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028-260-055
i •1f 01. 28-26 frl6'S— 3517-90B•, P., E i RUSSELL, Robert 66 Los Verjeles, Bangor (remodel/sf) - 92 028-260-055 PERMIT#95-0600 ^RUSSELL,- Robert � .. '_6,6 -Los Ver jeles; .Bangor �----= -� Woodstove & Misc. Elec/SF x.028-26-0-055 98-1543 BPEM RUSSELL,'Robert M. 66 Las Verjeles Rd, Bangor ;(addition/SF) R_& R Const 028-260-055 105-13 GARCIA 66 LASVERJELES, BANGOR c Cont: OWNER AG BUILDING e �� CD ® . BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 6 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.(9 ZONING w + OWNER PHONE NO. Ll t' OWNER'S APDFOSS, Leis Vio4'elip- a 011A Q34R_W�Sla LOCATION O UILDING USE OF BUILDING Q e, SIZE OF STRUCTURE 0' X ��2 ��JJ//�( = & SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME __)!�_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF E I FLM, TYPE (/ ESTIMATED COS OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT( SIDES e, REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. A Date S Signature of Owner Permit Fee - $6"0 Receipt No The above desc Manager White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant is exempt from a building permit. ---._ ccs t ' 028-26'_0_055 RU RESIDENTIAL i 6603ELL9 Robert 98-1543 PD Las M. EM iaddiriel ti n/SF) R Rd ' Bangor R Const PERMIT NO. PERMIT EXPIRES OWNER CONTR. c ,ASSESSOR PARCEL LOCATION Ij jt , .r r? - 1}}1� 1j F• ' CHECKED �- BY SRA FLOOD CERTIFICATE REQ. 4 FIRE SPRINKLERS REQ. ( SPECIAL INSPECTION ITEMS VERIFY w , Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E 1, 4Temp. Gas Service ;"'° Called PG&E r i -JOB FINALED (Date) lb f, i Signature , t< A.0 _. V=OK 0 = Not OK Not • = Not Rey Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Well Clearance & Disconnect 1. Zonind Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing . 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete MISCELLANEOUS Date 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing . Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/0 to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 4. Elec.; Receptacles and Lighting, Distance-GFI Date Card B-1 Date .. Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing . 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements . 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s ningSetbacks-Easments-Flood-Slope Fig., Main; Soils-Elec. Gmd: . Depth .-Ftg. Garage; Soils-Steel-Elec. Gmd tg. Depth 4. Fig. Porches & Decks; Soils -Steel -7- i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts Joistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Dat Card B-1 Date Card B-1 Date J04rd B-1 Date Card B-1 Date PLU G (Permit) OK except #'s W tr; Vent -Access -Combustion Air Baffle Ater Pipe; Test & Anchor -Nail Protection 9 ; Test Fittings & Anchor -Nail Protection Sh r Pan; Test, First Floor -Tub Access 1A Test Tub & Shower, Second Floor -Tub Access < 22✓ as Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fix e & Transformer Clearance -Ins. Protection . lec. Receptacles Spacing -Lights & Switches at Doors Si es & No. of Conductors Stapled Romex I stalled Close to Edge of Studs & C.J. u E and ade u /Meth Fastners-Bond Gas &Water 2 Appliance Circuts in Kitchen & Conductor Size GFI f C� 29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al l 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes Q No 31. Service -Riser Conductors & Ground -Main Disconect 32. ip. Clearances Panels -Motors -Meeh. Epuip. Clothes Closet Light -Shower Light -Spa Light 34� Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support nt Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date • Card B-1 Date FRAMING (Plans) OK except #s Sits Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 9-13ong Walls over Girders & Floor Nailing . Dr Stop in Walls (rat proof) ire ps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date __FRAMING (Continued) 06- Ha�Ws-Post Caps -Anchors -Connectors 47�_Cling. Joist-Rftc Ties-Purlin-roH Brac: Truss-Shting.-Ring. ceie r Type A Flue -Fireplace Throat clearance 0 -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles dnn. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing W--Pru- Polly-Line Firewall & Openings 69 -Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits JR4.6Widtlf-Rleadroom-Rise-Run-Landing-Fire Protection &91 P wood on Roof Overhang -Attic Vents -Rafter Outriggers (� 56. idinq-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Shear Wa . Nailing -Bolts 60. B&pelffiterior / Exterior Wall Panels 61. Insulation-1/Valls-Ceilings 62. Infiltration -Walls lows Date Card B- Date Card B-1 Date I Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s _63-1xt Steps -Door & Sidelight Protection -Landings oke Detector 65.-iw aact Vents -Clearance -Comb, Air-Conector- In G ge; Above Floor -Ducts -Meth. Protection e�[ea�iExiting G.F.I. i Fixtures & Tub Access -Spa §Orofrec. Trim & Subpanel, Breaker Sizes & Labels 70 ve, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. Kit. Fis ce; Ground: Air Gap -Cooking Clearance s ece ticales at Kit. Counter Garage Fire Door; Swing -Landing -Closure Ara a -Dam r Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. IaAarage; Above Floor -Meeh. Protection Plb., . & Mech. Equip. Listed for Location lec. Beceptacles in Garage G.F.I. -Romex Protection #9 -Foam -Looked in Attic W_Gsc nstruction-Post Caps nsWction-Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instl ./Drive 0 Yes Q No/Walks 0 Yes 0 No/Planters 0 Yes p No 83. Stucco Finish - 84. A.CSJaitDisconnect,Electrical-Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Ater Well, Disconnect, Electrical, Plumbing 87 erior Elec. Trim, G.F.I. Receptacle -Underground 0-4wi-40-r-lbrought House 89 ass Pro tion 90 ections from Previous Inspections 8L Gas Test_Meters Tagged, Gas -Electric 99,*A ter "ewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • 6roville, California 95965 • Telephone (530) 5 8-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASb!fff1ff-'b M5 ZO1NO ILDINGPERMIT "BERT M RUSSELL TELEPHON879E 2506 SO. FT. OCC. BUILDING VALUATION 'TRb "#'WM BANGOR 11,520 cOOff'XRU 'ECONST TELEPHONE 64832 OJ CONNTTTRACCTOOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 52,960 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 -Filing Permit Fee $ 428.