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028-370-039
B06-2836 028-370-039 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC UNIT'%;�X� 165 SPRING CREEK RD S-24-6-7 GAGE, VIRGLE NEWEL & MARG 28-37- X S? 2620-91B,P,E,M AGE, Virgle Spring Creek Rd, Oroville (nes\sf) - - -- --- .�, 1 628-3,7=0-039 92-3817B GAGE, V�rgle 165 Sprir�g Cr Rd,Oroville lst'.renewal/91-2620 028-37-0-039 93-3532 B 2ND RENEWAL/91-2�,ERMIT#94-2749 028-370-039 GAGE, VIRGIE pi 165 SPRING CREEK RD., OVILLi rl 3RD RENEWAL BP#2620-91 _ ��� (_0 028-370-039 PERMIT#95-2517 ` GAGE,:Virgie 165 Spring Creek d.., Oroville 4th -Renewal of P#91-2620 028-370-039 PERMIT#96-2498 GAGE, Virgie 165 Spring eek Rd., Oroville 5th Renewaa BP#2620-91 028-37G)' 039 PERMIT#97-2238 GAGE Virgle 165 Spring Creek Rd., Oroville 6ph Renewal BP#2620-91 028-37-0-039 99-2117 BPE GAGE, Virgil 165 Spring Creek Road, Oroville (new swimming pool) AKS Const -- - - 31 low v 02+� 0 it � � f r'1: + ' r R ` � � � �' xr... �� � r Li`l—�'a'�.�'� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2836 Issued: 12/13/2006 Address: 165 SPRING CREEK RD BANGOR APN: 028-370-039 Permit Subtype: HVAC Change Owner: GAGE, VIRGLE NEWEL & MARG Applicant: GALLAGHER'S HEATING & AIR Description: CHANGE OUT HVAC UNIT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 V I P PERMITS BECOME NULL AND VOID 1 YEAR, ROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy INSTALLATION CERTIFICATE (Page 3 of 12), CF -6R Site Address Permit Number 16.5-.Sp.ring:C.reek:Rd-O.revill.e_CA..9.59661 1 An installation certificate is required to be posted at the building site or made.available for all.appropriate inspections. (The information.provided on this form, is. required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section. 1.0- P 03(a). HVAC SYSTEMS:. Heating.Equipment Equip Type (Pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems . Efficiency t (AFUE, etc.) >_CF -;R value) Duct. Location attic etc. Duct or Piping R -value Heating, Load Btu/hr ,Heating Capacity Btu/hr Split..AC7; -Gas Goodman? .� Eli 80 0 /ol Antic C 9. 00 00 9.�J000 i Cooling Equipment Equip Type (pkg. :zeat um CEC Certified Mfr.# Name and Model Number of Identical Systems(KF-1R Efficiencyt '(SEER or EER) value} Duct Location attic etc. Duct R -value Cooling Load Biuthr Cooling Capacity .Btuthr 'SpitAC + Gash Trane 1.2..0. Atr t cJ =4 X6.0.0.0.0, 16-000-01 i 1 > symbol reads greater. than or equal to what is indicated on the CF -IR value.. Include both SEER and EER if compliance credit for high EER air conditioner is claimed.. ✓ [70 I, the undersigned, verify that equipment listed above is: l) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form. CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements.,for manufactured devices (from the Appliance Efficiency. Regulations or Part 6), where applicable. Installing Subcontractor (Co: Name) OR General Contractor (Co. Name) OR Owner Gallagher. ..Air Signature:&W Date: 04/ (Electronically signed) Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 21005 i165SpringCreekRdk O.ro�IlleCA195.9.66= [NSTALLER -CO1tiIPLIANCi i STATEMENT FO'R DUCT INSTALER; COMPLIANCE :STATEMENT The buildmgmas ✓. ested at;Final` ✓ ❑ Tested at Rough -in INSTALLER=VISUAL:I'NSPECTIO,N,AT.:FINAL.CONSTRUCTION ST:AGE:: IXC Remove;at°leastonesupply and:oriereturri;registeT, and Vehfy.thAt:the spaces between,the`regrstei;'boot,an8`the:inberior friishing `wall:are:properlysealed. ❑ :If the'hou§e rough induct leakage test:was :conducted without:'ari air:°handler'installed :inspect'e.connection points`' between the atr.haiidler:and.th6.:§upply and;returi plenums:to verify that tlie;connection-points are properly -sealed. UX f.hspe.ct allJotnts to ensure thatno.cloth backetl.rubber adhesive duct:tape is used. (X N,6 Distribution system.is. fully ducted,(i e•.: does'not. use b jd'ing<cayities as.plenurns or.platforms returns in lieu, of ✓-❑ bUCT LEAKAGE REDUCTION: Pdrii.oil:.po�rfnp Foil .ior.F:nnfii..•.nnl.ilinannelrn /oof:.ia nfF�ip.7/icfvi/riilrn�i "c»cloisrc:nra:/i'viii//i/i'/n: rn-%111:('M".:Qnripndir:Rl'Q'•.i NEWCONSTRUC:TIO.M 11iihR A-71 Duct Pres�urizatign.Test;Results 25 Measured I* (CFM @ N. N(aluesHIR 1 Enter Tested L-eakage:Flow inCFM— q rc Fan:Flow: Calculated (Not►una[ ;Cooling •� ❑. Heating) or ✓ ❑ Measured, Fan Flow is Calculated as 404 cfm/ton::x number of tons or as 21 7 cfm/(kBtu/hr) x Hearing 20:00 C acct .'in Thousands: of BEu/hr. ou ut;;enter total calculated or rrieasured fan flow �n.CFivt her > '✓ 3 Bass'ifLeak'age_;Pj6m& tage5:6%o, Tinal ors:`M atRough ❑.Pas`s DFail ALTERATIONS: Duct.S steni:an(Vor'I .VAC ui ;ment;Change:-Out Y �1. P � Enter Tested Leakage Flow::in CFM from Pre-Test::ofExisting::Duct SysteirrPrior;to:'Diict r 4'; Systerirn Altefatiori and/or::Equip ient.Chalige-Out:: Enter Tested Leakage Flow in CF.M from Btnal.Test of New Duct Sy'st.&f or Altered Duct: 5 S stem-fot DactS stern Alteration andLot•E ui `merit Chan e -Out. X28 �,,,��a � ,x.., ��.. , EiiterReduction in.Leakage foa:Alteretl Duct System � � �+ 6% Line # 4 . Minus ine.#:5 =(Only: if A licable .. Enter:Tested Leakage-F:low•in CFM tb Outside (Only if -Applicable) :Entire New Duct System - Pass if Leakage Percentage < 6%for Firial, ;- $ [100 x f (Line,#.5)'L TEST' OR VERIFICATION STANDARDS �Ror Altered Duet•System--and*;"AC'Egp pmen', hange- �- Ou'l.Use. one..of the.:followin :four Test.or Verificadon.Standar4's,for corn liance.:: ' 9: Pass ifLeakage:Percen ge < 1510; [140 x:[_ -2 48 _(Linc # 5) /__24p4 (Line'# 2)]] `1.4;;2 r Pass ..❑',Fail l0 'Paas.if Leakage to •Outside Percentage <::10°l0 [FOO x::[ (Line # 7):%' (L ine.# 2)01 Pass.:❑ :Fail „P, ass if•Leakage-Reductton Percentage>:60%0 [106�z°.f (Line# 6) L (Line_.#.`4)]] Pass b ;Fail. 1 l:'In! - .:,and.Verifica6onb SmokeT:.estand:Visual:[ns eeiibn-. 12 :;Pass ifSealin of all Accessible.Leaks and.Venfication:b :Smoke:.Test and.Visualjfis ection !3 r ;a ❑Pass: ❑ Fail. . Pass':if One of:Lines #:9:throu h:# 12.: assPass ❑ 'Fail, L [, the::undersigned, vepfy that the above diagnostic testiesults were performed iti c. onforriiance w�tfi the requirements for corn—hoce credit [ the undeisigned,.also ce ti'fy that the newly installed orre[iofit Air,D�striliuhon System Ducts Plenums aril Fans;comply-:with IVlandatory;requirementsspecified:in' Section 150 (m) of fhe.2005 Building°Energy;:Ef c" iency``stam arils. Irista!Hj ' Su bcontractor`(Co Name) OR General. Contractor:(Co Name) OR.Owner 11iihR A-71 :Signature` Date:: 04°/_1° 07 -Q--- •l e¢tromcall. si netl Copies:toi.BUYY D)<DEP_9R lv N"; )ETERS RATET2>(IF APP)r YCABI ) B1�YI DING.OVS!1VETt AT"OCCUPAl CY Residential: i✓ompliaizce:Forms September 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number 1,6.5.4S.pring_C.reek.Rd._O.rovill.e_CA_9.5.9.66 1 ✓ IX1 THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in. RACM, Appendix Rl. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification. for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # 1<312X14krl Location Access is provided for inspection. The procedure shall Outdoor Unit Make Tr^ ane Outdoor Unit Model consist of visual verification that the TXV is installed on ✓ CXYes D No the system and installation of the specific equipment [X ❑ Date of Refrigerant Gauge Calibration .03/-1,5/07J (must be checked monthly) shall be verified. -"`-`^ 03/_1.5L 07 ( must be checked monthly) Y) Yes is a pass I Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification. for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # 1<312X14krl Location A� tticl Outdoor Unit Make Tr^ ane Outdoor Unit Model TT_P_060.C1.00A1 Cooling Capacity 60 00] Btu/hr Date of Verification 03121.10Z� Date of Refrigerant Gauge Calibration .03/-1,5/07J (must be checked monthly) Date of Thermocouple Calibration -"`-`^ 03/_1.5L 07 ( must be checked monthly) Y) Standard CharLye Measurement Procedure (outdoor air -dry-bulb 55T and above): .Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) °F Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Sum -heat Charge. Method Calculations for Refrigerant Charge Actual Superheat=Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat —Target Superheat. (System passes if between -5 and +5°F) °F Temperature Split Method Calculations for Adequate Airflow SDlit Method Calculation is not necessary ifAdeauate Airflow credit is taken Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - OF 3°F and +3°F or, upon remeasurement, if between -3°F and A00°F Residential Compliance Forms April 2005 L'R'T[RL ATL'U.L .R[LLD-V R[R[ AT[Of : &DCN`G.-NOST[C TESTING{P; ► l.af:8} CFVR ro'eet;: d:rev..: 1Vleastired Burlder::Nertie;,: M.116 52,'S' CA 9. 95 66 V I Euiler Caii:tset: Installing actor Telephone P:Ian NumT��r:s Ban Btaw £Galculat►pd ominal •+r+D`C�ling:+'.;C]'He�iting)rr ✓, t7:Meaau�i'. -- X2.0.0.0 :' 2 H13.�Rarer Tel htsne Samp .le.`t:Frau Nu'mtr.-' 3 Homme s x760-768 322`8° O Papa°til '. ALT�.R#.'TTC7►�S �?uci Spsiern andtor i�'V�+C Ryuiprnent GfianZe�+Dut Com`Iiancet;leliiod>Preserxi iare __ ClrrateZorie.1J Certifying Signature 0 /4 18 0 Dai°; "3smPe. HouseNumbei;; 4 (Elect"ro cin alllsignetl X16 Fu�m : 'HBP�S Pr�,rider Enalas s orp 4 PC,—B- S Stieet� bdtireaa:<: it G , y�tste�ip 8btir R. tin in Leakage for:Aliered:Duci 3y ie a ( �i:irieit 4) In u9: tGineit 5)J �h CA 9,2 ,.�f :NL1w (70NSTR1IC.'I'Ti7N ; Du�P resaurMr�Uca Test'R:eaulta (CRlvi'@ 25 P8) 1Vleastired � r z� q ^ V I Ente ..T. . Leal-geFloaf in CBM Ban Btaw £Galculat►pd ominal •+r+D`C�ling:+'.;C]'He�iting)rr ✓, t7:Meaau�i'. -- X2.0.0.0 :' 2 Bntit Totsl.Ran' IO.W Com., 3 Pass rfL,�ge PenctsgeS b4$ (I?x ( {I neiYsl) / {L�net�2)�j .. O Papa°til '. ALT�.R#.'TTC7►�S �?uci Spsiern andtor i�'V�+C Ryuiprnent GfianZe�+Dut ����� ` � '���`�' En'tir Teased l>eale8bur4nBtvf from �RbR Pr,�Tess ofS:trstingDuci3yn� Pnor 1 4 D:ud3y�tein Aitei'ation:a4&6f.Squipmearl Change 8nter T�tsd Les eBlow anlxN! F1na1 Test of Neur Duct 8 tinAltered.Diuct°3 4 y� x 4 "" ,, S forDucl3 �temAlterationand/ar:: a' inentChatr er�ul.,s.E 8btir R. tin in Leakage for:Aliered:Duci 3y ie a ( �i:irieit 4) In u9: tGineit 5)J ,u 'r, a ,s b {Only rEAa Irnbi✓ : : = x � ' ? Biter Tei Leskgei?t?w �n Ci?1wOulde(Qnly fA�RPlicable)r` `_✓" it EriUreNewDu,ci.3y�tem :Pass-rfL�1�g�Ftircenl�ge5b9�, _ D_Pass-C�:Bail g TtE',SI' L7R 1' �',RiFtCrLTTON STANUARUS Far Altered Duct System and�Or i1�VA+C F--qu nt�G'asn� ilut T1se 4itie ,f t'be talbx�` .four Test airerlcatloA:Sfatar�s far corn linnce:. ;,>Pasa 'aaaifLeskg�;Peroenitsges IS4b: (IUQx:( 284 {LinerYS)T 2000 :tLinea'2)JJ: _ ,. D Bai l 10:.'a�iflYageto0utsitiPercritaee5`I4b(;144xy( {Goe':�1'Tjd x{l:ineit�)1jj" OPa�a: D Pail . EasarfL kale- uetOV. rcentagee2t j144 j {t ineffb)/ {t ineit,A J and V flit "Uon, ti :SmokeTeotand.Vrsusl.in tan _, if, 9ealin 'ref all AocEssit leL6Y�:antl�Verlfi�tioricb 3rn`o1�Te°�t's`ridNi" al Tii �onh 'Re9c'e;clizl`Caviit�li�,ece Farr3:r' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 165 SPRING CREEK RD Owner: OwGAGE, No: B06-2836 APN: 028-370-039 VIRGLE NEWEL & MARPermit Issued Date: 12/13/2006 By KCG Permit type: MISCELLANEOUS P O BOX 1443 Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 12/13/2007 Description: CHANGE OUT HVAC UNIT (530) 589-3926 Occupancy: Zoning: Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &. Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1184 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/13/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: 713-00113855 Exp. Date:05/01/2007 Contractors License Law.). (This section need not a completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 12/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 12/13/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 12/13/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) E] Owner ❑ Contractor OR; ElAgent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address city State zip BUTTE COUNTY �. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 4:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 `. WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 165 SPRING CREEK RD Owner: Permit N0: B06-2836 APN: 028-370-039 GAGE, VIRGLE NEWEL & MA Permit type: MISCELLANEOUS P O BOX 1443 Issued Date: 12/13/2006 By KCG Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 12/13/2007 Description: CHANGE OUT HVAC UNIT (530) 589-3926 Occupancy: Zoning: GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINOS, CA 96055 (530)384-2444 Applicant: GALLAGHER'S HEATING & PO BOX 35 LOS MOLINOS, CA 96055 ' (530)384-2444 FEE INFORMATION Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Sect' n 7000) of Division 3 of the Business and Professions Code, and my license is in_tull force and 9ffecl� , 12/13/2006 Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by LLLJJJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713,0013855 Exp. Date:05/01/2007 (This section need not be competed if the permit is or once hundred ($100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation prcvisions of Section 3700 of the Labor Code, I shall forthwith comply with those 12/13/2006 ,Sigtsature' v� " - Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY L I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Building Garage Remdl/Addn Other Porch/Patio Total $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 12/13/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancyof any sidewalk, street, or subsidewalk. I hereby authcrize representatives of Butte County to enleriq, above mentioned property for inspection purposes. I hereby certify that I am the ops 6w er r auth rized to act o the props owns behalf. /l1, 11 i/' , �1')?'1 I ,�% ��/ !/12/13/2006 Owner 1:1 Contractor OR; Agent for Owner $Agent for FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES p�121�'IIT x BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BpQ OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** Name ARCHITECT/ENGINEER Address j „AddressCityLmffk) City Yes State Zip Phone Zi Fax E-mail Fax State License Number APPLICANT SIGNATURE . 10���' r office use only: APPLaTION Name C(,� j „AddressCityLmffk) Yes No '` Type Const. Zi Phone Page Fax E-mail Date Approved: APPLICANT SIGNATURE . 10���' r office use only: Zoning Flood ZoneSRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: uvr—M rUK JUt5111111 1 A KEQUIREMENTS U K:\FORMS\BUILDINO,FORMS\BldgApplSubRgmts.doc Page 1 of PROJECT LOCATION AP# Cross Street Policy Number WORKER'S COMPENSATION I 15 55 Carrs If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. I— LENDING AGENCY I Name Address Descr�ption,pr Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: bi �I &0 �3 Date: 12- 13 'V Amount: Bldg SRA Sheriff SMIP Other Total REV 8-12-05 . NOTES RESIDENTIAL 028-37-0-039 -GAGE p• 99-2117 PERMIT N1„ . irgil 165 Spring Creek Road, Orovilfe t (new swimming pool) AKS Const i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V = t3K Card B-1 Date Card B-1 0 = Not OK 1. NotApplicable MOBILE HOMES = Not Ready Footings; Size -Spacing -Marriage Line Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Tvpe-Installation Cert. 10. Exits; Insp.-Sketch 1'.. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rflrs.-Connectors iol*� _70, RAV PAC�k ted- 76 1_t Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements oils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. umb.; Cir. Test -Water Supply Test Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 iol*� _70, RAV PAC�k ted- 76 1_t /= OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rhr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ / Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration- Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access 0 G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date ,Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / 17 ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive') Yes NoMalks 0 Yes ZI No/Planters 0 Yes ] No 33. Clothes Closet Light-Shower.Light-Spa Light r• Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rhr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration- Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive') Yes NoMalks 0 Yes ZI No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ti. COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ::. 7 County Center Drive • Oroville, CA • (530) `538-7541 CORRECTION NOTICE --�1!`7 NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. A2 OL/,V/) PoaGL htv Iuiaz uV COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95,965 • Telephone (530) 538-7541 PERMIT NO. (Rev"12/96) APPLICATION AND PERMIT) ILi ASSESSOR PARCEL NUMBER ' 028-37-0-039� ZONING � `� BUILDING PERMIT OWNER 'x VTRGTT, r.ArP TELEPHONE SO FT. OCC. BUILDING VALUATION FC . OWNERS MAILING ADDRESS 6 C NTri RFRK ROAn nRnv r 1 r QSQA J, v CONTRACTORS NAME AKS rONSTRUC O -' TELEPHONE 671-5-13 a CONTRACTORS MAILING ADDRESS P D JUX 96, WTTJ.TAMIq r 9rQA7 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER WN n R PnTNT) ' LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $t BUILDINGADDRESS 165 r EM RnAn v R Energy Plan Checking Fee $ $ - PERMIT FEE $ 361.55 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New"jp Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SWIMMING POOL, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8PSINOWGERLE C7 O License Class I� ,�' C5 '� Lic. No. 5A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEUJNG occUP. OR ADDNS. ( 6 ACC. BLDS. so 3.50FT. NEW T. gESID. =T.,CI CUITS T @7.50 TUS APPARAUTLET CIR. O EX. Occup. OUTLET OR FIXTURES zo Q ,,00 BAL @ .50 FlXED APPLNS. . OR Ex. Occup. ouTl�s RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ( e f -v -1 / Policy Number 4 "k, I - 9S7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � 5 ( ��� / X _> Date _ Signature of Applicant - ❑ Owner ®'Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling*' Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 39.55 TOTAL FEE $ D.✓ FEES IMP FLOOD „- CDF PARC PD .,.. HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B �A�''1r" Date y PERMIT EXPIRES ON I�i�2 1,1160 � / Date % Receipt No. 274096/439.55 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ,71� MIT NO. or (Rev. /96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-37-0-03 ZONING BUILDING PERMIT OWNER VIRGIL GAGE TELEPHONE '� SO. FT. OCC. BUILDING VALUATION 20,000 . OWNERS MAILING ADDRESS 165 SPRTNG CREEK ROAD, OROV11.12 95966 CONTRACTOR'S NAME AKS CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS P 0 BOX 96, WILLIAMS CA 95987 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 KI ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 55 BUILDING ADDRESS 165 SPRING CREEK ROAD, 0RO-1111—LE Energy Plan Checking Fee ' $ $ PERMIT FEE $ 361.55 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK NevKX7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe /Work: NEW SWIPVIING POOL MrtSTi{Z Sol -97 Gas piping system 1 - 5 outlets 15.00, Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE S 35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class (3 G s 3 Lic. No. S17 2 O I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pe sation insuran�(e carrier and policy number are: Carrier 5 TGt�-e, fL) -1 / Policy Number I — IN (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr9v6sions. /� p X _ Date "1 �-5 / Signature of Applicant ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. of Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( : NDµREOSIUT MULTI -OUTLET @7,50 8 POWESINRIE APUTLETPARATUS OOCIR. 20 @ 1.00 Ex. OCCUP. OUTLET OR FIXTURES BAL @ .50 F'ED APPLNS. Ex. Occup.ouTLETs REBID. OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE s 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 439.55 TOTAL FEE $ HAZ. D FEES IMP -„_V FLOOD I CDF PAR PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date z L Dete ReceiptNo. 974q J4 X 55 WHITE-D.D.S.-B.D. CANARY -A SEA PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ n _ n r S ZONING BUILDING PERMIT owNERVli /' (�A TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNERS MAAING ADDRESS 165 y5 fG p V N CONTRACTOR'S NAME (o,� ry c row TELEPHONE Y73-531 Y CONTRACTORS MAAJNG ADDRESS P0. 6 d tI Ilr »a5 C.f 7,59,97 CONSTRUCTION LENDER �:fmireplace LENDER'S MAIUNG ADDRESS Total Valuation b ARCHRECTORENOINEEA LICENSE NO. zgllao Filing Fee b 20.00 Permit Fee b ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b BuaoINGADOREss Energy Plan Checking Fee b b PERMIT FEE $ , s' LOT NO. SUBDNAM ISIONSNE PARCEL MAP PLUMBING PERMIT Filling Feel 20.00 SF • Duplex ❑ USEOFSTRUCTURE Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water in 15.00 Each gas water heater or vent 15.00 New ❑ Addition Describe Work: TYPE OF WORK ❑ R m el ❑ Utilities [3Installation ❑ Other Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS I GI W 1 @20.00 PERMIT FEE f •Qty ELECTRICAL PERMIT Fling Fee 20.00 1100V OR LE Main Service p A OR LESS 23.00 X Uindicated Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINO OCCUP. 3.5Q�, OR ADONS. 8 ACc. BLOB. NMRNS . MULTI.OUTLET NMREs10. @7.50 F)r APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL ®t.00 Q .SO Ex. Occup. OMD g61D °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE S Mobile Home Installation Fee b Energy Inspection Fee b occ CONST. TYPE TOTAL FEE; W, S—S"— IIAZ. p, FEES IMP fLOOD COF I PARCEL I PD HD I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON pa r0 -J.