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Home My WebLink About079-210-013zS ort. Wynoka Hones c ' Lo' '� hd/ .ia/rr�/�. V Q•%9 41;Y3 L �k13 ForeStview Dr., Vista Meadows Unit #2, Oroville t { Permit #k2 Z!-7Wnew single famil Contr ;pox - C -01 - Fox= Electric — Rell_,// f//,` Permit #3688-76E(ele for 2971-76) ' Contr; Gridley Plumbing, Permit #3632-76P(plbg for 2971-76 SF'�t�l/ ' •. ontr; Park Sheet Metal' r. I Permit3979-76M(mech for 2971-76)`rl S/F . /'�Q /aZ ' I 2645 aCT•VR�ala{Tlr `...., .,'.,....,. ..�,�_ - - ^ �• Oroville Permit�,661-84 (install wood pburning sto SF)� 3�fi�4i ,j w ,1307-1115 ' 079-210-013 'MISCELUANEOUS HVAC'6rijebui t'; �> INSTALL HVAC UNIT 2645�FORESTVIEW DR OHLHAUSEN DICK W & D;-'�p • 2r! �O ;jB07 1739 079-210-013'• -MISCELLANEOUS Re -Roo REROOF" 15 SQ °2645;F6RESTVIEWOR OHLHAUSEN-DICKlW.&'D,; 1 L 1 s 0 zS ort. Wynoka Hones c ' Lo' '� hd/ .ia/rr�/�. V Q•%9 41;Y3 L �k13 ForeStview Dr., Vista Meadows Unit #2, Oroville t { Permit #k2 Z!-7Wnew single famil Contr ;pox - C -01 - Fox= Electric — Rell_,// f//,` Permit #3688-76E(ele for 2971-76) ' Contr; Gridley Plumbing, Permit #3632-76P(plbg for 2971-76 SF'�t�l/ ' •. ontr; Park Sheet Metal' r. I Permit3979-76M(mech for 2971-76)`rl S/F . /'�Q /aZ ' I 2645 aCT•VR�ala{Tlr `...., .,'.,....,. ..�,�_ - - ^ �• Oroville Permit�,661-84 (install wood pburning sto SF)� 3�fi�4i ,j w ,1307-1115 ' 079-210-013 'MISCELUANEOUS HVAC'6rijebui t'; �> INSTALL HVAC UNIT 2645�FORESTVIEW DR OHLHAUSEN DICK W & D;-'�p • 2r! �O ;jB07 1739 079-210-013'• -MISCELLANEOUS Re -Roo REROOF" 15 SQ °2645;F6RESTVIEWOR OHLHAUSEN-DICKlW.&'D,; 1 L 1 1` I .! �.� 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 LICENSED CONTR_ACTOR'S DECLARATION. ; Contractor (Name) State Contractors License No. / Class / Expires 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. X 8/14/2007 Contractors Signature Date 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is or once hundred dollars ($100) cr less. "Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4220 OWNER / BUILDER DECLARATION s f 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ' Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ®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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section • B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X G compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owners Signature X 8/14/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION -LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) 8/14/2007 Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Cou to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr rt� owns or am authoriz d t n the property owner's behalf. 8/14/2007 Nate of Permittee [SIGN] Print Date Owner 1-1 Contractor OR. FlAgent for Owner DAgent for Contractor Lenders Address City State Zip FILE COPY r I ' PROJECT INFORMATION Site Address: 2645 FORESTVIEW DR Owner: Permit NO: B07-1739 APN: 079-210-013 OHLHAUSEN DICK W & D, Issued Date: 8/14/2007 BY GLB Permit type: MISCELLANEOUS 2645 FORESTVIEW DR Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 8/13/2008 Description: REROOF - 15 SQ (530) 534-8006 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: OHLHAUSEN DICK W & D, Building Garage Remdl/Addn 2645 FORESTVIEW DR OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-8006 FEE INFORMATION DBMSC Re -Roofing $116.00 LICENSED CONTR_ACTOR'S DECLARATION. ; Contractor (Name) State Contractors License No. / Class / Expires 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. X 8/14/2007 Contractors Signature Date 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is or once hundred dollars ($100) cr less. "Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4220 OWNER / BUILDER DECLARATION s f 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ' Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ®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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section • B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X G compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owners Signature X 8/14/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION -LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) 8/14/2007 Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Cou to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr rt� owns or am authoriz d t n the property owner's behalf. 