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 278.20 BUI IN6GADDRESS LAS VERJELES RD, BANGOR Energy Plan Checking Fee $ 23.00 $ PERMIT FEE s 749.20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFXY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 41 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ADDITION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 78.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.PSIN License Class Lic. NO. ECL RATION OWNER -BUILDER DECLARATION 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 Main Service TO I 46.00so WE U NEW CONST. DWEWN° OCCUP. 3.50 48.70 ( OR ADDNS. ACC-OU�TLST NEW CONST. M NON-RESID. 97.50 GLE OUTLET COWER APPARATUS 8 IR. EX. OCCU OUTLET OR FDRUREs 820 Q 1.50 Ex. Occup. Gu�T>E�s RAID,°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 68.70 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4-50 PERMIT FEE $ 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.) 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 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 pr isions. /-,, // "X _ _ Date b Ignature of Applicant - IOL 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 $ cc co T TOTAL FEE $ 981.40 HAZ. - o D. FEES IMP FLooD -- CDF C Pp HD SUE 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. Of By v Date Q PERMIT EXPIRES ON (Date) Receiptl' WHITE •D.D.S.• 9.5 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'�� 1'i�^�'��'d �� f{-��.�i,Fic.rr.•,r�, I,t���'y' 'Tr '�'���± V, v �, ;, ,6,01TY OF BUTTE- DEPAI 7 COUNTY CENTER DR ?NT OF DEVELOPMENT SERVICES - BUIL G DIVISION OROVILLE, CALIFORNIA 95965'- TELEPHONE (916L538-7541 PERMIT APPLICATION DATA SHEET OWNER: --AASSESSOR PARCEL O Proposed Building Use: � Building Inspector: Date: At time of permit application, I as advised the following data must be submitted prior to permit roc ssing and/or issuance: Date Received By ❑ 1. All iiems have been submitted, ------------------------------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- a 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- D . Engineered truss details and layout in duplicate (required prior to plan reviewy faxes! - =-=--=--------- ,_4 C C mob. Energy Design Compliance and supporting documentation. -------------------------------------- -------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 1 Fees of $-------------------------------------- --------------------------------------------- 11. Impact fees as shown on the attached schedule. COQ ----------------------- ------------------ California Department of Forestry plan approval/fees. ❑013! Flood elevation certificate. ----------------------------------------- ----------------------------------------------- b 4. Sanitation and plot plan approval DrOV i I LIHealth Department. ------------------------------------------- Ell 5. ------------------------------------------❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------- -=------ ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ±,-'='--------------------------------------=----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - ----=--------------------------------- ❑24. Letter of signature authorization. --------- ----------------------------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ----------------------------------- C3 27. ---------------------------------❑27. Manufactured Home utility clearance. -------------------- ----- ❑28. Existing violations and/or expired permits. ----------- ---------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title,'❑ Check to H.C.D $ 1130. Other: (Date) When you issuethe �t, �j°cess as ollows ❑ Mail to owner, Mail Xq ntractor. - y. mv l_►Telephone lU/ �o s� and hold for pickup at �� t office. ❑ `Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ; Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Division counter, by ate: Plans reviewed by: Date: Plans approved by: �� Date: �o&� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. rte; E.H. USE ONLY Plot Plan Attache Floor Plan A ached Sent to B. D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance U� --.,Ili Owner Location ,z �--,-�C �� Plan Approved for: Sewage Disposal %%rater SuppI : Public _ Clearance fc 9/?dwelling. Other o(��- O Hold final for: Final clearance O.K. for: NOTE: 177 P �j . Environmental Health Specialist 7,1 U/ AP# Priya�e Well Date � L /0 -t 6 j'_ 7 - • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7�IS 1 . / J �ER IT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL MIMSER ZONING L/) BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OW 9 ADDRE88 C' C o - CO R•Sir TELEPHONE CO R9 MAUN0 ADDRESS CONSTRUCnON LENDER LENDERS MAILING ADDRESS Fire lace Total Valuation S 5 ARCHrtECT OR ENGINEER LICENSE NO. Filina Fee 20.00 Permit Fee $ 60 ARCMTECT OR ENGINEER'S WALING ADDRESS Plan CheckingFee S lao BUILDING ADDRESS e , _S S Energy Plan Checking Fee Qu a PERMIT FEE _ f�-� LOT NO. SUBDMSIOTLS NAME PASCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobllehome ❑ Other aPeclFr Each Trap7.00 al. UA Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition T Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Is -,to Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20Ou1 ORR lEe8 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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. ❑ 1, 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: ❑ t 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 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 Califomia, 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50` deep and demolition or construction of structures over 3 stories in height Main Service MATO +000A 48.00 NCONST. "B11M10 OCCUP. 