HomeMy WebLinkAbout079-390-027�OGE/John C. Jones �vd,�app.l
S Foothill B�.
o Lower
Wyando to Rd., roville
Per it #5 63-76B,P,E,(new single
family)
Per it ��6386-,7,6B,E:(add' 1 footage for
per m't #5863-76)
Permit ?149-82P(solar addn to-w/h).SF.
<� _g�� � •; ��., � .. ,, 1'i , .�,,;- 95.,261'6 ':,
- 1 PERMIT
'+
-'JONES, ,John &Francis.
� •,4165 Foothill Blvd ;'.Oroville
Cont,_.Selig:Construction Corp. �qL
Vinyl -Siding/SF r
00-2652
JONES, JOHN.
=4165FOOTHILL•BLVD. OROVILLE
CONTR: CHRISTIANSEN-ROOFING
RE ROOF/COMP
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1 LO
-027
JOHN 00-2652
THII L BL
A VI)
OR VII LE
t CH STI SENR00FI1VG/COIVIp
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 53&7541 PERMIT ATO.
(Rev. 12/96) APPLICATION ANDIVERMIT 1019- ,
ASSESSOR PARCEL NUMBER OM-32"27ZONING
. BUILDING PERMIT
OWNER JON
T LEPHONi �
SQ. FT. OCC. BUILDING VALUATION
-T 2760
.OWNER'S MAILING ADDRESS
4165 FOOTHILL BLVD. OROVILLB 95966
CONTRACTOR'S NAME
C1iRISTIANSEN ROOFING
TELEPHONE
532-9338
CONTRACTOR'S MAILING ADDRESS
P.O. Box 2749 OROVILLE 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS -
Total Valuation $ 2760
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee • $ 54.00
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 4165 F001KILL BLVD. OROVILLE
Energy Plan Checking Fee $
PERMIT FEE S 74.
LOT NO.
F
SUBDIVISIONSNAME
PARCEL MAP
I
PLUMBING PERMIT Fling Fee 20.00
F, USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK 1
New ❑`Addition ❑ Remodel ❑ Utilities ❑ Installation_ O Other ❑
Describe Work: RE R00F/MP
I
Gas piping system 1 - 5 outlets 15.00
1 Building sewer r r ! 15.00
Mobile Home S G W @20.00
PERMIT FEE S
_ I
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ' zoOA oA mss 23.00
LICENSED CONTRACTOR'S; DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS in full force and effect.
License Class f "3 91 Lic. No. (ta Ste/ �� i�
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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.
C� I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued:,
My workers' compensation. carrier and policy number are:
Carrier J,714'741 fffg ..4. ..rirsr, - Fo*,
Policy Number —2 51k — <3 C2 '
(The above sections need not be,completed If the permit is for work of a valuation
of one hundred dollars ($100) or.less.) locc
❑ 1 certify that In the performance of the work for which this permitis_ issued, I shall
not employ any person in any manner so as to become�sutject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�
X sAl,7�'( �"�.►� s Irbry DateU O
Signature of Applicant - ❑ Owner 13'Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service L ZOCA TO 1000A 46.00
NE* CONST. DWELLING OCCUR sO
OR ADDNS. a ACC. BLDS. 3.5QFT:
INpµgO�ID, ANCHOLITLEIRCUITS @7.50
POWER APPARATUS ,.., , ,-, •,
8 SINGLE OUTLET CIR
Q 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .so50
OUOo OEA.5.00
Temporary Service 23.00 ..
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation r
PERMIT FET: $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $ 74.00
HAz.
o. FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
//
By % r / 11G&_1126UDate �/1e,in
PERMIT EXPIRES ON rUl�la
Date'
ReceiptNo.���
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMI o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-320-027
ZONING
BU I LDI NG P ERM IT
OWNER
JOHN JONES
TELEPHONE
589-1447
SO. FT. OCC. BUILDING VALUATION
46 2760
OWNERS "UNG ADDRESS
4165 FOOTHILL BLVD. OROVILLE 95966
CONTRACTOR'S NAME
CHRISTIANSEN ROOFING
TELEPHONE
532-9338
CONTRACTORS MAIUNG ADDRESS
P.O. Box 2749 OROVILLE 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 2760
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADORESS
415 FOOTHILL BLVD. OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE S
74.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE ROOFZCOMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZOOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class C-3 ! qLic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
�rformance of the work for which this permit is issued.
