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HomeMy WebLinkAbout072-320-01472-32-14 Bob & Lorretta Dean • (07 2 c�2v NIS Old Forbestow Rd. C- i . ,,�� t o® o f Swedes Flat Rd, 00 ��14e cgntr: Rudy Hil ovillelI Permit #2625-7'•,P,E(add studio loft, ! living room & solar system/SF) 72-32-14 + Contr : Rudy Hill ' ,Permit##3531-80E (new ele ' accessory bldgs) + 072-320-014 PERMIT#95-1539 DEAN, Robert 1326 Hurleton Rd., Oroville Cont; George Roofing Reroof/SF L/%j l � i i ! r N N � I r-�' �� kkj 072-32'0-014 PERMIT#95-1539 \ �- DEAN, Robert — - 1326 Hurleton Rd.,'Oroville �. Cont; George Roofing Reroof/SF • 1 ' 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaliRVa 95965 - Telephone (916) 53W54 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARCELNUMB a - —o I zoNING B WING PERMIT OWNER TELEPHONE t p SO. FT. 06C. BUILDING VALUATION Z-1 c?�+ ✓t 4 4 v OWNERS MAILING ADDRESS . `Q ✓ 7A t3Z6 11 ,t1�P h CONTRACTOR'S NAME TELEPHONE 035 CONTRACTOR MAI NG:ADDRESS . j,"Ij Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 'Z (,Q Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ t / BUILOWG.JDR�sS H r +x l o;.i C`� , •( a ✓t I +. �� -�6 b 11 5 ZL fLV� PERMITFEE $ -74,00 t PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PAR EL MAP Solar Or heat pump water heater 23.00 ,� USE OF STRUCTURE SF S Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O/� ' Describe Work: 01 f c r,l�Cif (" oil, "J C i ci r c c i e ..7 Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 3 J Lic. No. 9!r 2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, { will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. *Business and Professions Code for this? reason NEW CONST. DWELLING OCCUR.SO. OR ( a ACC. ) 3.5Q FT. NEW CCNS. ONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .S° Ex. Occup. ( OUTUE7S PES D') ERA) 5.00 Temporary Service 23.00 Mobile Home ,Facilities ` 20.00 Misc. Wiring 23.00i P MITFEE.-i Contractor Ii 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' co�" penj� ation jasurance carrier and policy number are: Carrier �j 7 g jT( MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -Z $S" SQ% (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. f ! _b Z,� - 5' X c>� a� ��! � "�W_- Date e Signature'of Applicant- ❑ Owner ❑'Contractor 2 -Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ "7 C� , p O HA2. D. FEES IMP FLOOD C$ PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. -,� By, ' y IH• '/�.� Date , PERMITEXPIRESON / 1 (D e) Receipt No. I g�i� r"% (� WHITE-D.D.S..-B.Df --CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN GN 7 County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO. APPLICATION AND PERMIT S�--/S3!5!— ASSESSORPARCEL NUMB _ —� ZCMINc B LDING PERMIT OWNER a TELEPHONE 58— 3159 9 SO. FT. CC. BUILDING VALUATION OWNT�26 f S .�.fb Rd, Ora,�1IR 74 4sq00 Z20 �3. , Zs6A -- COI RACTOR'S NA 91or ME Roa��1'1 TELEPHONE 5'33-ro CO TO I NG �q W ADDRESS O % r,4 011 ✓l. 0 o✓ 6 /C Vh Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2$ 'coo — LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ s - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILD�gIJZS 1 r / I S Cab -e -"fa PERMITFEE $ -7y 00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF-@' Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 8- Describe Work: 1-0&U /�/� aJc%C ✓1d ON SQi'i'T%Ov1 %0VVV— ♦ Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service O00 O 1 LESS \ ( ll. OVA OR LESS J 23.00 Main Service ( 200A TO 1000A ) 46.00 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 isjn Lull force and effect. License Class Lic. No. 9 2 6 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as ownerof theproperty, ormy employees with wages as their sole Compensation, will do the work, and the structure is not intended or offered for sale. .❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so. 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 8 POWER APPARATUS (SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO EX. Occup. FIXEDAPPLNs OR (ourlFrs (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 work ers'S _1penption �urance carrier and policy number are: Carrier q 14 h Policy Number Z. SS— 6-09 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro isio ,, �,, X __ __ Date / 12_.? ,5— _ Signature of Applican - ❑ Owner Contractor gent -- An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ', 0 7r p HAZ. D. FEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I B Date PERMITEXPIRESON (p• e) Receipt No. n WHITE-D.D.S.. CANA�ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y Lee x 71a T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING - 1. BUILDING PERMIT OWNER TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other4 SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ AdditionE], .Remodel ❑ Utilities ❑ InstallationC Other Q' r Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5•QD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. - Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI.OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 50L� BAL�10¢ FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 'I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you 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 2.00 Ventilation permit Fee $ _ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑'' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD RD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date, - the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.. ASSESSOR PARCEL NUMBERZONI G BUILDING PER IT OW TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWNE 5 AILING ADDRESS CO ACTO 'S NAM TELEPFIONE CO TRAC OR'S IL NG A/D(R^(.SS /gyp CONST TION LENDER IGNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ eu G ADD E s �6 t 14 A-, �- PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Oro, Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 1Y t?AAJ 2 IQ -C-, 5,p -y—V IC_ V _ SS Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10000 AMP OR001 OR LESS5.00 S' OV Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for and effect. License No. y f� ,Z- Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT. -OUTLET 2,50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &\ NON_RES,(SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@�25C BAL@tOs FIXED APP LNS. OR Ex. Occup.