3.5¢ GNR ADON a ACC. BLns. NEW CONST. NON•RESID. MULTwUn Ei @G 7.50 vovuL•R APPARATUS a sNGLE oLmtt aR .00 EX. Occup. OUTLET OR Fwrmea 84- ®+.SO Ex. Occu . o„n�gAPP JOERw 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.S0 Ventilation ,5 PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspectloq Fee S 'qTtT JOTAL FEE $ HAZ — D IMP �- FLOOD W P Ho UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 16 ReceiptNo. 19 4 WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M TAPLK OF CONTENTS TOC hJhJhJhJAJ.+`JhlhJhJhJhJrJrJhJhJhJhJr�+`J!`Jt`JrJrJr+hJrP+`JrJhJhJr+hJrt �`JrJr£MrJ:`JrirJrJ.`irJrJhJr£+`JrJrJrJrJhJrJrtrJrJrJrJ,+`JrJrrrPubrJrJrJhJrJhrrJrJrJrJrlrrrrrJrJ Project Title.......... HITCH USSEL Date........ 07/17/98 Project Address ........ 66 LOS VERJE LE S RD. # Z J)£1L7L QDDDD - DDDDDDDD? BANGOR, CA. *v4.5o* 3 Af .3 Documentation Author... Curry Rubanoff 3 Building Permit # .3 Endeavor Homes .3 _ Z�a� .3 P.O. Box.1947 3 Plan Check: / Date 3 Orov i l le, CA 95965 .3 --- _ - 3 916--534-0300 3 F=ield Check/ Date .3 Climate Zone ........... 11. 0DDDDDDDDDDbDnDDDDDDY Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. U!`JhJhJhJ..+'JrJrJhihJrlrJrJrJrJ!`JhJ!`f nJ,nJrJrJrJ!`JrJhJr1+`J!`JrJ!`JrJrJrJ!`1+`Jrf +`i rvJ!`JrJr1+`t+`J!`t nJrJt`JrJrJr1h1h1hihJrJrlrihJhlrJrJrJ!`JhJhJhJhJhJhJhJrJrJrJrJrJhJrJ� .3 MICROPAS4 v4.50 F=. le--A:RUSSEL Wth-CT"I IS92 Progham-TOC 3 .3 User##-MP1829 User -Endeavor Homes Run-RUSSEL .3 OD£1L)£7£1£1£7T DDDD£1D£7D7)L)DDDDnl_)C)DDDDDDDDDDD£)£)£1?7L)?7L7r).>7?7DDDDg)D£1DDDD£1£1L)T)DDDDDDDDL)L1DDDDDDY TABLE OF CONTENTS £)L)I)pL)£)£)L)L)£1L?£7? DDDD Report Pace FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -'R ................. 6 HVAC SIZING ............... 9, V'm "Ali ,;x CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title...'....... MITCH RUSSEL Date........ 07/17/98 Project Address........ 66 LOS VERJELES RD. ******* ZDDDDDDDDDDDDDDDDDDD? BANGOR, CA. *v4.50* 3 3 Documentation Author... Barry Rubanoff ******* 3 Building Permit # 3 R -value Endeavor Homes 3 3 U -Value Location/Comments P.O. Box 1947 3 Plan Check / Date 3 Oroville, CA 95965 3 3 DDDDDDD 916-534-0300 3 Field Check/ Date 3 Climate Zone........... 11 @DDDDDDDDDDDDDDDDDDDY Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. Wood 3 MICROPAS4 v4.50 File-A:RUSSEL Wth-CTZ11S92 Program -FORM CF -1R 3 3 User#-MP1829 User -Endeavor Homes Run-RUSSEL 3 @DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY GENERAL INFORMATION ._Roof DDDDDDDDDDDDDDDDDDD Conditioned Floor Area..... 752 sf Building Type.............. Single Family Detached Construction Type ......... Addition Alone ' Building Front Orientation. Front Facing 47 deg (NE) Number of Dwelling Units... .44 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 17.5 % of floor area Average Glazing U -value.... 0.67 Btu/hr-sf-F BUILDING SHELL INSULATION DDDDDDDDDDDDDDDDDDDDDDDDD Component Frame Cavity Sheathing Assembly Type Type R -value R -value U -Value Location/Comments DDDDDDDDDDDD DDDDDDD DDDDDDDD DDDDDDDD DBDDDDDtDDDDDDDDDDDDDDDDDDDDDDDDDDDBDDDD Wall Wood R-15 R-0 0.081 ._Roof Wood R-30 R-0 0.038 Attic SlabEdge n/a R-0 R-n/a 0.900 TO OUTSIDE SlabEdge n/a R-0 R-n/a 0.720 TO OUTSIDE SlabEdge n/a R-0 R-n/a 0.500 TO PORCH, TO GARAGE, TO HOUSE SlabEdge n/a R-0 R-n/a 0.550 TO HOUSE Door n/a R-0 R-n/a 0.330 TO GARAGE FENESTRATION DDDDDDDDDDDD # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type DBDDDDDDDDDDDDDBDDD DDDDD DDDDD DDDD DDDDDDDDDDDDDDD DDDDDDDDDDD DDDD DDDBDDDDD Window Left (SE) 15.0 0.750 2 Drapes.Std None None Metal Window Back (SW) 64.0 0.750 2 Drapes.Std None Yes Metal Door Back (SW) 40.0 0.500 2 None None Yes Wood Window Right (NW) 12.5 0.750 2 Drapes.Std None Yes Metal 'CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page ? CF -1R r1r1r1rir1r1r1r1l�in!!•irr.��rirrl�ir�rrr�r+rf�rnrrrl�tr�r�rrl:rr�r�h�r�l�r:�lnrn��rr�r�lbrrfrrr�n+r�r�rrrrr�rrr�r!r�r���r�rrn�r�r�rir�r�rrr�rirrr�rir�rrrrrrrrrrrir�rJ Project Title.......... MITCH RUSSEL Date........ 07/17/98 urrr�ririrrrrr�r�r�rirrr�r�rrrti�rrrrin�r�rirrr�htrr.�r.�irr��rirrr�rirrr�rrr�rrrir�l�rr�r�ririrtr�r�rrrr.�rrininirrrrrtrrr�rrrrrrr�rrrirrrrrrr�rrrrrrr�rrrrrrrrS .3 MICROPAS4 v4.50 File-A:RUSSEL Wth-CTZ11S9 Program -FORM CF -IR 3 3 Useri#-MP 1829 User -Endeavor Homes Run--RUSSEL 3 ODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY THERMAL MASS DDDDDDDDDDDD Area Thickness Type Exposed (sf) (in) DDDDDDDDDDDD DDDDDDDDDDDDDD DDDDDD DDDDDDDDD S1abOnGrade Yes B9 3.5 S1abOnGrade No 663 1.5 HVAC SYSTEMS DDDDDODY?DDDD Minimum Duct Equipment Type Efficiency Location DDDDDDDDDDDDDDD DDDDDDDDDDDD DDDDDDDDDDDDD Furnace 0.690 AFUE None NoCoo 1 i ng 10.00 SEER None Location/Comments DDDDDDDDDDDDDDDDDDDDDDDD Exposed Covered Duct Thermostat R -value Type DDDDDDD DDDDDDDDDDDD R-0 Setback: R-0 Setback: SPECIAL FEATURES/REMARKS DDDDDDDDDDDDDDDDDDDDDDDD CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R rJrJhJr?rJrJ!•JhJrJhJrJrJrJrJhJhJhJrJrJrt nJPJrJ!°JhJhJrJl�JrJrJhlrJhlhJl�Jr£nJrJhJrJrJrJrl rl.+�JhJrJrJI�JrJrJrJrJrJrJrJr+hJrJ1`JrJrJhJrJI�JrJrJrlrJrf nJrlrrrJrJrlrJrJhJ Project Ti.tle.......... 'r'ITTCFI RUSSEL Date........ 07/17/98 1JhJhJhlhJrlhJhJ!`JrJhJrlhJrJ!`1.tiJ'AJrJrIrJhJhJ.+`JrlhrrJ.+�Jr?rf rJhJhJrJhJrlrJrJhJrJrt.+`Jr1rJrJrJrlrJ,n£nJrJlbJrJrJrJrJrJ!`lrlhJhlrJrlhJrf h1rJrJrJrJhlrlhJrJrJhlhJrJrJ� .3 MICROPAS4 v4.50 File--A:RUSSEL Wth--CTZ11S92 Program -FORM CF -1R .3 .3 User#k-MP 1029 User -Endeavor Homes Run-RUSSEL .3 ODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD£}L7F7ni?£?DDD£?£)£>n£7DI?DDD£7DDDDDt7DL DDDDDDDDY COMPLIANCE S'TA'TEMENT I7D£7F.)DD£)i?pDD£.)DDnD£)I. DD This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... MITCH RUSSEL Company. OWNER/BUILDER Address. 