HomeMy WebLinkAbout028-370-006V
FAILURE TO FINAL SF A&% all 90
1/5/93
BEN CULET
CERTIFICATE OF COMPLIANCE/with condit-
ions/2/17/82
28�37-06
�ILOISE MCKINSTRY
E/S Spring Creek Rd., 1800%" E & N ichols
Rch Rd, Oroville
Permit#2364-85B,P,E,M(new single family)
12,
rmi t'
028_3
028-37-0-006 93-5vq
ffCULET, _ BEN
114 ROMA RD,OROVILL
E
P-2364
COMPLETE/8
028-37-0-006 94-1628
CULET, BEN
CONTR: OWNER
114 ROMA ROAD,, OROVILLE
COMPLETION/P
ell
028-370-006 PERMIT#95-3019
CULET, Ben
114 Roma Rd., oroville
Complete BP#85-2364j.
028-370-006 (ERMIIT#96-1756
t
1�/o
CULET, Ben PLr-, 0(
114 Roma Rd., Oroville
Heat Pum.P/SF
-ell
028-370-006- PERMIT#9�'-3019--
cnET,, Ben
P,
14 Roma Rd., oroville'
Complete BP#85-2364'
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVS/ION'
7 County Center Drive - Oroville, CalifqDrnia 9§965 - Telephone (916) 5 41 PERMIT NO.
APPLICAT16N AND PERMIT 7 (9,15 - 30
ASSESSOR PARCEL NUMBER 28-37—W6
ZONING A-5
BUILD1NG PERMIT
OWNER
BEN CULET
T�l
3A892
SQ. Fr. occ. BUILDING VALUATION
_3.200,00
OWNERS MAILING ADDRESS PO BOX 1082 OROVI11tt 95965
CONTRACTORS NAME INNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCnON LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDERS MAIUNG ADDRESS
Permit Fee
$ 63.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
'114 RM RD
PERMITFEE $
83.00
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF)U1 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: COMPUTE #85;i-2364
REPLACES #94-1628
Mobile Home I S I GI W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 2 O.'o 0
V OR LESS
Main Service �11000. 0 LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penAity of perjury that I am licensed under provisions' of Chapter
9 (commencing with Secti"n 7000) of Division 3 of the Business and Professions Code,
9
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 f5 r the following reason:
,,X01, as owner of JW4 property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed 'contractors
to construct the project.
D I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & C. BUDS.
so
3.50 FT.'
NEW CONST. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS
@7.50
POWER APPARATUS
( & SINGLE OUTLEr CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
I 11AL 0 .50
FIXED APPLNS OR
Ex. Occup. OUTLETS (RES16.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
2 .00
Misc. Wiring
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the LaborCode, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and'policy number are'*
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
0
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Poli W1
Cy�r 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
I �
forthwith comply with those provisions.
N,
X Date 7 —
Signature of Apokcant 0 Owner 0 ri�rac r WAgent
An OSHA permit is required for excavations over 60" eep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE $
HAZ.
I D. FEES
I IMP I FLOOD
CDF
PARCEL
PD 11D
ISSJUE
This permit is hereby issued under tile applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By UUVr4 Date 7— q5
MReceiptNo. PERMIT EXPIRESON
(Dt.)
WHITE-D.D.S.-B.D. rCANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVQ-OPMENT SERVICES -BUILDING DIV ;ION
7 County Center Drive - Oroville, Califgrnia 95965 - Telephone (916) 538-7 /1 PERMIT NO.
APPLIcATibN AND PERMIT 19
ASSESSOR PARCEL NUMBER 28-37-006
ZONING A-5
BUI !;ONGPERMIT
OWNER
BEN CULET
TELEPHONE
533-8892
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
I
DO BOX 1082 OROVILLE, 95965
-3,200-00
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIKNOWN
Total Valuation $
LENDERS MAJUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ b:J. OU
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 114 RO�IA RD
PERMITFEE
$ R -3 -nn
OROVILLE
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
1
Solar or heat pump water heater
23.00
1
USEOFSTRUCTURE
SFA Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: COIMPLETE #85-2364
REPLACES #94-1628
Mobile Home S I G W
@20.00
PERMIT�EE
J$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service 800V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio . ns 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
La for the following reason:
XI, as owner ofthe property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so.
Fr.
NEW CONST. MULTI -OUTLET
NON-RESID. (_ BRANCH CIRCUITS
_3.5g!
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAIL Q .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 C__
forthwith comply with those provisions.
X Date
Signature of Ap icant 0 Owner 0 Contractor X 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
OCC
CONST. TYPE
TOTAL FEE $
HAL
1 0. FEES
I IMP FLOOD
I CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRE N
I f ILI
applicable provisions
Resolutions to do work
been paid.
Date/ --'--7-q5
7�
(Date)
ReceiptNo. z ?0 -1 '3'?,
WHITE-D.D.S.-B.D. C CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
Insulation Certificate
BUILDING OWNER:
BUILDING LOCATION:
Description of Installation
ROOF -
Material
Thickness (inches)
BUILDING PERMIT #:
Brand Name
Thermal Resistance (R -Value)
CEILING f-2 (A.
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistande (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/e lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
J
EXTERIOR WALL
,0 --
Material 167>A J-,* " Brand Name
Thickness (inchds)- Thermal Resistance (R -Value)
RAISED FLOOR
Material 'I AVI_F4__� Brand Name
Thickness (incheir Thermal Resistance (R -Value)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
&-and Name
Thermal Resistance (R -Value)
ILI,
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 P.-sidential buildings contained in Title 24 of the
Cal'.1ornia Administrative Code.
General Contractor (Budder)
L cc -r- :�� —
.Signature mid7iEle
Sub -Contractor (Insulation Instafler)
Signature and Tide
License Number
Date
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR -TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN '111E BUILDING.
JANUARY 1993
'Attention Property Owher:
An 44 owner -builder" building permit has* been' applied for in'your name_and bearing your
signature.
Please complete and return this - information it y6ur 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. 1 personally plan to provide the major I �or and materials for construction of the
proposed property improvement: YES[ � NO[ ].
2. 1 HAVE[ I 11AVE' NOT[ 4signed an application for a building permit for the''
proposed work.
3. 1 have ' contracted with the following person (firm) to provide the proposed
construction:
NAME:
'Y:
ADDRESS: CTI
PHONE: CONTRAICTORIS LICENSE NO.
4. 1 plan to provide portions of this work,' but J have hired the following person to
coordinate,. supervise, and provide the ma or work:
j
NAME:
ADDRESS: CTI'Y:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 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 SECU`RM NUMBER:.
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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965.- Telephone (916) 538 PERMIT NO
APPLICATION AND PERMIT 9 -//-/�,Z Y
ASSESSOR PARCEL NUMBER 028-370-006
ZONING
F
BUILDING PERMIT
OWNER BEN CULET
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS PO BOX 1082 OROVILLE, 95965
EST 7,200.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
99.00
ARCHITECT OR ENGINEER NONE
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 114 RONA RD
PERMIT FEE $
119.00
OROVILLE, 99969
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
1
SUBDIVISION'S NAME
PARCEL MAP
1
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF 0 Duplex 0 Mobilehome 0 0 1 ther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home 1
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel Q Utilities 0 Installation Q Other
DescribeWork: CoMpl_,ETE #85-2364
(REPLACES #93-599)
I
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service eOO1 OR LESS
200A OR LESS 1
23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
R ADONS. & ACC. BLDS.
SQ.
3.50 FT.
NEW CONST. MULTI -OUTLET
N N-RESID. BRANCH CIRCUITS 1
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
1:1 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
Y, , as the owner, 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)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
POWER APPARATUS
( &SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
Ex. Occup. 0 FIXED APPLNS..OR
UTLETS (RESID I EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
,Building Division a Certificate of Workmen's Compensation Insurance or a
�Certificate of Consent to Self -insure.
I shall not employ any person inanymannerso asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifVthat I have read this application and state thatthe above informationis correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei upon the above mentioned property for inspection purposes.
I also agre�.Jo_save,tndemnify and keep harmless the County of Butte against all
liabilitiesl.-j'u—dgments,_Sp�s, and expenses which may in any way accrue against said
C 0 u t'y �in c o �ns e �c e o f t h !10 nting of this permit.
XE 0�1� e Date /�h
Signature �of A �Ii t Owner ntractor Agent
rm �O P_
An OSHA erm 'is required for e cavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FE $ 1 c) -nn
HAZ.
I D, FEES
IMP
I FLOOD
COF
PARCEL PO
ISS
This permit is hereby issued under the applicable provisions
of the Butte Coufity Code and/or Resolutions to do work
in c t ove or which fees have been paid.
Wy ate
16
PERMIT EXPIRES ON W;� M5��
LRece' I No. 163240
W"T E D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLIC ANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLEjCALIFORNIA95965 -TELEPHONE (916)538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
P No.
ng Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. *** - i
3_C-dimplete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy. Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings .......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sahitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: - - I . ........
18. Contact Land Development.about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). -F��I;s��.A r6q.uest
20. Pre -inspection for required. to Building Inspector /-")l k.te)
21. Contractor's license information. (No., Name Style, Classification) * ........... I.' ko
ertificate of Workmans Compensation Insurance. , ....... . .............
n (Given to owner Mail to owne
=V�Owner-Builder Verificatio* Xr . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . .. ............
25. Letter of signature authorization .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for Tickbp at office. Deliver with inspector.
Other
Parcel Creation
Acreage / V,pliMant A1112- Date
4/
V n�t-
Copy of Haz-Mat form sent Health Dept. Fire Dept. AirPol 4n(
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
a67L
BEN CU LET
P. 0. BOX 1082
OROVILLE, CALIFORNIA 95965..;
TO: -
REGARDING: tO �9- 3 7,- o
MESSAGE: -4U A
-00
SIGNATURE -
COUNTY OF BUTTE
Department of Develgpment Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA- 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) Vp '5
2. 1 (have" 6L.—f evo signed an application for a building permit for the proposed work.,
3. 1 have contracted with the following person (firm) to provide the proposed construction:
Name -'-
Address
Phone
city
Contractor's License No.
4. 1 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. 1 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 SecuriMumber k
Date
NOTE This Owner -Builder Verification is sent to you as required by Sections 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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION No PERMIT
PERMIT NO.
- 11 1 - 91
ASSESSOR PARCEL NUMBER
028-370-006
ZONING N
- W_
1 BUILDING PERMIT'
OWNER
Ben Culet
TELEPHONE
533-8892
SQ.FT. OCC. BUILDING VALUATION.�4
OWNER'S MAILING ADDRESS —
P.O. Box 1082, Oroville 95965
Est. 7,200.00
CONTRACTU "b NAMtL
Owner
TE-LEPHONE
CONTRACTOR'S MAILING ADDRESS
-
Fireplace
CONSTRUCTION LEN DER ]UNKNOWN
Total Valuation 1$7,200.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER ILICENSE NO.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$ 82.50
$ -
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 97.50 __
J.14 Roma Rd., Oroville
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1 1
PARCEL MAP
Water piping
7.00-
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF[X DupIexFJ MobilehomeE] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00,
Building sewer
15.00
Mobile Home S I G
@ 15.00
I
TYPE OF WORK
New n Addition [:] Remodel[:] Utilities[] InstallationEl Other[E
Describe work: Permit to Complete B.P. #2364-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
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
1, 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)
0 1, as the owner, am exclusively contracting with licensed
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
Main service 200A TO 1000A),
37.50,
NEW CONST DWELLING OCCUPM
OR ADDNS. ACC.BLDGS.
3.54 sq.ft.