8/14/2007 Nate of Permittee [SIGN] Print Date Owner 1-1 Contractor OR. FlAgent for Owner DAgent for Contractor Lenders Address City State Zip FILE COPY r I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE #: (530) 533-7541 FAX #: (530) 533-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: w. ?w.buttecounty.net/dds "PLEASE PRINT CLEARLY-"-' OWNER INFORMATION Last Name 1 Name Firs i✓ Mailing Address 1 • City 0('0 jI Ie, Stater1h Zip /✓ q£/�/-&(o. Phone SAG Fax E-mail Fax APPLICANT INFORMATION CONTRACTOR Name City C• Address City City State State Zip Phone Fax Fax E-mail State License Number Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Sq FT- Living Garage Fax E-mail ,j. `1 \o ! ` State License Number APPLICANT INFORMATION Name jA )� r v� Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION AP# b--7 Property Address `7!5_ D��1✓T v pie city f0v 1 e 0 CA 95 (0(0 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: -I :Sine sS SRA Yes No Occ. nst. Sq FT- Living Garage Open Cly ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): ,j. `1 \o ! ` For office a ly: Zoning Flood ZoneiTypCC SRA Yes No Occ. nst. Butte County Department of Development Services TIM SNEL' LINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL&NTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YtS-OR NO) 2. I VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REROOF - 15 SQ Reference Number: B07-1739 Applicant Name: OHLHAUSEN DICK W & D, Owner's Name: OHLHAUSE , ICK W & D, AP h Signature of Property Owner: / Date: 079-210-013 r • VT t�• BUTTE COUNTY AREA • DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE • • 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) C'o flu Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1115 Issued: 5/22/2007 Address: 2645 FORESTVIEW DR Area: OROVILLE Owner: OHLHAUSEN DICK W &APN: 079-210-013 Applicant: S & J HEATING & COOLMap Page: Permit Type: HVAC Change Out Description: INSTALL HVAC UNIT Flood Zone: None SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: I ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 ShearwalUB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 I Inspection Type I IVR I INSP FDATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Biocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: "y... s f jr+..•.�., �Y • . . Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 R . Z -rrolect anal is a i-erancace of vecupancy iorZnesiuennai vnjyf PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy COUNTY OF BUTTE < ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES pxfi' . 7 Countv Center Drive • Oroville. CA • (530) 538-7541 CORRECTION NOTICE .= OWNER PERMIT NO. a"rT<A routine inspection indicates that the following violations of Butte County Ordinances exist at 'the above address and should be corrected. Please call for re inspection when correction of -zTwork is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r <.Je K 8c fa 'Date ��'/ h Inspectors 1 � ' REV 4/05 - Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Ca10ERTS - Certificate https://www.calcerts.com/certificate_print.cfm?lots—x,65325&UseCF4... CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 2645 fOREST VIEW - oROVILLE, CA 95965 S&1 Heating & Cooling / 854540 Project Address Contractor Name/ License No. b07-1115 Contractor Contact Telephone Permit Number Tim McKeon 530-872-4040 65325 HERS Rater Telephone Sample Group Number — June 15, 2007 CC14-1798405907 Certifying Signa ' Date Certificate Number Firm: Air Care Service HERS Provider:CaICERTS, Inc. Street Address: 805 Elliott Rd. Suite "G" Cit State Chico , Paradise , Magalia / Y/ /Zi P CA /95969 Cooies to: Homeowner, HERS Provider and Buildina Department This CF -4R has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R 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 forth. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape Is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION 'Duct Pressurization Test Results (CFM C@ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal C Cooling C* Heating) or Measured 1519 Enter Total Fan Flow in CFM: —_ - - - --- -- } 3 - N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Dud System Prior to Dud System Alteration and/or Equipment Change -Out. Dud System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Dud System for 89 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: 5.86% ® Pass ❑ Fall I- --'----_ - __ _ _-__-__-.-__--__.-_-_.__-- __ _-_ - - - - - ----_ --__--.-..- - - __ -- _. -.._ --_ __1_---.__-....-___i TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <- 15% [ 100 x ( Line 5 / Line 2 )1 _- — - -- -- F --- 10 _ Pass if Leakage to Outside Percentage < 10% 100 x Line 7 Line 2 + j Pa. Fail ---- - - g g [ ( / )] } C Pass ❑ Fail Pass if Leakage Reduction Percentage >= 60% 100 x Line 6 Line 4 11 and Verification by Smoke Testa d Visual Inspection (/)] —-- - __ _---- - - - --- ----- - � � Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ pass ❑ Fail Pass if One of Lines #9 through #12 pass C Pass ❑ Fall 1 of 1 6/18/2007 7:40 AM 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 u PROJECT lNFORMATION:_ Site Address: 2645 FORESTVIEW DR Owner: Permit NO: B07-1115 APN: 079-210-013 OHLHAUSEN DICK W & D, Issued Date: 5/22/2007 By GLB Permit type: MISCELLANEOUS 2645 FORESTVIEW DR