+'•.l� � '�"d%�`+�*�"fPf`'�y.i�-.� t`�na..?.TM�rfti`�'�7��,C„"'"�t�`r: �T�" r*i'i.-r�"yf�'1t"`a`�;"''�'��,.; Ji7�"t��ta1L'( '�i��4 `��-+ i, il, "�iP�.,,- •PLs..rt 'f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: 11 ((L , L ASSESSOR PARCEL ? -76 - q Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans.-- ��/- - f---�-1------- �`- �'Z�� d S 03. Complete plans, 3/4 sets, signed by the preparer 4plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- ------------------❑10. 1110.Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- L/ Sanitation and plot plan approval j Health Department. ------------------------------------------- ' ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ---------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------- ------------ E125. Recorded copy of Agricultural Acknowledgment Statement. ----------------; --------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ----------------------------------------------------------- a --------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑30.Other: ------- Whn you issues the � permit, process as follows ❑ Mail to owner,eMail to contractor. UTelephone t- / 3 - C-3 t Ij and hold for pickup at office. ❑ Deliver with inspector. Applicant Date: 15 Copy of Haz-Mat form sent o Health Department, o Fire Department, ❑ Air Pollution Date: Bv: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: Date: Bv: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter, by Date: " Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. i TO: FROM: SUBJECT: I Building Department Environmental Health Sanitation Clearance c E.H. USE ONLY Plot Plan Attached I ► Floor Plan Ached Sent to B.D. — / l),P,G iL- gimst /6s sP2inGC�"U Z� -2-an Owner Location AP# Plan Approved for: SewageDisposal Water Supply: Public Private Well-"\ Clearance for dwelling. Other 0S fes. C_ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date Building Permit Number: 99-2117 Owner Name: Virgil Gage Butte County Plans Examiner: Glenn Gibbons FILE COPY Residential Construction Requirements EAPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, ❑ H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. BUTTE COUNTY BUILDING DEPARTMENT APPRObEvp` Page 1 of 2 .w Building Permit Number: 99-2117 Owner Name: Virgil Gage Butte County Plans Examiner: Glenn Gibbons ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: ■ All structures and equipment including overhangs shall be clear of all easements. A setback of 10 feet from the side and 10 feet from the rear, property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ❑ Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 "no GZ 1TME ; �: ^�.' t, ti "w. t : -2 >s+ , z]• s• a•/ -f f� 4-3 �• 7• , 2 7• s e a•,?]• S e z t, a]• s 67 0 l 7!• S O) O, x]• s 0 t e , z l• s e a• I z]• S e 7 e, a]• S• 7• t• f -• e• 7• 1 7 7. s• a• I f a• s• 1• 1 f a• e• lot t 7•]• a • l *3450 a• POOL GENERAL SPA GENERAL - • SPECIFICATHM SPECIFWATIONS e I T_' i_. J . } /t _. _ ..-_--.._..._ x _ f�IZIILiAAiAOoE.mj a aD fel]IVFE, Lc►.4 i 7— poll! ,.r` a•,Dow.c - a •i•• • ._ _ ' _ .. - . .... .... __ _ . _ 9M JE'IR tat. POM CAPPCN e' - - ' -- - _— i , �- RICER V am is a11a ulE - e 2 _ _-: _ _ _. _ i.. _._.. r / _ _ —.T _ I _ _..._ Yl' fil lt1E apt x Tit -j—r - - --=--.ice_- ' G �i l� - - -- i 1 _ wm WAVE . _ _ - - I i ] - -- - - - • 1 ue)oec am _ , 1 { i • __�_.. y.��._... ._.._.. -.._.. .-._..__... .._._. _—.-_._. __. .__._�- _ __._.--_... _ OAaOI>E FT: SaE• ) .. 11 n .. - olom Z�Q _ _. _. I -=- __ .: __. _ ., ... - --' _ - .. - -- - - - - - - ' r JOB NO. a FT MAP BOOK NO. e POOL CltwF/t LEGAL DESCRIPTION: _ % i _ 0 mmwmft 1 I —' j_L _� .. ---- - -• '---------- -'-i - - sono-� a — t --T- u7- �— Zo aDwoalsooRls • sw�r s' foo ' . I .� 0 5 A - -._`� - --•'-----�-- -- - - •- - ----.._._. - -•-- ---�'_=_` _.--------- _.... .----• -- -- - wr TRACT NO. _ _ — j elnE • �. e _---_-- t _ _ •-•--'--'--- _-.. _ _. __.. _. ! -__. _.-.,!-�-.. - - BOOK_PAGE_BLOCK_ e i . ' -- - - t - - ---- -- . - ---- -1 - -- j - - - j ESCROW CLOSE ' - •It - - - - --- -"- - E-- ---.,A - -.- -- i ---- - - -�-�- . I .. - - ane PLUM ❑ YEs ❑ No TENUmVE DOG DaE _ ; •, __ } 2"°P --'- — I _ I _ .._ _ OWNER: ----- , ; sn Fr DETERMINETO • s __ - -- --'- — - - -- DEalrvre e __. .,. __..� ! _ - _.._-.__._.___._.�_ _. O _ _ ' _. " ___- ,APPROKIMME ELEVATION OF NOT--E: • - -� -.� r.-_._ __ . ! _ _ _ . -.-.1 I I I , I OM ®OE EXCAVATION - a 1 I t POOL ON DAY OF _y • �.__..-..- --..- _. . _ --.__ -__.. _' ..-'-__ ___ .__...._ .. --�. _ _. ._ _.' _' _. __ Drum By DRE POOL AREA TO BE FENCED• e i . I ! ' ! i _ . -' _ _ I BY OWNER PER COUNTY OR CITU t See tlie�a _..__ , _.._ . . __ ... __- I_ . -_ .__. . ---:. - _. _ . _ ... -��`� }}}} ~�. _ _._. R - ORDINANCE. GIBES TO BE SELF t 1 /_ ,( �-/_ _ - - .�O`, S' �. _ .. __ + _ jOn 1 -----_ �n �' - CLOSING AND SELF LATCHING. z _. _ ] ..__ .:_ _.. _... _.._ .. I. ��� —_..._ ,y,_: __ .- DO NOT TURN ON POOL LIGHT uiremFlts _ o A ' 1 , WHEN POOL IS EMPTY. ! i 6CwE POOL OR SP - _ --t= ---- ... E1 eC�r IL a o opo ' +� i -- E]c AOOIE44 i .r unEssOnlEnwlaE �c _ _ _ _ _'_ t _ Poa tl e,uumw W of 2 r J,1 a e R _ —�=-------.�_._._ -- - ----_ i =-ry '-- I,WE RELEIVED A COPY OF _ • _--_'___..___.._... _ ` C i�,I j .• --' ! - PAPPROVE�POOLLAND s \I G 5 96 EOWENT LOCIaION OROS BTREETa _ e •'r'1�'1 e__._--•�-_-_... .- - ._ _. O I 1 ._ _ _ .. .. _. ..... T..�_�..__.._.F. , I ! e i ! t -�"ISM PHONE O ^ 1 - -�y I I -1 u 1 s; i m i ' ] - I � 94-RUCTION, INC - - - _--------- � � o � -r SRU 4-4 , � 9 P.O. BOX 565 - . WILLIAMS, CALIFORNIA 95987 1--- z - _ (1) 473 ) 473-5393 � 9 8 -2730 FAX (916 ]z Lic. #582021 lk 4 RESIDENTIAL :z !'. 28-37-19. 2620-91B,P,E,M GAGE, Virglo .1 -71' -Spring Creek Rd, Oroville (new sf) ..JOB FINA Signatur p J=OK O=Not OK = Not Ready =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connecters Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete M 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date m Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 - 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed . 9. Exits; Insp.-Sketch i 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connecters Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed . 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval r 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 V=OK O=Not OK =Not Applicable Not Ready RESIDENTIAL (S ' =� Date UNDERFLOOR (Plans) OK except ft's i� 1. Zoning -Setbacks- Ease ments-Flgod-Slope Leo2. Ftg., Main; Soils-Elec. Grnd.- ' " Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-1 Ftg. Depth V ��✓ 4. Ftg., Porches & Decks; Soils -Steel-/ tg. Depth j 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped VIC- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a, Hold Downs and Special Anchors , n Steel -Wrapped .V.; Fall -Fitting -Test -2 Way C/O -Sewer VnvO. UF. Gas Pipe; Size -Anchors - yarXXs piping: siert - A1411' Water Pipe`Test-Anchor-Regulator-Service Test _ tenums & Ducts; Clearance -Material -Support -Ins. yrs -Sills -Anchor :cess & Ventilation sulation a_ Date \- jO,6q-card B-1 \-tt�j Date Card B-1 DateLV-1,6_910 Card B-1 .(� --Date Card B-1 Date ' -_P6U.MBING (Permit),OK except ft's r Htr.: Vent -Access -Combustion Air -Baffle �Pipe_Test & Anchor -Nail Protection — V.: Test -Fittings & Anchor -Nail Protection ter Pan: Test, First Floor -Tub Access _ Tub & Shower. Second Floor -Tub Access Gas Pipe; Size & Anchors , Card B-1 Date Card B-1 -Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's -- 22. Fixture & Transformer Clearance -Ins. Protection 3. Elec. Receptacles Spacing -Lights & Switches at Doors _ 24. Size Boxes & No. of Conductors -Stapled ----------------- ------------------------------------------------------- omex Installed Close to Edge of Studs & C.J. --------- --- ------------------------------------------------------ 26. ip. Ground made up w/Mech. Fastners-Bond Gas & Water ------ - ------------------------------------- ------------------ ppliance Circuts in Kitchen & Conductor Size/GFI --------- ---- -- --- --.................. ---..... -........ -............ 2. 8. Slieed Wire Size / i ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al, ------------------- - --------------------------------------------- 29 Rang� rc ! t ga Cu or AI -Oven Circ. / / ga. Cu or Al. Sated Neutral ❑ Yes- — ❑ No - - --------- - - --- - ------- ------------- 30. Se vice -Riser Conductors & Ground -Main Disconnect --------..................... Equip_Clearances Panels-Motors-Mech. Equip. ---------�------------------------------ - ---- -- -- 32 Clothes Closet Light -Shower Light -Spa Light ------- ----------------------------------------- �2'J� Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. -.A. -C.- Ducts Insulation & Support - - ---------- 35. Ve Fa `h: Exhaust above insulation - - - - -- --- nden�ate Drain & Overflow: Size & Grade 37. F-urnance-Vent:-Access-Comb Air -Return Air-Vent--1-15-outlet------- -- --- - - ---------- --------------------- ----------------- 38. Attic A-ccess & Platform if Furnance in Attic ---------------------------------- ------ ------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------- ----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 9. Sils. Proper Material & Anchors _ - - �(Y /rVails Studs -Nailing Spacing & Bracing -Plates -Sound - 41. rin Walls over Girders & Floor Nailing --- ----- - --------- ---- 4 -'---aft-Stop-in Walls (rat proof) 43. F' tt,p Furred Ceilings -Stairs -Chases -Tub ------ - - ---------- ---- 44. Headers & Beam -Size & Bearing )�0 : 1 ingle & Duplex) Date FRAMING (Continued) ,45.. Hangers -Post Caps -Anchors -Connectors 46. Ing. Joist-Rftr. ties Purlin-roof Brac Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat clearance ffic Access; Size & Romex Protection -Draft Stop -Ins. Baffles v 49.49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---K' --@Magge Fire Protection Framing or perty Line Firewall & Openings 5 _-,EDoors-One 3' -Check Garage -3rd Story, 2 Exits -- 5 airs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. pvXood on Roof Overhang -Attic Vents -Rafter Outriggers Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 1 57. azing Area -Glass Protection -Skylights -Plastic -��ear Walls; Nailing -Bolts 5►� 9. Insulation -Walls -Ceilings Infiltration -Walls -Windows Daly ' G rd B-1 Date Card B-1 Da _ and B-1 a Card B-1 Date FI (PI ns) OK exce h's Lr4ijo Sidelig rotectio din lip �urnace; Ven -Clearance-Comb. Air -Connector- t In Gara , Above Floor -Ducts -Meth. Protection - - --------- - ------------- om_Exiting F.I & Bath Fixtures &Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------ 67 -star .