NEW CONSTR. MULTI.OUTLET
_NON-RESID, BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS I&I
(SINGLE OUTLET CIR. I
Ex. OCCLIP(OUTLETS OR FIXTURES
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
3.00
Temporary service
15.00,
Mobile Home Facilities
15.00
Misc. Wiring
-15.001
E_
Permit Fee
$
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date/4AP— /11
Signature of ApIlicant- Owner El Contractor EJ AgentR
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
_T
CONST TYPE
TOTAL FEE $ 97.50
I
HAZr
FEES I
IMP
I FLOOD
I CDF
_I
PARCEL
�13
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
ECTOR OF PUBLIC
By
PERM IT-E-XIPI(RIES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 13575?
-
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
- - 'N
COUNTYOF BUTTE - DEPARTMENT OF,15EVIE LOPMIENT SERVICES - BUILDING DIVISION
7COUNTYCENTER DRIVE - ORO�lL�EfC-A'�L;IF'C?)'�R"WA-'�5965 -TELEPHONE (916)538-7
Z
PERMIT APPLICATION DATA S,HEET
/,0 37-6
OWNER 7"a No.eQ ZS
,ct'r ;04
Proposed Building Use e::�4 Iding Insp Date
At time of permi pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECERIED BY
All items have been submitted . .....
�; ...................................
2. Plot plans, 3/4 sets, signed by prepg(dr of plans.
3- Complete plans, 3/4 sets, signed by;preparer of plans . ......................
.4. Engineered plans and caics, 3/4 sets, with wet signature on plans . .......
5. Hazardous Material Form . ...............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ....................
14. Spnitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit ...........................................
1,6. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Cofitact Land Development about . (A) Improvements (B) Drainage . ...........
19. Driveway permit (construction approval required prior to occupancy). .......
-in .-9,,4n-,1.n req est
20. Pre spection for required. to Building Inspectur (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24: -Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . .........................................
26. Popy of recorded deed of parcel creation and 60 right of way to a, public road ......
27. Letter of intent on building use .......................... r ................
28. Mobilehome utilityjclearance.'� .............................................
29. Documentation of 4egal accers-,
30. Documentation of-�60/esubdivision developed or (A) Road improve rn"e' n'ts'*c*o*m* p' I'ei `%9
and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
-34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with -inspector.
Other
Parcel Creation
Acreage Applicant/"� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by - Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - Deeartment o'5L' Public Works
7 County Centerbr'ive, brb�ille, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
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. 1 personally Ian t rovide the major labor an",j�terials for construction of
the proposed 0 0� i
pr per mprovement (yes or no)
2. have not) siped an application for a building permit
(J -
Gf�_/proposed Gork!V_
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 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. 1 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 SecurAt
Date
NOTE: This Owner_ -Builder Verification is sent ;to you as required. by-.Sect.ions-'19831.an'd
19832 of-the:California Health and Safety:Code.
This verification must be completed and.'returned to,our.office be f o re.� we.. are per-
mitted to issue the permit.
:�L. mv
TO-/
REGARDING:
BEN CULET
P. 0. BOX 1082
OROVILLE, CALIFORNIA 95965
-- --I. Z �- / I -
FA I
SIGNATURE
'PERMIT NO.
i f-M4---8-5B-.P,E,M
PERMIT EXPIRES-,?-Z/71"��
OWNER Rh�Q��cNST�R
Phil Wendell
CONTR.
ASSESSOR PARCEL 28-37-06
LOCATION E/S Spring: Creek,Rd. 1800' E N
Nichols Ranch Rd. Oroville'
(6R ��uj -�e_s Fj
!4V
tA. -e-
,�Iap-se cppcArs Na
4c,
Temp. Power FFICE Copy
Called Addr
P
Temp. Elec GAS
Meter By D
Called P( ELEC'TR
M ter By
Temp. Gas SeLry
CalledPG&E
JOB FINALED (Date)
Signature
I
.%/ - 61<��
0 = Not OK
- = Not Appl icable 7..
* = Not Ready
MOBILEHOMES MISCELLANEOUS
4'.., -i __.,4
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1 . Zoning Req u i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
2. Footings; Size-Depth-Spaci4_6onnectors
3. Sewer; Location -Test -Fall -CIO -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete'
5. Alum. Awn.; Column�-Connections-Splice-Decal-Enclosures
6. Gas; Locatiorr--Test-Wrap: / /"L"ft./ P'Nat.or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B I
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u I rements-Setbac ks- Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact ion -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect i ons -Th ickness-Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -C rossovers- Brea kers-C I eara nces
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8.. Elec.; Grounding; Equip. w/5'-Circulaiing Equip. -Pool Lghig.
Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
N
%I OK
ri7ot %K
Not Applicable
Not Reddy
RESIDENTIAL (Single and Duplex)
Date UND�EFLOOR (Plans) OK except #'s
Date FRAMIW(Continued)
4' -Zoning requ ire ments-Setbacks- Easements
Property Line Firewall & Openings
20 -'rig., MaarrSQi4e--Stftfr-E!"nd.- Ftg. Depth
49-4
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- Ftg. Depth
50.
Width-Head-r.om-R ise-Run-Landing-F ire Protection
4. Ftg & Decks; Soi Is -Steel- Ftg. Depth
g%-�`Plywood
on Roof Overhang -Attic Vents -Rafter Outriggers
...Porches
A_-STemwalls,
15,�piding-Nailing-Veneer
6. Stemw@lls, Garage; Steel-Blockouts-Wrapped-Slab-
68"Stpeco
Mesh -Drip Screed-Fdn. Vents-Underfir. Access
i -Fif!epl Be Fig.-Z+ee+-
.
azing Area -Glass Protect i on-Skyl ights-P last i c
DW.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
515^hear
Walls; Nailing -Bolts
9. Aas Pipe; Size -Anchors
V4.
t �,)� 11
10e Water Pipe; Test-Anchors-Regulator-Sery ice Test
11. Electric; Underground
12. Plgaums & Ducts; C learance-Materi a I -Support- Ins.
laoo�Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI C
Card -BI
Card
Date -131 Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card-BI(-0,CZ, Date CCard-Bl Date
Date FIN_W(Plans)
OK except #'s
Card -BIT Date//. ;Lj- V -6 -Card -BI Date
�4
Date PLUMBING (Permit) OK except #'s
. K.
_Fxt. Steps -Door & Sidelight Protect ion- Land i ngs
Ko,,S,�etector
W, -,r4. WAter Ht.; Vent- Access -Combust ion Air
_dPOY58.
Furnace; Vents -C leara nce-Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
16"W5er Pipe; est & Anchors -Nail Protection
Test' Fttngs & Anchors -Nail Protection
Bedroom Exiting
19 --Shower Pan; Test, First Floor -Tub Access
4UO
IG.F.I. & Bath Fixtures & Tub Access
2nd Floor -Tub Access
/61!�I�Iec.
Trim & Subpanel; Breaker Sizes -Labels
P
ft1g. Gas Pipe; Size & Anchors
L4KStairs
& Rails
I
Fjfeplace or Stove; Clearances -Hearth
Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
F�lpr_ nialpaq & Receptacles at Kit. Counter
Date ELECTRICAL (Permit) OK except #'s
..67-.-Tiragj,EL,6`Door;
Swing -Landing -C loser
. Duct in Garage -Damper
20. t�Ft-urFWM-,Trmrsformer Clearance -Ins. Protection
i4--E_1ee--FfeceptacIes spacing -Lights & Switches at Doors
'1.06f
Wtr. Htr.; Vents -C learance-Comb. Air-Connector-P.R.V.-
1j"arage; Above Floor-Mech. Protection
M""Plb.,
Elec. & Mech. Equip. Listed for Location
32__S!Ae60xes & No. of Conductors -Stapled
.74--5-c.
_g Receptacles in Garage; (G.F.I.)-Romex Protec.
omex Installed Close to Edge of Studs C.
_f4j*(d0M, Equip. Ground made up w./Mech. Fasteners� �ond Gas &_W_aie0
/72-
Insu.lation-Fo _] Yes
am -Looked in Attic F
-72&.12 Appliance Circuits in Kitchen & Conductor Size
d Rai Is & Deck Construct i on -Post Caps
ga. QZor AI-A.C. Wire Size ga. Cu or Al
74-
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes_
27. Range Circ. ga. C ven Circ. ga. Cu or At,
Insulated Neutral w oCIT-:�D
09'qes =No
75.
Following instld.: DrLio� EJ Yes Walks Yes
Planters DYes ONo
Service -Riser Conductors & Ground -Main Disconnect
- _z6_TSffC_Co,
Brown -Finish
29. .-EqutP-Cre-a-ra-n-c-es-;-PaTfeta-Motors-Mec h. Equ i p.
307-CTISMes -Closet Light -Shower Light
- .-n.
-7ir
. .
7,%�Water
unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
V nis Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Well; Disconnect, Electrical, Plumbing
- Csw��rior
Elec. Trim: G.F.I. Receptacle -Underground
Card B -I Date -/V-Ward-BI Date
C�Q
Z4'rnbtilatioh
throughout House
,%s -Protection
-
Card B -I Date Card -BI Date
Date MECHANICAL (Permit) OK except #'s
93-Torrect
ions from Previous Inspections
84.
Swg-Test-Meterl Tagg Gas-Electpe
31. A.C. Ducts; Insulation & Support
F.45,
water & Sewer 04mircted-C/O tol6rade-HD Approval
32. Vent Fan; Exhaust above Insulation
jot"ffWEnergy
compliance Certificate -Other Certificates
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
d
Card-BlCtoc--�
Datej/-(,/�� Card -BI )= Qate _7 - 4c-;0
Card -61 Date Card -BI Date
!0
Card -BI kOP71)ate4k,�/2�,;:�f_
Card -131 ---bate
Card -BI Date Card -BI Date
Card -BI Date - - / Card -BI Date
Comments at Final:
Date FRAMINW1151 ias) OK except #'s
,S.�ijls--Flroper material & Anchors
3!:.�VWls; Studs -Nailing, Spacing & Bracing -Plates -Sound
JK Be
,aring Walls over Girders & Floor Nailing
I�D(Stop in Wails (rat proof)
42�-F,��e Stops; Furred Ceilings-Stairs-Chases-70151-
J0,."Header & Beam -Size & Bearing
42- ���aps-Anchors-Connectors
43K'P.jpg:,Joist-Rftr. Ties-Purlin R f B Truss-Shthng.-Rfnp.
,��Fireplace Ties or Type A F roat
���.�cess; Size & Romex Protection -Draft Stop -Ins. Baffles
Wind6ws or Exiting Doors -Sill Hgt. & Dimensions
�Z_Xagl:aga--F�ction Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone! 891-27511i J
7 County Center Drive, Oroville — Phone: 5344541 P
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
yp
.R
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 correctio of work is completed. If you have any question pertaining to this
mattei n d additional explanation, please contact this office immediately.
Inspector Date—
OTE OF TIMA4
z
z
IT -C
MA
11 (V 2�
OUALIFIED
C E Ril F I CATE 0 F L LICENSEE A'
CONFORMANCE-
1HE UNDERS16NED MA NUFA C TURER HEREB Y CER TIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in SPR-INGIZE19LD GREGM1 which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau. -
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code. 1 :1
JOB NAME:_ SEQUOIA SUPPLY
I JOB LOCATION: - FAIRFIELD., CA
CUSTOMER'S ORDER NO
SIGNATURE
90-21235
TITLE -QUAL'Ty CONTROL -ADDRESS
DATE 9/16/85MFGR'S ORDER NO
2668—C
COMPANY ROSBORO LUMBER COWNY
SO 22ND STREET -DATE 10/7/85.