& 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier _K7. (f-,aw, - - , Fi,",d
Policy Number si - an
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �'/`�2 .Q��l Date A .7
Signature of Applicant - ❑ Owner ErGontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO LOIOA
46.00
NEW CONST. DW LUNG OX:DUP. 3.5¢s .
ORS.
Aoo�� (T.
MULTI -OUTLET
NON-RESID. @7.50
POWER APPARATUS
& SINGLE OUTLET CIR. 1
20
EX. Occup. OUTLET OR FIXTURES aAL ®L 0
Ex. Occup. ourE AMn.OF'_. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 74, 00
HAZ.
I D. FEES IMP
I FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By / r �•� y , - Date a
PERMIT EXPIRES ON®�f
ate
Receipt No. 308896
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
036-{{320=027 s``,PERMIT 95 2616 n
-JONES-,.,,John &' Fra
ncrs ' 3"
4165 Foothill Blvd.,' Otovi-lle .'
Cont; Selig Construc Sion ,Corp/D' Y n
vinyl Siding/SF .; •. a.
f
i
4
036-{{320=027 s``,PERMIT 95 2616 n
-JONES-,.,,John &' Fra
ncrs ' 3"
4165 Foothill Blvd.,' Otovi-lle .'
Cont; Selig Construc Sion ,Corp/D' Y n
vinyl Siding/SF .; •. a.
COUNTY OF BUTTE- DEPARTMENT OF REVELQ PMENT SERVICES - BUILDING DI KION
7 County Center Drive - Oroville, California: 95965 - Telephone (916) 53V541,PERMIT NO.
APPLICATION AND PERMIT
ASSESSOPJ�C�N; .027
ZONING
BUII INC PERMIT
OWNER
JOHN
TELEPHONE
O-
SO. FT. OCC. BUILDING VALUATION
."ERANICIS -IMS
°W"ER4to ° r iI1ILI. BLVD, OROVILL:E CA 95966
MINIM 10,001
CONTRA:teS.LG*MtnNSTR1TCTI0N CORP
3- 698
coNrR�Js mA(Ntt ZWvsLANE V, CHICO CA 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuatio Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGS TILL BIND, OROVILLE
11
PERMITFEE $
146.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBDIVISIONS NAMEPARCEL
MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [a
Describe Work: VINYL SIDING
Mobile Home I S I G W 1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Servicee00v OR LESS \
( 200A OR LESS J
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II force and effect.
�7)
License Class UI E / f (0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from4he Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. BusineA and Professions Code for this
reason t
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. )
sO.
3.5a FT.
CNS.
NEW CONST. MULTI-OUUTLETLE T
NOWRESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS )
b SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL SO
Ex. Occup. ( OUTLEtTSRESID.OR EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
k� I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier (
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date �.
Signatu o Applicant - CF Owner A Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
ocC
CONST. TYPE
TOTAL FEE $ 146.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PO HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been aid.
P
(� "
y Date
PERMITEXPIRESON 10/18/95
(Date)
1°
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELQPMENTSERVICES - BUILDINGDI ION
7 County Center Drive - Oroville, CaUiifornia,95965 - Telephone (916) 538- 4 P RMIT O.
APPLICATION AND PERMIT
ASSESSQ1jrC¢�L III 027
�}[, �f
ZONING
BUI ING PERMIT
OWNER�J
JOHN AND FRANCIS 10NES
TELEPHONE
589-1447—
SO. FT. OCC. BUILDING VALUATION
CONTR 10,001
OWN14MI VJf'HILL BLVD, OROVIL•LE CA 95966
cDrrr`I,�g l MECONSTRUCTION CORP
893E 5898
coNTR1T9Y11Wffffls LANE #7, CHICO CA 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
4165 FOOTHILL BLVD, OROVILLE
PERMITFEE $
146.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
S UBDNIS ION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ff
Describe Work: VINYL SIDING
Mobile Home I S I GI W 1
20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service EOOV OR LESS
Main LESS )
( L,
23.00
Main Service ( 200A To 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II force and effect. -7 �l' �-
License Class Lic. No. '1
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.SO.
OR ADDNS. ( 8 ACC. BLDS. )
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
a4L .00
Ex. Occup. ouTEiFrs A ISE ISE o.�ea
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE _
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Rf I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier Te,
Policy Number
(The above sections nee not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthw' complyrith those provisions.
X _ __ ___ Date r�
S natur o pplicant - Owner Contractor ❑ Agent
An SHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
1 CONST. TYPE
FEE $ 146.00
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a Ove for which fe s have been paid.
y Date /v
PERMITEXPIRESON 10/18/96
(pate)
Receipt No. 186072
1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
44 -AO GRANITE INSURANCE 1 916 853 2505 P-002/002
JUL-4,?—
"•: • csR PP• , Lct�Traric(M>a.von,�
CERTIFICATE-:t�FIN. • 07/25/95
,asCsrrsn.
,rurrt>t
THIS CERTIFICATE IS ISSUED AS A M•i,TTER OF INFORMATION ONLY AND
GEM
Granite Insurance Services
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TRIS CERTIFICATE
G.L. Anderson Insurance Serv.
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGEAMRDED BY THE
11031 Sun Center Dr., #130
POLICIES BELOW.
Rancho Cordova to 95670
COMPANIES AFFORDING COVERAGE
r;. L. Anderson Insurance
916-853-2500
��°AQ A valley Insurance Company
COMPANY
$ California indemnity Ins Co.
- LE'rTE0.
COMPANY CLETTER
COMPANY D
Selig Construction Corp.
LETTER
3851 Norroi+ Lane, #7
COMPANY
Chico CA 95928
LETI•ER
c(Ivt:KAGES .:
'fHA'r
iSURANcri LISTED BELOW ILAVB BEEN ISSUED TO THE 04SURED NAMED ABOVE FOR THE POLICY PEJUOD
'n IIS Is 'rO CERTIFY THE POLIcnaS OErI
1VDICA9tD. NOTNITHSTANDINO ANY HIiQUiREMPN'T.'1'r-AM OR CONDITION OP ANY CONTRACT OR OTHER D(wIJN IS S WITH RESPECT TO WHICH TIM
THE INSURANCE AFFORDED BY THS POLICIES DESCRIBED HEREIN IS SVRIEC7 7O ALL THE TERMS.
f'I'KITFICA'ITi NAY BE ISSUIin OR MAY PERTAIN.
I.xc,LL'SIONs AAin CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
: PIILICY EFMCTIVE: POUCV F.XFIR\TION LPNF[S
11
r 1 x TYPE OF INSURANCE
POLICY NUMBER DAYE(NM,T)D/YY) DATE (ICM DDM)
OE.N'EKAL AGGREGATE f 2.000,000
C I:%C AAL LLIBILITY
C'O�IML•RCIAI.tIP.NEMLLIADILtTY TBD
07/14/95 07/14/96 PRODUCTS-CONNOPAnO. 52,000,000
F. x
CIAIM3 MADE, X UCCVR.
PEP -TONAL & ADV. INLRY $ 1,000,000
EwK OCCLRAF.n•CE $1,000,000
OWNER'S Q (:ON rttACTOR'8 PKU r.
I MIS DAMAGE (Any w Bre) S 501000
X $ZSO PD Ded per
.
MED. EMEN•8E (Ary CW. ptnct . 5 5.000
occurrence
.\t-1"O1.t0BILF LIABILITY
COMetNED s MDLL a
LLM IT
ANY AtITO
AIJL OtvNeD At: fYr.:
BODILY VOURY =
(Per penin)
SCIICDULeO A170S
Illx¢u ALTOS
BODILY IWCRY _
(Prr soddcol)
N(1N-O%k'%T'D ALrft)%
.. .
OABAGEL1AHIIJY
'
rROPERTYDAMAGE 5
EACH OCCt,RRENCE I
I:!Cr •►:�ti LIMILTTY
.. . .
A0OREGAT3 5
eMSRSLIA FORM
(rhmit THAN I:MHKFLLA FORM
07/14/95 07/14/96 sTAMMRTiPIRS
p, WORKkK S C014MNSATICIN TBD
EACH ACC V'4T 5 1.000,000
AND ��7 Y'3 nLREASE—►OUCT LIMIT s 1,000,000
EMPU)YERk' 1.IABILTTI'
DISEASE—TACH EMPLOYEE $ 1,000,000
urw:It .
DI u'K1vr10N OPOPERA'FIt)M/IACATIONB/VEHIC'LES/SrECIAL ITEMK
CI;kTI -IcATE HOLDER :.
::...: .:
'• SHOULD ANY OF THE ABOVE DESCRIBW POLICIES BE CANCEIIIiD BEFORE "M
' EXPIRATION DATE, 1HEREOF, THE ISSUINO COMPANY WUI LNDEAVOR TO
:. MAIL]A0 .._ DAYS WRITTEN NOTICE TO THE C'ERTMCAI8 HOLDER VMWD TO THE
Butte County
LEFT, BUT FAILURE TO MAIL SUCH [NOTICE SHALL IMPOSE NO OBLIGATION OR
Building Division
:' LIAAIIITY OF ANY XWD UPON THE COMPANY. ITS A0VM OR R6PRESEN7.41WES.
County Center Drive
Orovi l le CA 95965-3397
AUTHORIZED UPME14TATri'B Q
��
0. L. Anderson Insurance ( (�
'
,•
^ .:'`a,::,... •. ACORD CORPORATIOii f99�
' ":
Al:uRn _S•S (7190); :...
•' .' .. :• :•' .,.• .. ...
aiv942
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NU BER
Z7
SONING
-•-13C
BUILDING PERMIT
OWNER
t1Q,<Jt / 6 avu6 C
J
TFLE,PHONE
y, C,_ AN/
f
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
41/ 5 /�• cMll L tom'( �iD, /re, 1/,/1 l C-- � ew-
CONTRACTOR'S NAME
TELEPH NE
CONTRACTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10•00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER'
j `
� Kr
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
6Z tjb ,
PLUMBING PERMIT
Filing Fee 10.00
4
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 'Du plex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
;40
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation `f' Other [11-
Describe work:__ .5liLf/V TL 4"/��
Permit Fee
$ ff42, d d
`Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.pi1
OR ADDNS. ( ACC. BLDGS. _
I 20 sq ft
CONTRACTORS LICENSE LAWrNiorwi.RESID
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
.19 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_(
BRANCH CIRCUITS 2.50 ea
NEw CONSTR POWER APPARATUS ti
NON RES D, (SINGLE OUTLET CIR. /
Ex. OCCUp OUTLETS OR FIXTURES a @25
(FIXED APPLNS, OR
Ex. Occup.OUTLETS (RESID.I EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mise. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
/ of Consent to Self -Insure.
y� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
E
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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
r� r� �-
X--�''-'=' •-�+ — + • + L Date
Signature of Applicant — Owner.0 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $. C(J
OCCUP, GROUP
I TYPE OF CONST,
I
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated ab ve for which
Q
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
- /6 4Z
Date / 110-1642-
7^/ _
/
C-
Receipt No. Z-56-54-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 96965 -Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0�
ASSESSOR PARCEL NUMBER
3& —32, Z
ZON G �"
BUILDING PERMIT
wN 64o.Q I� c
N J
T H N /
f
SO. FT. OCC. BUI I
VALUATION
OWNER'S MAILING AAE
CONTRACTOR'S NAME
TELEP NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING A15DRESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
NV// '
BUILDIG pS SS / I L& f+ "
�,/�-�/ / /(�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinjfler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilitie8❑ Installation Other
Describe work: ��G� 7-V
Permit Fee
$ jd. C90
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWELLING OCCUP.0J)
OR ADDNS. ACC. BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
ElI 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. OUTLET
NON.RESID BRAN
RA CH CIRC ITS
2,50 ea
NEW CONSTR. POWER APPARATUS h)
NON-RESID. SINGLE OUTLET CIR,
Ex. OCCUp OUTLETS OR FIXTURES
50 @ 25¢
BAL@1
IXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
14 of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
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 County ot^��
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 liabilities, judgments, costs, and expenses which may in any way accrue
ag i t said County in conseque a of the granting of this permit.
r � c7,.�� _��
Date
Signature of Applicant — Owne Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE Jv,
occuP. GROUP
I TYPE OF CONST.
PARCEL
PO
HD
SSUE
This permit is he issued under
sio f the Butte County Code and/or
w rk dic ted � Q_v.e for which fees
IR CTOR OF PUBLIC
By
PERMIT EXPIRES Date _
the applicable provi-
resolutions to do
have been paid.
WORKS
�J
Date / _/6'1
7 Z
Receipt No. ZrJC�S
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1`t
PERMIT NO. 6386-76B,E
PERMIT EXPIRES
OWNER John Jones
CONTR. owner'
LOCATION (A.P. 36-T-27 )
E/S Foothill B1vd.,app.1400'N.of Lwr.Wyandotte
Rd.,.Oroville
e
Temp. Power Pole
Called PG&E �/
Temp. Elec. Serv. ,,�j-77 eV--
Cafled PG&E 5
Te p. Gas Serv.
�fCalled PG&E
JOB
FINALED
(Date)
(Sig at .e)
s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS,
- BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phy
n
Conformance
Conforfor ed mance of ex.
structure
Appliances
Gas Piping & Test •
Temp. Gas
Slab
Final
Sanitation VADE •/.10%019
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouah
Fixtures
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
LUHRS LOGGING
Box 14-B Sitkum Rt.
MYRTLE POINT, OREGON 97458
Phone: 572-2585
NUMBER
GRADE
These shakes meet all quality requirements for
handsplit red cedar shakes as established by
RED CEDAR SHINGLE & HANDSPLIT SHAKE BUREAU
SEATTLE, WASH. Copyright 1963 VANCOUVER, B. C.
24" x 3/4" Heavy ' Resaws
ROOF PITCH AND EXPOSURE: Handsplit shakes should be
used on roofs where the slope or pitch is sufficient to insure
good drainage. Minimum recommended pitch is 1/6th or 4 -in -12
(4" vertical rise for each 12" horizontal run). Maximum recom-
mended weather exposure is 10" for 24" shakes.
ROOF APPLICATION: Along the eave line, a 36" wide strip of
15 Ib. (minimum) roofing felt' is laid over the sheathing. The
beginning or starter course at'the eave line should be doubled.
After each course of shakes is applied, an 18" wide strip of 15 Ib.
(minimum) roofing felt is laid over the top portion of the shakes
and extending onto the sheathing, with the bottom edge of the
felt positioned at a distance above the butt equal to twice the
weather exposure.
NAILING: Use
two hot -dipped .,�<�•�}��'^ �- _
zinc -coated nails
for each shake, .,s'• �` �.�� `'
placing them ap- W�-
proximately one
inch from each. �'�►
edge, and high
enough to be cov- r- -
ered an inch or two
by the succeed-
ing course. Nails ,
should be long Individual shakes should be spaced apart about 1/2" to
allow for possible expansion. These joints or "spaces -
enough to pene- between -shakes" should be broken or offset at least
trate at least 1/2" 11/2 inches in adjacent courses.
into sheathirig. �J
LITERATURE: Complete details of handsplit shake application
methobs and grades are given in'the 36 -page C,ertiSplit manual.
A free copy can be obtained by'writing—Red Cedar -Shingle &
Handsplit Shake Bureau, 515116th Ave. N.E., Bellevue, WA 98004.
K
J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive UrciiIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
/;� uate (rte � i— i �' - --- - -•- ---._ .._...._
Signature rmitee or Agenf _T 1
BY Date // 71V
�ce, No.�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant UIIding permit expires Date �/'2- %�
BUILDING
Owner 0 J0 h Q
SQ. FT. I OCC. BUILDING XALUATION
Mai I i ng Address
tY
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address .S ��" _
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
(j 4Ge/e
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. a —
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s
I -9anitati>rn
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvem.ents
Lawn sprinkler system 2.00
Bldg. Plan ec'd
Parcel Alpooprovol
PI s Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home E:]Others ❑
Main service 100 OVER 6 OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. & 2¢sq ft
NEW CONSTR.MULTI.OUT LET
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 Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) N'SQ
BAL@1
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
01 License No. Classification
Misc. Wiring 6.25
0�1 06 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.
XFI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
O 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
authorize re resentatives of the County of Butte to enter upon the
abo me I ned property for inspection purposes.
i( V A 1 / / G' n /_
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
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.
niQr:n TnD nD/tI IDI It- IAInDIlc
/;� uate (rte � i— i �' - --- - -•- ---._ .._...._
Signature rmitee or Agenf _T 1
BY Date // 71V
�ce, No.�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant UIIding permit expires Date �/'2- %�
n
e g
n
t L���' �� � �J ��/�
�r� `> C/
/�7S/ X �c� � i
. _��
,�.
_�
jI--_, ? rp
,� - -- 71
Van,
Av q r'a Ay ev- 0� �
rl
GAS FURNACES
WALL HEATERS
WATER HEATERS
�
'
`
..
�
1820 PALMETTO AVENUE
PAC|F|CA, CALIF. 94044 '
S|m��'u
� / ! PHONE: 359'3683
-
N� -��
�'����. -"
-
9Z6J � � J0�
/ 'D� -
<� ~'` `
�
PERMIT NO. 5863-76B_,P,E
4 PERMIT EXPIRES
i OWNER John C, Jones
CONTR. oWTx
LOCATION (A.P. 36-32-27
E/S Foothill Blvd.,app. 1400'N.of Lower Wyandott,
Rd.,_ roville.
0
s
Y,
11
/.I
ii
_t
{,I
y
4
Temp. Power Pole—
Called PG&E
Temp. Elec. Serv.
i
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
. of
�
w
PERMIT NO. 5863-76B_,P,E
4 PERMIT EXPIRES
i OWNER John C, Jones
CONTR. oWTx
LOCATION (A.P. 36-32-27
E/S Foothill Blvd.,app. 1400'N.of Lower Wyandott,
Rd.,_ roville.
0
s
Y,
11
/.I
ii
_t
{,I
y
4
Temp. Power Pole—
Called PG&E
Temp. Elec. Serv.
i
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
�
w
PERMIT NO. 5863-76B_,P,E
4 PERMIT EXPIRES
i OWNER John C, Jones
CONTR. oWTx
LOCATION (A.P. 36-32-27
E/S Foothill Blvd.,app. 1400'N.of Lower Wyandott,
Rd.,_ roville.
0
s
Y,
11
/.I
ii
_t
{,I
y
4
Temp. Power Pole—
Called PG&E
Temp. Elec. Serv.
i
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback j— 10 -72
e
Forms
.Main Bldg.
Footings
qt --11
Slab
Piers
Garage
Footings
Stemwa l l
Slab
Footing
Slab
Patio
Footing
Masonry Wal
Reinf. Ste
Bond Bea
Stucco
Brown
Finish
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windows
Siding
Roof Sheathing ,
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physically
handicapped
Conformanc of ex.
structure
Final
11 L (REPLACE
Footing
Throat
Final
FIRE SPRINKLERS
Test
Final
MECHANICAL
Heating
Cooling
Ducts o 7 `7
Ventilation
Door Closer Final
DATE / REMARKS OR CORRECTIONS
Of
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
LE TRICA
Fixtun
Motors
auopaneis
Grd. Fault Pro
Service
Temp. Pole
Underground
Permanent
Final
bE- 19 -"To.
7IJ Iry
v ,Gvu�
`,l(-7-7
11� wn& �Z/'Ic"i
( ,,f7 ?
(NOTE: An entry must be made on this form each time you visit the job site.)
0
✓�^ fir. ~`_�.�
I �
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO
CERTIFY THAT
ENERGY CONSERVATION
REQUIREMENTS HAVE BEEN
INSTALL ED
INNrCONTC-
H .§R�EN'�j ENERGY�N�VAA
GULAT IONS
AT 11Y ?
,��JI
(location)
BUILDING PERMIT NO.76I
A:P.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab .Edge. W -A Single Glazed
Fdn. Walls „r- Special (Insulated)
Floors„ CERT. & LABELED WDS.
Walls OfC k.t & SLIDING DRS.
Ceiling/Roof -'e - WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pipes INTERMITTENT IGNITION bEV CF
APPROVED HEATER TTA BERT. APPLIANCES
APPROVED WTR.HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name05-
Signature of p .ase print)
Insulation Applicator
State Contractors o
License No.
General Contractor/Owner Name ,
(please print)
Signature of
General Contractor/Owner Date
State Contractors
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELL ING .
A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
.� 7 County Center Drive -z,, O Ville, California 95965
Telephone: 534-4541 �Jv -76
APPLICATION AND PERMIT >
nature of ermitee or Agent
BY
ceipt No. 'Ey a's—n 7
White-D.P.W. - Yellow -Assessor --Pink-inspector - Goldenrod -Applicant IIding permit expires Date
BUILDING
Owner V C -0 A/ es
SQ. FT. OCC. BUILDING YALPATION
;[ B . 6
Mai I i ng Address Sof 5/
r
G o T g'o o• o a
9 4t F. 1?� a f93S"-r—
C
Telephone No.
/ S 7
C-
Fire lace
P 7 �o • o Q
Contractor
Total Valuation
, )
Mailing Address KJ Ali e—�
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ z, 7, a(7
p.
Building Address �� o o7'�i GL [ �rJ.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3. 6
(Jro Sr /4V 00 N o F Low Cv 14,1 A Al Do TTe
Each Trap /D 1.50 /,S: ov
Repair drainage or vent piping 1.50
Water piping 1.50
vo I L L �Qfeiri® Verlficafion OnlyEach
gas water heater or vent 1.50
A. P. No. 36 Plannin g_Each
F s Fire Dept. Fir one Use Permit
Gas piping system 1 - 5 outlets 1.50
additional outlet .30
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
3�Z
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Ions Recd
Parcel App Val
Plan Approval
Permit Fee $ 17"S0
$ 9 S G
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,Es
Main service soov OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V 100 100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.LING 0
OR ADONST ( DWEACCLBLDGSS b 20 sq ft q7, 2
NEW CONSTR. MULTI.OUTLET
NON•RESID. 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
st le of:
Y
Ex. Occup(OUTLETS OR FIXTURES) @@1
109
Ex. Occup. FIXED APP LNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $ �j0.2,
$ 50 a.S
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $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
authorize repre entatives of the County of Butte to enter upon the
above -me ntio prop ty for inspection purposes.
X n�to %U� Q-2— 7{.
TOTAL PERMIT FEE
$ �rJ(,
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 LIC WORKS
nature of ermitee or Agent
BY
ceipt No. 'Ey a's—n 7
White-D.P.W. - Yellow -Assessor --Pink-inspector - Goldenrod -Applicant IIding permit expires Date
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