY LOGGED D INITIALS TB INCIDENT NAM DERRICK START DATE 1114/20041 START TIME 19:28 DIAMOND # 1.14.8 J CAUSE MISC LAND USE DOMESTIC ACRES ! 0 TYPE OF ACRE DIAMOND S ONLY E DAMAGE TYPE DOLLAR DAMAGE 2000.00 SAVE 150000.00 INJURIES/FATALITIE ❑ #CIVILIAN INJURIES 0� #CIVILIAN FATALITIES _ 0 # FF INJURIE 0# FF FATALITIES _ 0� FCAO INFORMATION FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY U County Notifications Q EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ Is PERMIT NO. _ 1203-83B,P,E,M • � PERMIT EXPIRES ��� /l i' OWNER ROBERT DASCH CONTR. R.A. Dasch Const, Shingletown VE ASSESSOR PARCEL 66-30-22 1 LOCATION 13792 Ferguson Dr,lot 56, PPCC#4 i1 magatia OPV: Address'i7` _ �rz:.r•,r 4` i GASB M{ a OFFICE COPY 1 Meter ey ELECTRIC .• 5. Date { „ i Address Meter Bye - ;. " U L-- --� _. —_-- l t.• Date GAS Meter Date El_CTRIC k Meter By Dat$L' I Temp. Power Pole7"Z� '9%3 A D ` Called PG&E '7"'�°✓ /6W/jo �r`iY/ltj Temp. Elec. Service a Called PG&E ilk Temp. Gas Service Called PG&E j JOB FINALER.Pale y S nature . tt • r J = OK 0 Not bK Not Applicable = Not Ready ' MOBILEHOMES MISCELLANEOQ,S Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails J 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.;,Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grhd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7, Elec. — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1, Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI t 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval _ 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER_ OOR Plans) OK except N's Date FRAMIN Continued /Zoning requirements -Setbacks -Easements 48. PfopertyL4ne Firewall & Openings g., Main; Soils-Steel-E1"0PWFRise-- / /" Ftg. Depth 49. oors-One 3' -Check Garage -3rd story, 2 exits 3 g., Garage; Soils -Steel- / /" Ftg. Depth it ; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 1, 45wood on Roof Overhang -Attic Vents -Rafter Outriggers - 54-STemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 Siding -N 'Ling -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. St Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7�-F' 54. Glazing Area -Glass Protection -Skylights -Plastic - V.: Fall -Fittings -Test -2 way C/0 wer 55. Shear Walls; Nailing -Bolts 9.;KPipe; Size -Anchors TO.ZA19fer Pipe; Test -Anchors - 11. Electric; Underground cts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI f. Date Card -BI Date to (S Card -BI Date Card -BI Date Card -BI Date Card-BIate Card -BI Date Date FINA ans "except q's Card -BI to _ Card -BI Date Date P BING (Permit) OK except q's 5 51- teps-Door & Sidelight Protection -Landings Smpk ector _ 14. r Ht.; Vent -Access -Combustion Air 58. rnace, Vents -Clearance -Comb. Air -Connector= In age; Above Floor-Ducts-Mech. Protection 5. a Pipe; Test & Anchors -Nail Protection 16.415-W.V.; Test-Fttngs & Anchors -Nail Protection 5 Be m ing _ _ __17. Sh r Pan; Test, First Floor -Tub Access 60. 61. G Fixtures & Tub Access . Trim & Subpanel; Breaker Sizes -Labels 1 st Tub &Shower, 2nd Floor -Tub Access as Pipe; Size &Anchors 62. Stairs _ _ __ 63. a or Stove; Clearances -Hearth Card -BI Date % Card -BI Date 64 le utlets at Wood Panel; Int. &'Ext. 65• it t. & Ap Hance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. lec tlets & Receptacles at Kit. Counter Date E EC AL Permit OK except #'s 67L 'Garage_oor; Swing -Landing -Closer 68 Duct in Garage -Damper _ 2 Fixt re & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air -Gonne It�e; Above Floor-Mech. Protection 21. _.l .rReceplacles Spacing -Lights &Switches at Doors c 70. Plb. . & Mech. Equip. Listed for Location 22 oxes & No. of Conductors -Stapled 71 ec. Receptacles in Garage; (G.F.I.)-Rome tec. omex Installed Close to Edge of Studs & C.J. 24 uiVGround made up w/Mech. Fasteners -Bond Gas &Water 72• Insu�tion-Eomrt=eked in Attic Yes 25. ppliance Circuits in Kitchen &Conductor Size 73f -Guard i Rals & Deck Construction -Post Caps �, 6. i�-seo�o�:ire Size / / ga. Cu or AI-A.C. Wire Size /Z,/ ga. Cu o A 74. Fdn. Vents & Crawl Hole Door -Dr inage & Wood -Earth Clearance Looked under Floor 27. Range Circ. /��/ g Cu r AI -Oven Circ. N C" or AI, Insulated Neutral _ es 28! Service -Riser Conductors Main DisconnectFer-ftagO 75, Following instld.: Drive Wes o; Walks I, ❑ Yes -E" Planters Dyes o town-Finish 2quip. Clearances; Panels-Motors-Mech. Equip. 77. .C. ; Disconnect-Clrnces-Brkr. & Cond. Size -115 flet - .46.