A / TC HEREB Y CER TIFIES that the said. company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Colle�ttive Mark in respect
of products which comply with applicable provisions of said Standard'that the ade"
I quacy of the quality
control system in effect at said plant is periodic#lly inspected and verified by the:Inspection Bureau of
the AVERICAN—INSTITUTE OF TIMBER C '(�TIQN, and that, in theiqudgment of AITC,
t 4. z
said company is capable of complying with applicable manufacturing and fes_t4-.ri`j provib-ions ui* taal—
Standard in reipect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the -manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
. AITC Certificate No. 18634 A
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
0 1983 AMERICAN INSTITUTE OF TIMPER CONSTRUCTION
V
The glulam members of the job covered by this certificate are stamped with one of the _.V /--
following type quality marks. Each qualified plant has an individual qualification G,,D
designation, The designation "P-143" shown on, the tyll . ical quality marks below is not
assigned to any plant and is used only for the purpose of illustration.
A TYPICAL CUSTOM PRODUCT QUALITY MARK
QUALITY
Q SPEC @
NSPECTED
ten .
Indicates that the designated licensed plant
has met all requirements for qualification
and maintains an acceptable quality control
system which is periodically inspected by
AITC
P-143 1AITC d I esignation of qualified licensed
-1 plant .
ANSI/AITC'
Al 90.1-1983
Indicates conformance to ANSI/AITC
A190.1-1983, Structural Glued Lamin-
aled Timber
A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK
Identification of structural use, desig-
nated by symbols:
B—simple span bending member; C—
compression member; T—tension mem-
ber: CB—continuous or cantilever span
ARCH bending rnemb'6r
Designates appearance grade. IND -
3 Industrial. . A R CH —Architectural.
PREM—Premium
SPECIESAITC designation of qua!ified licensed
plant and wet -use adhesives. When
dry -use adhesives are used, the letter
000-00 OOF D is added
A KICI /A 17P Name of wood species used
A 190.1-1983
Indicates that the designated licensed plant Indicates conformance to ANSI/AITC
has met all requirements for qualification A190.1-1983, Structural Glued Lamin -
and maintains an acceptable quality control ated Timber
system which is periodically inspected by
AITC
Designates applicable AITO laminat7ing
specification and combination symbol;
f or example: "'117-82 24 F or 117-82 3"
I
101 For custom 'products, the details covering the product are included in applicable documents.
No For non -custom products, essential details are included on the stamp.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OrovilIe,#S:,aIifor&`.a 95965 - Telephone 916/534-4541
.. j� — 6
APPLICATION AND PERMIT, n_ I
ASSESSOR PA CEL UMBE R
ZO ING
BUILDING PERMIT
OINt
A !nL C U
ITIELEPHONE
SQ.FT. OCC. BUILDING VALLTATION
OWNER'S MAILIN70RE
VIM
,JVY
CO TO R'S IN AM E "TELEPHONE
0 2 --ockc) L
L
I
CO TQR'S MAILING ASLEYRESS
f I - *, ic� 9 J
AX a IN
Fireplace I A
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
9 9 r;?.6
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 3,0101
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Lcb.
Energy Plan Checking Fee
$ 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI�VADDRESS
717!w- -g
Permit fee
$ 5
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NANA—E FARCE& MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF9?'*"DuplexF� Mobilehomen Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 SJ)J)
Mobile Home JSJGJWT__J
TYPE OF WORK
New [e/Addition F� Remodel[] utilities[] installation[] Other[]
Describe work:
JA
-10-00ea'
:1 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 1100V OR LE SS
100 AMP OR LESS
10.00
Main service EA. ADO -L 100 AMR
2.50
CONTRACTOR9 LICENSE LAW
I declare under penalty of perjury (check one):
El 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.
e'License No. Classification
l, 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)
f -I I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING
OR ADONS. ACC.BLDG 21/4sqft
9" yo
FCONSTR.
NEW MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS.&)
%SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES 1.20@50C
ALO 300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 1 2.02_1
Temporary service 10.0.
Mobile Home Facilities 15.00
Misc. Wiring 15-00
Permit Fee $
Contractor
A.
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
tie permit is for $100.00 (valuation) or less.
�1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
I shall not employ any person in any manner so as to become subject
�*Of Consent to Self -insure.
to the W. C. laws of California.
Notl to Applicant: If after making this statement, should you become subjec
to the W. C. provisions of the Labor Code, you must forthwith comply with sucht
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Heating
Cooling
Hood
3.00 �,&n
Ventilation
—p
T'Go
ennit Fee
$ o
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 spid County in coppequenpe of the granting of this pe rmit
X / 11'� !/�� Date Z��W lqg�
Signature of Applicant — Owner 00(ZontractorEl Agentv--I/
An OSHA perm,it 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 50 nn
—
TOTAL PERMIT FEE $ JA C2
r.wl 1 6p
occUP.J
_ P
:CONST
F LO 0 01
P Aj;�
ISSUE
This permit is hterebby issued under
sions of the But e unty Code and/or
0
work indicated above for which
DI=R-�,TO:ROJFFMBLIC
By. A
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D t
!
Receipt No. 4arl P G
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT, OF�PUBILIC WORKS - BUILDING,DIV.ISION
7 COUNTY CENTER DRIVE OROVI LL NIA 95965 ",,TELEPHONE: 916/534-4'541
e:tf�F R
PERMIT AP,,PLIC-A'TION DATA SHEET
Permit No.
OWNER 0 A A. P. No. 7)
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector. 0 40 Date
At time of permit application,1 was advised the following data must be submitted prior to permit processing
and1or issuance: DATE RECEIVED. APPROVED -
1. All items have been submitted . . . . . . . . . . . .
2.. Plot plans in duplicate./tripli-cate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs . . . . . . . . . .
5 Plans with Energy Design Compliance Statement . . . . . .
State Energy Forms No. _9/6,ou POZ.-of 01
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ _... W _. . . . . . .
9. Letter of signature authorization. . . . . "i . . .
10. Sanitation approval from Health Dept.
Planning approval for (A) Use: (B) Parking:—
Certificate of Workmen's Compensation Insurance.
Contractor's License Information (no., name style, classif.)
,AG.
Owner -Builder Ve'd '[cation (Given to ownerEl, Mai I to owner [3;)
15. Improvements may be required.,/. . . . . . . . . . .
16. Mobilehome Installation Data'. N . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required- Building Inspector (Date)
IDY" Recorded c t Statement. T- 2_�Dt-,C
When youA-ssue the permit, process as follows: --Mail to owner. -Mail to contrcltctor.-_'1
_____ZTeIephone 19- LZ and hold for pickup at ?"J) off ice. -Del ive.r. w/i nspector.
Appl icaht,4Z/� DateLza
f �1/
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked aboveMme=ication, circle item.)
1. Index permit for above. Items No
2. Additional items required: — 11>�
(Contractor, Designer N - n,er was advised of above required data by —ALTelephone 'Mail —Other
By Date
Plans checked by
Plans awroved bv
Copy—DPW .
Date
Date
8uilJiuF, Du?:rta,ot
�
G��iru'��eotul Geolth
S it ti n Clroroz:n
/
OwnerJ
Water SmonL_________.
8ewu�a Diopo�s] ^^
Plan &nnroved for:
^^_ ^^
��oId ioul for�
yio^I O.K. for: .
—ilchomc or other
CIe�runc� [or c�~~~~�e�r
Note***
Wo��r CoPp|Y--
Water 'SupuI'I________
Da
- )
/
r
,_.,,,�eturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGENENTD(;,,,, r,,E OR
,V
FOR RESIOZNTIA� DEVELOPMENT 0',�1JTT-- JOUNTY. CALIFORNIA
INU I RELQUEST OF
DOCUMENT
Section 26-8.1 of the Butte County Codje reqUires this ac Ve� ement 85 -21t,51134.1 -
be recorded prior to issuance'of a building permit.
The property . described herein is adjacent to land or . included 1985 AUG 20 PM 2: 38
within an area zoned for agricultural purposes, and residents ofEWTO M. BED"R
nc
property may be subject to inconveniences or discomfort arising THOW-RECORDER FEE-2—
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and.from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting whic�__'occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
a:dja6ent property should be prepared.to accept such inconvenience or disconform from normal,
necessary fa rm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Lot 3 of Section 4. Township 18 North, Range 5 East, II.D.B. & If,*
TOGETHER WITH a right of: ' way for road -purposes over a strip of land 60.0 feet in
width, the centerline of which is described as follows:
Beginning at the intetsection of the centerline of Swedes Flat'R6adj as the same
existed May 24, 1967, with the Westerly line of Section 4, Township 18 North,.
Aange'5 East, N.D.�..& K.; thence Northerly along the Westerly'line o ' f said Sec-
tion , 4 to the Northwest corner of the Southwest quarter of the Northwest quarter
of said Section 4 and the end of said centerline.
ALSO TOGETHER WITH a right of way for road purposes over the Westerly 60.0 feet
of the Northerly 60,0 feet of the Southwest quarter of the Northwest quarter of
bat said Section 4.'
ALSO TOGETHER WITH a right. of way f or road purposes over a strip of land 60. 0 f eet
�n width,*the centerline of which is'described as follows:
Beginning at the Southwest.corner of Lot 4 in said Section 4; thence Easterly along
Sta- the Southerly line of said Lot 4 to the Southeast corner of said Lot 4 and the end
of'said'conterline.'
Cou,
.ALSO TOGETUER�.WITH a.right of way for road purposes over the Easterly 60.0 feet of
the Southerly 60.0 feet of Lot 4 of said Section' 4.
ALSO TOGETHER WITH a right of way for road purposes over a strip of-la.nd 60.0 feet
in width., the centerline of which.is described as -follows:
Beginning at the.South&ast corner of Lot 4 of said Section 4; thence Northerly
.along the Easterly line of said Lot 4 to the Northeast corner of said Lot 4 and the
end of said centerline.
. =111 -1.. -EXCEPTING THEREFROM all that portion of the above rights of way lying within the
Lboundaries of the above described property.
ALSO TOGETHER WITH. a right of way for road and utility purposes over a 9trip of
land 20.0 feet in width, the centerline of'which is described -as follows:
Prei -Beginning at the Not ' thwest corner of the Northeast quarter.of the -Southeast quar-
ter of Section 5, Township 18 North, Range 5 East, M.D.B.-& M.; thence East'along
the North line of the Northeast quarter of the Southeast quarter of said Section
5 and the North line of the Northwest quarter of the Southwest.quarter of'said
Section 4 to a point at the Northeast corner of the Northw ' est quarter of the
Southwest quarter of said Section 4.and the end of said.centerline.
AP . No. 028-37-0-006-0; CA 91-13
Rel
0
Se(
be
wit
prc
the
an�
to
smC
pri
ad j
nec
as
0
I
t
L ,
bate: PROPERTY OWNERS:
State of On this the day of before
Ss. me, the undersigned Notary Public(,,' personally appeared.
County of L;;i�fa 77—
f z
Personally known to me. Ly Proved to me on the basis
of satisfactory evidence.
to be the person( whose fiamev) sub ribed to
te t
the within instriment and acknowledged tha
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
OFFICIAL SEAL
JOAN DANSBY
NOTARY PUE3LIC-CALIFORNIA
Principal office in BUTTE County
MY Commission Expires Aug. 15, 1988
Notar 11c
0
Present A. P. No.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA, 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
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 permi t
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for*construction of
the proposed property improvement (yes or no) 14,,A,�
2. 1 (have/have not) 4U41 -e-, signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name _'Y A-Vt 0 _1
Address . City
Phone Contractors License No.
5. 1 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
Date Ap_"�I A0 FS
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
RECORDING REQUESTED BY
P
?40-T C ONAPAR�D'�
r
,5RIGI qA,- DO'
AND WHEN RECORDED MAIL TO
F
Name
Street
Adaress
City &
State L
k,!: EUTT": CWNTY,-^,AL1r_0R141A
4T -111 E KE: 0 Q E 5 T 0 F
IS�35 AUG 20 PM 2: 38
ELEANOR H
C L E R.K - - P 0 R, D R
85-2503140
SPACIF AROVF THIR I IPJP rna
POWER OF ATTORNEY
(General)
KNOW ALL MEN BY TqESE PRESENTS
14"
1. -That...