------------- ire lace or Stove: Clearances -Hearth ---------------- le� O ets at Woo Panb1!1.& Exe; Gr Cookin learance P — - Elec. Outlets &'Rete Receptacles at Kit. Counter ------ 7 arage Fire Door: Swing -Landing -Closer 7$/A.C. Duct in Garage -Damper ------------------ - - - -- r tr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In arage: A__bove Floor-Mech. Protection 7 PIb. Elec. ech._Equip. List -for Lo � -- --- - : EI eceptacl/es�i'n_Garag _ L) ome_ tection Ins- on-Fd4Tm-Cooke in Attic es -- 76_.__Guar ails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth 9!,p4nce Looked under Floor ❑ Yes 80 -following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No i3 wn- . 'gh ----- A.C. Un sconnect Electrical, lumbi - is Above Ro f;'Plt nc e - lear ee tahtr o Openings - 8 i-- --` ell: nn a I, PluOiCrng - 0- c. Trim, F t'eplacle nd rg un --- - - - - --- -- ----- 8. ,entail'tion Throughout House d.-G� la rotectio--- ---- ----- -------- C -rection from Previous Inspections Gas -Meters Tagged; Gas -Electric ------ --------- -------------------- ------ 9 ter & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------- - - - - - -- -- -------- ---- - -- -- -- ----- ---- Date\ j _ J : �(� Card 8.1 _ - Date — Card B-1 Date ��$'�/{��;J Card 8-1 ate Card B-1 Dates/(L' 49u 6-1 Date Card B-1 Comments at Final: ' COUNTY OF BUTTE ;1 ; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES z 411 Main Street, Chico, CA - (916) 891-2751 ' 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine ins pection-indicates that the following violations of Butte County Ordinances exist at ` the above addres and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' F o 'tit Gcce—ljecre(e,44 (Axi .ti ' d +C � C ^/ ;A/ A.V % n, r _r �o Date Inspector REV 10/92 -:c COUNTY OF BUTTE ""- - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES; 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541'` CORRECTION NOTICE - 'PER A routine inspection indicates that the following violations of Butte County Ordinances exist at the ab ve address and should be corrected. Please notify this office when correction of work is comp) ed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 49 V Date /9- 22 Inspector�,:lo / REV 10/92 COUNTY OF BUTTE BUILDING DIVISION Y DEPARTMENT OF DEVELOPMENT SERVICES } 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE i OWNER PERMIT" NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the aboveaddress and Id be corrected. Please notify this office when correction of work is completed. If ave any questions pertaining to this matter, or need additional explanation, please cont this office immediately. O S4 fit -- Date 2/ ti) /ys Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 07 OWNER y PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT'SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 6-A&e 'r -e- 7 OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please coQtact this office immediately. Date Date Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION' F DEPARTMENT OF DEVELOPMENT *SERVICES 1469 Humboldt Road, Chico, CA r (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO.' A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected.. -Please notify this office when correction of work ' is completed. If you h4 -a yfi" questions pertaining to this matter, or need additional explanation, please conta is; office imme' i'atelly. / / (!' 8 � b / t/C/ 7:l F1 A4 V— Al Ktv i uiaZ COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at t the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont is office immediately. r t REV 10/92 Insulation Certificate BUILDING OWNER:_ L� cp- BUILDING PERMIT BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING Baa or Blanket Type Brand Name Thickness (inches) Thermal Resistance(k-Value) Loose ll TypeBrand Name ' Contractor's minimum installed weightl . - -lb Minimum thickness - inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) XEXTERIOR WALL Mater f Thickness (inches) RAISED FLOOR Material - Thickness (inches) SLAB FLOOR ... Material , -Thiekness (inches) Width (inches) FOUNDATION WALL Material - Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name l Thermal Resistance(R- V u_e Brand Name Thermal Resistance (R _Value) Brand Name Thermal Resistance (R -Value) . . I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the .. California Administrative Code. G ontraetor (B ) License Number' • - . . //h, i and the Date SuF_COn=ctnr (Insulation Installer) License Ntunber"' Signamm and Title Dau THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR: TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITS THE BUILDING. : JANUARY 1993 r r COUNTY OF BUTTE -.,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ,AND PERMIT PERMIT NO. ASSESSOR PAR L N MBER 028-37 8-370-a39 ZONINGr�- '_ -'A A5 BUILDING PERMI OWNER VIRGLE GAGE TELEPHONE SQ. FT. OCC, BUILDING V A ION 2508 R 127 908 f OWNER'S MAILING ADDRESS 1307 HOPKINS DR., SAN JOSE, CA 95129 864 M 15,552 CONTRACTOR'5NAME OWNER TELEPHONE 420 C 5,460 CONTRACTOR'S NAILING ADDRESS Fireplace A 1,500 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 150,42T- 50, 20NONE FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5660.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 280.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SPRING CREEK RD. OROVILLE Permit fee p $ 865.75 PLUMBING PERMIT Filing Fee 10.00 / Each Trap 121 2.00 24.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 r USE OF STRUCTURE SF u Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer5.00 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New FC] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4BR _ Permit Fee $ 54.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS • 100 AMP OR LESS 10.00 10-00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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 this reason NEW CONST. I DWELLING Occ OR ADDNS. ACC. � '/20sgft 84.30 MULTI -OUTLET NEW RESID.CONSTNC NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e\ SINGLE uR. / Ex, OCCUpt OUTLETS OOR R FIXTURES e20 AL030 FIXED APPLES. OR EX. Occup. OUTLETS (REST D.) EA.1 1 2.00 Temporary service 1 10.00 _ Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 106.80 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1`12 1 shall not employ any person in any manner so as to become subject "`' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 G AS Cooling 11.00 Hood 3.00 3.00 Ventilation 1 13.00 1 _3..00 Permit Fee $ 33.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Ilabi ities, judgments, costs, and expenses which may in any way accrue against aid Co my in consequence o the granting of this permit. ' C Date Signature of Applicant - OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for ex vations r�5' 0" deep and demolition or construct- ion of structures over 3 stories i fight. V Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00__ ILA CONsy YPE j� Iv TOTAL FEE $ 1089.55 AZ. EUA PAii l( sc T 11 F C7F PA PD I HD Is u This permit is hereby issued uroer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. R. TOp O UBLIC WORKS By I Date �//1 ` 6 PERMIT EXPIRE Date L ®`-1121_ / - Receipt No. 96875 /1578 � a� WHITE-DJ.W., YELLOW -ASSESS PINK -INSPECTOR, GOLDENROD -APPLICANT NEDFA COUNTY OF BUTTE - DEPARTME 'PUBLIC WORKS - BUILDING DIVISION -t k 7 COUNTY CENTER DRIVE - OROVIL•LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 • N `d, i -� �r\� PERMIT APPLICATIO�I.SHE_E, t Permit No. ) /Z OWNER V �' r P� Cot � o. A. P. N _ 3 -off Proposed Building Use Building Inspector rM Date At time of permit application, I was advised the following data, must be submitted prior to permit processing and/or issuance: �J' DATE RECEIVED APPROVED 1. All items have been submitted. ....... !`.... ................... 2. Plot plans in duplicate/triplicate, signed" rby preparer of plans........ 3. Complete plans in duplicate/triplicate'!signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form . ...............t..... .... ;.6. Energy Design Compliance and supporting documentation ....... . 7 S _ _ment of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ..................................................... 10. Fees of $ ........................ 11. Chico•A Urban Area fees paid ....................................... 12, ark fees paid ef_ School Distri fees paid .............. ' ` 14. Sanitation approval from C -0 y i P , Health Department 9 9, 1 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18.- Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspe°. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ..... � 4 24. Recorded copy of Agricultural Acknowledgment Statement ......... —( ,5. Letteh of signautV�pprizati n . .. .. .. ' X26. SCA e � .1 I^-tur rQ � �� �r la( �, fid, A + tc /v -, iS tvtp 01hen you issue the permi proce s as follows: Ma' to owner. Mail to contractor. Telephone nd hold or pickup at U(�0 office. Deliver w/inspector. Other J Applicant ' )ate -7 0? Copy of Hdz-Mat form sent Health Dept. Fire Dept. _fir Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior ermit i s ance:Circle ne it not c ecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer,ow was advised of above required data by_phon _counter b e Contractor, des Ig r, ow ri as`dvisgof a6�v�r��ird data by—phone—mail—co nter date Plans checked by Date �'%/ / Plans approved by J DateP-Q f Sets of plans on hold in File cabinet AP folder Copy—DPW TO euildina Department �1 FROM: Environmental Health SUBJECT: Sanitation Clearance - O r Loca ion AP# Plan Approved for: Hold final for: 'Pi al clearance O.K. for: Sewaqe Disposal Water Supply ey n Clearance for bedroom mobile ome. Other NOTE * * * Sanitarian Water Supply Water Supply Date RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F. , - DUPLE. &MISC. ONLY) Bldg. Permit #_ Z(0060- 9 014NER �i��7� A.P. # 29- 37- Z9 GENEPlan Checker /l/G R oning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. 5�xiing iolations on property. t Items X data sheet. (W.C., fees, Health, Developer Fees, License law, etc). �-- ed notice of violation. omplete parcel size and dimensions. Setb sideyards, easements, etc. her. ildings or structures. ading, fills, drainage. �5��Flood hazard. Special conditions -on creation map, (noise•,�CDF,,.f�re,sprinklers, non-comb- ustible, and foundations). 7. AU & FAS road setback. 8. B 'lding or utilities across lot lines (Record form). FLOOR PLAN , Complete to scale plan. -with .dimensions. ?/ eequired windows for light and ventilation (Sec.'1205). 3'! Required windows for second exit (Sec. 1204). 