66 LOS VERJELES RD. BANGOR, CA. Phone... 1-530-679-2506 License. Signed.. ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... (date) Signed. . (date) DOCUMENTATION AUTHOR Name.... Barry Rubanoff Company. Endeavor Homes Address. P.O. Box 1947 Oroville, CA 95965 Phone... 916-534-i 300 Signed..___ (date) MANOATORY MEASURES CHECKLIST; RESIDENTIAL Page 4 MF -1R Project Title.......... MITCH RUSSEL Date........ 07/17/98 Project Address........ 66 LOS VERJELES RD. ******* ZDDDDDDDDDDDDDQDDDDC>? BANGOR, CA. *v4.50* 3 3 Documentation Author... Barry Rubanoff ******* 3 Building Permit # 3 Endeavor Homes 3 3 P.O' Box 1947 3 Plan Check / Date 3 Oroville, CA 95965 3 3 916-534-0300 3 Field Check/ Date 3 Climate Zone........... 11 @BDDDDDDDDDDDDDDDDDDY Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. 3 MICROPAS4 v4.50 File-A:RUSSEL Wth-CTZ11S92 Program -FORM MF -1R 3 3 User#-MP1829 User -Endeavor Homes Run-RUSSEL 3 @DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES DDDDDDDDDDDDDDDDDDDDDDDDDD *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. Design- Enforce- er I ment ,I � ,� ~- 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality � standards. Indicate type and form. �� _ 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints � and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. � 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control � 2. No continuous burning gas pilots allowed. ~ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Pace 5 MF -IR r1hlh1,+�9hlrlhlrlrf Mr?rrrirlrrrirlrihirf rf rlhr?�lhirrrrrlrlr!hll�lh� of r1r1l�1hlh1hirlrl?�f r1r1h++�lh!;''�+'+hPrlrir!!`t1�1h1rirf hlrirlrlrlr1r1r1rtrf r1.h1r1rtrlrlrrrlrlrl Project -title........... MITCH RUSSE1._ Date........ 07/17/98 urlhlh?hrrlhrr�r�rlrrrlrirlr�hfhrrlr+r�? �1rinlr!!�!?��nf n+nlhl.+°fr1!'ahfr1r1r1?�lhlrfr�+�1,+°iri?�Fr1r11��r+r�+�ir�rrr�r�rrrrr�r�rir�r�r�rirrr�r�r�r�rrrrrrrrr�r�rtrrrrS .3 MICROPAS4 v4.50 File-A:RUSSEL Wth-CTZ11S92 Program -FORM MF -1R 3 3 User#-MP1829 User --Endeavor Homes Run-RUSSEL 3 @DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDr)Dr)DDDDT-)L)I)r)DDDDDDL)DDDDDDDT)I1DDDDD17DDDDDDDDDDDDD)•' SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback: thermostat on all applicable heating systems. 150(j): Pipe and Tank: insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water..tanks) have insulation blanket (R--12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank:, non -- recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank:. *150(m): Ducts and f=ans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back:draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 70% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas --fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance ` with pilot < 150 Btu/hr.) . �! LIGHTING MEASURES r)DDDDDDDDDDDDDDDD Design- Enforce- er ment 150(k:): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling / fixtures IC (insulation cover) approved. _�! .)eaApaanpa�l ..........adAl e4eQ 1ag4eaM T •sa-Eao-IS hu2pltn,3 jo ,lagwnN tt,. ...si.iun 6uIIIa+*)Q j.o lagwnN (3N) 5aP /_fi huTaed 4UOaJ •UOTjr4ual,jo 4uo,1d SuIPITIla auOly U01 _ T PPV ......... adAj_ uox a.:,n l �suOU pagoeqaQ AITWe3 albUTS .... .......... adAj_ buiPltn)3 �s Z�L ..... ea.)v IOOI�l paUO.11 T puo0 aaaaa(ICiC3C7CIC7CiC3C7Ciaa as NO I 1dWE103N I IVU3N39 i+iiJi+ItdtdiJi•liJlJiJtdlJlJiJi+li+lidlJiJl�li•1d,iddlJd+idddJd+ldJi•iidlJd+lldtJl�llJiud•ii•iiut+liJi•itdiJi+JtJl+li+lidiJt+lidlJd�fldtJlJi+lt+llJd+lH • .1.1 a ,... ._jWFjahj f5Utl'!aJ a6e1aAd -4 5__,11.1/n=1 -H L..9'() . . ..a),IeA-n F3uTZPlg aF1PJaAH ea,1e .1oo.(� �O % (.--IT .........aF)e4U+3a1ad hu'c'Ze-CJ :,Ls uS/._ .........ea1d C)Pe1J—dU—gels 4-`s SSL ... , . , .... e�31� 1ooI3 punO.1U �s 7SL .............ea1V -}uildq.003 �D 17•Go9 .........awnlO() pauot4TPU03 aaUeYldwo3 T ...saUOZ f)u'rPI'crIEj d -o .lagwnN ape,1J u0 geiS °'"'adll UOTq.Jn.l_}suO,- Ioaid .)eaApaanpa�l ..........adAl e4eQ 1ag4eaM T •sa-Eao-IS hu2pltn,3 jo ,lagwnN tt,. ...si.iun 6uIIIa+*)Q j.o lagwnN (3N) 5aP /_fi huTaed 4UOaJ •UOTjr4ual,jo 4uo,1d SuIPITIla auOly U01 _ T PPV ......... adAj_ uox a.:,n l �suOU pagoeqaQ AITWe3 albUTS .... .......... adAj_ buiPltn)3 �s Z�L ..... ea.)v IOOI�l paUO.11 T puo0 aaaaa(ICiC3C7CIC7CiC3C7Ciaa as NO I 1dWE103N I IVU3N39 i+iiJi+ItdtdiJi•liJlJiJtdlJlJiJi+li+lidlJiJl�li•1d,iddlJd+idddJd+ldJi•iidlJd+lldtJl�llJiud•ii•iiut+liJi•itdiJi+JtJl+li+lidiJt+lidlJd�fldtJlJi+lt+llJd+lH • # Pa=4elnole0 40u F)IJ1 4eaH .1a=4PM - SL'^ TT'9z 60"6c.. 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E E' saw01-1 ,.IOAeapt.J3 E # 4Tu)dad buipltnQ E- �ouegrj)j Aj,1eg ...,ao41: riV UOt1e:IUaWnDO(] c:(I(iQQ(IC!(ICICIL?C?C7C7C?QCIC7(ICii' # # 'OU S3-13t'13A SO -1 99 ° .......ssa.lPPv '4ascold 86/LT/Lt) ... .....84eQ 13SSnd H31IW ..........aT4Ti-}aacOJd tdtJtJiJi.rtd t+t t+l t JtJt•lt•ltdtd t.rt.lt.ltdtdtdt,lt+l d+l d+f tdt.+i+l iu t+l til id id id i+t t d t+l i+l i+i d+l i+l iu i+l iJtd iJid iJi+l dJ to tJd+t id i+f t,l tJi+l tJtd iJ t+l i+t td i d i�l id dJi d i+i td t+l id id id i+l i+l td tJd+l UZ—U 9 abed AUVWWnS UOII13W U31ndwo3 COMPUTER METHOD SUMMARY Page 7 C -2R h1nJPJP`JhJrJ!`JrJhJrJhJhlhJhJrlh�+`1rJrlnt�`1�`JrJhJrJ!`JrJrJr1,+`JrJrJrJrinJhJ?`1.nJrJr�+'JrJrJrJrJ?`i+`JrJ!`JrJrJrJrJrJrJrf nJhJ!`l,+`J!`JrJrJhJ!`JhJrJrJrJrJrJrJhlrJrJrlrJrJrJ Project Title.... ....... MITdH RUSSEL Date........ 07/17/98 UhJrJr�►`JhJrJhJrJrJrJhJrlhJhJrlrJ!`JhJ�J?`J!`J►`J!`J!`JhJhJrJhJhJhJ!`JrJ!`JrJ.+`J?`t+`��J?`JhJ!`J!`i,+`J?