....... of
City of. ..... eiftecl"�'C�._4:_?"
f,�- County of ..... (Z -get .. ............
State of California, hereby appoint(s) ...
of.................................................................... City of. &-6j /i...,
County of .... ............. . State of California, my true and lawful attorney in fact for
and in 2M,,'
Y, name, place, and stead and for -use and benefit:
(a) To exer#�, do, or perform any act, right, owWduty, or obligation whatsoev
er that ..... now
have or may acquire the legal right, power, or capacity to exercise, do, or perform in connection with,
arising out of, or relating to any person, item, thing, transaction, business property, real or personal,
tangible or intangible, or matter whatsoever;
(b) To ask, demand, sue for, rec6ver, collect, receive, and hold and possess all such sums of money,
debts, dues, bonds, notes, checks, drafts, accounts, deposits, legacies, bequests, devises, interests,
dividends, stock certificates, certificates of deposit, annuities, pension and retirement benefits, insurance
benefits and proceeds, documents of title, choses in action, personal and real property, intangible and
tangible property and property rights, and demands whatsoever, liquidated or unliquidated, as are now,
orshall hereafterbecome due, owing, payable, owned, orbelonging to. 51"l -or in which..47..have or may
acquire an interest, and to have, use, and take all lawful ways and means and legal and equitable remedies,
procedures, and writs in -L2&7. name for the collection and recovery thereof, and to compromise, settle,
and agree for the same, and to make, execute, and deliver fbr.�/te. and in I'A��q.. name all indorsements,
acquittances, releases, receipts, or other sufficient discharges for the same;,/
(c) To improve, repair, maintain, manage, insure, rent, lease, sell, release, convey, subject to liens,
mortgage, and. hypothecate, and in any way or manner deal with all or any part of any real or personal
property, tangible and intangible, whatsoever, or any interest therein, which,.:� now own or may
hereafter acquire, for. /'VW. and in -5V(�-ame, and'under such terms and conditions, and under such
covenants as attorney shall deem proer;
Page I
This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act. as a substiMe for the advice of an attorney. The printer
does not make any warranty. either express or implied. as to the validity of any provision or the Suitability of these forms in any specific transaction.
ainy &rid All la*rui -business or whatever nature or kind tor. 727,K.. ana
in.W.�'�name; and
(el To sign, endorse, execute, acknowledge, deliver, receive, and possess such applications, contracts,
agreements, options, covenants, deeds, conveyances, trust deeds, security agreements, bills of sale, leases,
mortgages, assignments, insurance policies, bills of lading, warehouse receipts, documents of title, bills,
bonds, debentures, checks, drafts, bills of exchange, notes, stock certificates, proxies, warrants,
commercial paper, receipts, withdrawal receipts and deposit instruments relating to accounts or deposits
in, or certificates of deposit of, banks, savings and loan or other institutions or associations, proofs of loss,
evidence of debts, releases, and satisfaction of mortgages, judgments, liens, security agreements, and other
debts and obligations, and such other instruments in writing of whatever kind and nature as may be
necessary or proper in the exercise of the rights and powers herein granted. ,
2. Granting to attorney in fact full power and authority to do and perform all and every act and
thing whatsoever r_e:q2s-_iie, necessary, and proper to be done in the exercise of any of the rights and powers
herein granted, a . s fully to all intents and purposes as,,�- might or could do if personally present, with
I
full power of delegation substitution or revocation, hereby ratifying and confirming all thaOW,
attorney in fact, or his substitute or substitutes, shall. lawfully do or cause to be done by virtue of this po� er
of attorney and the rights and powers herein granted.
3. This instrument is to be construed and interpreted as a general power of attorney. The enumeration
of specific items, acts rights or powers herein does not limit or restrict, and is not to be construed or
interpreted as limitin'g or restricting the general powers herein granted to my attorney in fact.
4. By executing this document I further intend to revoke all previous general power of attorney
appointments executed by me or on my behalf. This Power of Attorney is only good in
dealin with the real property described in Exhibit "A" attached herewith.
IN WITNESS WHEREOF ......... RUX-1 ..... have hereunto signed.. my name(s) this 20thda of
y
August .
................... 19.8.5...
Signature
STATE OF CALIFORNIA
COUNTY OF ... Butte ss.
...............
............................................ I .......
Signature
On this. RM ..day of .... A]49��-t ..... in the year ... 1985 ................. before me .....................
ttig-'AnAeX!�ignQO, a Notary Public, State of California, duly commissioned and sworn, personally
appeared .............. Elois.e. Kuhas. McK:Lns.try ......................................... personally known
to me - (or proved to me on the basis of satisfactory evidence) to be the person ........ whose name
is
.......................................... subscribed to the within instrument, and acknowledged to me that
3 ... he ........ executed the same.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the
.......................... County of ..... B - ut - te ............ on th te set forth above in this certificate.
h te sel
.... ..................
ota
...... OFFIC"IAL SEAL Notary Pubi c, State.o alifornia
NIA
ty
JOAN DANSBY My commission expire ...... —. fd"�� .......
NOTARY PUE3LIC-CALIFORNIA
k
Principal Office in BUTTE County
MY Commission Expirpe ATug. 15, 1983
Page 2
This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act. as a substitute for the advice of an attorney. The . prime
does not make any war", either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific t
ransaction.
4=XJy/(0j1 1. ' r� , of Calif -
Ail that certain real property situate in the County of Butte,.State
ornia., described as follows:
'Lot 3'of Section 4' Township 18 North, Range 5 East, �I.D-B- & M.'
TOGETHER -WITH a right of:.way for road purposes over a strip of land 60.0 feet.in
width, the centerline of which is described as follows'.
Beginning it . the intersection of the centerline of Swedes Flat Roadj as the same
existed May 24, 1967, witli the Westerly line of Section 4, Township 18 North,.
Aange'5 East, M.D.B . . &'K.; thence Northerly along the Westerly line of said Sec-
tion 4 to the Northwest corner of the Southwest quarter of the Northwest quarter
of said Section 4 and the end of said centerline.
ALSO TOGETHER WITH. a right of way for road purposes over the Westerly 60.0 feet
of the Northerly 60.0 feet of the Southwest quarter of the Northwest quarter Of
said 5ection 4.
ALSO TOGETHER WITH aright of way for road purposes over a strip of land 60.0 feet
in w.idth,'the centerline of which is described.as follows:.
Beg . inning at the Southwest corner of Lot 4 in said Section 4; thence Easterly a , long
.the Southerly line of said Lot 4 to the Southeast corner of said Lot 4 and.the end
of'said'centerline.'
AL . SO TOGETUER�.WITII a right of way for road purposes over the Easterly 60.0 feet of
the Southerly 60,..0 feet of Lot 4 of said Section 4.
ALSO TOGETHER WITH a right of way for road purposes over a strip of. -land 60.0 feet
in width., the centerline of which is desc . ribed as -follows:
Beginning at the.South�ast corner of'Lot 4 of said Section 4; thence Northerly
along the Easterly line of said Lot 4 . to the Northeast corner of said Lot 4 and the
end of said centerline.
EXCEPTING THEREFROM all that portion of the above rights of ,�ay lying within the
boundaries of the above described property.
.ALSO TOGETHER WITH a ri . ght of way for road and utility purposes over a gtri� of
land 2'0.0 feet in.w . idth, the centerline of which is described . as follows:
-Southeast quar-
Beginning'at the Northwest corner of the Northeast quarter of the
ter of Section 5, Township 18 North, Range 5 East, M.D.B. & M.; thence East along
the North line 'of the Northeast quarter of Lhe Southeast quarter of said Section
5 and the North line of the Northwest quarter of the Southwest quarter of'said
Section 4 to'a point at the Northeast corner of the Northwest quarter of the
Southwest quarter of said Section 4 and the end of said centerline.
AP No. 028-37-0-006-0; CA 91-13
...... County of ..... But.te ............ on th. te set forth above in this certificate.
....................
te set
N ot,
otary Public, Stat;4�.of �lift
OFFICIAL SEAL
My commission expires ... .........................
JOAN DANSBY
NOTARY PUBLIC -CALIFORNIA
Principal Office in BUTTE County
My Commission Expires Aug. 1J5,1983
Page 2
This document is only a general foryn which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substibAe for the advice of an attorney. The printe
does not make arty warranty. either eFress or implied, as to the legal validity of any provision of the suitability of these forms in any specific transaction.
STATE P.O. BOX 807, SAN' FRANCISCO, CALI'FORNIA 94101
COMPENSATION
AN SUR A r*4CE
FUND CERTIFICATE OF WORKERS'COMPENSATION INSURANCE
AUGUST 30fJ985 POLICY NUMBER: '708511:-85..
CERTIFICATE EXPIRES: 8/3�/86'
F_
00UNTY.QF B=
Am. Bu=iNG mspBmw DEPT.
7 OOUNTY CENTEREIRIVE
OROVILILIE, CA 94596
L
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Commissioner -to the employer named below for the policy period, indicated.
This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer.
We will also give youTEN days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance may be issued or may pertain, the, insurance afforded by the policies
described herein is subject to all the terms, exclusions and conditions of such policies.
RESIDENT
I—
L
EMPLOYER
ELOISE KUHNS, DICKINSTRCY'.
1232' PARK. AVENUE
ALMEDA, CA 94501
SCIF 10262 (REV. 8-84) Cil OLD 262A
7/83
FORM
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
owner _FZ_ 01 e
Climate Zone Permit No.. _23C4 —ST -
Floor Area :
Compliance path:
Package 11 A 11 B 0 C MvP-oint System' [I Budget Other
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS
(1) INSULATION:
Roof/Ceiling.
Wall
Slab Floor Perimeter
Raised -Floor
(2) INFILTRATION:
0
(A) A vapor barrier is -required in c 717-M -
ate zones, 1, 14 & 16.
(B) All manufactured windows and sliding -glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging.doors and windows leading to unconditioned areas
shall beJully weatherstripped.
Tight - the above standard features plus:
13
(D) Continuous infiltration barrier
13
(E) Electrical outlet plate gasket
13
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing Uloor Area Single Double Triple
Total Bldg 1310 18.1
North � 3J.?
East
South
West JIV 6
13
Skylights
(B) Shading
Shading
Coefficient Description
13
East
1:1
South
13
West
0
Skylights
(C) South Overhang
.Length of projection ft. Description _40,o9A::,,C
E3
(D) Moveable insulation: Area ftZ Description
(E) Thermal mass
13
Type - Area Ft.2 HC= R=
MC= Location
13
Type - Area Ft.7 HC= R=
MC= Location I
13
Type - Area Ft.Z HC= R=
MC= Location
13
Type - Area Ft.Z HC= R=
MC= Location
13
Type - Area Ft.2 HC= R=—
MC= Location
11
Type - Area Ft—. Z-H C=_ R=
MC= Location
7/83
FORM I
(4) MASONRY AND FACTORY -BUILT FIREPIACES7 shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*'(5) HEATING, VENTIIATING. AIR CONDITIONING SYSTEM
(A)' -Heating
13 Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump.
(brand and model number). ACOP
Btu/hr
(heating capacity at 47*F)
E3 Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
El
orientation collector tilt rated y -intercept
rated slope
other
(describe)
(B) Cooling
Electric Air Conditioner,
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump
EER
Btu/hr
(cooling 'Capacity at 950F)
0 other
(describe)
0 (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat o n
its second stage, shall'be required for heat�pumps.