4 ights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). i„ �e*quired room sizes, ceiling heights (Sec. 1207). !/s in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main - ten of mechanical equipment. ' 9 ocations of water heater, heating and cooling equipment, other electrical or ga a uipment. ge firewall, door size, and closer (Sec. 503(d)(3)). 1 310" exterior exit door (sec. 3304 (f). lY. F�i�eplace and wood stove location, alcoves, and clearance. t IU oke detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Y Standard bracing or engineered design (Table'25V) -2. Uifusual shape,,size,•or split leuel house requiring lateral design. .. erestory requiring balloon framing and/6r engineering.•. e story building••requiring gngineered calculations and plans. ten, Foundation plan complete enough to construct building. Moor construction details complete enough to construct`building. 7. Elevations and wall construction details complete enough to construct building 81-- Roof construction details complete enough to construct building. 9—place construction details and calcs if necessary. 1 fter ties or bearing ridge beam. arage door or porch header sizes. 1� ud heights. IS,., Adobe soils - special foundation design. 14.etaining walls requiring design. 15. S ecial Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 14""Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). or stone veneer (Chapter 30). or plaster - weep screeds (Sec. 4706). doper roof pitch for roof convering (Chapter 32). 6 Roof covering type - (fire hazard). m nsulation - protection. 84"*' 36" halls and stairways. area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. �'caccess s on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 . A and ventilation (Sec. 3205). 1 derfloor access and ventilation (Sec. 2516). 1�! Co ustion air for fuel burning appliances - L.P.G. requirements. s requirements on duplexes. • Energy design. B 10r-F-1—ashing at all exterior openings. ' ACDF responsible area requirements. s/Zy% _ r�D Uv �,N �Y - -GC A-1, �M ()ZOO F 4 DVPGICVI w '�2� S o� �1� —Ic 60-r- i of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 91-31904 I I Rec Fee 7.00 1 Cash 7.00 1 I I I R 2 Butte County has established agricu.l- agricultural purposes, and residents prepared to accept such inconvenience All that real .property.' -situate in the County of Butte, State of California, described as follows: '5<fE Date: .0 State County PROPERTY OWNERS: Vol of On this the, day of --A SS. undersigned Notary Public, per o f ) , / I- /i c 7NOTARY IAL SEAL Personally known to me..�; Proved to me on the basis L CARTER of satisfactory evidence, [10: LIC -CALIFORNIAL CO CAYo be the person(s) whose name(s)xpires MAY 13, 1992 subscribed to the within instrument and acknowledged that �A xecuted the same for the purposes therein contained. IN WITNESS 1680.E Qtv4 CA WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public :`.'eturn .to DPW AGRICULTURAL STATMENT OF ACKNOWLEDGEMENT rpt a' FOR RESIDENTIAL DEVELOPMENT Sectibn 26-8.1_ of the Butte County Code requires this acknowledgement be- recorded prior to issuance of a building permit. 91-031904 The property described herein is .adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 9:31am 5 -Aug -91 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 91-31904 I I Rec Fee 7.00 1 Cash 7.00 1 I I I R 2 Butte County has established agricu.l- agricultural purposes, and residents prepared to accept such inconvenience All that real .property.' -situate in the County of Butte, State of California, described as follows: '5<fE Date: .0 State County PROPERTY OWNERS: Vol of On this the, day of --A SS. undersigned Notary Public, per o f ) , / I- /i c 7NOTARY IAL SEAL Personally known to me..�; Proved to me on the basis L CARTER of satisfactory evidence, [10: LIC -CALIFORNIAL CO CAYo be the person(s) whose name(s)xpires MAY 13, 1992 subscribed to the within instrument and acknowledged that �A xecuted the same for the purposes therein contained. IN WITNESS 1680.E Qtv4 CA WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public RECOROING RECUESTEO By ANO D�WHEN RECOROED�MAIL TO�� Nam V/ AOUMM Ctv s.: l0A fly 2.2; 91-039135 I Recorded I Official Records i County of i Butte I Candace J. Grubbs I Recorder I 9:48am 23 -Sep -91 I Deed of Gift Rec Fee 9.00 STF 2.00 Cash 11.00 JJ T is Deed, made the ................�T. T ........... day of AAA. <-H ................ one thousand nine hundred and .... .......... , Between ..............., .1?./.t,�......%"/(................................................. ............................................................................................................ .Grantor and ....................... j 4, .....�� " ! L ....1: '!�. `........................... . .................................................................. , Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which, "Rd ham./.,l/./.. has . for the Grantee, do ///./. by these presents gift, give, and grant unto the Grantee, and to ...Hi 5 ... heirs and assigns forever, all ................................................. thE..... certain lot-.$.. , iec�...... , or pa I.. :.Ii�of land situate in the : ............... .7... - 11 .W .7 / ............. County of ...A34* T. I:L .................... , State of T.. nwt 1/7 r tM —1. 1/2 .. tM 1.t. ...1 t/2 - At- 6-110 1/• a. and bounded and described as follows: tM fit..... l/... 01Ya. 1.rra.1M. r YITM . Hyla M war rw s ual llar ..r THIS IS AN AMENDMENT TO A "GIFT DEED WHICH IS UNDER RECORDED NUMBER 91-09822 DATED 14 -MAR -91 AT 10:03AM. THE PURPOSE OF THIS AMENDMENT IS TO REMOVE THE STATEMENT "FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged," B.tl Rwa.y X_.1 rtw.r.a <rRr er W W B..11ra !. i..rM\ t• 1o1.trlr ./M aM nrlr I.l .wrtr .. • B..t\0t IIM a CM..l tr a BrrU.w.{ .-...wa • [ rrtn...a c.rR•G....t .• ..t• D.{t&— . .o. tMItALM T�T. rl W Y. r r..B Or.......r . •WINA .. I—A .D1—•.an. •war IIM Mea l....tltaw@1 r.wt\r, W t.. elwarll .1II.t1M R.r I.. atBT. Na. — wa.n, It— M Bwt\a . 1--,. 18 r.f... R.R.. ! a..t. R.D.B. Y R.1 tnOK 1..r1Y .Ivy tM ....trlr IBM of ..\. B.ttltw • t. t" Rr%-. C�..r . W {W tlw.{ W✓lr .t Wt/ •.at1 ♦o rr tM .M a1 w <warllM. LOW IF.: YITIO .'lone W rr /r r..B ••. MI/.. Ic..1trMI 1—t 1/..r YI. Y.tly tM Y.tn IIM 0• Y\. M/M 1/2 .♦ 1— nrt. In M tR. YrinY.t 1/. e• tM Mrtlw.t 1/. W W. .rrl.M.trlr CSR' a w. ..r..a w t.. -9 -t MI. -"I .• w. Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. ; To have and o hold the said premises, together with the appurtenances, unto the Grantee, and to .....! S..... heirs and assigns forever. n" oon~ r ortl • QB11rr to.111. nc n rmv DB poor for UM n 301100, Il.rr.tIN" No an np a" scm o. r .R.ItoBo to BCL L • aaloBM" IDr Ry •DK.y Of M BnonyP. The 111. - 00" r+ol rn ow rBnBlrRl. vow .t s@II O anaDB.t, Y to VW Ipr r..ORt d aft DrMr W or IM aa1.BWp Of DI..B tonna aR am tD.tTIR trIVISOMM h �6 In W1trieSS Whereofthe Grantor, has ............. hereunto set . ................... i i I ...... the day and year first above written. Signed and Delivered in the Presence of 4-4 C STATE OF CALIFORNIA On this .......,1r. 'T ....... day of .. .. . .................. . in the year �f 7�� ............................................. before me COUN'T'Y OF . ........... ......... a Notary Public, State of Californiat duly commissioned=d sworn, perso ally ap ared................................. i ................................�i personally known to me (or proved to me on the basis of satisfactory evidence) to be I the person. whose name..�r'`-........................................... IL subscribed to this instrument, and acknowledged that ......S he ........ executed it! IN WITNESS WHEREOF I have hereunto set my hand and affixed my official) OFFICIAL SEAL al in the. County ofil': PATSY L CARTER ........................... on the date set forth above!'., -per: i +•• I NO?! :.;� CALIFORNIA l 'in this certificate. C. • 'E COUNTY y cc.^.:m. expires MAY 13, 1992 1680 Qcat" Q 9SM L��G'�`� Lei✓ Notary Public, State of Californiai My commission expires S ��� Escrow No. .¢ . Loan No.� ,a (Y E WHEN RECORDED MAIL'• T0: � A1p� J U / o o 7 /l-�,� Z MAIL TAX STATEMENTS TO: pp 91-009922 -:09 V 1 2 Rec Fee 5.00 Cash 5.00 Recorded ; `Qffficial Records County of ; Butte ; Candace J. Grubbs Recorder ; 10:03am 14 -Mar -91 1 XX 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOMNENTARY TRANSFER TAX $L....— .......Computed ►...............Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value Ila Ilene or encumbrances remaining at time of safe. 519nature o DoclWent or Aunt determining txx - Firm Nano . 1; 1 F T, -D lni ED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 'AUCYIE Z. hereby GRANTIS) to v UZ, l2-, LC— N E—W EL GAGE the real proS1J-rTC— ty in the �� County of ,, State of California, described as The West 1/2oftheNorth 1/2 of the North 1/2 of this south' east 1/4 of the Nort Bt 1/4 of section 5,_Tow_nshlp�lB' North, -Range ;5' East, Mount Diablo BasYe" arid'"MaritIM, containing --5-acres more or less TOGETHER WITH a right of way far•road and utility purposes over a strip of land 20 feet in width, the centerline of which is described as follows Be2inrirg at the Northwest corner of the Northeast quarter of the Southeast quarter of,Section S, Township 18 North, Range 3 East, M.D.B.& M.l thence Easterly along the Northerly lino of the Northeast quarter of the Southeast quarter of said Section Q and the northerly line of the Northwest quarter of the Southwest quarter of Section 4, of said Township and Range to the Northeast corner of the Northwest quarter of the Southwest quarter of said Section -4 and the and of said center line. Dated STATE OF CALIFORNIA COUNTY OF On 41-14 before me, the underalgl(edary P�I� In and a said State, per- sonally er sonally appeared.,��!/GJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Were subwAbed to the within Instrument and acknowledged to me that he/she/they executed the same. WITNESS my 4e an¢offlydal seal //,%//'�rfi/`:ties; a► OFFICIAL SEAL PATSY L CARTEI •1p IJOTARI P!.I^L-C • C;%L11:URN1A BUTTE COURTY My comm. expires MAY 13, 1992 1680 LkMl14 OnvW4 G VJ0 (This ares for oHklal aotertal wl) ENn nr krw%N,PRv- tom 1002 18/821 ALSO TOGETHER WITH a right of way for' road purposes over a strip of land 60 feet in width, the center line of which is described as follows) Beginning at the intersection of the centerline of Sweden Flat Road, as the same existed May 24, 1967, with the westerly line of Section 4, Township 18 North, Range S East, M.D.B. ` M.f thence Northerly along E S,0 the Westerly line of said Section 4 to the Northwest corner of the O� Southwest quarter of the Northwest quarter of said Section 4, and the L 0O �2 and of said centerline. k, G IMP ALSO TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 foot wide, the southerly line of which is LU020 described as follows 11IL * Beginning at the southeast corner of the North 1/2 of the North 1/2 of at�\ of the southeast 1/4 of the northeast 1/4 of said Section 3 thence westerly along the south line of said north 1/2 of the north 1/2 of the southeast 1/4 of the northeast 1/4 of said section S to the southwesterly corner of said parcel and the and of said right of way. Dated STATE OF CALIFORNIA COUNTY OF On 41-14 before me, the underalgl(edary P�I� In and a said State, per- sonally er sonally appeared.,��!