`1,+`JrJhJhJrt+`Jr� n++`JhJhlhf+`JrJrJhJrJrJrJ,+`JrJrJhJrJrJrJhJrJrJhJrJrJM�� .3 MICROPAS4 v4.50 File--A.RUSSEL Wth-CTZ11S92 Program -FORM C -2R 3 3 User#t-MP1829 User -Endeavor Homes Run--RUSSEL 3 ODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD)' Zone Type DDDDDDDDDDDDDD HOUSE Residence Surface DDDDDDDDDDDDDD HOUSE - New 1 Wall 2 Wall Wall 4 Wall 5 Roof 12 Door BUILDING ZONE INFORMATION DDDDDDDDDDDDDDDDDDDDDODDD Floor 1# of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area (sf) (cf) Units itioned Type (ft) (sf) DDDDDDDDD DDDDDDDDD DDDDD DDDDDDD DDDDDDDDDDDD DDDDDD DDDDDDDDD 752 6016 0.44 Yes Setback: 2.0 n/a OPAQUE SURFACES DDDDDDDDDDDDDDD Area U- Insul Act Solar Form 3 Location/ (sf) value R-val Azm Tilt Gains Reference Comments DDDDDD DDDDD DDDDD DDD DDDD DDDDD DDDDDDDDDDDD DDDDDDDDDDDDDDDD 177 0.081. 1.5 137 90 Yes W.15.2X4.16 168 0.081 15 227 90 Yes W.15.2X4.16 20 0.081. 15 317 90 Yes W.15.2X4.16 142 0.004 15 317 90 No W.15.2X4.16 752 0.038 30 n/a 0 Yes R.30.2X4.24 Attic 1.8 0.330 ii 317 90 No. None TO GARAGE Surface DDDDDDDDDDDD HOUSE - Nein 6 SlabEdge 7 SlabEdge 8 SlabEdge 9 SlabEdge 10 SlabEdge 1.1 SlabEdge Surface DDDDDDDDDDD HOUSE - New 1 Window 2 Window Window 4 Window 5 Door 6 Window 7 Windom PERIMETER LOSSES DDDDDDDDDDDDDDDD Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments DDDDDD DDDDDDDD DDDDDDD DDDDD DDDDDDDDDDDDDDDDDDDDDD 10 0.900 R-0 No TO OUTSIDE 32 0.720 R -t a No TO OUTSIDE 20 0.500 R -i i No TO PORCH 20 0.500 R -i � No TO GARAGE 19 i � . 500 R -i � No TO HOUSE 15 0.550 R-0 No TO HOUSE FENESTRATION SURFACES DDDDDDDDDDDDDDDDDDDDD ## of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ (sf) es Type -type value Azm Tlt Only Shade Description DDDDD DDDD DDDDDDDDD DDDDDD DDDDD DDD DDD DDDD DDDD DDDDDDDDDDDDDDD 5.0 2 Metal. Slider 0.750 117 90 0.88 0.78 Drapes.Std 10.0 2 Metal Slider 0.750 137 90 0.88 0.78 Drapes.Std 20.0 2 Metal Slider 0.750 227 90 0.89 0.78 Drapes.Std 20.0 2 Metal Slider 0.750 227 90 0.88 0,78 Drapes.Std 40.0 2 Wood Hinged 0.500 227 90 0.88 0.78 None 24.0 2 Metal Slider 0.750 227 90 0.88 0.78 Drapes.Std 12.5 2 Metal. Slider 0.750 317 90 0.88 0.78 Drapes.Std 'COMPUTF_R METHOD SUMMARY Page 8 C-2R rir�rll�lrlrt�`1r1r1h1h1h1h?rlr1:`l.+�lhlhinlrlrfrt+`frlrf ni.+`J+'f n�+`P!`lh�nPhf+'frlrlrlririrlhlr�+�1r'!l�lrPrlrlhJ,+'+rlhiMrlhJrlMrlhlr+hihlrfrlhlrlrth�+`Jhlhlhlhfrirlrlr! Project Title.......... MITCH RUSSEL Date........ 07/17/98 UhJrlhJrlhJhf h!r!hlhtrtrt nfntrt�'lrlrlhlrf rJrlPf +`+ntr� n1!`�+�ir1h!!�1!`+rirrrJrlrlhf rlhlrJ �f hirirl+'f!'ihlhl.Mhf hJrlrlr+rlrlr!hJr1r1r1rf rf rlrf rrr1h1h1r1r1h1r1h1h1� .3 MICROPAS4 v4.50 File-A:RUSSEL Wth--CTZ11S92 Program-FORM C-2R 3 .3 User#-MP1829 User-Endeavor Homes Run-RUSSEL .3 ODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY OVERHANGS AND SIDE FINS DDDDDDDDDDDDDDDDDDDDDDD Area Thich Mass Type (sf) (in) DDDDDDDDDDDDDDD DDDDDD DDDDD HOUSE - Nein: 1 S1abOnGrade 89 3.5 2 S1abOnGrade 66Z Z.5 THERMAL MASS DDDDDDDDDDDD Haat Conduct- Surface Cap ivity R --value Location/Comments DDDDD DDDDDDDD DDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDD 28.0 0.98 R-0.0 Exposed 28.0 0.90 R-2.0 Covered HVAC SYSTEMS DDDDDDDDDDDD Minimum Duct System Type Efficiency Location DDDDDDDDDDDDDDDD DDDDDDDDDDDD DDDDDDDDDDDDD HOUSE Furnace 0.690 AFUE None NoCoo 1 i ng 10.00 SEER None SPECIAL FEATURES/REMARKS DDDDDDDDDDDDDDDDDDDDDDDD Duct Duct R -value Efficiency DDDDDDD DDDDDDDDDD R-0 1.000 R -i � 1.000 DDDWindowDD DDDDDDOverhangDDDDD DDDLeft FinDDD DDDRight FinDD Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght DDDDDDDDDDD DDDDD DDDDD DDDDD DDDD DDDD DDDD DDDD DDDD DDDD DDDR DDDD DDDD DDDR HOUSE - New 3 Window 20.0 5.0 4.0 2.0 0.50 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 20.0 5.0 4.0 2.0 0.50 n/a n/a n/a n/a n/a n/a n/a n/a 5 Door 40.0 6.67 6.0 6.0 0.50 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 24.0 4.0 6.0 6.0 0.50 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 12.5 5.0 2.5 16.0 0.50 n/a n/a n/a n/a n/a n/a n/a n/a Area Thich Mass Type (sf) (in) DDDDDDDDDDDDDDD DDDDDD DDDDD HOUSE - Nein: 1 S1abOnGrade 89 3.5 2 S1abOnGrade 66Z Z.5 THERMAL MASS DDDDDDDDDDDD Haat Conduct- Surface Cap ivity R --value Location/Comments DDDDD DDDDDDDD DDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDD 28.0 0.98 R-0.0 Exposed 28.0 0.90 R-2.0 Covered HVAC SYSTEMS DDDDDDDDDDDD Minimum Duct System Type Efficiency Location DDDDDDDDDDDDDDDD DDDDDDDDDDDD DDDDDDDDDDDDD HOUSE Furnace 0.690 AFUE None NoCoo 1 i ng 10.00 SEER None SPECIAL FEATURES/REMARKS DDDDDDDDDDDDDDDDDDDDDDDD Duct Duct R -value Efficiency DDDDDDD DDDDDDDDDD R-0 1.000 R -i � 1.000 HURL SIZING Page 9 HVAC r+l�lrlrlrlhlhlhlrlrlrlrlrlrlhlr!!!!`!l+h£+`�n!!!?!!!!!r!r!:'lhlh!!'!!£n!h!h!lr.�rr�llhlrirtr?rlrlllP�h�r�n���r��ir�rin�r�rrrrlir�r�rir�hrr�rrr�r�r�rtrrr�rrr�r�rrr� Project Title...'....... MITCH RUSSEL Date........ 07/17/98 Project Address........ 66 LOS VERJELES RD. as## ZDDDDDDDDDDDDDDDDDDD:? BANGOR, CA. *v4.:70* .3 .3 Documentation Author... Barry Rubanoff # # 3 Building Permit # .3 Endeavor Homes 3 _ 3 P.O. Bos: 1947 3 Plan Check: / Date .3 Oroville, CA 95965 3.__ _ __ 3 916-534-030o .3 Field Check:/ Date 3 Climate `Lone........... 11 ODDDDDDDDDDDDDDDDDDD)•' Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. Uht!`1rJrlrf.�°1rtrPrh'frlrir!r?rJr!rtrJrlrlr!rJr1;'1h111rF.nf n1rJrJrlr?r?hlhtrlrlrfrt:'1.+'Jr1l�rrr�r�rrr�rrrrn�r!r�rrrrr�rrrrrirtrrrrrrrrrrr�r�r�rir�r�r�rrrrr�r�s .3 MICROPAS4 v4.50 File-A:Rl.SSEL Wth--CTZ11S92 Program -HVAC SIZING 3 3 User#-MP1829 User -Endeavor Homs Run-RUSSEL 3 ODDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?'' GENERAL 'INFORMATION DDDDDDDDDDDDDDDDDDD Floor Area ................. 752 s—f Volume ..................... 6016 cf Front Orientati.on.......... Front Facing 47 deg (NE) Sizing Location............ OROVILLE RS Latitude ................... x,9.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design ...... 104 F Summer Inside Design .. . . . . . 78 F Summer Range ............... !7 F= Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... .0.20 HEATING AND COOLING LOAD SUMMARY A DDDDDDDDDDDDDDDDDiDDDDDDDDDDDDDDD Heating Cooling Description (Btuh) (Btuh) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDD DDDDDDDDDDD Opaque Conduction and Solar...... 5833 230e Glazing Conduction ............... 