(D) Aii AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
IR (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
it (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSUIATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
�7/83 2
FORK I
(6) DOMESTIC WATER SYSTEM
13 -(.'A) Gas Only Gallons
(brand and model number) (tank size)
13 Heat Pump w/ElectrieBackup
(brand and model number)
Gallons
(tank size)
13 2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) ft 2
'(backup heater type, brand and model number) .(collector areT)
(collector orientation) (collector tilt)
0 Location of Solar Panels
0 other
(Describe)
-(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. St ' eam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and.cooling equipment by Manual J 3 sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following; JAVOODSI-I&
Heating: Winter design temperature 0 elevation g load BTU
elevation factor �--heating 19 ax1mum outlet capacity gas furnace
BTU
0
Cooling: Summer design temperature , cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE)
*2 Submit T.I.P.S.-E. chart or ot her a pproved syst em (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF BUILDING DESII�M-R APPLICANT
3
RESIDENTIAL PLAN CHECKING'GUIDE
(S.F., DUELEX &MISC. ONLY)
7/85
Bldg. Permit # 216 3-4/ - e37 -
OWNER SAM 101C t'/,V_t?W-r A'. P. # 2, 6? - -3 7 - 0 6
GENERAL
zoning requirements: (sideyards and number -of permitted living units).
Valuation.
,-4-�Plans signed by designer.
4. Dnerjy Design and ComplL M eew,.-,4w g�vpjfapt 4&r-AwOr
,,5-1. Existing violations on pro -p -My.
PLOT PLAN
,_I_.�Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading,.fills,,drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
,A-.- Complete to scale plan with dimensions.
e-2—. Required windows for light and ventilation (Sec. 1205).
e,-3,.- Required windows for second -exit (Sec. 1204).
,,,4r- Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
6r""Required room sizes, ceiling heights (Sec. 1207).
,e7; G.F.C.I.'s in baths, garage- and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
;k' Foundation.plan complete enough --to construct building.
Floor construction details complete enough -to construct building.
Elevations.and wall construction details complete enough to construct'build-ing6
Roof construction details complete enough to construct building.
aitlos and cal�csif �nece�ssar
y
u ffic il
�����s ��
ient data and deta sa emen s�Sti`teLa�w)(F®rm 1�)
MISCELLANEOUS ITEMS TO LOOK OUT FOR
er- Exposure I plywood on exposed locations and overhangs.
20"O'Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).t
,k' Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds.(Sec..4706).
�6� Proper roof pitch for roof covering (Chapter 32)..
-4*"" Rafter ties or bearing ridge beam.
4e_,m,
RESIDENTIAL P4AN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOk OUT -FOR (CONT'D)
Garage door or porch header sizes.
Adequate bracing.
i1r Living area over garage - complete 1 -hour separation required on.garage side.
including supporting walls and posts, etc.
,kr. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
,,1-2�.' Attic access and ventilation (Sec. 3205).
'Underfloor access and ventilation (Sec.. 2516).
,,14. Wood stoves, clearances, alcoves & 1 -hour shafts.
Combustion air for fuel burning appliances.
Noise requirements,6n duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
TOTAL POINTS =
able 3-1. Slab Floor Points
Tn�qla- R -Value of Ingulstion
tivn
Depth.
Lnches 0-2 3-4 5-6 1' 7+
0 11 1 -5 -5 -5 1 -5
12 15 1 -5 -3 -2 1 -1
16 19 -5 -2 -1 0
20 + -5 -1 0 +1
7/7/83
�hble 3-6. East-Facin Glazing Pts
c
i
ZONE 11
lkylight Points
I
e ortzonta, South
Overhane Points
T_ 1 5 th Ciazing
I Length Out Area. X of Floor
Glazing Type
Total I
Z of I SnSl. I Dbl, I Trpi,j
I .
Total
I of
Floor
I - Glazing Type
I
T -Sngl. I Db!. I Tr:l.-T
I U - I U I jj I
from Wall
ft T
1 0-6-3 6.4 up
I .
0.66-
0.42-
0.41
OWNER ALin,4pf -AC&2A&2gt
POINTS
T
Table 3-3a. Ceiling
Insulation
Table 3-7: South -Facing Glazing Pt
T
Table 3-10. Shading Coefficient Points
'PERMIT NO.
ASSIGNED
ACTUAL
Points
0.65
down
Glazing
Type
SC by
1points
1poInts of tG1
T --------- F_
R -Value of Insulation
Points
Total I
-2
Orien-
I Floor Area
1.
SLAB - INSULATION
4 q
1 *4
up to 1.3
-1
Z of Snel,
Floor
I Dbl, Trpl,1
tation
0
2.
RAISED FLOOR - R-19
1 up to 1.3 1
19
1 +4
-4
(U -
Area 1.10)
(U . 1 (11 - I
0.65) 1 0.41)1
-2
-1
1
R-30.
be'low 3
-12
1 .22
1
-2 1
1 Irointg I points [pointsl
"1
East
1 1 3.2 1
3.
CEILING -
je-30
-Table 3-12. Movable Insulation
1 30
38
-8
0 1
+2 1
0 1 -F 3
1 up to 1.5 +2
1 +3 1 -3 1
+2
-2
1 G-3. I I t a 6.4 up
4.
WALL - R-19
-6
-8
-7
49
+4 1
1 1.6- 3.6 -1
+2
0 1 o
1 4.7- 5.5
6.3
-4
-3
4.3- 5.0 1
-14
-10
-8
1
Moveable Insulation'l
3.7-- 5.2 -4
-2 1 -2
'0
T_
5.
NORTH GLAZING 2.4-3.67
-6
-5
5.1- 5.6
-16
-12
-6
--r- -3
-.19
0 +1 +2
T2
1
6.8- 7.7
-13
.-8
-7
5.7- 6.2
6.6- 7.7 -9
-6 -5
.20-.36
0 0 *t
6.
EAST GLAZING 2.5-3.6%
0
0
7.8- 8.7
-15
-10
1 7.8- 8-9 -11
-8 -7
37--66
0 0
7.
SOUTH GLAZING 1.6-3.6%
Z
Table 3-4a. Wall -Insulation Points
1 9-0-10.0 -13
10-1-11-5 -17
-10 -9
-13 -11
.67-.82
.83 up
0 0 -1
0 -1
S.
WEST GLAZIN`G 2.9-3.6%
-24
-13
R -Value of Insulation
Points
11.6-13.0 -21
13.1-14.5 -25
�-1 6 1 -14
-19 1 -16
-2
--- T-- I
9.8-11.2
-21
:-15
-13
7.7- 8.2
-26
-20
14.6-16.0 -23
-22' -19
South
1 0 3.2 6.4 8.0 9,
9.
SKYLIGHT 0-1.3%
11.3-12.7
-25
-18
-15
8.3- 8.8
-28
-22
-19
1 to to to to UP
10.
SHADING (Exclude Overhang)
11
19
-23
-7
0
Table 3-8. was t -Facing Glazing Pts.
8.9- 9.5
3.1 1 6.3 7.9 9.5
T___T
-24
EAST - 2.1 .66
17.6 - 23.5
0
24
1 30
+2 1
+3 1
T_ T
1 Glazing
Type 1
0 --18
.19-.42
1 0 1 +1 +2 +2 +.
0 o o 0
9.6-710.1
SOUTH - S'� 19-. 42
-26
-22
>23.6+
+8
Total
Z of 7 _ng 1
.43-.66
0 -1 -2
WEST - S_-4 .13-36
C
Table 3-5. North-FacinS
Glazing
Pts
Floor (U -,
I (U - (U - I
.5, up
I
0 -T -4 -4
Area 1.10)
1 0.65) 0.41)1
SKYLIGHT - .37-.57
1points
1points pjjjt s
West
.1 1 1.6 f 3.2 1 6.4 1 9.(
Glazing
Total
Type
0 #6
1 # 6 - +
to to to to up
11.
HORIZONTAL SOUTH OVERHANG 2'
'
up to 1.3 +5
+6 +6
1.5 3.1 4.3 7.9
12.
I-IOVABLE INSULATION - NONE
0 I Sntl.
F oar U
I Dbl.
U
I Tr!l, r
U
1.4- 2.2 +3
2-S- 2.8 0
+4 +5
+2 +3
Axes 0.66
1.10
0.;2-
0.65
0.41
down
2.9- 3.6 -3
0 +1
0-.12
0 +1 +1 +6 +7
13.
INFILTRATION (Standard=O)(Tight=+12)
_*4-T
3.7- 4.2 -5
-2 0
.13-36
0 0 0 0 a
0 +4
0.1- 1.2
-& 4
+4
i
4.3- 5.0 -8
-4 -2
.37-.57
0 -1 _J _ 6 -7
14.
THERMAL MASS SF
1.3- 2.3 +1
+2
+4
5.1- 5.6 -10
-6 -4
'r8
.58- P-2
-1 -3 Z6 1 �12
2.4- 3.6 -2
0
+2
+1
r7- 6.2 -13
-6
Mr.
up
-2 -4 -8
15.
GAS FURNACE (SE) 71-76%
1 3.7- 4.8 -4
6.3- 6.9 -15
-10 -7
-7
-4
1 -3 1
7.0- 7.6 -18
-9
16.
HEAT PU?fP (EER) 7.5-7.9%
6.2- 7.3 -9
-6
1 -5 1
7.7- 8.2 -20
-14 -11 1
Skylight
.1 .8 1.6 3.2 4.0
7.4- 8.2 -12
-8
1 -7 1
8.3- 3.8 -22
-9-9
-16 -13 1
to to to to t.,
17.
DUAL PACK (SE, SEEP) 8.0-8.3/71-76%
8.3- 9.7 -14
-10
-8 1
e- - 5 1--25
-15
.7 1.5 3.1 3.9 5.2
----T-
-
WOOD STOVE
9.8-10.8 -17
10.9-12.0
-12
-10 1
9. 6-10. i -27
10-2-11.0 -29
-20 -16
�-23 -17
0-12
r
0 + 1 +3 +6 +7
-19
12. t-13.2 -22
-14
-16
-12 1
-13
11.1-11.8 -35
IAT�9-12-7
-2.6 -21
.13-36
0 0 0 0 0
4% �'WATER HEATEROX
, "Ldr
13.3-14.5 -24
14.6-15.3 -27
-18
-20
-15
-17
-38 1
12.8-13.5 1 -42
-29 -24-
-32 -27
.37-57
.58-82
0 -6
-1 -3 -6 -12
0
13.6-14.3 1 -46
-35 1 -29
.83 up
-2 -4 -8 -16 -20
1 14.4-15.2 1 -50
-33 1 -32
OTHER
j,
I I
I I
T,bl -1-1 1
TOTAL POINTS =
able 3-1. Slab Floor Points
Tn�qla- R -Value of Ingulstion
tivn
Depth.
Lnches 0-2 3-4 5-6 1' 7+
0 11 1 -5 -5 -5 1 -5
12 15 1 -5 -3 -2 1 -1
16 19 -5 -2 -1 0
20 + -5 -1 0 +1
7/7/83
�hble 3-6. East-Facin Glazing Pts
c
i
Table 3-9.
T_
lkylight Points
I
e ortzonta, South
Overhane Points
T_ 1 5 th Ciazing
I Length Out Area. X of Floor
Glazing Type
Total I
Z of I SnSl. I Dbl, I Trpi,j
I .
Total
I of
Floor
I - Glazing Type
I
T -Sngl. I Db!. I Tr:l.-T
I U - I U I jj I
from Wall
ft T
1 0-6-3 6.4 up
I .
Table 3-2. Raised
Floor Points
Floor
(U -
(U - I
(U - I
I Area
0.66-
0.42-
0.41
1 0 - 0.5 1 -2
1 - -4
T
Area
1.10)
0.65).1
0.41)1
1
1.10
0.65
down
0.6 - 1.0 -2
-3
1 R -Value of
1points
1poInts of tG1
T --------- F_
1-1 - 1.9 -1
-2
Insulation
Points
1-0
1
4 q
1 *4
up to 1.3
-1
0
0
2.0 up 0
0
1 up to 1.3 1
+3
1 +4
+4
1.4- 2.2
-3
-2
-1
1
be'low 3
-12
1 1.6- 2.4 1
1 2.5- 1,A-4
+1
-2
1 +2
1 0 1
+2
0
2.3- 2.8
2.9- 3.6
-6
-4
-3 1
-Table 3-12. Movable Insulation
3 - 4
-8
1 T.7-_ 4 . 6
-5
-2
-1
3.7- 4.2
-9
-11
-6
-8
-5
-6
Points
-
5 - 7
-6
1 4.7- 5.5
-8
-4
-3
4.3- 5.0 1
-14
-10
-8
1
Moveable Insulation'l
7
8 - 12
-4,
1 5.7- 6.7
-10
-6
-5
5.1- 5.6
-16
-12
-10
Area, % of Floor
Points
13 - 18
T2
1
6.8- 7.7
-13
.-8
-7
5.7- 6.2
-19
-14
-12
.19+
0
1
7.8- 8.7
-15
-10
-4
6.3- 6.9
-21
-16
-13 1
T_
-7.7
1
8.8- 9.7
-1.7.
-12
-10
7.0- 7.6
-24
-13
-15 1
1 0 - 5.3
0
1
9.8-11.2
-21
:-15
-13
7.7- 8.2
-26
-20
-17
5.6 - 11.5
+2
11.3-12.7
-25
-18
-15
8.3- 8.8
-28
-22
-19
11.6 - 17.5
44
12-8-14.0
-23
' -21
-18
8.9- 9.5
-31
-24
-21
17.6 - 23.5
+6
14.1-15.3
-32
-24 1
.'-20
9.6-710.1
-33
-26
-22
>23.6+
+8
b.
Table 3-13. InVIttation Control
FeAtvres Points
I Coa-rol Features Points
Scandard 0
0.9 air changes per hr
I Tight +t2
0.6 air changes per hr
Table 3-15. Cos Furnace Vithour
R 9
efrigeration Cool!nq Point 3
T
Seasonal Efficiency Points
(SE),
71 - 76 0 1
77 - 82 +2
83 7 88 4A
89 - 94 +6
95 up +8
k.
Table 3-16. Peat Puma Points
T_
EnER-gy Effic!ency Points
Ratio (EER)
7.5 - 7.9 +3
S.0 - 8.3 +6
13.4 - 3.7 +9
8:8 7 9.1 +12
9 2 - 9.6 +13
9.7 - 10.2 +18
10.3 - 10.8 +21
10.9 - 11.5 +14
L1.6 - 12.3 + �7
12.4 - 13.2 +30
Table 3-17. Cas Furnace With
RefrIveration CoolIna Points
:RafvIgeraciod Gas Furnace.
Cooling I SE I -_
171-117-i83-1397-9-5-7
1 761 821 881 941 up
1 8.0 - 8.3 1 Of +121 - j +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +31+10 1
1 8.8 - 9.2 1 *41 +61 +614101+12 1
1 .9.- - 9.7 1 +61 +81+t0f�L21+14 I
1 9.8 - 10.3 1 4,31 1-01+121+141+16 1
1 10.4 - 10.9 j+IG:+L2j+I-1+'6;+I8 I
1 11.0 - 11.6 1+'21+141+1614-181420 1
1 - I I I I
7/7/83
TASLE 3-14 (ADAPTED) ZONE 11
INTERJOR THERMAL MASS POINTS
MASS DWELLING AREA SQUARE FOOT
..S..00O
SO. FT. A 6 C 0 A 8 C D A A 8 C 0 A 8 C D A 8 C C _r
AREA 1.000 1.500 2.000 2.500 3.000 3.500 4.000 4 . 5 G 0
8 C 0 B C D
S 0 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0 01 4 a 0 o
2 : 00 00 0
!00- 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 0 2 2 0 D 0 a 0 01
ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 1! Z 0 2 2 2 0
200 a a 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 :1 2 2 2 Z 2 t
253 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 -1
300 12 12 TO 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2
350 14 14 12 8 10 1 G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 2 2 2 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 6 4 2 4 4 4 2 4 4 4 2 1 4 2 2 4 4 z 2
50+1 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 Z 4 4 2 4 4 4
603 22 20 IS 12 14 14 12 8 12 12 10 & 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 6 6 : 2 6 6 4 2
7-33 24 24 20 14 18 16 11 10 14 14 12 a 10 to 10 6 10 10 a 6 a a 6 4 1 8 1; . 6 4 F. A 6 4 6 6 f.
Z3D 6 Z4 22 16 ?0 16 16 10 14 14 12 81 12 To 10 6 10 10 a a to 8 8 4 ? 6 6 4 6 6 4 IS 6 i;
903 28 28 P4 16 22 20 18 12 1
16 16 14 10 14 14 12 8 12 12 10 6 :0 10 3 6 a 4 i B 8 6
1 13 2 1 :
1.010 30 A 26 18 22 20 20 14 10 18 16 10 14 14 12 8 112 1 1 0 0 8 a C .1
1 22 1 : 1 :0 1 : I
I."OU 32 32 28 �'. 0 24 24 14 20 20 18 10 16 16 14 8 4 4 12 2 2 0 :0 :a 10 6 IS 10 8 c. o e e
1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 1 2 8 12 12 10 f, 10 10 8 6 in 10 8 6
1.3.10 34 34 32 22 28 26 24 16 22 22 20 12 18 13 IC 10 15 14 14 8 14 12 12 8 12 12 10 6 12 -0 10 6 to 110 F. 6
1 -00 1
34 34 32 24 28 28 26 18 24 24 20 1: 20 20 18 12 18 16 14 10 14 14 12 14 14 12 8 2 12 '. G L. 110 13 1 +') S
I.ioo 36 34 34 24 30 30 26 18 i4 24 22 1 22 20 18 12 IS IS 16 10 1 6 1 & 1 4 14 14 1 Z V I? 12 10 lz 1: 6
2.000 34 34 32 22 30 30 26. 18 26 26 22 16 22 22 20 14 20 20 18 1 Z 18 18 16 10 16 16 j4 14 14 12
2,500 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22 14 22 22 ;3 :2 20 20 ;a is 1 _; I� : Lt
3 -COO 34. 32 30 22 30 30 26 28 26 24 16 24 24 2 14 2Z 22 0 14, 12
3.500
32 32 30 20 30 30 26 ;8 2d 28 24 16 26 24 12 1 E 11 46 z 4 20 14
.1.000 29 28 1
32 32 30 0 30 30 26 18 , Z 24 22 If
4.500 32 32 2 8 0 3U 3 0 26 It iti ?4 -. e
17
32 20 IJ Y6 1.4
A) 1. 3'3' Concrete Slab: HC�8.93; R-.29, Factor -7.3
2. 3 3/4" Thick Common Brick: IIC-7.125; R-.13; Factor -7.3
al 1: 5%'.,Concrete Slab: HC -14 06; P. -418;9Pc!or;7r wood stove #33 point�s-(no back up)
C I B" olid Filled Block: 'H�!2().63; R-1. ; Far o !6.1
2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air. casablanca. fan + 1 point
NOTE: Use all square footage directly expoied to conditioned air
for Thermal'Mass Area: IIC�10.164; R�.965; Factor -6.1
n -2.55;
D) I' Thick Co cr te/Tile* KC R-.083; FactGr?3.7
Table 3-19. Zonally Controlled
Electric Rest:;t,ince
Space Ileating Points
_T
Points able 3-20. Solar Water Heattitz With Cas Backan Points
or . 9 measure vni, I
be completed after the CEC
has approved an Alternative
Component Package for Resistance
Beat.
Table 3 -IS.. Active Solar Space
Heating wilh Gas Points
1 1
Net Solar Fraction Points
(mSF)
0 - 6
0
7 - 14
+2
15 - 23
+4
24 - "0
+6
31 - 39
+8
40 - 47
+10
48 - 55
4-12
56 - 63
+14
64 - 71
+is
72 up
+20
Multlfamil� (per unit
points)
Gas Only
Beat Pump
Floor Area
Sol3r with Electric
Net Solar Fraction (NSF) Z
per unit,
ments In Part
0
Electric Resistance
Only
-40
fr
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70--79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1.499
0
4-2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2,000. and UP
0
+1
+2
+4
5
+6
+7
+9
All others (Pa.- buil.din$, pnints)
8U0_899
0
+5
+i-0
�4
+19
+2
+34
900-999
0
+4
+9
+13
+17
+il
+26 +30
I.itc-0-1.,199
0
+4
+7
1
+11
+15
14-19
+22 +26
1,20r. -I .199
0
+3
+6
+9
+12
+15
41,3 +21
1,500-1,999
0
+1
+5
+7
+9
+12
+!4 +TE
2.000-2.999
0
+5
-t 7
+6
+10 + 11
3.000 .1-d %to
-0
+?.
+5 .
4-7
.9 *10
Table 3-21. Other Water Ueating Pts.
T_ I - I
I System Type I
Points I
Gas Only
Beat Pump
0
Sol3r with Electric
Resistance Backup
Meeting the Requira-
ments In Part
0
Electric Resistance
Only
-40
I 'i.." , .14
a
0
Am
,EWA - - - - - - - - - - -
File No.
5-UTTE COUNTY (For Action 1, 2, 3,
Public Works Dept. (For Information le
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Engr.
rBridge
C tr.
Constr Engr.
S S ,
urveys
Mapping
Tronsp.
Land Dev.
Drng. /S.I.
Sub.& Pcl. Map,
Permits
Addr.
,P,WV
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
28 -37* -06
ZONING
BUILDING PERMIT
OWNER
Eloise McKinstr
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESY
1232 Park Ave., X= Alameda, CA 94501
CONTRACTOR'S NAME
owner
TELEPHONE
Ist renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ FEE
$ 96.50
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS E/S Spring Creek Rd., app 1800' E &
Permit fee
1 $ 106.50
PLUMBING PERMIT
FilingFee 10.00
N Nichols Ranch Rd.,
Each Trap
2.00
oroville
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1 1
Water piping
5.00
Each qas-water heater or vent
5.00
USE OF STRUCTURE
SFK9 Duplexn MobilehomeFl Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.001
Mobile Home S I G I W_F__
[10.00 ea�
TYPE OF WORK
NewJ& Addition[] Remodel[] UtilitiesO InstaiiationEl OtherE]
Describe work:
Ist renewal of permit #2364-85
I I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO -L 100 AMP
2.50
OACONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
se 1, 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 th i syeason
14-11, 1
NEW CONST DWELLING OCCUPAW)
OR A.D.S. ACC.BLDGS. 2'/20sqft
NEW CONSTR. MULTI -OUTLET
NON " RES , D 2RAN C H C 2C UITS) .2.50 ea I
�I
PE -_ 7
_ WER PF R�TLIS.&)
(SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 1.20 050c
ALO 300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
—
Misc. Wiring 15.00
Permit Fee $
Contractor
do WORKMEN'S COMPENSATION INSURANCE
I declare undAp nalty 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.
F] 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.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
rcontractor
Permit Fee
$
I certify that I have read this application and state that the above information
is correct. I agree to comply,'tb all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyul
Butte to enter upon the above7mentioned p6perty for inspection purposes.
I also agree to save, indemriify'�and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
anainst said County in consequenc� o0the granting o this permit.
P.010 ; J
X Date _,�4
In ! olu I' of Applicant — Owner;K Contractort AgentEr
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories is h.ight.
Mobile Home Installation Fee
$
Energy Inspection Fee
TOTAL PERMIT FEE $ 106.50
occup.1
CONST.TYPE�
I FLOODIPARCELI
70
1 ISSUE
This 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.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 9-17-87
Receipt No-_4� 9012
WHITE-O.P.W.. YELLOW -ASSES SOR,r P IN K -I N SPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
1 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541
DATE SOU86
Eloise McKinstry RE: Building Permit Renewal
1232 Park Ave.
Alameda, CA 94501 A.P. # 28-37-9*
With reference to the above subject:
L_V Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER Receipt
/ V We need the following information:
/ IV
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
X Certificate of Workmen's Compensation Insurance axxrJKzzkxzzffmpXtaKxak&kamffRXxx
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design'including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
renewal permit. Thank you.
Please have
Should you have any questions concerning the above, please contact this office.
JFG/aj
Yours very truly,
28-37-06 - William Cheff
Permit#2779-86B(lst renewal/2364-85) Director of Publi I c Works
A.F __G ander
C i f u
Chief Building Inspector
COUNTY OF BUTTE - Department of Publiq Workis
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License No.
City
4. 1 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. 1 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 -i
Social Se ri Number
Date 20 _-*I k
NOTE: This owner -Builder Verification is sent to you as required'by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE
4,13UILDING DIVISION
DEPARTMENT OF PEVELOPMENT SERVICES
1469 Humboldt Road"'Chico, CA - (916) 891 2751
7 County Center Drive, Oroville, CA - (916) 538-7541
t
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTIOIY NOTICE
OWNER
0163
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, orneed additional explanation,
please contact this office immediately.
F,
Date lnspecto�,
REV 101d2
M� OROVILLE 4N THE MUNICIPAL COURT
[] GRIDLEY
L 931 Arlin Rhine Dr. SOUTH BUTTE COUNTY JUDICIAL DISTRICT 239 Sycamore (P.0 Box 1100)
Oroville, CA 95965 COUNTY OF BUTTE, STATE OF CALIFORNIA Gridley, CA 95948
(916) 538-7747 (916) 846-5701
BEUAM LEE CU1 E -T
THE PEOPLE OF THE STATE OF CALIFORNIA VS. Defeindant
NOTICE, SENTENCE, COMMITMENT FORM
CASE NO. CR22762
� '-. (=> -
DATE
JUDGE
YOU ARE ORDERED TO APPEAR ON AT PM/AM. CHARGES 301(a), 305(a), 3054dj-MC
[]FELONY .,MMISDEMEANOR INFRACTION,— -2(d) BCC.
A 41
0 P&R 0 Co. 0 Co./City 0 City 0 Fish and Game 0 Biggs City 0 Gridley P.D.
FOR:
Motion
Retain Attorney Further Proceedings El Pre-Px Hearing
Entry of Plea/Arraignment Dispo/Setting Preliminary Examination Diversion/Hearing/Review
Revocation of Probation Pre -Trial Jury Court- Trial Defense Attorney
Admit or Deny — Hearing El Jury Trial - F]. Probation/Sentencing
Report to Probation Department Forthwith. (Address on reverse side.) AJ, Q.—
Immediately contact -the Office of the Public Defender as indicated.
CUSTODIAL STATUS ---
4
-1 !I-tA
T -U C- Bail $
Remanded to custody of Sheriff until next appearance..,
Remain at liberty on bail Released O.R. Do Not Release Pursuant To SIC
AX -order -8"29, PMP, SEC. 2. Good
SENTENCE AND CUSTODIAL STATUS Cause For Retention Is
Numerous FTNS
,,q:��ay fine of
Other:
Arid/or file proof of correction and pay fine of $
hwith
able to Clerk of Court by or you must appear in Court that date at m.
Jail: Serve — hours/days/ months in jail, with credit for time served,
Jail: rime Served.
Sentence to be served consecutively/concurrently with
Stay of execution granted until at .,and defendant ordered to surrender to Sheriff at that time.
o(Address on reverse side) mcing at — m. to at—.m.
Jail: Serve weekends comme
and each weekend thereafter until served..
0 Work— hours on Court Work Program at indicated job site.
To be corMleted and file proof witti the Court by at m. or appear.
- I certify the foregoing is a true cop��the jt*ment rendered on the above e by abo"ve
IR 411
CLERK OF THE ABOVE NAMED COURT.
:By
it -1
led
TO THE SHERIFF: The foregoing certified copy of judgment in,the above entitled is your authority for the execution thereof.
S at all times and places. as
1,;,*;,4.1 DEFENDANT, BEING RELEASED -ON HIS OWN, RECOGNIZANCE- AGREES (1) He will appear:
i 60�t
ou
37- c
red by the Court or magistrate; (2) -he -will -.'not 'd�part' -the IState �vith -of -the� Courti (3)..he will waive. 'extraditk6j�-'he-
f - competent-JOWL"Non
utside. �-or.
-and -is - apprehended -'01 -or..magistrate o
fai
is to appear as ordered
-�he or�derele,7e
d Penal
order of release . ' -custody- or.,require that tw: give: 6f hi-
-,him, o' bait o#4� other assurance , isappea.
may revoke the. urn, _A , .i. rance
as.."LidcWe. in of, the -(5) -appear, &�istifutes
apter 1. Code: failuia..to.' . on' a misdemear�,�,.
y y mon .1 - _ -1. �
6 ths i�n 300-00 .� fine, ind W., ailu 10rivAifie6r�.-- punishable
6 months in, jail and/or 42; f re, toeap�ear-on- a felony constitutes
n Ines,
by UP to 3 years in State prism and $33 WO fi
Defendant Executed on )2 /9i
witnessw
by
VIOLATION CHECK LIST
A. P. # 028-37-0-006 Address— E/S Spring Creek Road, Oroville
Owner Ben Culet
Owner's Address P.O. Box 1082, Oro ville, CA 95965
Owner's Phone No. .5S,7-99 '1�2 Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Prioritv No. 10-3
Failure to final single family residence
Specific Plot Plan with C/V Noted es no Penalties Required
lst. Notice Sent - 1/7/93
(Date)
Comments -and/or Determination
2nd. Notice Sent
(Date)
L.S L4 Clef C%�-CD 6A- At% i's (,e
L'it, U =bn6L,% w-e�, -6 1'"
4"A, - Ava,- W- (�
Disposition
For Citation
(Date) (Date
Department Recommendation to Court
Court Action
Notice of Violation Recorded
,(Date
M-4
February 9, 1993
Ben Culet
P.O. Box 108�
Oroville, CA 95965
RE: Building Code Violation A.P.#028-37-0-006
E/S Spring Creek Road, Oroville
Dear Mr. Culet:
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated January 7, 1993 notifying
you that you are in violation of the BCC at the above -referenced -location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for sin -le
0
family residence in violation of the 1982 Uniform Building Code as
adopted by Section 26-1 of the Butte County Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
0
to complete the work and paying the appropriate fees. After permit -issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
This is your final jrarnijg,. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten (10) days from the date of this letter, enforcement shall be -pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance urith Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necesssry to correct or abate the violation(s).
Letter to Ben Culet RE: Building Code Violation A.P. #028-37-0-006
Page 2
February 9, 1993
Should you have any questions concerning this matter, please contact David
Purvis or Bill Barron in this office at the address or telephone number
listed above.
JFG: dms
cc: Building Inspector
Sincerely,
tm'*'�Bw
J.F. Glandpr
Manager, Building Inspection
4
PRCCF OF BY KkM
am over the ase of 18 and noc a parzy, cc r -his causp.
a-- a reside --c.. of and im� the c�=C-.- -where the mail -;=-
Building Division
H7- bus--;ness address 'is*. %partment f DeveLoqment Services
1r/ C,0uUc7. &=car Drive
Orovtlle, CA 9596-5
I Served the. foregoing 30 -Day Violation Letter
a t--ue copy
-Umited
tm a sealed =velcipe and de-pos-i c:�=- said eavelare in -thle
Sicatas mail with pastace .7 prepa-id an 9th. of FebruaU
iq 93 , and addressed as follows:
Ben Culet
P.O. Box 1082
Oroville, CA 95965
7- declare under :;enalC7 Of :er.4,ur7 under cte laws of
r,je Stace of Call�far---;a ="ac r -he Ecragaiza is Z:= -Ie a=d C::=ecz
and chac ch -i V9/93
s dec!ar2r--;1-n was exec-ac2d On
ac Ornv-i 1 I,= Cal —4�: a rm-i
J.F. Glander
Manager, Building Inspection
Ben Culet
P.O. Box 1082
Oroville, CA 95965
RE: Buildina Code Violation
E/S Spring Creek Road, Oroville
Dear Mr. Culet:
January 7, 1993
A.P. #028-37-0-006
This is a courtesy notice to notify you that there is a code violation
existing on your property, created by a previous owner. The violation
is as follows:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for single
family residence.
Permits and inspections are required to correct the above noted violation(s).
Even though you did not create this violation(s), 'you as the current owner
of record are required to resolve any violation(s) or correct any hazards.
Please contact this office to discuss the appropriate correction of this
code violation.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Buttte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact David Purvis or Bill Barron of this office at the address
or telephone number listed above.
RT: dms
cc: Assessor
Building Inspector, Oroville
Yours very truly,
D vid Ourvis
Supervisor, Building Inspection
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE' - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: 1916).538-2140
FEBRUARY 16, 1904
BEN CULET
PO BOX 1082 RE: Building Permit #93-599
OROVILLE CA 95965-1082 Expiration Date: 3-12-94
A.P. # 028-370-006
DEAR MR CULET:
With. reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed' and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
XW No inspections have been made on permit work. Inspections are�
required to verify code compliance. We are unable to renew a.
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVILLE office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michlael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott.Rd/872-6307 -
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COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
Eatte Count
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
6/16/95
BEN CULET RE: Building Permit # 94-1628
PO BOX 1082 Expiration Date: 6/22/95
OROVILLE, CA 95965 A. P. # 028-370-006
With ref erence to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are encl ' osing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this of f ice together with the f ee
shown. Please return all copies of the application form.
[X1 No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROWUR office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michbel C.' Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
COUNTY OF BUTTE
DEPARTIEST OF PUBLIC WORKS
7 County Center Drive
Oroville, CA 95965
534-4266 -
March 192 1982
Ben Culet Re: AP 28-32-21
Application for Determination
P. 0. Box 1082
Oroville, CA 95965
Dear Mr. Culet:
Enclosed please find a'copy of the Certificate of Compliance issuied
by the Butte County Department of Public Works which was
reedrded on March -TUT -1-9T2—, in Book 2701
Page" 596 in the Office of the Butte County
Recorder.
Should you have any questions regarding this matter, please contact
this office.
Very truly yours,
Clay Castleberry
Director of Public Works
Mendonsa
vi�
-Assistant Director
aVns
Enc.
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7
cc: Planning Dept.
Health Dept.
Bjijelding Dept'
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ILD 1330
RETURN TO:
Public Works
Land Development Section
CERTIFICATE OF COMPLIANCE
Issued to: Ben Culet
P. 0. Box lo82
Oroville, CA 95965
OFFIC,,At- RE,110ROZ;
BUTTE COUNTY -CALIF.
RECORDS REQUESTED By
',YOR
MAR 16 TO 57
CLAAK A. NELSON
CLERK- RECORDER
mc
FEE
ISZ.. G.�i7j,
This Certificate.of Compliance is hereby issued by the County
of Butte to certify that the land division which created the parcel of
property identified below complies with the applicable provisions of the
Subdivision Map Act and of Chapter 20 of the Butte County Code.
1. .,Property location: on Spring Creek Road, approx. 2100
ft. + north of.Swedes Flat Road'
Oroville area.
