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079-190-019
A.P. - WYNOKA HOMES , INC . SOI �I'�� / _ -5735 Jewell Cr.t, Oroville Vista'; VAI Meadows�Lot 19 Permit 2414=74B(single fam. dwell)::. yw. 079-190-019 06:0509 sir THAM, THANH 5735 JEWELL,CT, OROVILL - F CONT: WV ALTON INC HVAC(NEW)., t - • • .7 t J l �r � i } 1 / • Butte County Department of Development Services. eu re ARE^ IN OT ES i 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttgcWnty neVdds oouacy _ r. RESIDENTIAL I# APN: Permit No. Owner. 079-190-019 06-0509 THAM, THANH Site Address: 5735 JEWEL_ L CT, OROVIL_LE_ j CONT: WV ALTON INC Contractor. I HVAC(NEW)- Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ro C DATE JOB FINALED: y _ SIGNATURE: = OK = nu, wn lu MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer', Loctn-Test; Fall/C/O-Concrete 3 Decks, GirderslJoists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails S Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPO 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof-, Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ a 14 Exits 12 Braced Wall pnls 15 Cert of Occupancy1 16 HUD Label/Insignia Numbers Serial Numbers ° °�• DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -C n nctns-Th ickn ess Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 1 5 Elec Pool Lting; IS volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing Alarms 13 Bonding, Diving board or Slide P 1� lie 0 d m` Pool Drawing i` r OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation .� o` o'er o DATE IFRAMING 17 Sills Proper Materials & Anchrs i8 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Cliannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz g, ❑ CU or ❑AL AC Wire Sz se ❑ CU or ❑AL 48 Range Circ ga [:j CU or❑AL Oven Circ ga ❑ CU., ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir -Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 6i AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnlVent 11 S Outlet 65 Attic Acc & Pltfrm if Furnace in attic .4 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI 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-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-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 (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler 0 �ti.. COUNTY OF BUTTE. _ BUILDING DIVISION i, DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 A-1 CORRECTION NOTICE !7 IN OWNER A routine inspection indicates that the following violations of Butte f the above address and should be corrected. Please call for re -ins f{e`' work is completed. If you have any -questions pertaining to this a explanation, please contact the Building Inspector as indicated b ly ` C C \ PERMIT NO. r,ty rdinances exist at n when correction of ter, or need additional ' / Dateq r r 0 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 'tiz_ : - JIL CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -47R Project Address 'J -A- Builder Name _-L-Wia Builder Contact Telephone Pan Number Hf RS Rater Tele hone - �'3.t" ' 35 Sam le GroupNumber Certifying Signature - Date Sample House Number Fidn tS Provider 2J reet Addr s: QNOW qty/State/Zip: Coes to. BUILDEK, HIERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ 98�Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. V,RREe installer has provided a copy of CF -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Preceduresfor field verification and diagnostic testing of adequate alrllamv are available in P.4 CM, Appendix RE4.1. ❑ Yes ONO Duct design exists on plans 0 P-134-1 .1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching IT RE4.1.3 Diagnostic Fan Flow Usine Flow Grid Meaeurpm t Measured Airflow: Total CFM Rated Tons: cfin/ton ✓ ✓ ✓ ❑ Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 ❑ ❑ Yes is a pass Pass I Fail ✓ ❑ MAXIMUM COOLING CAPACITY Procedures far determi";"w ...i.r:.......... .. 1:-... L....! ✓ HIGH EER AIR CONDITIONER P21 �-,// or verification are available in RACM. A endix RI. ' Vs 0 No EER values of installed systems match the CF -1 R 0 No Fors lit stem, indoor coil is matched to outdoor coil 3 ✓ 0 No Time Delay Relay Verified IIf Required) Yes to 1and 2- and; (if ❑ ❑ Pass Fail Residential Compliance Forms April 2005 0 No enaix jcrs. Adequate airflow verified see ad uate airflow credit) (see ❑ No Refrigerant charge or TXV ❑ No Duct leakage reduction credit verified FC3yYe ❑ No Cooling capacities of installed systems are5 to maximum cooling ca act indicated on the Performance's CF -I R and RF -3. If the cooling capacities of installed systems are > than maximum ❑ No cooling capacity in the CF -1R, then the electrical input for the installed systems must be:5 to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a ass ✓ HIGH EER AIR CONDITIONER P21 �-,// or verification are available in RACM. A endix RI. ' Vs 0 No EER values of installed systems match the CF -1 R 0 No Fors lit stem, indoor coil is matched to outdoor coil 3 ✓ 0 No Time Delay Relay Verified IIf Required) Yes to 1and 2- and; (if ❑ ❑ Pass Fail Residential Compliance Forms April 2005 mmltcw AA I ZJK I-OMYLIANCE STATEMENT The house was: ✓Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater p viding diagnostic testing and field verification? I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate). BUTTE ✓ITHERMOSTATIC EXPANSION VALVE (TXV) TY f' oeedures forfJield verificatzo�s of thermostatic expansion valves are available in 1MCM Append—,, R1 APR 10 2005 DEVELOPME.N'i Access is provided for inspection_ The procedure shall consist of 101'SERVICES (1!