(OUTLETs (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ T rmit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi ' judgments, costs, and expenses which may in any way accrue again said C unty in consequence of the gr ting of this permit. ,✓ %� Yate Signora a of Ap nr Owner Contractor —Q�/ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which REC ORO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p�T Date —v v ® r. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l� z.!PERAIT N0. 2625-79B,P,E ' r ,r PERMIT EXPIRES Bob & Lorretta Dean ,OWNER vCONTR. Rudy Hill, Oroville -;'LOCATION (A.P. - 72-32-14 ) i N/S Old Forbestown Rd., @ junction of Swedes Flat-Rd, Oroville Y• w r .i� r , A e {. r 4 ` Temp. Power Pole Called PG&E Temp/.Elec. Serv. Ced PG&E Te%�r. Gas Serv. � i /Called PG&E JOB .,7�r FINALED (Date) (Signatu ) , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) M PLUMBING Setback Firewall Soil Piping R Forms Parapets 1st Floor Temp. Pole Main Bldg. Restroom Finish 2nd Floor Underground Footings — 9'e<® Windows i 3rd Floor anen Stemwall Siding To out^, Final Slab / Roof Sheathing Water Piping Piers Roofing • % 7 g '' O Sewer ........ • .. • • . Support Gara a Fdn. Vents ` © Fixtures Drainage Footin s Stemwall Garage Vents — Insulation Water Htr. Heaters REMARKS OR CORRECTIONS ei/� , Slab Car ort P Prov. for physic y handica ed Conformance of ex. Appliances - Gas Pi in &Test �- Slab ` Patio Foot i n Masonry We Reinf. SSE Temp. Gas Fina" r c 4✓ Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels ELECTR Mesh M HANICAL Grd. Fault Prot. Scratch He Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation anen Door Closer Ina Final MOBILEHOME UTILITIES ------------------ lec_ Service -.Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION ........ • .. • • . Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ei/� , (NOTE: An entry must be made on this form each time you visit the job site.) R (NOTE: An entry must be made on this form each time you visit the job site.) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLE I}V CONEORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT (location) G BUILDING PERMIT NO. % �.� , 7/ A:P. NO. THE FOLLOWING'HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof &-/jF Ducts ---'— Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: 'Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name -Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name eu (p ease print) Signature of .. General Contractor/Owner �6Date i, State Contractors License No. 357i/ 50 THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. .b Rudy, Hill'. Permit# OG6;�_�7 INSULATION -'-CERTIFICATION Swede Flat Rd. Gh-GG'ilr/f� Number and Street City County Subdivision e Lot Number DESCRIPTION:OF INSTALLATION ROOF Material ;t8rand Name Thickness, (inches) Thermal Resistance (R Value) EXTERIOR WAIL Material I Fiberglass I at Brand Name Certainteed Thickness (inches) 3lu Ther"mal Resistance (R Value) 11 CEILING Batt or Blanket TyFa"berglass ts8rand Name Certainteed Thickness (inches) Err Thermal Resistance (R Value) 19 Loose Fill Type Minimum Thickness (inches) Area Covered (h2) FLOOR.ELEVATED Material Thickness (inches) FLOOR, SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) HEATING SYSTEM -Gas Furnace Make "Model Deicription Rated.Bonnet Capacity a,Brand Name Number of bags Thermal Resistance (R Value) &"Brand Name ' Thermal Resistance (R Value) s,Brand Name ( Thermal Resistance (R Value) f , I'Brand Name I : Thermal Resistance IR Value) Weight per bag Ib DECLARATION hereby certify that the above insulation was installed in the building at the above location ir conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). �(I-,-/ G oral Contntra for (b Ider) l vI i Si Title License Number Date —� Hawkins Insulation Co.: Inc. 215925 Sub-Contracttorr ('Insulation Applicator) License Number — ry 9 Date 519nature and Title r CERTIFICATE REVIEWED BY Date BIN-029Bui ing Inspection Off ice) o COUNTY OF BUTTE — % DEPARTMENT OF PUBLIC WORKS 7 County Center Drive y— -OrRville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i isX r Date Ign lure of P - or Ag nt Receipt No. 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. DIRECT 7 F PUBLIC WORKS By Iff�uildiing permit expires Date BUILDING VT Owner 2( SQ. FT. OCC. BUILDING VAL ION D 0 /Z/0 62 0 Mailing Address d Telephone No. Contractor ;D bL,, L Mailing Address l [L Fireplace O 0 Total Valuation 0 ® v LL Telephone No. 7 7 Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee 0� at PLUMBING No. @ I FEE �c`' PERMIT FILING FEE $3.00 ,00 Each TraD 1.50 OPV �LL� Repair drainage or vent piping 1.50 A. P. No. %� 3�- — / Zoning & Planning Water piping 1.50 iS� Each gas water heater or vent 1.50 FipeSr a Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. Plans Recd Parcel ApprovalL01 �- Plans Approl Lawn sprinkler system 2.00 NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ Permit Fee $ $ 4 65Z Sl_U,D)n lylly6gELECTRICAL SO R No. @ I FEE PERMIT FILING FEE $3.00 ,3.00 Main service 100V DR L00 ESS 1AMP OR LESS 5•00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCC P. ' 22S ft OR ADDNS. ACC. BLDGS. q Q 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: NEW CONSTR MULTI-OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER OUAPPRAS e NON-RESID. SINGLE TLAET .0 R. Ex. Occup {OUTLETS OR FIXTURES 5 L� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ci 5*&�?_ Classification Mise. Wiring 6.25 ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ O b� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. M_j' - ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ LTC 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 $ ✓z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i isX r Date Ign lure of P - or Ag nt Receipt No. 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. DIRECT 7 F PUBLIC WORKS By Iff�uildiing permit expires Date