2. Assessor's Parcel Number: 28-32-21
Description: All that certain property located in -the County
of 'Butte, State of California, more particularly
described as follows:
tot 3 of Section 4, Township 18 North, Range 5 East, M.D.B. & M.
Together with tights -of -way of record recorded in Book 2425 of Butte County
official -Records at pages 482 and'483.
ALSO TOGETHER WITHsa'right-of-way for road purposes over the We�sterly 60 feet
of the Northerly �O feet or the Southwest quarter of the Northwest quarter
of Section 4, Township 18 North, Range 5 East, M.D.B. & M.
ALSO TOGETHER WITH a right-of-way for road purposes over a strip of land 60
feet in width, the ' centerline -of which is described as follows:
Beginning at the Southwest corner of Lot 4 of Section 4, Township 18 North,
Range 5 East, M.D.B. & M.; thence Easterly along the Southerly line of said
Lot 4 to.the Southeast corner of'Lot 4 and the end of said centerline.
ALSO TOGETHER WITH a right-of-way for road purposes over the Easterly 60 feet
�<of the Southerly 60 feet of Lot 4.of Secg�on 4, Township 18 North� Range 5 East,
M.D.B. & m.
ALSO TOGETHER WITH a right-of-vay for road purposes over a strip lof.land 60
.feet in width, the centerline of which is described-as.follows:
Beginning at the Southeast corner of Lot 4 of Section 4, Township.18 North -
Range 5 East, M.D.B. & M.; thence Northerly.along,the'Easterly line of said
tot 4 to the.Northeast corner of Lot 4 and the end of said centerline.
(see next.page)
Issuance of this Certificate is conditional upon the following
conditions which have been imposed pursuant to the Butte County Code
Chapter 20-166 and Government Code, Section 66499-35 (b), to Protect
the public health and public safety. -NONE
i
LD - Aoo
County of Butte
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Ben Culet., AP 28-32-21
EXCEPTING THEREFROM. all that portion of the above rights-of-way. lying
within the boundarie.s.of the.above described prop6rty.
ALSO TOGETHER with a right-.of7way for road * and utility purposes over a strip.
of land 20 feet in -width, the center line of which'is described as follows:.
Beginning at the Northwest corner of the Northeast quarter of the Southeast
quarter of Section 5, Township 18 North, Range 5 East, M.D.B. &-M.; thence.
East along the North line of the Northeast quarter of the Southeast quarter of
said Section 5 and -the North line of the Northwest ' quarter of the Southwest
quarter of.said Section 4 to a point at the Northeast corner of the Northwest
quarter of the Southwest quarter of said Section 4 and the end of said.
centerline.
C -L,
C-3
I
END OF DOCUMENT
L A N D 0 F NATURAL W E A LTH AND BEAUTY
OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95%5
Telephone: (06) 534-4681 W-lliam(B ill) dheff
Deputy. Di rector
February 17, 1982
Ralph and Mary Starnes RE:- AP 28-27-62 A & B
1087 Valley Forge Drive Applications for Determination
Sunnyvale,, CA- 94087
Dear, Mr. and Mrs. Starnes:
At the regular meeting of the Butte County Subdi ision Violation
ivi
Committee held on February -17, 1582, the Committee. issued conditional
Certificates of Compliance for.AP 28-27,62 A and -B (two parcels).
The*dondition-s are:
Provide satisfactory evidence that adequate quantities of
domestic water are available on each parcel for a single
family residence.
2.. Verify legal access.
There is a fifteen (15) day appeal period before these certificates
can berecorded, unless you sign and return the attached -waivers
waiving your right to appeal the committee's decision.
Should you have'any questions.regarding this matter, please contact
this office.
Very truly yours
Clay Castleberry
Director of Public Works
Jcftm Mend6nsa
A�sistant Director
JM/ds
cc Planning
Health
Auilding
Ted Runge, P.- 0. Box*2042, Oroville, CA
16
J7
f
COUNTY OF BUTTE -DEPARTMENT OF-.DEV*LOPMENT SERVICES -BUILDING DIV ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538_ P RMIT 0.
APPLICATION AND PERMIT - 2 19Zz-
ASSESSOR PARCEL NUMBER 028-370-006
ZONING A5
B�KDINGPERMIT
OWNER BEN CULET
T ITY-8892
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAJUNG ADDRESS PO BOX 1082 OROVILLE, 95965
CONTRACTOR'S NAME UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LENDER NONE
UNKNOWN
Total Valuation i$
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS
114 ROMA RD
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
OROVILLE
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater 23.00
—
Water piping 15.00
USEOFSTRUCTURE
SF N Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities OR Installation 0 Other 0
Describe Work: HEAT PUMP 95-3019
Mobile Home I S I GI W 1 @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 2 0.'0 0
OOV OR LESS
Main Service _0.0A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business. and Professions Code,
and my license is in 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
!,�w for the following reason:
AJJ��I, asowner of the property, ormy 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.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. so.
OR ADDNS. & ACC. BUDS. 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS @7.50
PO ER APPARATUS N
& SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL 9 .50
FIXED APPLNS..OR
Ex. Occup. ( OUTLETS (RESID) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performanceof work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee- 20.00
Heating 15.00
Cooling 3 T 13.00
Hood 6.50
Ventilation
PERMITFEE $
50_00
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.)
1k 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 _1_11
forthwith comply with those provisions.
X Date
SeggEnature cf-Kp�licant - 0 Owner 0 Contractor 3Wgent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
Occ
CONST. TYPE
I
TOTAL FEE $ 50.00
HAZ.
I D. FEES
I IMP I FLOOD
I COF PARCEL I PO
This permit is hereby issued under ihe applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By 2�� Date
PERMIT EXPIRES; ON /97
(d.)
Receipt No. 2- 02, C1
LL
WHITE -D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,;�Califtfnia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
(9;ff
ZONING
BUILDINGPERMIT
OWNER
TEUEPHO18,,,,
so. Fr. occ. BUILDING VALUATION
OWNER71UNG AD R7
Oro e- ?,�_W_
CONTRAqTOP
. ',s/, 7 A Q IA ) In
TELEPHONE
CONTRACTOWS MAILING ADDRESS
_7WN
Fireplace
CONSTRX �NDER
I/I f -
Total Valuation I $
-
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT 05 ENGINEER
LICENSE NO.
Plan Checking Fee.
Energy Plan Checking Fee
$
ARCHITECT 08 ENGINEER�S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
AR,
PERMITFEE
PLUMBINGPERMIT
Filing Fee 20.00
t"
Each Trap
7.00
LOT NO. SUBDIVISION'S NAME PAR
1
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF,k Duplex 0 'Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities Installation 0 Other 0
Describe Work: — 4
7
Mobile Home —F§ G W
@20.00
F
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
600V OR LESS
Main Service 200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION n's of Chapter
I hereby affirm under penalty of perjury*that I am licensed under provisio
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:
0 1, as ownerof theproperty,ormy employees with wages as their sole compensation,.
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 1 have and will maintain a certificate of consent to self-ingure 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. .
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performanceof work forwhich this permitis 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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in'any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BUDS. 1
so.
3.50 FT.
NEW CONST. MULTI -OUTLET @7.50
NON-RESID. BRANCH CIRCUITS
PO ER APPARATUS
( & SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL Q .50
FIXED APPLNS. OR
Ex. OCCUP OUTLETS (RESID .) EA 5.00
Temporary Service �3.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Filing Fe 20.00
Heating �'S' 00
Cooling
37— 16�60
Hood - 6.50
Ventilation
PERMITFEE $ SO -00
Contractor
Mobile Home Installation Fee= =$
Energy Inspection Fee Is
OCC
CO T. TYPE
I TOTAL EE $
HAZ. 1 0. FEES I IMP
FLO07[7�7EL
PD I HO I ISSUE
This permit is hereby issued under tne
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE -D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
Li -1756
028-370-006 PERMIT#96
CULET, Beil�;,
114 Roma Oroville
Heat Pump/SF'
I
74
COUNT�-UQ UTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI.NG:,DIVI.Sfok
111 PERMIT NO.
7. County Center Drive - Oroville, California 95965 - Telephonel:(916) 53:8 7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
028-370-4DM
ZONING
A5
BUSING PERMIT
OWNER 1 �
BEN-=`
PH
TEUE)S 8892
SO. Fr.'� I OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS P0 BOX 1082 OROVILLho 95965
CONT I RACTOR'S NAME UMINN
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNMOWN
Total Valuation Is
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
NOR,
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR, ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 114 RM RD.
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
OROVIla
Each Trap 7.00
LOT NO.
SUBDIVISIONSIOMEi % I
I
PARCEL MAP
Solar or heat pump water heater 23.00
mati&r piping . - 15.00
f
USEOFSTRUCTURE,
SF�! Duplex 0 Mobilehome 0 Othe�/--
SPECIFY
Each gas water' heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 1 15.00
TYPE OF WORK
7�'
Installation
New 0 Addition 0 Remodel 0 Utilities [3 0 Other 0
Describe Work: HEAT PUMP 95-3019
Mobile Home ISI GI W1 @20.00
PERMITFFF
Contractor
ELECTRICAL PERMIT Filina Fee 2 0.'0 0
OOOV OR LESS
Main Service 200A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
1 heirbby 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:
1, as owner of theproperty, ormy employeeswith 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.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR so
08 ADONS. & ACC. BLDS. FT._
__3.50
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
POWER APPARATUS
& SINGLE.OUTLET CIR
OUTLET OR FIXTURES 20 @,1.00
Ex. Occup. I BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.06
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, forthe performanceof work for which this permitis issued.
My workers' compensation insurance carrier and policy number -are:
Carrier
MECHANICAL PERMIT i Filing Fee 20.00
Heating
Cooling 3 T
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.)
00W 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 subjecVto workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor C-, 1 -1-11
forthwith comply with those provisions.
!2 "
Date
X LC.,
-rgnature of-Klp�licant - 0 Owner 0 Contractor >Agent
OSHA permit is required for excavations over 60" deep and demolition or construction
uctures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
Occ
CONST. TYPE
I
TOTAL FEE $ 50.00
HAZ.
1 0. FEES
I IMP I FLOOD
I CDF
PARCEL I PO
This permit is hereby issued under tile applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By 2eC-� Date All /q I
PERMITEXPIRESON /97
(D.6.)
012 Cl
'7B-D.CANARY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
i,/
December 18, 1998
Ben Culet
P.O. Box 1082
Chico, CA 95973
AND - BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - ORCIVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit # 96-1756
Expiration Date: 08/01/97
A.P. # 028-370-006
With reference to the above subject, our records indicatz that your building permit expires on the above date and
your permit falls into one of the category marked below:
Permit work started, but not completed. Permit may be renewed for 1/2the original building permit fee (plus
a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original
expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease
until a new building permit has been issued. For your convenience, we are enclosing a renewal application
form and owner -builder form to be completed and signed by you where indicated and returned to this office
together with the fee shown. Please return afl cqpies of the application form.
[X] No inspections have been made on permit work. Inspections are required to verify code compliance.
We are unable to renew a permit where the work has not been started and inspected prior to permit expiration.
After expiration of your permit, no work may be started until a new permit has been issued.
A final mispection has not been made on permit work. Final inspection approval is required beforeocciparicy.
Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can
be made and final approval given. You have 30 cLays to voluntarily cease occupancy or to present an acceptable
plan for abatement or corrective actions to be taken by you.
If our records are in error or should you have any questiom concerning this matter, please contact the Oroville office.
Thank you for your prompt attention concerning this matter.
MCV:ahb
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Yours very truly,
C. V ira, C_.B.'O�
Manager, Building Inspection
Paradise Office - 747 Elliott Rd/872-6307
--- - - - - - - - - - - - - - - - - - - - - -
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