Subtype: , HVAC Change Out OROVILLE, CA 95966 Expiration Date: 5/21/2008 Description: INSTALL HVAC UNIT (530) 534-8006 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: S & J HEATING & COOLING S & J HEATING & COOLING Building Garage Remdl/Addn P O BOX 3218 P O BOX 3218 PARADISE, CA 95967 PARADISE, CA 95967 Other Porch/Patio Total (530)518-5084 (530)518-5084 FEE INFORMATION , DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B3171 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 S & J HEATING & COOLING 854540 / C20 / 2/28/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio 3 of the siness and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 5/22/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or 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 Contractor's 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 Contractor's License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. 8 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 5/22/2007 compensation provisions of Section 3700 of th Labor Code, I shall forthwith comply with those Owner's Signature Date' provisions. 5/22/2007 - I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its 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 Bath,officers, injury, including death, and damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) I hereby the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro erty o or am auth�toonperty owner's behalf. - CONSTRUCTION LENDING AGENCY s 2/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR DAgent for Owner MAgent for Contractor FILE COPY Lenders Address City State Zip 'v BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BERE_OUIRED AT TIRE OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY--- OWNER LEARLY*` OWNER INFORMATION Last Name First e Mailing Address , .� / C—LJ � City O o v u_ ^ Stat L a2 Zip Phone co LP Fax W E-mail CONTRACTOR Name S71iU�ter Address S S City 1SL State Zip Phone�f _ 5,a Fax 7 E-mail 20 Lic. # s.i-lo Class u] APPLICANT INFORMATION ARCI-ll TECTIENGI NEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION AP# q _ 210 Pro y Address City PERMIT NO. I BIN # WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: TiN� J9) /2 flI �'7`f4 W Sq FT- Liv in O G32e e Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupan / (Note previous use): vv `Y^J M For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. I i PERMIT NO. 2971-76B f PERMIT EXPIRES ,OWNER Wynoka Homes Inc. °CONTR. owner A dZ. `LOCATION (A.P. 36-194-10 port. ) Lot#13 Forestview Dr.,Vista Meadows Unit#2, Orov. r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 4— 3B 6 Temp. as Serv. ° ailed PG&E - •3 C ^ { � JOB ° FINALED �( (Date) r' (Si ature) - y a II COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall! Soil Piping Forms -/ ?l " Paranets 1st Floor 7 - Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Stab Roof Sheath Ing(—J—/k/- 7& Water Piping - / -> - 7C Piers Roofing s• '- &J1 Sewer f '-% Garage Fdn. Vents Fixtures-/ Footings StemwalI Garage Vents Insulation Water Htr.1'�% Heaters i `Z— '" o?141 4211— Slab Carport Footin s Prov. for physlcally handica edd Conformance of ex. structure Appliances Gas Pi in Temp. Gas & Test Slab J Final Sanitation Patio I a FIREPLACE Final oolo Framing Stucco ' Mesh Ld ^ tt - 76, Scratch Brown Flnish/ / 7 Interior Ldw Door Close .7 DATE Test Final MECHANICAL Heating CoolingA--y4-P /,�,2 14V Ducts ELECTRICAL Rough ` 2r4-``-�/'7L Fixtures Motors Water Htr. Subpanels Grd. Fault Prote�� Service Temp. Pole Under round Permanent Final / .l /G/-�7(® (,� p-� • Final REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS -� Manufacturer �!�- Thickness/Type ' �L R Value V CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer �� -- -= Thickness No. Bags- Wt./Bag Sq. Ft. Covered R Value l % FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R V Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value � GENERAL, C TRACT LICENSE No. /,f;U Q+ p BY TITLE DATE 12- INSULAT CON RACTOR: AWKINS INSULATION CO. LICENSE No.. 215-925 BY TITLE 4Gl/it DATE—/,2,--//7- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 0 APPLICATION AND PERMIT i "r"""""`°"'— .. VV 11 y vuilt lV CIIICI upull uIe above-mentioned property for inspection purposes. na.lit-�L-��,ze-� Date 2'�► / �. Sigture of Permitee or Agent Receipt No. .S�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. DIRE OR OF PUBLIC WORKS / BY Building permit expires Date . /s--' %/ BUILDING OwnerV AJ o r-'- a M �. l !U �, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor v, -T-- ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. i Permit Fee Building Address IL6- .6 13 GSTv/D11- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. 