3545 2304. Glazing Solar .................... n/a 2688 Infiltration............ ....... 3422 1405 Internal.Gain.................... n/a 924 Ducts............................ () 0 Sensible Load .................... 12800 9629 Latent Load ...................... n/a ;< 1926 DDDDDDDDDDD DbDDDDDDDDD Minimum Total Load 12800 11555 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air float requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. 'r ��.?tir'.- � r-=-...:,�,y - y,�.,,^.-.._..4,ry .-.�'rr.. ,..,, , - �,j. L:,,.•' -y, • `-.iv M..e'i .t.r�..•witi:�...}:'v'i...'•i"..^..'..+:n.,.`..:. Y.. ,��/ . School District A.P. Number Property Owner Property LocationM BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) - omul( I 1 0 ( Building Department No. ��^�^Jurisdiction: City 66 County Subdivision Lot No. Residential Development No of Living Mobile Home Additi n Units Installation Commercial/Industrial New Addition ing Department Representative v1 loor Plans reviewed by School District Personnel) ict Identificationit. ' C� IAC, 991114 \,. ., (Street (City) has complied with the requirements of Resolution No. representing square feet. School' District Representative certifies that (State) 11)5_ D 2926 • ,L MITIGA Sq. Footage V (Group R) Sq. Footage (Including Exterior Roofed Areas) Y/g/ t? 0 Date - (`'Applicant) (Phone Number) 10 (Zip Code) by payment of $ SC S TIO $ Date Paid by Check # Remarks: ',�I, If utJ1--1U VJ U , v Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm EU � APPROV Butte amMnrne��n�alth \ tj ------- --- `�• -" 5{gnatUM ' I� 4 rV�w St• 10 pf-W Z & -v, - 45 0 11,10011 W, U) 012 tt;9 I d o'O o IIG o 1 •-�n� d — I 1 O a `74; Cid o-4� L- a .c o 0 - -11*--E V--t-L o� 19 7 !S "�.'`i'I.-+,,f'�..> ...A„-f'�sr.•'�'R�`sy:—.=T�-'1✓�v�,.^"l.g.;+�:�yy.'�„�^'Y'r.�s`�?. COUK;Y OF BUE BUILDING DIVIS SOON „_ s DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CQ • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R -fJ � PERMIT NO. A routine inspection ' dicates that the following violations of butte county Ordinances exist at the above address should be corrected. Please notice this office when correction of work is completed. I ou have any questions pertaining to this matter, or need additional explanation, plea§p c act this office immediately. re 114,91a W b COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER ( PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Date `-//// q5 Inspector REV 1 J`4 OWNER COUNTY OF BUTTE BUILDJNG DIVISION DEPARTMENT OF, DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION, NOTICE N- I PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Late Inspector REV 10/92 Insulation Certificate BUILDING OWNER: BUILDING LOCATION: (n(cN k14 -f Description of Installation ROOF Material Thickness (inches) �--- BUILDING PERMIT CScts kb—L—& e Brand Name Thermal Resistance (R -Value) —i� CEILING 1 Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL l Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Ivlatertal Thickness (inches) Width (inches) 1 l Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name Thickness (inches) --rural Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Califo Administrative Code. �,,d ,3 Gener Co for ( it r j License Number Date Signature the tu Sub Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST .BE PROVIDED WITHINHUSING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE JANUARY 1993 028-260-055 PERMIT#95-0600 RUSSELL, Robert 66 Los Verjeles, Bangor Woodstove & Misc Elec/SF- O,:r-,CE copy VC—P Address GAS Date----- Meter BY Date :I(TA'Ar ELECTR Meter BY .7--7- '7 W COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 ,` PERMIT NO. APPLICATION AND PERMIT r `` ASSESSOR PARCEL NUMBER 028-26-4-455 ZONING BUILDING PERMIT OWNER ROBERT RUSSELL TELEPHONE 679-2506 SO, Fr, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS P O BO% 222 BANGOR CA 95914 CONTRACTOR'S NAME olllW TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace "A" 1500 CONSTRUCTINM ON LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.04 ARCHITECT OR ENGINEER NM UCEN$E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 66 M, BANGOR PERMITFEE $ 55. '3 PLUMBING PERMIT Filing Fee 20.00. Each ;rap 7.00 LOT No. SUBDIVISIONS NAME PARCE7L 1AP Solar -.Or heat pump water heater 23,00 USEOFSTRUCTURE 3 SF Il Duplex ❑ Mobilehome ❑ Other sPECIFv Water 1p > ng – 15.00 Each gas ater heater or,vent 15.00 Gas piping system 1 - 5 outlets 15.00 Byuilding sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: WOOD STOVE & MISC ELHCTRIC MobileHome I S I GI W1 920.00 PERMITFEE $ Contractor ELECTRICALPERMIT:00 Filin Fee 20 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 IE Main Service ( 200A To I000A ) 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 Profe on's Code and my license is in full force and effect. w License Class Lic. No. t� OWNER -BUILDER DECLARATION ; �, .;.; I herebyaffirm under penalty of perjury that I am exempt from the Contractors Ltcens P tY P 1 rY P � Law for the following reason: p' I, as owner of the property, or my employees with wages as their sole compe nsation, will do the work, and the structure is not intended or offered for salve! ❑ I, as owner of the property, am exclusively contracting with licensede1Ycontractors to construct the project. t ❑ 1 am exempt under Sec. Business and Professions Code for this reason: N CONST DWELLING OCCUP. SO. OR ADDNS ( d ACC. BUDS. ) 3.50 FT. NEW CON MULTI.OUTLET NON-RESIO. �( BRANCH CIRCUITS ) 97.50 ,POWER ( P INGL APPARATUS ) SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 obile Home Facilities 20.00 Misc. Wiring 00 23.00 23, PERMITFEE $ 43.00 Contractor 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 r workers' compensation, as provided for by section 3700 of the Labor Code, forilldhe performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as