-2i0mFsiloset Light -Shower Light - - - - ---------------- -- I' Card B-�+''/i �D_ate- Card -BI _ _ Date Card B-11 43/ Card -BI Date - - 78, 79.er ents_AbOve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ; Disconnect, Electrical, Plumbing 80. erior Elec. Trim; G.F.I. Receptacle -Underground 8 - Ve lation throughout House 82. fLolection Date X4944NICAerrrdt) OK except N's 83 ,Peif ectfrom Previous Inspections es Meters Tagged; Gas -Electric - -ucts: Insulation &Support - _ 3 enl Fan_ Exhaust above Insulation _ _ 33. _Condensate Drain_& Overilow; Size & Grade__ 85 W & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attics Card -BI � -bate ate � - -- -- _ _ Card -BI Card-BI94ate Card -BI Date 70 -17 Card -BI Date and -BI Date Card BI Date and BI Date Card -BI Date Card -BI Date Comments at Fi Date FRAMIN tans) OK except q's Is- toper Material & Anchors ''' 37. 1 Studs -Nailing, Spacing &Bracing -Plates -So no 38. ring Walls over Girders &_Floor-Nailing-2-T� 3 Draft Stop in Walls (rat proof) JJ 40. Fir -tops; Furred Ceilings -Stairs - ub 41.�� /a////adddee��r & Beam -Size & Bearing /42ji i 'ers-Post Caps -Anchors- n rs _ 4 C1Cing_. Joist-Rftr. Ties of Brac.-Truss-Shlhnq.-Rfnq. 44. F' e Ties T pe A F - replace Throat s: Size & Romex Protection-Draft-lns. Baffles _- 4 8 Windows or Exiting Doors -_Sill Hgt__& Dimensions -_ 47. Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit jobsite) IDE NTIAL r ' ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIp",E NTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT FUL RESS DD ./ BUILDING PERMIT # �� (73-•��� �C6 A.P. ` -3o- zZ THE FOLLOWING HAS BEEN INSTALLED AS PER APPROVED PLANS: INSULATION: ' GLAZING: . SLAB EDGE SINGLE GLAZED FDN. WALLS FLOORS SPECIAL (INSULATED) -- WALLS C ERT - & LABELED WDS . �---�� & SLIDING DRS. CEILING/ROO . F.__aD — WEATHERSTRIP DUCTS BACK DAMPERED FANS CIRCULATING PIPES INTERMITTENT IGNITION ./ APPROVED HEATER DEVICE v / CERT. APPLIANCE_ APPROVED WTR. HTR. J, I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS NDA6TALLID THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. GREE `L INSULATION APPLIC"" nn - OWNER/APPLICATOR: GENERAL CONTRACT) GENERAL CONTRACTO. f/ •• � �.a cuu;-j-V� ��TCFNSE DATE,-�- 4L-, ..------_ THIS CERTIFICATE MUST BE ON FILA WITH THE BUILDING 1) REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN �1CONS� PRIOR TO WITHIN THE DWELLING. ICUOUS LOCATION 1/B4 4 /c,- r, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS L 196 Memorial Way, Chico — Phone: 891-2751, +a 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 120 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. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skywf,y and EI ad, Paradise --Phone: 872-2961, Ext. 57 C, RR CTI#N N0CE� VNER 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 a t ,.or need ad itional explanation,, please contact this office immediately: s a' C. ,V s Inspector_ _ Date ill COUNTY OF BUTTE r ._ „ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53411541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 C RRECTION NOTICE VIN rzH - HERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the abovejaddress 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. A -09- ./)/ _ c Inspector _ 0 - Date / _.. �11 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 v APPLICATION. AND PERMIT ASS S OR PARCEL NUMBER — -3 _a I)— NIG _ BUILDING PERMIT O WNES J t EL PHONE SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS �7R &TO - NAME �� ��JJ//1111�1 TELEPHONE -� CONTRACTOR'S MAILIN ADDRESS t ` Fireplace CONSTRUCTION LENDER UK N .��J YYOO Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,S ARCHITECT OR ENGINEER IJ Q^A le LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -2—S .� 3 TZEach PLUMBING PERMIT Filing Fee 10.00 Trap 2.00 A-6-50— Solar Water Heater 120.00 t Water piping 5.00 LOT NO. sz SUBDIVISION NAME rTRCEL MAP C-)� Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 - .5.0r, USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition[] Remodel[:] Utilities❑ Installation❑ Other [:1 Describe work: — Permit Fee $ t Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 MOD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWE L O� CUP.& OR ADDNS, l ACC B SV t 2/20sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. 