6 �- I cj - 6rL T- I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P ovements Lawn sprinkler system 2.00 e Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 AF C /Z A o �- Main service 6011 ORI 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family.,® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR AODNST ( ACCLBLDGLING OCCUP. &) 20 sq ft NEW CONSTR.MULTI.OUT LET NON•RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of lifornia Business 8 Professions Code under the name style 0 Y v �tiQ Ex. Occup(OUTLETS OR FIXTURES) @2`# L@109 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 c2' License No.i,��- /Classificatione —,Sc;l3 _ I Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liabilityco for Workmen's Compensation. �y I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating j� /,())M r(J Cooling Ventilation Hood 2.00 �lJU Permit Fee $ 13 0-b $ 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 I TOTAL PERMIT FEE $ "r"""""`°"'— .. VV 11 y vuilt lV CIIICI upull uIe above-mentioned property for inspection purposes. na.lit-�L-��,ze-� Date 2'�► / �. Sigture of Permitee or Agent Receipt No. .S�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. DIRE OR OF PUBLIC WORKS / BY Building permit expires Date . /s--' %/ .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —� 7 County Center Drive — Uroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT / .y v. Liu..a w —1-1 up— Lilt above-mentioned property for inec purposes. X / ate Signature of Per itee or Agent Receipt No.Jq9 U9gd>9q 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 PUBLIC WORKS By !� 4.1 L+HW Date '7—/-76 BUM&ft permit expires Date -2-1-77 BUILDING Owner K[, dm Es PC, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor — ' Total Valuation Mailing Address `� L j`—� Permit Fee Plan Checking Fee&/or Penalty 2 f t T lephone No. (v2 jab Permit Fee iL/ --� Building Address V O�.Q,s 1'i►x� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ` e Each Trap 1.50 ,4,4-b Repair drainage or vent piping 1.50 Water piping 1.50 �rJ� Each gas water heater or vent 1.50 ,yam A. P. No. — /� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fos V1 --- S,a� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 /JIA3� / Rldg�erts'Rz�"d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER i® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 U/" V b t .-- Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex F] Mobil Home ❑ Others ❑ Main service tOVEAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. ) 20 sq ft NEW CONSTR. MULTI.OUTLET NON•RESID, BRANCH CIRCUITS)2.50ea + NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Bus' rRsions Code under the name styl (-) C� 50 Ex. Occup (OUTLETS OR FIXTURES) @25C BAL@1 FIXED TS (REAPPLNS. OR Ex. Occup. ( FIXED TS (RESI D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No2kS`2% Classifications — -'—� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am'aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ZITiave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify 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 Is .y v. Liu..a w —1-1 up— Lilt above-mentioned property for inec purposes. X / ate Signature of Per itee or Agent Receipt No.Jq9 U9gd>9q 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 PUBLIC WORKS By !� 4.1 L+HW Date '7—/-76 BUM&ft permit expires Date -2-1-77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 9 Telephone: 534-4541 1^ APPLICATION AND PERMIT 1 �cNicacn tau VES UI me %,umity UI Cunt! lu enter upon the above-mentioned property for inspection purposes. X `60K�z Date Signature o P I r ite r gent �fQ Receipt No. / !. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golc(enrod-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. DIREC OF PUBLIC WORKS By j Date/— Building permit expires Date — Z J> BUILDING Owner �A / SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor ��( ��,�—G7� G Total Valuation Mailing Address Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address O � j E � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1 Each gas water heater or vent 1.50 A. P. No. �_/9y` f 3 j{j� j . Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F - Wle. Seni4attb1l Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin PlansParcel Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER lq;d ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6 C��tfJ2�'G1,�1- F,24Z- fl"T— Main service 600 AMP LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family EZ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING GOC O OR ADDNS. ACC. BLDs. ) 20sgft NEW CONSTR. MULTI.OU L NO N.R ESI D, BRANCH CIRC UITS)2.50ea NEWCONSTR. (POWER APPARATUS & NON •R ESID. SINGLE OUTLET CIR. 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: �,cC�T Ax �l�=-�-/ ��' �N� Ex. Occup(OUTLETS OR FIXTURES) @L@ BAL@1 IXED APLNS. Ex. Occup. (OUT ETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. %3a,5_36 Classification �.