/GJ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Were subwAbed to the within Instrument and acknowledged to me that he/she/they executed the same. WITNESS my 4e an¢offlydal seal //,%//'�rfi/`:ties; a► OFFICIAL SEAL PATSY L CARTEI •1p IJOTARI P!.I^L-C • C;%L11:URN1A BUTTE COURTY My comm. expires MAY 13, 1992 1680 LkMl14 OnvW4 G VJ0 (This ares for oHklal aotertal wl) ENn nr krw%N,PRv- tom 1002 18/821 I"*'BUTTE COUNTY SCHOOLS DEVEIOPMENT PEE CERTIFICATION FORM (One Form per Building) A.P. Number ap.. "� Building Department No. 'School District OCO. tile nj City D County rV1� Jurisdiction Property Owner Project Locati Subdivision ' LVL LVU1LliJCi fle, Residential Development: �� Sq. Footage # of Living MHI Addition (Group R Units 1. _ _ +1.. rl�.-1 .Y' „r .J�7 f'y ,., F'Y• Commercial/Industrial': ' Sq. 'footage New Addition (Including Exterior Roofed Areas) P/;9 9 Bui'ldi g Depart int Representative Date (Floor Plans reviewed by School District Personnel) District Id No. �31� School District certifies that Applican Name) (Phone Number) (S eet Address) A �y /lii j,i1rf ' ... _� .".1• -+— - s .'u+, 'l L'a' .-.. .;� ;.1. �> .s• y i.. `tj% ' V`:+-�. r (City) City) 4� y' R'(State) `^'�(Zip Code) has complied with the requirements,of Resolution No. f 9o- 0 by the p yment of $�,�9���� y representing g' square feet.' School Di ct Reprdsentative a e. PAID BY CHECK N0. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) - r_ . COUNTY OF BUTTE 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 DEPARTMENT OF PUBLIC WORKS 440 -OC August 7, 1991 Dear Mr./Ms Attached is the completed Owner -Builder Verification form that you requested. Along with this form was a request for a letter authorizing Sadie Tucker to sign my permit application. Below is the statement for authorization. "Mrs Sadie Tucker (my mother) is authorized to sign any permit applications pertaining to the construction of buildings requested in my name. This authorization is for any and all permits previously applied for and future permits that may be required. This authorization is to remain in effect until removed, in writing, by myself." I hope that this information is acceptable to your office, and the permit issue process may proceed in a timely manner. Thank you for your assistance. Respec y g . Gage 1 Hopkins Dr. San Jose, Calif 95122 COUNTY OF BUTTE-.Department.of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may pro- tect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your bene- fit and.protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ' If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There maybe financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under,State Law,.contact the Depart- ment of Benefit Payments and the Division of Industrial Accidents. . If the structure is intended for sale, property owners who are not licensed con- tractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner .is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contrac- tors State License -Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verif ication_is returned. JFG:dd Enclosure Very truly ours, J.F. Glander Chief Building Inspector NOTE: This Owner -Builder Information is sent to you as required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,.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. I personally plan to provide the major labor and.materials for construction of the .proposed property improvement (yes or no) ES 2. I (have/have not) v signed an application for a building permit for the proposed work. &Ue 6xx, /Lir1i/ 3. I have contracted with the following person (firm) to provide the :proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person. to coordinate, supervise, and provide the major work: Name %3d2Tt5-si'W Address P. o• 60 City &t pye Phone q14 - Contractors License No. 35' 5. I will provide some of the work but I have contracted persons to provide the work indicated: Name Address . •I _Phone Signed: Property Owner Social Security Nu?Ke Date 7 (hired) the following of Work 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- i 0 .s sG.�yt h�er .t . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. d 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541- APPLIOTIUN AND PERMIT r ASSESSOR PARCEL NUMBER 028-37-0-039 ZONING A5 BUILDING PERMIT = OWNER VIRGLE GAGE TELEPHONE - S0. FT. OCC. BUILDING VALUATION XSTXXX IST RENEWAL OWNER'S MAILING ADDRESS 7 H PKINS DR, SAN JOSE CA 95129 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee Al F E E $ 280.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 169 SPRING CREEK RD VILLE Permit fee $ 295.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 1ST RENEWAL OF BP#2620-91 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAYV I declare under alt of perjury p y p l y (check one): —� isions of C ❑ I am licensed under provhapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for is reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 20 Ex. Occup. our ETS IPRESID )REA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.001 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undf penalty of perjury check one): ❑ The permit is for $100.0 va ua ion 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. Notic to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agreVIo save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s id Co In cons ence of the granting of this permi Date $ignatur f Applicant — net Contractor ❑ Agent An ion O struc urestts re over no red dor eheght ions over eep an emolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 295.25 HAz 1 11 111S I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the tte County Code and/or woZindid b for which fees T R OF PUBLIC By PERPERIMT EXPIRES Date 10-16-93 applicable provi- resolutions to do have been paid. WORKS Date 10-2e_9 Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 03 °. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER"VERIFICATION Attention Property Owner: �_ �' ti :k An 'owner -builder" building perp t has been applied for in your name and 'bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor an aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City — Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 19,911) Social Secur/�ity er Date /0 /moi 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 - DEPARTMENT OF.DEVELOPMENT SERV - UILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Tele on 19 6) 538-75419 r RMITNO . f APPLICATION AND PERM ASSESSOR PARCEL NUM6ER 028-370-039 ZONING A-5 BUILDING PERMIT OWNER Vir le Gage TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1307 Hopkins Dr. San Jose 951291 2ND RENFWAL CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ i Fee $ 280.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT .FEE $ 300.25 165 Spring Creek Rd., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFJ] Duplex ❑ Mobilehome ❑ Other New Single Family SPECIFY Gas piping system 1 5 outlets 15.60 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel C1Utilities ❑ Installation ElOther IXPERMIT Describework: 2ND RENEWAL OF B.P. #2620-91/i (1st Renewal was B.P.#92-38'17) FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service200A OR OR LESS I 200A 23,00 Main Service 200ATOI000A ) 46.00 - NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. I S0. 3.5, FT, CONTRACTORS LICENSE LAW I declare under plty of perjury (check o ena ❑ I am a licensed under proves ons of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) XI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis rJaybn NEW CONST. MULTI.OUTLET -NON-RESID. ' BRANCH CIRCUITS I @7.50 ' POW ERAPPARATUS ) &SINGLE O UTLETCIR. Ex. OCCU OUTLET OR FIXTURES P• � I 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare and p natty of perjury (check one): Cl This permit is for $100.001—UNIT905777ress. ❑ 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 in any manner so as to 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 1 certify that I have read this application and state that the above information is 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 enter upon the above mentioned property for inspection purposes. 1 also agree to ave, in and keep harmless the County of Butte against all liabilities, jud ents, costs, and Vpenses which may in any way accrue against said County 4,nce of the anting of this permit. X i Date Signatur fant ner O Contractor ❑ Agent An 0 A permit is re ul d or excavations over hep and demolition or const uction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 300.25 Z. I D. FEES I IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By J�J G17 Date Ll 10/16/94 PERMIT EXPIRES ON (Date) Receipt No. / � WHITE-D.D.S.-B.D. CANARY�ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT NO. APPLICATION AND PERMIT Ass"TYARcTr—aER039 �IG,,�IAGE ZONING A-5 BUILDING PERMIT OWNE"VIRGIIE TELEPHONE SO_ FT, OCC. BUILDING VALUATION OWNEWfOL opIEfins Drive, San Jose, CA 95122 CONTRACT R'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee i J Dql $ 280-99 ARCHITECT OR ENGINEER LICENSE N0. gi Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 165 Spring Creek Road, Oroville PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 " -Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CXDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK ,. New ❑ Addition CI Remodel ❑ Utilities ❑ Installation ❑ Other W Describework: 3rd renewal/2620-91 PERMIT FEE $ Cont rector ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 2nd renewal/93-3532 NEW OCC ORADONST 1 08EACLLIC BLDSUP ) 3.5CSTI. NEW CONST. MULTI.OVTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 11'' _ ONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions o hapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) XI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 8 SINGLE OUTLET MR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occup.FIXED AP"S. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ORKER'S cnnevFNSATION INSURANCE I declare under penalty of perjury (check Onel: ❑ This permit is for $100.00 (valuation) or less. ❑ 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 in any manner so as to 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 S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 said Cq c nsequence of the gr ting of this permit. Xllate Signature Applicant - ❑ Own O Contractor ❑ Agent An OS' permit is required for excavations over 5"0" deep and demolition or constf ction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 300.25 HA2. I D. FEES IMP FLOOD I CDF PARCEL I PO I HD I I U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Adz Date 10/16/95 PERMIT EXPIRES ON !Date) LRe,eipt No. TE-D.D.S.-B.b. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,r 7 County Center Drive - Oroville, Galiforflid 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-37-0-039 A-5 ZONING BUILDIN ERMIT OWNER VIRGIE GAGE TELEPHONE SO. F1-. OCC. BUILDING VALUATION OWNER'S MAILING ADD4ESS 1307 HOPKINS DR SAN JOSE, CA 95122 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Tee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee 1/2 ORIG,FEE $ 280.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 165 SPRING CREEK ROAD PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water pipping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: 4TH RENEWAL/2620-91 — (3RD RENEWAL 94-2749) Mobile Home ISI GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service / e00V 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. f� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONS'. DWELLING OCCUR OR ( 8 ACC. BLOB. ) so. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 Ex. Occup. FIXED APPLNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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 worke ' compensation provi.; s of section 3700 of the Labor Code, I shall fort ith com ly with those visions. X Date �O S _ Signa ure of pplicant XO%nY ❑Contractor ❑AgentAn OSHA mit is requirr excavations over 5'0" deep and demolition or construction of structu s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 300.25 HA2. I D. FEES I IMP I FLOOD [7GF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. D BY Date pp (Dat Receipt No.PERMITEXPIRESON - WHITE-D.D.S.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major �Ilbor and materials for construction of the proposed pronerty improvement: Ped NO ]. 2. I HAVE[ ] HAVE NOT[ J an application; -for -a building permit for the proposed o k. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUIV?fiER: � DATE: /0 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 1. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial. Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. ' Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. SinrereI Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER r I-- 1 r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r4 County Center Drive - Oroville, California- 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-370-039 A-5 ZONING BUILDING PERMIT OWNER VIRGIE GAGE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1307 HOPKINS DR SAN JOSE, CA 95122 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee j r $ 280.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 165 SPRING CREEK RD � PERMITFEE $300.25 PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 5TH RENEWAL 2620-91 — (4TH RENEWAL 95-2517) Mobile Home IS I GI W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 500V OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 I LICENSED CONTRACTOR'S DECLARATION I herebyirm 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 unXe penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( a ACC. ) AD. SO_J 3.5¢ FT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (& SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES 20 Q 1.00 BAL 0 .50 EX. Occup. (OUTLETS (R S DS..) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION I hereby aff m under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g 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 (The of o "hundred dollars ($100) or less.) • I rtify that in the performance of the work for which this permit is issued, I shall of 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 worker compensation provisions of section 3700 of the Labor Code, I shall forth Ith comply with thos provisions. / X Date /�� 7/lA Signature Applicant - O ner ❑ Contractor ❑ Agen An 0 permit is required or excavations over 60" deep and demolition or construction of structures over 3 stories in height. $ Mobile Home Installation Fee7T$- Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 300.25 HAZ. I D. FEES I IMP FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY4Date C PERMITEXPIRESON j / 5/97 (Date) ReceiptNo. 4-6594& WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , N Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majo 1 bor and materials for construction of the proposed pro erty improvement : YES[ NO[ ]. 2. I HAVE[ ]. HAVE NOT[ ] si,ned application for a building permit for the proposed wo k. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME:- ADDRESS: AMEr ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NU1OER: DATE: / 6, NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 'r .. .. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law ' to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The ouilding permit will not oe issued until the verification is returned. S�i 41cr I Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVION 7 County Center Drive - Oroville, CUlifornic .95965 - Telephone (916) 538-7 41 E N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-370-039 ' ZONING A-5 BUILDING PERMIT OWNER VIRGLE GAGE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1307 HOPKINS DR SAN JOSE, 95122 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 280.26 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee' $ BUILDINGADDRESS 165 SPRING CREEK RD Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE S 300.20 LOTNO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6TH RENEWAL OF 2620-91 (STH 96-2498) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W11 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V0LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under p natty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 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 worker ' compensation provisions of section 3700 of the Labor Code, I shall fah th comply with tho provisions. 01 i X _ Date LOQ— Sign ure f Applicant - ❑ 0 ner ❑Contractor ❑ Agent n rye is required for excavations over 5'0" deep and demolition or construction o r tures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a C.S. 3.50FT. TLET NON-RESIDT ANCNEW CONSI CI' CU @7.50 voWER APPARATUS a SINGLE ET CIS. OUTLET OR FIXTURE 20 p 1.00 R FO(TU Ex. Occup. BA L p .so FIXED APPWS. OR 5,00 Ex. Occup. ourLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 300.2®J =.AFEE IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B a Date /.0 1(ek PERMIT EXPIRES ON 10/16/98 Dale Receipt No. WHITE-D.D.S.-1315. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT O.B.- I 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. I personally plan to provide the major labor and materials for construction of the proposed property, improvement: YESA( NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK 1z SIGNED: PROPERTYOWNER: SOCIAL SECURITY N R: DATE: /O // o 9 7 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. The, are also required by law to put their license number on all pennits :For which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlit eed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that t .�5property owner is providing his or her own labor and material personally. Building permits are not required to be sign: �by property owners unless they are performing their own work personally. Information about licensed contrac*..;,yrs may be obtuined by comracting the Conti -actors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, /t;�%� Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner-Builder,lnformation is required by Section 198.0 of the California Health and Safety Code OVER 1. Ceiling Insulation 2. Wall Insulation Insulation In Floor Number of stories Single- R -value One Two Three R-0 -1 C3 -49 32 R-19 -8 -4 -2 R-30 .2 -1 -1 R38 0 0 0 U -value 1 -153 -114 - 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Insulation In Floor Raised Floor Single- Single - Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 _._... R-19 0 U -value 3 1 -153 -114 - . -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Controlled Ventilation Crawispace Insulation In Floor Raised Floor Number of stories Stories Number of stories One R -value One Two Three R-0 -17 -8 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value -90 Number of Stories -26 - :-.--0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 3 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace Slab Floor Raised Floor Number of stories Stories R -value One Two Three R-0 -11 -7 -5 R-5 Glass -4 3 R-11 -2 -2 .2 R-19 .-1 -2 -2 4. Slab Fdge Insulation 4 40 -90 Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Spedficelion' Points Stertdard' "" 0 6. Glass Heat Loss Total Slab Floor Raised Floor Effective Percent Glass Stories U -value %Glass Percent East South .51 to At to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 3 0 5 10 16 19 -29 -4 1 6 11 16 _.-18 .._.-26 ..m_3 --- 2 ---..-7 .. 12 - 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 16 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective Slab Floor Raised Floor Effective Percent Glass Stories Family %Glass Noah East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 _ na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 � j 4 2 3 4 0 2 1 y- 3 3 0 1 e 2 1 3 2 0 0 1 0 3 1 -.1 1 1 -1 2 0 -1 -Z i -2 0 na = not allowed 1 -4 0 2 lB. Shading (Shade Closed) Slab Floor Raised Floor Effective Percent Glass Stories Family (Percent glass x SC) Mass Effective One Two Two Three 0 Two Glass Nath Eat South West Skylight 18 -14 -48 39 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 �7 6 .3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 -1 - -6 -8 -7 .23 3 0 -4 - -5 _4 -16 2 1 .1 -2 -1 .9 1 - 1- 3.5 2 1 -4 0 2 10 '�4 3 0 na - not akwed 9 10 10 4.5 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stories Family Family Stories Mass ICFA One Two Two Three 0 Two Three 0.20 3 2 1 0.40 5 4 0.0 L83 -5 -4 4 1 1 0.1 -8 .5 3 .1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 .1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single- Single. Sum of 1-6 _ a. North b. Easto� c. South d. West e. Skylight Family Family Multi Mass Detedted Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. . 