34s� 0'> Y License No. Classification �7 ❑ I, as the owner, or my employees with ,wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &\ NON.RESID. SINGLE OUTLET CIR. / Ex. Occu z0@s0C P�o OR FIXTURES 6AL®30Q FIXED A EX. OCCUp. OUTLETS P(RESID )REA.1 2.00 r Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): TaThepermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department 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. Heating Cooling Hood 3.00 Ventilation permFe e $it 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, i emnify and keep harmless the County of Butte against all liabilit' s, judg s, cost and expenses which may in any way accrue agains ai oun conse nce of the granting of this Epermit. X Date Y—Z7�_Y gnature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and oli ion or construct- ion of structur or in Vight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP 3 TYPE OF CONST, J.PAi7L P ND ISSUE/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC / BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS "3 Date ? 2� �� Receipt No. (7 WHITE-D.P.W., ELLOW- SSE950 . PIN - N C 6R, GOLDEN O - PPC T J f; Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT, FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded.prior to issuance of a building permit. a` The property described herein is adjacent to land or included � within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising""` P P Y Y J giCiil�6 from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural. operation$ icludins, but not limited to cultivation, plowing, spraying, pruning, and harvesting-hich occas, sionally generate dust, smoke, noise, and odor. Butte County has established sicul- 5 tural.zones which have as a priority use for productive agricultural purVq'sd,,' residents within said zones and on adjacent property should be prepared to �kcarlrt '8ult inconvenience or discomfort from normal, necessary farm operations. All that real property, situate in the County of Butte, State of Califon` described as follows: a T _/ ,per Date: � �/ PROPERTY OWNERS: 12 State ofLir-o,� ) On. this the day of N/UJ_ SS. before me, the undersigned Notary Public, personall County of ) app eared IOQLe' l_ . �ASOW A "D 0AC-0-yL ANAJ IA OFFICIAL SEAL known to me to be the person(s) whose name(s) CHRISS SAYDY.K subscri d to the within instrument and acknowledged -� NOTARY PUBLIC - CAUFORNrA that executed the ' same for the purposes PROFFICE IN therein co tained. A, " SHASTA COUNTY My Commissicn Expires March 26, 1985 IN WITNESS WHEREOF, I hereunto set my hand and official seal. - Notary Pub c Present A.P. NO._Jt/Z4 A. GENE RAL �oning requirements �2� Valuation. �'< Signature by •R.C.E. RESIDENTIAL PLAN CHECKING GUIDE DUPLEX, & MIS ONLY) Bldg. Permit # 1,59-0J—J% A. P. # Gt< ;;,�- a9A,-, (sideyards and parking). or Architect (if required). B : ` PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. r: -:3< Other buildings or structures. w i{ Grading, fills, drainage. 12 C. FLOOR PLAN Complete to'scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). �3 r Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max, per State law). Human impact glass (Sec. 5406). .•..,6< Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). k -Sv v 74, � ?�S. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of �echanical equipment. ocations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke.detectors (Sec. 1413). TURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. "�>;43!'Elevations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. eplace construction details and calcs if over one-story in height. .Sufficient data and details to satisfy energy insulatjon requirements (State law). E. MISC NEOUS ITEMS TO LOOK OUT FOR C plywood on exposed locations and•overhangs. ay details (Sec. 3305). Guardrail details (Sec. 1716). 11rick or stone veneer (Chapter 30). erior plaster - weep screeds (Sec,. 4706 & 4708). doper roof pitch for roof covering (Chapter 32). 'r"" ies or bearing ridge beam. , age door or porch header sizes. Adequate bracing. Diving area over garage..- complete 1=hour separation walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting 1� M9 FIR.-LU Ol.p.ca"P 7525 _N. N, 3711i RY9,. HIRMI. FLO"100 33147 1 { iPAN lop CHQNO Not, Ct100o MAR OYN 01". FtiML. �1►D1 JtlINI 1 JOIN? ] . Jothl ! MINI 7- 1CM $II. KN SPL:: I f}.IN SIlF';CAF14 311r GNAOt rl-1M loo. I,,$fit" IN.$X NL01 11111 ft;I X INO2 J. T SPIS SIIQ IFI. 1 N 0 Lim" KID LIN mic it" 1110 LCN Y . NIO LIN 1110I ltW 3X NO. 3 0.210 PSN A. ON •. 3 2,01 Y: 3.01OX_ .s . 0x I.Li 2F •'N0.)MCS Y • O. Y- . 0-1/0 ISN - .ON S x X px "' 00 ON OY ! ( 0- f 2C •' NO. )MC15;21 4 NO.3M 5 . 11419 'In ' 3. I.OX 7 J. % Ot S. ON 3.f .I'3'01 . .OX 416 •.'f 2N me. 3wici5 2N NO. / PSN . DY S Y % :