requirel'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 ark`' Carrier Policy Number (The above sections need not be completed if the permit is for wor luation of one hundred dollars ($100) or less.) $r I certify that in the performance of the work for which this permit su all not employ any person in any manner so as to become subj rs' compensation laws of California, and agree that if I should become t e workers' compensation provisions of section 3700 of the Labor I shall forthwith comply with those provisions. X�/'� —_ Date -,4r1 % Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent ''',An OSHA permit is required for excavations over 60" deep and demolition or construction �Ibff structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating : Cooling Hood 6.50 Ventilation r PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspectiondee $ occ CONST. TYPE TOTAL FEE $ 98.00 HAZ. 1 D. FEES I IMP FLOOD I COF PARCEL PD HD ISSUE. This pefplit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wh fewe have been paid. �,*t PERMITEXPIRESONr� ` (Date) Rec pt No. r/' �% WHITE- dyD.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, 6aliforno 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 5 8-754/t PERMIT NO. �T'7 D�oa ASSESSOR PARCEL NUMBER 028-26-0-055 ZONING BUILDING PERMIT OWNER ROBERT RUSSELL TELEPHONE 679-2506 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS P 0 BOX 222 BANGOR CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace "All 1500 CONSTRUCTION LENDER NONE UNxNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 56 LOS VERUELES, TRANGOR PERMITFEE S 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ff 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 ❑ Ublities ❑ Installation ❑ Other EX Describe Work: WOOD STOVE & MISC ELECTRIC Mobile Home I S I GI W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service a OR LESS ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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 OCCUR OR ACDNS. ( 8 ACC. BLDS. ) so. 3.50 FT. NEW CONST.ULTI-OUTLET NON-RESID. BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occup. OUTLET OR FIXTURES ) BA2L 0 1.00 L .SO FIXED Ex. Occup. (ouPS. LNj ea ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 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 //v/1� Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction/—t of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 98.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL 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 have been paid. i at V PERMITEXPIRESON (D aJ Receipt No. %-�� 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 (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER OZDO.NINO r- r BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS DRE , / N CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace 1 CONSTRUCTION LENDER UNKNOWNTotal Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Q� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BULDINGADDRESsT-� L/ PERMITFEE $ �Qa PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF.Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ��i--r/i �.LJ �� Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor i ELECTRICAL PERMIT20:00 Filin Fee Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Lic. 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. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWEWNG OCCUR OR ADONS. ( & ACC. BIDS. ) s0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-REsIO. ( BRANCH CIRCUITS ) 97.50 (a�SIN L LR APPARATUS a. ) EX. Occup. ( OUTLET OR FIXTURES) 20 BILL x IXE rs REQS o OR Ex. Occup. (DFIXED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00_,73,00 PERMITFEE _ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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'HAZ. 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 _ Q/9,15— Signature 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 Is CONST. TYPE TOTAL FEE $ Q k�ofthe 0. FEES IMP FLOOD CDF PARCEL PD MD ssUE ermit is hereby issued under Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No.�l (S� WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement YES[X ] NO[ ]. z. I HAVE[�C] HAVE NOT[ ] signed an application for a'building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER ���`� / 1. DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER - O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 1- S�inlrel , Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER .. �;,�, .��:�• h , 'ti :,�'nF,�'> .1�.=�,�R:�Yip�':'f:�:,s�y�:�}"fi.—�y.tF'+"�'�(,ti:$i�'-,�,��%+.s�'''r� ,.-. G .! . . Jam_ `�.�•((•J 0. � . / , c(�L�H/ i s . . Jam_ `�.�•((•J 0. � . / , c(�L�H/ _V),i�,e,#4 Q�e�.t '57?ww, 0�- i _V),i�,e,#4 Q�e�.t '57?ww, 0�- 01 COUNTY OF BUTTE - DEPAITMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi'lle, California 95965 - Telephone: 916/b38-7541 3517-90 "'T4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 28-26-61 ZONING ' U BUILDING PERMIT OWNER ll TELEPHONE - 679-2506 SO. FT. OCC. BUILDING VALUATION est 750 OWNER'S MAILING ING ADDRusseDRESS P.O. Box 222 Bangor, CA 95914 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ,50 ARCHITECT OR ENGINEER LICENSE No: 1 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS - ! 66 Los Ver 'eles Permit fee $ 24.