�J� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $T3$ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT 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 $ c �cNicacn tau VES UI me %,umity UI Cunt! lu enter upon the above-mentioned property for inspection purposes. X `60K�z Date Signature o P I r ite r gent �fQ Receipt No. / !. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golc(enrod-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. DIREC OF PUBLIC WORKS By j Date/— Building permit expires Date — Z J> Ir COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 091- 71 - 7(6 "Y """"••"•�`+�W1 11— Vvunly V1 I UtI IV GIILCI UIJVII IIIC above-mentioned property for inspection purposes. X Date 5Vnciture of//Permiitee or Ag,.(, / Receipt No. _/to 79� 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 PUBLIC WORKS By Date 61- wilding permit expires Date 6--/, % % BUILDING Owner ` SQ. FT. OCC. BUILDING VALUATION �. a Mai I i ng Address �Telephone ' No. r� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee s Building Address Ehld view 0PLUMBING m No.1 @ FEE PERMIT FILING FEE $3.00 / "' e ®a -S 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. ,� ��G ,-�� . Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fde VkIa A FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking ;Plan %rcel Declaration Marc Ma P 60' R/W Im prove ents Lawn sprinkler system 2.00 dg"' Ione Recd Parcel pproval Plans Approval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR MULTI -OUTLET NON -RES ID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. () SINGLE OUTLET CIR. 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:Ex. Ex. Occup(OUTLETS OR FIXTURES)@� BALM og OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �•� �� Classification LMisc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. j� 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 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE "Y """"••"•�`+�W1 11— Vvunly V1 I UtI IV GIILCI UIJVII IIIC above-mentioned property for inspection purposes. X Date 5Vnciture of//Permiitee or Ag,.(, / Receipt No. _/to 79� 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 PUBLIC WORKS By Date 61- wilding permit expires Date 6--/, % % �ms 401' 7v 1 M � • �DIO - � • %III f• \ � / ►P�wauh�Gu��l�u T See Mas er plan on file f-or.sfbid tural dei Is. ( The Bldg. Setback shall be 5 ft, from the side -property line and 50 ft. from the cenferline of the road, permitting a maximum of a 2 ft, epve overhand, [his set of plans , NOTE:—All Materials & Workmanshi Shll s MU ; b� p aBee n apt on the job at all times and it is unlawful, to Accordance with Recognized Good Practices' and ,rake. any changes or alterations on same wit of a quality prescribed -for the Specified use in the hout Uniform Building, Plumbing & Machanical Codes and y�+ttten permisson from the Department of, Public the National Electtical'W:' Coun Vi/IrD MI%Aws Q��I �• — -- 1' COUNTY LOT NO. SUBDIVISIOgN, CITY SEWER p� JOB. NO., HOMES�INC. WATER . N. P.O. BOX 16 SCALE Illi I yl UN F GAS OROVILLE� r V ' X - CAL. 96965 ELECTRIC 9'16.533.2732 i ' - 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 NUMBER —//O — /�/3' Z ING BUILDING PERMIT OW/,/�c�l` C LFi1M SW �// ,/ / 53EW''�i7�{o SO. FT. OCC. BUILDING VALUATION OWNER. (LING AD RESS r V/ zw O�O /&LC -7 CONff((TRRRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 000 • O O CONSTRUCTION LENDE UNKNOWN Total Valuation $ /000,00 Filing Fee $ 10,00 LENDER'S MAILING ADDR SS Permit Fee $ l 0() ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN R'S MAILING ADDRESS Permit fee $ J O -E} y1 `, /�_ BUILDING AQDR SS �!' �...^ T—_ //C DO �J(/(/ /('[J/til�--I`�J V I/�/f[/V PLUMBINGPERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets _,/USE OF STRUCTURE SFL?" Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W [t5.00 .00 e TYPE OF WORK.,Permit New ❑ Addition ❑ , %emode1 ❑ Uti I'ties ❑ Ins llation ❑ , ether Describe work: /VS/AL•L l/�0O-D 6;WA%%/t/!� sFOU Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP O0V OR RLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (] 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) ❑ 1, 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.. ESID BRANCH CIRC ITS, NEW CONSTR POWER APPARATUS &' NON•RESID. SINGLE OUTLET CIR, Ex. Occu BAL@30 p�o OR FIXTURES BAL®30 A FIXED APP LHS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. (p1 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabii' les, judgments, costs, and expenses which may in any way accrue again s id I-, Inti in c se nce of the granting of this permit. c, 1 %� '�• Date f — ^ D Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -�O OCCUP. GROUP TYPE of CONST. I PARCEL PD ND I ISSUE This mit is hereby issued under sion o the Butte ounty Code and/or a ove for which W/oWR (.`TORt OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKSion Date S77� �_/ No. D 4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT