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HomeMy WebLinkAbout040-170-136UM i Bur,1Cosper, /36170-/3, 1200'offS/S Cummings, 1400'N.of,Durham- 9ro Hwy, to #2, Durham contra Jerry Pre, Chico Permit #5887-76B,P�,E,M(new sfgle fam'ly) Contra JerryoP-000 rice, Chico3� i Permit ##68T8 -77B (1st . RENEWAL/ - - — 5 � 6� SF > 040-170-136 •02-GN�ALE HANCOCK, KEN 2095RENZ RD.;DURHACONT: BAIRD'ROOFIN RE-ROOF':, • i 040-170-1364;;-; a22 HANCOCK,KENNETH 2095 BENZ RD, DURHAM,'. CONT: ARTICAIRF ' HVAC C/O ' r'; 040-170-136- " ,. 06-2126 + 1510 HANCOCK 2095 RENZ RD, DURHAM Cont: CARE FREE POOLS POOL(MSTR#01-502) f' BUTTE COUNTY D19PARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2095 RENZ RD Owner: Permit No: 06-2126 APN: 040-170-136 KEN HANCOCK Issued Date: 10/12/2006 " BY KCG Permit type: MISCELLANEOUS 2095 RENZ RD Subtype: Private Pool DURHAM, CA 95938 Expiration Date: 10/12/2007 Description: POOL(MSTR#01-502) (530) 895-8731 Occupancy: Zoning: Contractor Applicant: Square Footage: CARE -FREE POOLS CARE -FREE POOLS Building . Garage Remdl/Addn P O BOX 8689 P O BOX 8689 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 345-4639 (530) 345-4639 FEE INFORMATION Fund 10 BLDG $467.42 LICENSED CONTRACTOR'S_ DECLARATION Contractor (Name) State Contractors License No. / Class / Expires CARE -FREE POOLS CSLB-380826 / C53 / 08/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full ce and affect. nn X D.��l 10/12/2006 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the perfoorrmaapee of the work for which this permit is issued. n LH VA E 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' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 618-0000183 Exp. Date:07/01/2007 (This section need not be completed if the permitis or one a hundred dollars ($100) or less. ❑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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 01W 10/12/2006 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) Lender's Address City State Zip Total Charged: $467.42 Fees Paid: $467.42 Balance Due: $0.00 Receipt No: 461159 OWNER / BUILDER DECLARATION I 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 peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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.). El1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's 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 Contractor's License Law.). F1 I AM EXEMPT under Section - B. & P.C. for this Owner's Signature 10/12/2006 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propeFty owner or am uthorized to act on the property owner's behalf. pJ J PW A S (( 494. e 10/12/2006 ❑ Owner KI Contctor OR. Agent for Owner ❑Agent for Contractor FILE COPY Tr BUTTE COUNTY a DEPARTMENT OF DEVELOPMENT SERVICES a BUILDING PERMIT APPLICATION o AND SUBMITTAL REQUIREMENTS r p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 .� A FEE WILL BE REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name Firsl Name CN Address s c=vz 2© City DL) WM State.e Zip Phone 8 i Fax E-mail APPLICANT SIGNATURE X 2 , YZ &V For office use only: CONTRACTOR Name - 1 Flood Zone Address 0 up City p No . State C � Zip .90 Phone q6 3 FaxI?gd — O 9r/j E-mail Planner Lic. # 91k G Class e_s-3 APPLICANT SIGNATURE X 2 , YZ &V For office use only: ARCHITECT/ENGINEER Name 1 Flood Zone Address SRA City No . State Type Const. Phone q6 3 Fax E-mail Planner State License Number APPLICANT SIGNATURE X 2 , YZ &V For office use only: APPLICANT INFORMATION Name 1 Flood Zone Address SRA City No . State Type Const. PhoneY q6 3 Fax ya_ ® i 9 Y E-mail Planner APPLICANT SIGNATURE X 2 , YZ &V For office use only: Zoning A 1 Flood Zone Cross Street SRA I Yes No . Occ. I Type Const. Subdivision Name Map Book Page Tot # l Planner Date Approved: OVER FOR SUBMITTAL REQUIREMEN 16 PERMIT NO. BIN # PROJECT LOCATION AN aCIO —i 6_/3 Property Address c2o s— 12El'ut go City 3 v n Cross Street 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 �kq Description or Scope of Work: bc(u pow 41#5 v bio -6 Sq FT- Living'Garage Open ov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:G, Amount:�I if12_Bldg SRA Receipt #: + rjq Sheriff SMIP Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 1 Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval,prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ & Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if'required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for per issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgm11s.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 6pW'^ OWNER: Ho Ilia ASSESSOR PARCEL NUMBER Oln'' IO 1 �, � Proposed Building Use: �f Pool (V as*r WE5®d: o f Permit Technician: .V Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ��= fit 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑� 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. D) Floor plans in triplicate. All of these ,�,. ust be stamped and wet -signed b the engineer. ---�`1�e 10 lood Elevation Certificate, wet -stamped and signed i duplicate //,?/0( o ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) NXMN 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑,/ California Department of Forestry plan approval ❑ paid. Sent by: .. .......... 23 tanning approval for (A) Use: 6-L (B) Parking: (C) Parcel Check: ... ..... heck:............ " / 24. Contact Land Development about - Improvements, - Drainage ........................ / I \ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 0 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy -of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone (5�D) :A2A(M O0A lfdth C and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. ontractor, esigner, owner, was advised of the above data bye phone, ❑mail, ❑counter, by .Date: lU-'(() ' U t={� Con rac or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, w r as advised of the ov d to by ❑ phone, ❑ mail, ❑ co ter b Date: Plans reviewed by: Date: Plans approved by: -AWW- 02 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Building/Plan--heck/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH . ' ENVIRONMENTAL HIrA.LTH DIVISION ENVIRONMENTAL HEALTH CLEARANCE REVIEW A Clearance is a review by Environmental Health to assist the applicant in the Building Permit process by verifying compliance with the requirements of the Uniform Plumbing Code regarding minimum standards for sewage and water systems. A Clearance remains valid when: ➢ The parcel will be served by existing water and sewage systems determined by the Division to be adequate for the proposed use, or The parcel will be served by individual well and septic systems, not yet constructed, but under current, non -expired permits Project Type Ingle Family Residence with bedrooms ❑ Other (Describe): File Records Review Will the parcel be served by a public/community water system? ❑ Yes �No ➢ If yes, what is the name of the system? ➢ If no, is there a valid well permit on file? ➢ If finalled, what was the date of the final? ❑ Yes P?No Will the parcel be served by a public/community sewer system? ❑ Yes 1p_No ➢ If yes, what is the name of the system? ➢ If no, is there a valid septic permit on file? Yes ❑ No ➢ If finalled, what was the date of the final? Will adequate setbacks to water or sewer systems be maintained?es ❑ No Comments GG "' Official Use Only Below This Line " BUILDING DEPARTMENT: PLEASE DO NOT FINAL THE PERMIT UNTIL ENVIRONMENTAL HEALTH HAS SIGNED PART TWO OF THIS CLEARANCE. Part One: Clearance for B ilding Permit Approval vzec EH ate ❑ Plot Plan Attached ❑ Floor Plan Attached ❑ Pt 1 Sent to DDS: ('2) doc Part Two: Clearance for Building Permit Final EHS Date ❑ Pt 2 Sent to DDS: Revision August 21.2006' T:WdministrationlForins!Clearance 202 MIRA LOMA DRIVE 411 MAIN STREET/ P.O. Box 5364 7 COUNTY CENTER DRIVE Oroville, CA 95965 Chico, CA 95927 Oroville, CA 95965 h TEL: (530) 538-7282 TEL: (530) 891-2727 TEL: (530) 538-7281 FAX: (530) 538-2165 FAX: (530) 895-6512 FAX: (530) 338-7785 Owe pR,-YT O , T11 0 AGBCIc Deparimenf C o u n t y J. Michael Crump, Director of Public Works o f B u t t e LAND DEVELOPMENT DIVISION storm Water Management Program 7 county Center Drive Oroville, CA 95965 (530) 53&7266 (FAX) 53&7171 National Pollutant Discharge Elimination System (NPDES) Phase. II Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: 6 Y By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less thanone acre. but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project . ,that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: .---- Date- 51 r t31UI 11 E C:UUNTY 7 DEPARTMENT OF DEVrLOPMENT SERVICES BUILDING PERMIT. 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO OFFICE #: (530) 538-7541 I P0421I4 0� PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DE -#^• wnu- CLARATION 1 hereby affirm under penalty of 'perjury that I amlicensed 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. v� License Class, �U�-� C L License NumberZ0yq 1� Date; -I A;> v : Contractor.. 0tJ_ LhC_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior 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 State 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).): ❑° I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions ;Code: The Contractors' State License. Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within' one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). , , I❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner. 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier �2! f and p6li_cy'nuum^ber are: Carrie,..Vp631 W � A ' Policy #: (JLi��C <► B'' 2 1 ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars.($100,000), in addition to the•'cost of compensation, damages as provided for in Section 3706' of the Labor code, interest, and attorney's fees. } CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Site Address: 2095 RENZ RD DUR _ Map Index: r Description: HVAC DIRECT CHANGE OUT Owner: HANCOCK KENNETH.& SUSAN DAVIN ' � r 2095 RENZ RD DURHAM, CA 95938 1 >€Applicant: HANCOCK KENNETH & SUSAN DAVIN f 4 Contractor: ARTIC AIRE OFCHICOINC 2350 PARK AVENUE CHICO, 'CA 95928 530-895-3330 ' License #: 2gE34913 ArChiteCt:4„;: OFFICE COPY pEngineer: ' 1 Address I GAS,- Total Square Ft: Meter By DateY ��(�L/j Valuation: -.ELECTRIC I Meter By Date Census Code: - wt -i 4— -C) ` �� i �, 1, ..'•` . 0 This permit is h reby issued under th pp cable provisions of the Butte County Code and/or �o Resolutions t work Indicafed aOeY which fees have been paid. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f 406-- unt""r Ott, or'e' ViW e,6f ✓cG-hb-y7 V1 ofi �uv 7V V V k I LAbtr � c r 1 Date ��`� I " Insuector� REV 10/92 s =� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES f�411 Main Street - Chico, CA - (530) 891-2751 7/County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ("o OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. _ / �> .x ,-�•,; �. inn [r`�� ✓ Q1 h S �' �% y1A 'I D I b 4(-)1- IJ✓�-rC _i-�') _% I -D I -5-f nl e K y 19-e 6 k— ME 11 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 BP�4 M O. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION Issued Date: 07/30/2004 APN: - 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 Site Address: 2095 RENZ RD DUR effect. '-77 License Class :1Q ' CZ License NumberG5yci )� Map Index: Date: Contractor.�/�� �i I i2a— Description: HVAC DIRECT CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Owner: HANCOCK KENNETH &SUSAN DAVIN Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior 2095 RENZ RD 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 DURHAM, CA the Contractors State License Law (Chapter 9 commencing with Section 95938 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner. 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier � t /p6b 1 W(Land p6liicy number are: Carrier. , u._ Applicant: HANCOCK KENNETH & SUSAN DAVIN Contractor: ARTIC AIRE OF CHICO INC 2350 PARK AVENUE CHICO, CA 95928 530-895-3330 License #: 234913 Architect: Engineer: Policy#: iJLiLa q �_\-��� (Total Square Ft: 0 S. F. � � Valuation: $0.00 ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi h those provisions. wi/ Date: LUD1tJ­� . Applicant:_ /n�.,A DA, I-)1 \�1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Census Code: /-/osag-� This permit ish reby issued under Resolutions t�o work Indicated al PERMIT, EXPIRES ON:- A7akd y S5 .✓v cable provisions of the Butte County Code and/or which fees have been paid. ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fortes. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful. to alter the substance of any official form or document of Butte County. thereby authorize representdvess of 14r7t ounty to er upon the above mentioned property for inspection purpos Print Name: l Signature: .� Date: ❑ Owner ❑ Contractor gent for Owner 13 Agent for Contractor r•. .� � il:.�fC�.•• ..a , 1Y n sr h4i.. ♦TJ•'K M+ac/'•�i/.//L'•'eil:�"TTV'�{.]1'.1«•+ " 040=170-136'x:, ' 02-1001 HANCOCK--KEN;. 2095 RENZ'RD., DURHAM s . = CONT: F BAIRD' ROOFING RE—ROOF,;:. M, t t _ , ,d5i Vq ,.i f w r q Or COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT'r�+� ASSESSOR PARCEL NUMBERZONING YJ` /7— BUILDING PERMIT OWNER .� //'' I I T"; HONE 1 SQ. FT. OCC. BUILDING VALUATION z. OWNERS MAIU _ DRES 9 CONTRACTOR'S NAME � LI /y!' TE HONE CONTRACTORS MAILING 1141_2h_ CONSTRUCTION LENDER / Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS % 1) /`- Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY ( Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S�9 ti J ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDAORLESS 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. J/ 7 ( License Class 4 Lic. No. ll 7 V 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 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 t performance of the work for which this permit is issued. Gl 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 S 1W 2!5 QAI /17 Main Service To 46.00 CCU000A NEW CONST. DWEWNG OCCUP. YV:A OR ADDNS. ( a ACC. S. SO 3.5¢FT. NONg61D. MULTI-cU,CE 97.50 OWER APPARATUS a OU PSINGLE TLET CIR. Ex. Occup. OUTLET ORFD(TURES zo p ,.00 SAL @ .50 FIXED APPINS. . OR Ex. Occup. ourLETs RESIDEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood - 6.50 Ventilation PERMIT FEE $ Policy Number ,� ')4f 11.7 (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. / /n !� X ,/l _/{-%i �il� _ I fly ' Date . ,1 ! �i�.-- Signat5e -of) Applicant - ❑ Owner❑•Contractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection` Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP �� FLOOD CDF PARCEL _ _ PD HD ISSUE, This permit is here yr issued under of the Butte County Code and/or indicated above for which fees have f By r �'`� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. L Date / 1 Date > > Receipt No. JqJ ���' r jd� '" 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 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT' 0-1 "Zn I ASSESSOR PARCEL NUMBER/' -tel '�� > V /K�J-• ZONING BUILDING PERMIT OWNER T E c f/OWNERS SO. FT. OCC. BUILPING VALUATION 17 L� k MAILI DRES � ( ft!i � Cn�7` CONTRACTOR'S NAM T HONE CONTRACTORS ILING 17J" CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Z ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS } T Energy Plan Checking Fee $ $ PERMIT FEE $ y LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Rem el ❑ utilities ❑ Installation ❑ Other ❑ Describe Work: _ � � _ 0 FiIC— /4110 0�� ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service .A OR 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 fo ce and effect. ('/// License Class Lic. NO. / 1/%� OWNER -BUILDER DE L ATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier lr4fr Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. SO 3•50 FT. NS T' CUTLET NON COIDDMULTI.O @7.50 PowER APPARATUS a SINGLE ourLEr cIR. Ex. Occup. OUTLET OR FIXTURES SAL 20 @':550 Ex. Occup. uTIFTs .=) EFIX 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completecr 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 at rf I should become subject to the wor ers' compensation provisions of sect" 3700 of the Labor Code, I shall fo with comply with those pr visions. X211 / 9Date G sig4w,69o Applicant -1❑ O er ontractor ❑ Agent An OSHA mit is required for excavations over 5'0" deep and demolition or constructiony of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ FEES I IMP FLOOD COF I PARCEL I PO I HD ISSu This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date iZ Date Receipt No. '� WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK-INSPEC GOLDENROD -APPLICANT PERMIT No. 5887-76 E M PERMIT EXPIRES OWNER 'Burl Cosper -CONTR. Jerry Price Chico LOCATION (A.P. 4, -17-39 & 55 port. 1200'off S/S.::.,Cummings,l400.'N.of Durham -Oro Hwy, lot #2, D rham Y; 9. ;o- .n t. j' rF t 1c .. 1 . 1 Ay' , 1 J� J. L Temp. Power Pole Called PG&E Temp: Elec. Seri' �v 7 Called PG&E `� "Z�y 7 7 Temp. Gas Serv. Called/PG&E ' Jot/ FINALED (Date) (Signature) 'j y t t I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Forms Footing j Main Bldg. ,Throat Footings a -'x Stemwall T'/-3�� -7- Slab Test Piers "Z Garage Footings % r Stemwal l Cooling Slab Ducts Z�Zf Footings Slab Patio Footings Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Door Closer — z, o —.7,;* BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows ' Roof Sheathin Fdn. Vents Garage Vents Insulation Prov. for physically handicaoued Conformance of ex. Soil Piping 1st Floor 2nd Floor 3rd Floor PLUMBING Z —AV —7,9 '. --[ 1012091 fL -�� Water Piping — Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Rough A2, / 7 2 Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final DATE REMAR7,S •- CORRECTIONS 714 t (NOTE: An entry must be made on lth;is form �eh time you !,Sit the i �jo FIREPLACE Footing ,Throat Final FIRE SPRINKLEI Test Final MECHANICAL Heating Cooling Ducts Z�Zf 77 Ventilation Final Soil Piping 1st Floor 2nd Floor 3rd Floor PLUMBING Z —AV —7,9 '. --[ 1012091 fL -�� Water Piping — Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Rough A2, / 7 2 Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final DATE REMAR7,S •- CORRECTIONS 714 t (NOTE: An entry must be made on lth;is form �eh time you !,Sit the i �jo 14 COUNTY OF BUTTE DEPARTMENT OF,PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 . CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .i , r A V - ` COUNTY OF BUTT5. — DEPAliTMENT OF PUBLIC WORKS 7 County Center DrivQ,,— 0roville, California 95965/� Telephone: 534-4541 (/C� // APPLICATION AND PERMIT v/ authorize representatives of the County of Butte to enter upon the bove-mentioned property for inspection purposes. \�1 qM c �7 % X. X Date ���(D- l 7 Slgnot a of Permitee or Agent Recei No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC !,QFP LIC WORKS BY 44 Date— — 27 Building permit expires Date r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 2 Total Valuation Mailing Address d rS �,� Permit Fee Plan Checking Fee &/or Penalty Tele hone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 .Z Z UD /V 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. o. Q— %7� ��� . /, Zoning & Planning Gas piping system 1 -5 outlets 1.50 Each additional outlet= .30 es _*76. Saaai-tatien FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Pla sg Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. -ewe -Road Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family IM Duplex ❑ Mobil Home ❑ Others ❑ OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 _ NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTP- 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 I Of Y n �£ �L< ` qZ Ex. Occup(OUTLETS OR FIXTURES) BA*L@"1� 00 FIXED APPLNS. OR Ex. Occup.(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 ` 1 3 License No. �1 Classification � —� 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ` permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the bove-mentioned property for inspection purposes. \�1 qM c �7 % X. X Date ���(D- l 7 Slgnot a of Permitee or Agent Recei No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC !,QFP LIC WORKS BY 44 Date— — 27 Building permit expires Date r ` COUNTY OF BUTTE —" 'DEP�rRTMENT OF PUBLIC WORKS ' 7 County Center Drive.,— s roville, California 95965 �� Telephone: 534-4541 C1YOV APPLICATION AND PERMIT �- BUILDING Owner v SQ. FT. OCC. BUILDING VALUATION .dQ Mailing Address Telephone No. 040 45 -! Fireplace �'! 4 0 C) Contractor JFleoe Total Valuation Mailing Address 0 Permit Fee Plan Checking Fee &/or Penalty C elephone No, TX13_ 2,�kS- Permit Fee o � Building Address S 1A C6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q 1 !rte V Each Trap , 1.50 1 CC) v Repair drainage or vent piping 1.50 •� " t&tj Wrificafion Only Water piping 1.50 r, Each gas water heater or vent 1.50 �• b� S A. P. No D-- �.