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 400 Bari or Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP f t Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NX Duplex❑ Mob ilehome❑ Other - SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5,00 Mobile Home S G W 10.00e TYPE OF WORK I New F-1Addition ❑ Remodel XX Utilities ❑ Installation❑ Other ❑ Describe work: Upgaade elec, new tub/sink, repair �subfloo. t Permit Fee $ 19,00 Contrac`ior ELECTRICAL PERMIT Filing Fee 10.00 -. Main service 600V OR LESS 100 AMP OR LESS 0.00 10.00 /�/� Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/2¢sgft NEW CONSTR ULT' -OUTLET 2,50 ea _NONBRANCH CIRC ITS POWER APPARATUS &)1 (SINGLE OUTLET CIR. 1 Ex. Occup(ouTLETs OR FIXTURES 9AL030 FIXED Ex. Occup. OUTLETS P(RE SID)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 pre inspection 15.00 Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 ranting of this permit. ,�,, , ', � � /� /- �, ,( %� '`" ' - Date '+ Signature of Applicant — Owner El 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 96.WI HAz Ipermit 17UA PARK I SCHL FLD I PAR PD HD I ISSU This is hereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I A DIRECrtO OF PUBLIC WORKS BY. Date /n/g/90 PERMIT EXPIRES Date Receipt No. 74030 WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 M%morial Way, Chico = Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road,,Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER MIT NO. 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. Date I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3517 -90'" - ASSESSOR PARCEL NUMBER 28-26-61 ZONING U BUILDING PERMIT OWNER Robert Russell TELEPHONE 679-2506 S0. FT. OCC. BUILDING ALU TION est 750 I OWNER'S MAILING ADDRESS P.O. Box 222 Bangor, CA 95914 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 14.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 66 Lo-, Vprjeles, Permit fee $ 24.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 4.00 Bangor Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFEJ Duplex❑ Mobilehome❑ Other Building sewer 5.00 5.00 Mobile Home Is G W 10.00e SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ER Utilities ❑ Installation❑ Other ❑ Permit Fee $ 19.00 Describe work: Upgrade elec, new tub/sink, repair subfloo Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) NEW CONST. DWELLING OCCUP.ty OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET ER APPARATNON-RESID BRANCH CIRC ITS PO el (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES FIXED Ex. Occup. OUTLETS (RESID )REA.� Temporary service Mobile Home Facilities Misc. Wiring , /4sgft 2.50 ea 1.20 050t eAL@30 + 2.00 10.00 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code pre inspection 15,00 for this reason Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT Heating FiIingFee 10.00 ❑ 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. Cooling ® 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. Hood Ventilation permit Fee Contractor 3.00 $ 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 agai said Co my in con se ce of h ranting of this permit. Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD $ $ 6• PAR PO HD ISSU X Date /d.-r�40 Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ Th's permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIR OF PU1 ORKS Receipt No. 71►030 By Date WRITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS---:. PERMIT NO. 7 County Center Drive - Oroville, California 95965 -.Telephone:. 916'538-7541,s / .7 _ 90 APPLICATION AND PERMIT - - ASSESSOR PARCEL NUMB l ZONING BUILDING PERMIT OWNER 2 TELEPHONE soy SO. FT. OCC. BUILDING VALUATION OWN 5 ILING KESS CO Tq ACTOR'S AM- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,, // Energy Plan Checking Fee $ Penalty $ A DR S BUILDING 4; Permit fee $ 02 ,Kw PLUMBING PERMIT Filing Fee !9.00 Each Trap 1 Solar or heat pump water heater 2,00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF❑. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 ,DD Mobile Home JSTGTW7 0.00e T PE OF WORK New ❑ Addition ❑ Remode Utiliittiiies❑r- Installs io� jther ❑ Describe work: 6) (,��t� 10 L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP O1 OR R LESS 10.00 Dr�20 CONTRACTORS LICENSE LAW- I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 0 Ew CONST. DWELLING occuP.4 OR ADONS. ( ACC. SLOGS. . /x¢sgft NEW CONSTR. ULTI.OU TL CI NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20e50C e ALo 30¢ FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID., EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring. 15.00 P12e �1 , Q Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor t certify that I have read this application and state that the above information 1s 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. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- in height. ion of structures over 3,f Mobile Home Installation Fee $ Energy Inspection Fee S occ CONSTTYPE TOTAL FEE $ HAz I CUA I PARK I SCHL FLO PAR I PD HD IssuE Th;s permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ristoies ( Receipt No. y J,/–) WHITE-D.P.W.. YELLOW-A3eE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE ,._repartment.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-751d. r OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building pc.rmi.t has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)� S �2. I (have/have not) �&Yr signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work igned : Property Owner Social Security Number.�� Date -0 -�^zC NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'Cal.ifornia Health and Safety Code. . This verification must be completed and returned to our office before we are per- mitted to issue the permit. CPRE -INSPECTION OWNER: 12 y7���--L� DATE /U LOCATION: A.P. # CONTRACTOR: O (�-�G /v ZONING CJ PRE -INSPECTION FOR: Cj Ile- t4eq � DATE TO INSPECTOR PERMIT HISTORY: NONE Q AS FOLLOWS: TYPE OF OCCUPANCY o FIELD - INFORMATION BUILDING USAGE: TENNANT: \ lu CUPIED HAS ELECTRIC HASAS S SANITATION FACILITIES F�J�fATED-COOLED PERSON CONTACTED OTHER COMMENTS: off. .ilii. ACTIO ECOMMENDED: ISSUE HOLD FOR t OTHER: BY DATE O O p >1,6" I J � _ 4$lTkO- 'fib 60P P50 -tF 10 M"Ow Z�S- tAPOWD G-�rgp- oVM STOD�. eold. (gFpcoj7411O/c, PF1,15P r- SIID� I Sim on 1NAL-)N4= 71#01C- e Opwg P; V-": voc, V�OOD qTjzjclvizPL, Ppripl, 14,14 Od �I'A�1 �1� IN PCCo�-V PNC. e '?p�B�� k�3's-M�) � 11 I i (31e STI -1 c A qw %.-r>)L. 1F6 f, Y� 5'b0- 61 f4VO-1 (A vW w