�Yes 0 No visual verification that the TXV is instailed on the system and installation of the specific equipment shalt be verified Yes is a ass Pass Fail ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Valves Space Cooling Systems without Thermostatic Expansion tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btttlhr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Char a Measurement outdoor air -bulb 55aand above Note: The system should be installed and charged in accordancewith the manufacturer's specifications and installer use the Alternativea Charge Measure procedure verification shall documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 *F rater shall Procedures for Determi*n Refri erant Charge using the Standard Method are available in RACK A endix RD2. ❑ Yes ❑ No A copy ofCF-6R (Installation Certificate) has been provided with refrigerant charge measurement documented Residential ComplianceForms rms April 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) -4R Project Address J ✓� Q31-1• - Builder Name \fir\-yU1 Builder Contact Telephone Plan Number H�RS Rater Telephone Sam le Group Number Com Bance Method(Prescriptive).r Cltnat—t- Zone Ce rti g Signature ` Date Sample House Number HERS Provider Street Address: City/State/Zi :opies to: BUILDER -,RS PRnViiIFR ,.,. eNn TTrrTn►rl- 71r.+o�.,...,.-..-. fill 05 // mmltcw AA I ZJK I-OMYLIANCE STATEMENT The house was: ✓Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater p viding diagnostic testing and field verification? I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate). BUTTE ✓ITHERMOSTATIC EXPANSION VALVE (TXV) TY f' oeedures forfJield verificatzo�s of thermostatic expansion valves are available in 1MCM Append—,, R1 APR 10 2005 DEVELOPME.N'i Access is provided for inspection_ The procedure shall consist of 101'SERVICES (1!�Yes 0 No visual verification that the TXV is instailed on the system and installation of the specific equipment shalt be verified Yes is a ass Pass Fail ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Valves Space Cooling Systems without Thermostatic Expansion tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btttlhr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Char a Measurement outdoor air -bulb 55aand above Note: The system should be installed and charged in accordancewith the manufacturer's specifications and installer use the Alternativea Charge Measure procedure verification shall documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 *F rater shall Procedures for Determi*n Refri erant Charge using the Standard Method are available in RACK A endix RD2. ❑ Yes ❑ No A copy ofCF-6R (Installation Certificate) has been provided with refrigerant charge measurement documented Residential ComplianceForms rms April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060509 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 7000) of Division 3 of Issued Date: 03/06/2006 APN: 036-570-065-000 the Business and Professions Code, and my license is in full force and effect. t j Z"'Licepse Number. 231 l I License Class : I to Address: 5735 JEWELL CT ORO Date: l0 Contractor: C�— Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Description: install new hvac Contractors' Slate 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 Owner: THAM THANH N 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 5735 JEWELL CT the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA . 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 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'lheir ' 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: W V ALTON INC owner of property who builds or improves thereon, and who does 211 ELM ST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for MARYSVILLE, CA sale. If however, the building or improvements are sold within one 95901 year of completion, the owner -builder will have the burden of 530-742-7119 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: W V ALTO INC and who contracts for such projects with a contractor(s) licensed 211 ELM ST pursuant to the Contractors' State License Law.): MARYSVILLE, CA95901 ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 530-742-7119 License #: 231910 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect:,,. I have and will maintain workers' compensation insurance, as Engineer:' ' ' required by Section 3700 the Labor Code', for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: i Carrier:�� 0 S. F. � Total Square Ft: / Policy#: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit. is Census Code: 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' p j compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th se provisions. t Date:• Applicant: o--- WARNING: Failure to secure workers' compensation coverage is and shall subject an employer to criminal penalties and one' Iunlawful, hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. " CONSTRUCTION LENDING AGENCY ; This permit ishireby iss d under th applicabl provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutio to do work ndicated abo a for wh' h fees have been paid. �j performance permit BY Date: Name: PERMIT EXPIRES ON: Address: (Date) `❑ I 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. notification 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 representa'v s of Butte County to enter upon the above mentioned property for inspection purpose Print Name:' I - Signature: Date: U 16 ❑ Contractor Agent for Owner Agent for Contractor ❑ Owner B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060509 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 7000) of Division 3 of. Issued Date: 03/06/2006 APN:0387-57111--06"-00 the Business and Professions Code, and my license is in full force and effect. "1 e ZvLice Number: 231 License Class: se to Address: 5735 JEWELL CT ORO Date: IO (� Contractor: L�(. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: install new hvac Contractors' State 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 Owner: THAM THANH N 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 5735 JEWELL CT the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 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: W V ALTON INC owner of property who builds or improves thereon, and who does 211 ELM ST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for MARYSVILLE, CA sale. If however, the building or improvements are sold within one 95901 year of completion, the owner -builder will have the burden of 530-742-7119 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: W V ALTON INC and who contracts for such projects with a contractor(s) licensed 211 ELM ST pursuant to the Contractors' State License Law.): MARYSVILLE, CA El I am Exempt under Article 3 of the Business and Professions Code 95901 Date: Owner: 530=742-7119 License #: 231910 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance'of the work for which this permit is issued. My workers'•cdmpensalicin insurance carrier and policy number are: Carrier: Lo 9� r Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit.is Census Code: t7 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' compensation provisions of Section 3700 of the Labor Code, I shall I forthwith comply with th se provisions. `_J1 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer tocriminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the. Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY pplicabl provisions of the Butte County Code and/or This peP,�e!!� und�aboe I hereby affirm that there is a construction lending agency for the Resoluwatedfor wWh fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: I Date: Name: PERMIT EXPIRES ON: Address: (Date) ❑ 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. notification 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 representa'v s of Butte County to enter upon the above mentioned property for inspection purpose Print Name: d b w f c� Signature: �L Date: U ❑ Owner ❑ Contractor Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 $AJT �. BUTTE COUNTY o I O DEPARTMENT OF DEVELOPMENT SERVICES o O BUILDING PERMIT APPLICATION o �� o AND SUBMITTAL REQUIREMENTS o_ -- p 24 HOUR MSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 o-:'t8b=_�.; . o OFFICE If: (530) 538-7541 C— A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 00% Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY"'* OWNER INFORMATION Laa Fi ame� t 11 Addresssl! C4- City D (.13 v'i I� State Zip 9 9 Phone 53y- 7S -)LY Fax E-mail CONTRACTOR Name V r C - Address ddress i City oma � � ��� ' Statec>a • Zip 9 S uJ Phone ''��1 Z 7 1 `>' Fax y Z L Z E mail ' Lic. # 9,30t)0 Class I Cqa APPLICANT INFORMATION ARCHITECT/ENGINEER Name City l e �0✓- U 1 �� ddress i .. F51�0l City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name --�- 1 ! (3L-jn 3-LC Address cStateC. City l e �0✓- U 1 �� Cross Street .. F51�0l Phonei -L S Fax E-mail ' APPLICANT SIGNATURE X' For office use only: Zoning Property Address 5 35 Jew��l C4_ Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: R FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP ©G d BIN # PROJECTLOCATION AP# 7 Property Address 5 35 Jew��l C4_ City 0M\,1 jJ._ Cross Street Sheriff WORKER'S COMPENSATION Policy Number . Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date:.3� LENDING AGENCY Name Address Description or Scope of Work: Jd Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by -Amount: v Bldg SRA Receipt #: Sheriff V%� (jut v SMTP Date:.3� Other -- Total 4' SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets.of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in'duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review;(May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:TORMMBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 t P ERMIT NO. 2414-74B �3� P N. E M ' tiMH UTIL. 'PERMIT NO. a, 67�x PERMIT EXPIRES OWNER wynoka Homes Inc j„� ONTR. .LOCATION (A.P. 5735 Jewell -Court, lot 19, Vista Meadows, Oroville Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gat Called JOB FINALED (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall -D Soil Piping Forms Parapets 1st Floor — Main Bldg. Restroom Finish 2nd Floor Footingsa/— _ Windows 3rd Floor Stemwall Siding To out Slab 0 -:� Roof Sheathing, - Water Pi in Piers Roofing • ," Sewer Garage Fdn. Vents �' Fixtures Footings Garage Vents WaterHtr. .— Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Testes -/G7 J Temp. Gas Slab Final '- 7 Sanitation Patio FIREPLACE Final — •! Footings Footing `-- LECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh c� "% MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling 7 Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final / Final ® -" DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agen. y Receipt No.s'— 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. DIREGOTOR OF PUBLIC WORKS By&,c` Date Building permit expires Date................Y.'� ."7, BUILDING Owner A/ O 4p N C_ SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor I-AI066 !T Z! A%G ^Lt�C r Total Valuation Mailing Address Af Y �7C `� Permit Fee Plan Checking Fee&/or Penalty I -ed Yt Ile Telephone No. _ �g3^ Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 // s- G ct e// CZ Each Trap 1.50 V � ld.,� Repair drainage or vent piping 1.50 Water piping 1.50 /Z C-)'err �/� Each gas water heater or vent 1.50 A. P. No. ^ S%"� / �f Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&welrSaT=Ion I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.00 l��� 7Z /C�Lfv7ir / Main service incl. 1 meter/6y),41 �Q Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12ar-M-ss) (more than 12) -Rang, O e Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal dlo 2••dZf© R .,sw&fixte 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: fly¢ igA Z/. - -rg ?J� HoQet=x.FanorF.A.Furn.Motor 1.00 �dU Eve(1-cooler, gar. lisp. or D.W. 1.00 p® Air conditioner or heat pump Water pump Mobi I Home Facilities 5.00 Temp. Power Pole 5.00 License No.A-7,9Ln Z.0Classification �'-1 Misc. wiring ❑ 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood Permit Fee $ $ TOTAL PERMIT FEE . $ autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agen. y Receipt No.s'— 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. DIREGOTOR OF PUBLIC WORKS By&,c` Date Building permit expires Date................Y.'� ."7, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — , Oroville, 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. X C�1_ 4-e-0- pate / Signature of Per ee or Agent Receipt No. / 5��0 Whi to -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. DIRECTO OF PUBLIC WORKS BY Date Ndkjgpermit expires Date ........8/ �9 ....7.�... BUILDING Owner O1X1r, SQ. FT. OCC. BUILDING VALUATION Mailing Ad ress Telephone No. Fireplace Contractors �S CO Aln Total Valuation Mailing AddressPermit W h//9 Fee Plan Checking Fee&/or Penalty elephone No. 3 3 =340 Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -� Q 77 oz Each Trap 1.50 S E400WS Repair drainage or vent piping 1.50 Water piping 1.50 Q 6 Each gas water heater or vent 1.50 A. P. No. 3 — 7-- 57 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeLe-s*'F4< S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES XJ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 / _ EG O /'% Main service incl. 1 meter _ Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures baldl0 Receps., switches & fix outlets 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- J Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 o License No. ����� � Classification C,I �! Misc. wiring ❑ 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. N 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 6,00 Heating �Q Cooling 31, ©Q Ventilation Hood 1 2.00 �2, O Permit Fee $ p( TOTAL PERMIT FEE of authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C�1_ 4-e-0- pate / Signature of Per ee or Agent Receipt No. / 5��0 Whi to -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. DIRECTO OF PUBLIC WORKS BY Date Ndkjgpermit expires Date ........8/ �9 ....7.�... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, 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. X Date ' loor signature of Permitee or Agent Receipt No. g.�5 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. 2IR: R OF PUBLIC WORKS By Date //6 Building permit expires Dat BUILDING Owner Wynoka Homes, Inc. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Gridley Plumbing Total Valuation Mailing Address 590 Hazel St., Gridley 95948 Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 5735 Jewell Ct. Lot 19 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2.00 Vista Meadows, Oroville Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No 36-57-65 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 5-00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ 7100 NEW © ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 add' 1. plbg. for #2414-74B Main service incl. 1 meter Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal ?0 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busin s & Profe s Code under the name style o Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.�2�7�� Classification_��� Misc. wiring�l' ❑ 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 $ $ 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 TOTAL PERMIT FEE $ 7 00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ' loor signature of Permitee or Agent Receipt No. g.�5 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. 2IR: R OF PUBLIC WORKS By Date //6 Building permit expires Dat K COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:'534-4541 APPLICATION AND PERMIT authorize rtipresentdtives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. ,Z =/ot 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. DI CTOR OF PUBLIC WORKSBY� Date ZZ Building permit expires Date ............................................ BUILDING Owner' ` /([� �C� 0'07,6 ��/C SQ. FT. OCC. BUILDING VALUATION Mailing Address ' R ® (!) / Oto L C Telephone No. d �S3 3-,-273d Fireplace Contractor _ ,L ,� Total Valuation Mailing Addr9� Permit Fee Plan Check ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address s �� ` Cv /L PLUMBING No. @ FEE PERMIT FILING FEE $2.00 , (j tel%/G Each Trap A3 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 CL.�A_� — Each gas water heater or vent 1.50 , SQ A. P. No3 -- .. — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 S o Each additional outlet .30 F FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 ^a s M'A?Z I Parcel Approval Plans Approval Permit Fee $ .,SD $ S NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 PZ () //4/ 9 0&1&—.rC—_ Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_ 5 Receps., switches & fix outlets �20725 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 o 7 IF Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No ns793z Classification'—'3_�� Misc. wiring ❑ 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. 01ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize rtipresentdtives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. ,Z =/ot 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. DI CTOR OF PUBLIC WORKSBY� Date ZZ Building permit expires Date ............................................ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W KS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -o"" auuru(ice reNresenia0ves or the noun Butte to enter upon the above-md propert for inspe purposes. X Date ignature of Permitee or Agent 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. DIRECTOR OF �RBLIC WORKS By Date , 7'. Building permit expires Date ..... ............ �$''� ' �� U I L 617G OwnerSQ. FT. OCC. BUILDING VALUATION D Mailing Address {O, o0 r Telephone No. y} Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ a Building Address 573 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 �rj f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. &k -S-7- 39bF6SZoning &Planning - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s otl ni i Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaratio Parcel Ma pL- 60' R/W I PF::�] Improvements Lawn sprinkler system 2.00 antd J Parcel Approval PloceApproval Permit Fee $ $ NEW ADDITION ❑ UTILITIESE] OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbalfal0 Receps., switches & fix outlets 20 25 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: 7 �I/i(/.���4 Hood, Ex. Fan or F.A. Furn. Motor 1.00 —�- Evap. cooler, gar. dis p. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification _ Misc. wiring ❑ 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 ermit is issued I shall not em to p employ an y 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ OG auuru(ice reNresenia0ves or the noun Butte to enter upon the above-md propert for inspe purposes. X Date ignature of Permitee or Agent 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. DIRECTOR OF �RBLIC WORKS By Date , 7'. Building permit expires Date ..... ............ �$''� ' �� Workmanship Shall Be In t4oTE:—All Materials & Recognized Good Rtactices ,and Accordance with P -eco for the Specified use in the ' r .of a - quality prescribed bing Code,, and 0. Uniform Building Code, Uniform P1um the National Electrical COC18% cation at T be .. �10T I it is unlawful to � on �;rne wkhout irtMnt of Public Smasf,er-- P 17n S. Kan on file for buiRring PZ4(L/- BUTTE; COUNTY' .-BUILDING DEPARTMENT ,10 Zy OM ES I WC, *