� �FS� p �Zo�ng 8 Pla ning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 es W S i n Fire Dept. FireZ a Use Permit Building sewer 5.00 EQA Parking Plans arcel Declaration r 60' R/W Im Lawn sprinkler system 2.00 g. Plans Recd Parc I Approval /provements Plan! ppm roval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 DQ Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST, DWELLING OR ADDNS. ACC. BLDffjff 2¢sq ft NEW CONSTR. MULTI.OUT E N0N.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 California Business & Professions Code under the name St `PiOf��✓ n� Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 EX. OCCU FIXED APP LNS. OR Occup. (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.J�,1, l � Classification �� 1 Misc. Wiring 6.25 J J I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xc Wq� Date Signatur f Permitee or Agent Recei No. ��✓ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee $3.00 2.00 FEE .040 'vr) TOTAL PERMIT FEE IS,J7 13 ` 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 l�—'i3 %6 Building permit expires Date if—z3 — 77 ERSE_T H-- COMP"ANIP'- LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown)) Date 19CJ THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number/ Tract No. EXTERIOR WALLS Manufacturer Thickness/Type R Value CEILINGS Batts: ManufacturerT/ Thickness R Value n Blown: Manufacturer (2,44_* Thickness ���� No. Ba s =,7S Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALL Manufacturer ickneSs/Type R Value GENERAL CONTRACTOR LICENSE NUMBER_ V, Y13 BY \', T1 LE Owxl2rL_ DATE 1LAT ON C �/R RACTOLICENSE NUMBER BY OjKLTL EWA 9 DATE SAVE ENERGY -INSULATE! ( DATE) ACCEPTED SET COMPANY (Authorized Representative) ERSET H, pp -pp COMPANY" afl LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date �� A ' 1-w To THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street EXTERIOR WALLS Manufacturer Lot Number/ Tract No. if Thickness/Typed R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer r'r f Thickness V/ L' I."' No. Bags ��'Wt./Bag r Sq. Ft. Covered /2 O R Value FLOORS Manufacturer Thickness/Type _ SLAB ON GRADE Manufacturer Thickness/Type Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type GENERAL CONTRACTOR R Value R Value R Value LICENSE NUMBER BYTITLE DATE ` INSULATION CONTRACTORI/%1 ` { -0 )LICENSE NUMBER BY ` TITLE, DATE / SAVE ENERGY INSULATE! ( DATE) ACCEPTED HERSETH'COMPANY (Authorized Representative) N090202 _.. _. _ _ :. F i I t i 316 I I 0- � GENERAL SPECIFICATIONS SIZE Z0 x 40 AREA6 �0 15 DEPTH TO _76 SHAPE CUSTOM S TO APERIMETER f pp 1 62 P J— —`_ LOUNGE AREA TEMPLATE NO. - --� CUSTOM BENCH TILE SIZE �p '''. " x 6 TILEOL C OR O T s ; I COPING G �0 i m COPING COLOR NO , POOL CAPACITY28000 GALS. PUMP CAPACITY G.P. M. MOTOR H.P.ff H.P. Z FILTER SO. FT. 4 JUMP ROC S C' 0 s PES IDEA E FILTER RAT G.P.M. A _ _L E 4 I 0 TER FAL _ O. L - TURNOVER 4 213 HRS I 4 Q O � VACUUM LINE &SKIMMER 2 RETURN LINE 2 f L I C9 W T Q t � - MAIN DRAIN A 11/2 i L c SKIMMER MODEL (Z) U-3 i Poo L WELL BACKWASH TO DtSLI NE >, l� — OF/. FILL LINE _ -(LLANTI-SYPHON VALVE A11TO r ..SWIMOUT � _ HEATER _ � O _R1 OBTU DECO ROCK GASLINE BY. NJ 0 VENTEDY. B NO SAS- LIGHT 500 (f) , C V CLOCK 220 PATIO CE T Y: ELECTRIC C F P ELECTRICAL BONDING BY. C F P POOL CLEANER POO L VA C L IN CH OR ATORNO ' 1 BOARD SIZE N0 COLOR N 0 - BOARD SUPPORTS NO LADDER -Model N _ �) SLIDE # colo. O ❑ YES PLUMB STUB WIN TILE &COPING GY'nsnr ❑ orN _I K BY: DEC C F Q C 01"IMER:TREES. ETC. �) TO DETERMINE APPROXIMATE ELEVATION OTE SCALE 1/8•-110 CONCRETE REMOVAL BY: N 0 PERMIT OFFICE Ralseo SALES OFFICE OF POOL ON DAY OF EXCAVATION. �� _ aoNo BE YES ❑ No HEIGHT WIDTH PLASTER V -GREY PHONE NO. MGR. JOB NO. SALESMANOWNER: I f POOL AREA TO BE FENCED PER COUNTY POSSIBLE ' PEBBLE -TEC MAP BOOK No, DATE SWIMMING POOL OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING." LEGAL DESCRIPTION KEN AND SUE M C NAME A N OK } BY OWNER OWNERei OWN. BY ADDRESS 20 9 S REN7 RD i DU R HA CA WET DOWN CONCRETE SHELL AT LEAST TWICEL YS. DAI Y FOR 7 DA LOT NO. DO NOT TURN ON POOL LIGHT WHEN POOL cK'D. BY CROSS STREETS IS EMP 7Y, TRACT N0. 8 5 7 I 9 ' DO NOT USE RUBBER HOSE WHEN FILLING -- S 3 BUS. PHONE RES. PHONE POOL AS IT .WILL MARK .PLASTER. BOOK _ PAGE - _ - BLOC K PRINTS NTS P LS CARE -FREE ®® .MAILING ADDRESS #9 Alyssum Way Chico California 95928 C- Bill Bell I 342 Contr. Lic. #380826 Phone -4639 N090202 _.. _.