1.80 10 12 12 200 10 11 13 i 11. Heating System SE or 13SPF (assumes duds In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m SEER (assumet ducts In attic) Sim of 7-10 -2S or -24 to r14 In -4 b +6 to 16 or SEER less 415 1 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 .7 -6 -5 -4 -3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 . 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 .13.0 20 17 5 14 12 9 6 Effedive SEER (SEER xdud effidenc7) 42n of 7-10 Effective -25 or -24 to -14 to -4 to ..+6 b 16 or SEER fess -15 S +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories North �. Sum of 1-6 _ a. North b. Easto� c. South d. West e. Skylight °!o �G�s �v• 0f -I 7 x x �•rj X x 6V x SC 77 = = One -25 or -24 to -14 b -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 4 3 Effective SE or HSPF WSB 5 (SE or HSPF x duct efficiency) 3 2 Effective -25 or -24 to -14 to d to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 215 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m SEER (assumet ducts In attic) Sim of 7-10 -2S or -24 to r14 In -4 b +6 to 16 or SEER less 415 1 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 .7 -6 -5 -4 -3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 . 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 .13.0 20 17 5 14 12 9 6 Effedive SEER (SEER xdud effidenc7) 42n of 7-10 Effective -25 or -24 to -14 to -4 to ..+6 b 16 or SEER fess -15 S +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories North �. SC fo = _ a. North b. Easto� c. South d. West e. Skylight °!o �G�s �v• 0f -I 7 x x �•rj X x 6V x SC 77 = = One -5 -4 -4 3 -2 -2 Two + 3 3 .: 2 2 2 1 Single -Family Iktached and Attached Unit Size (sQ Water :199 12LY: 1700 2200 2700 Heater Credit or' b to to 1" Type Type less 1699 2199 2699 more SG None 00 0. 0 0 or Solar 12 '.1 8 6 5 4 HP HWR 8 5 4 3 3 0% WSB 5 3 3 2 2 3S% 40% POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 - Solar -1 -1 .1 0 0 13 HWR -18 -12 -4 -7 -6 29 WSB -25 -16 -12 -10' -8 4.4 POU -18 _-12 -9 -7 -6 IG _ None -5 •3 .2 .2 -2 1.9 Solar 7 5 .4 3 2 3.3 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.8 Solar 8 5 4. 3 3 22 POU -10 -6 -5 -4 -3 17 Multl-Family (Individual units) 4.3 4.5 4.8 5 Unit Size (sQ 5.4 Water 30% 699 700 1200 1700 2200 Heater Credd or to to to or Type Type fess 1199 1699 2199 more SG None 0 0 0 0 10 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2. 3.4 WSB 9 4 3 2 2 4.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 •9 23 Solar 2 1 1 0 0 18 HWR -23 -12 -8 -6 *-5 5.3 WSB -25 -13 -8 -6 -5 1.1 EOU _23 _12_8. 2 -6 -5 IG None -8 -4 -3 -2 ; •2 4.1 Solar 6 3 2 1 1 5.6 POU 1 0 0 0 0 IE None 30 15 -10 -8 -6 29 Solar 18 9 6 4 4 4.4 POU -8 . -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss Measures or R -value [381 U -value [0.030] �I q Or valR ue [l11 U -value (0.0981 -' I Or R-value[191 U -value (0.0371 or R -value 101 F2 factor (0.771 Standard Point Scores d+ D 0 Type [doubles U -value [0.651 % Total Glass (161 Sum 1-0 7. Shading (Shade Open) North �. SC fo = _ a. North b. Easto� c. South d. West e. Skylight °!o �G�s �v• 0f -I 7 x x �•rj X x 6V x SC 77 = = Eff. 96 1314s r 44` �3 IS 8. Shading (Shade Closed) b. c. East South ......... Q, A, x 4,. X InteriorMass/CFA t9.f3 S.0 d. West x e. ^! rrrt 2 Puass = c1.7•u2ec-4.21 J�.cv.t..._D1 s.7Yre 1 rums (uIMC b 4.2• to: exposed s>..e1 0% S% 10% 1S% 20% 25% 30% 3S% 40% 45Y. 50% 55% 60% 6SiL 70% 7S% W%, 85% 90% 95% 100% 105% 110y. 115y. 120% 125- 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 13 1.7 1.9 21 23 25 27 29 3.2 14 3.6 3.8 4 4.2 4.4 4.6 4.8 5 S3 toy. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 27 29 11 3.3 15 3.7 4 4.2 4.4 4.6 '4.8_ 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 21 29 3.1 13 SS 17 19 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 01 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 3.5 17 33 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 12 3.4 18 18 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% Q9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 3.2 14 3.8 18 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 12 13 3.7 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 21 23 25 27 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 S.6 5.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 26 28 3 3.2 14 3.6 3.9 4 4.3 4.5 4.7 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.4 70Y. 1.2 1.4 1.6 1.8 2 22 2S 27 29 11 3.3 15 17 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 13 21 23 2S 27 3 12 14 16 18 4 4.2 4.4 4.6 l8 5.1 5.3 5.5 5.7 S.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 6 5 6 7 90Y. ' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5 3 S.5 5.7 5 9 6.2 6.4 . 6 6 6 8 95y. 1.8 .1.8 2 22 25 27 2.9 11 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 23 2.5 28 3 12 3.4 16 3.8 4 4.2 4.4 4.6 4.9 S1 S.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 26 28 3 13 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 it 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 21 23 25 27 29 11 13 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6 9 7.1 115% 2 2.2 24 26 2.8 3 3.2 14 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 23 25 2.7 29 3.1 13 15 17 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 25 28 3 3.2 3.4 16 3.8 4 4.2 4.4 4.6 43 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss Measures or R -value [381 U -value [0.030] �I q Or valR ue [l11 U -value (0.0981 -' I Or R-value[191 U -value (0.0371 or R -value 101 F2 factor (0.771 Standard Point Scores d+ D 0 Type [doubles U -value [0.651 % Total Glass (161 Sum 1-0 7. Shading (Shade Open) North �. SC fo = _ a. North b. Easto� c. South d. West e. Skylight °!o �G�s �v• 0f -I 7 x x �•rj X x 6V x SC 77 = = Eff. 96 1314s r 44` �3 IS 8. Shading (Shade Closed) b. c. East South ......... a. North 90 Glass &.D � X SC fo = Eff. To a / t- D HSPF (0 S.ISj </ .- b. c. East South ......... Q, A, x 4,. X = t9.f3 S.0 d. West x e. Skylight x = 9. --Interior Thermal Mass TYPE 1 MASS AREA Interiorpq;CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ , { - ND. FLOOR AREA 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Exterior %Wall Mass X --1s-t--l�// SE or HSPF Duct Efficiency 10.781 Effective SE or [0.ZI�� - 1 X f - HSPF (0 S.ISj </ SEER [9SL Duct Efficiency [0.741 Effective SEER (7.03] 3 Type (SGI Credit [none] Sum 7.10 D Point Total. Cermicate of compuanc:e: rtesiaentiall Climate Gone 11 Mandatory Measures Checklist: Residential MF-IR V. G�, Project Title C?/ NOTE iance teach aced Itemresidential s marked with an asterbject to theisk (-)maybe—)Standards superseded by more strinmust contain gent iia(= requirements blued /2/ 5l N4 C, EV_ IZ D ]3uild petit r on the Cutirw= of Com Project Address f� /O 15-,Z6 r Q/ Compliance. When this urns om u incorporated performance into the permit documents. the tuwy m noted than /` { J �7 be considered by all pantie as binding minimum component perfomtance spxifratians for the mandatory tneausra ��. ..r whether they arc shown elsewhere in the documents or on this Checklist only. Checked By / Date Documentation Author Telephone Fnfomement Agency Use Only DESCRIPnON DESIGNER FM-0RCFJIFM Building Envelope Measures .- . • BUILDING DATA North G � ea % Gi6s - §2.5352(a): Minimum ceiling insulation R-19 waithted average. • §2.5352(bj: Loose rill insulation manufactures *s labeled R-Va,ue- Conditioned Floor Area �i✓Number of Stories East • §2.5352(c): Minimum wall insulation in framed walls R-I 1 weighted average (does not apply to Slab/Raised Floor Number of .Units South, �' exterior mass waits). Single Family Detached (SFD) [ ] Addition Alone West — § transmission slab cent realer than water,bsorpuan rate no greater than o3'b, water vapor transmission rite no greater than 2.0 perrt(trtch. (] Single Family Attached (SFA) [ ] Existing Building Skylight 0 §2.5311: Insulation specified or insWlcd meets California Energy Commission (CECT qualigr Total �0 standards. Indicate type and form. [ ] Multi-Family ? [ ] Existing-Plus-Addition _ §2.5352((): Vapor barriers mandatory in Climate Zones ld and 16 only. §2.5317: Infdtration/Eafiltration Controls BUILDING SHELL INSULATION a. Doors and windows between conditioned and unconditioned space designed to limit air . leakages b. Doors and windows certified, Component Insulation LoeaflorVCpmrnents c- Doors and windows wcathcrseipped; all joints and penetrations caulked and sealed Type R-Value (arida to garage, DMiteL etc.) 12-5352(c): Special infiltration barrier instilled tocompty, with 02-5351 mccucECquality _ ... Wall........ 12-5352(d): Installation orf Fireplaces 1. Masonry and factory-built fireplaces have Wall""""...... a. Tight fitting• closable metal or glaze door Roof ............. b, Outside air intake with damper and control Root ............. es Flue damper and control 2- No continuous burning gas pilots allowed. Floor ............. HVAC and Plumbing System Measures Floor ............. t §2-5352(8) and 2-5303: Space conditioning equipment sizing: attarlt calutlations. Slab Edge ..... §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. t , Devices • §2-5316(a): Ducts constructed. instalkA and insulated per Chapter 10. 1976 UMC GLA 2IN G Shading DeV1Ces 42.5316(b)r Exhaust systems have damper controls. r 12-5314(c): Gas-fired space Ideating equipment has intermittent ignition devices. Glazing Area Glass Type Interior Exterior Overhang Framing Type ; 52-5314: MVAC equipment. water heaters. showaiwads and faucets certified by the CEC Orientation (sf) (single, double) (Toiler blind, etc.) (shadescreen, etc) (yes/no (Metal/wood) §2-5352(1): Water heater insulation blanks -12 or or North ( ) n 99t, 9/ _ insulation pr�r)nkeombite (R-3 rrgreatei). v greater); feu S feet of pipes closest o wok insulated (R-3 or greats). §2-5312(Eaccption Ir Pipe insulation on steam and steam condensate return At recirculating North ( ) I piping. East ( ) i 12.5318(d): Swimming Pool Heating 1 I. System has. East ( ) a. Oproff switch on hater- ( b. weatherproof instruction plate on hate: ` Sou Lh ) e. Plumbed to allow for solar. SOU th ( ) 2, 75 percent thermal efficiency. West 3. Pool cover. ( ) 4. Time clock. West ( ) f 5. Directional waterinlcL i Lighting and Appliancehleasures Skylight....... C2 §2-5352(1): Lighting - 25 lumensfwait or grater for general lighting in kischens and bathmoms. THERMAL MASS ; §2.5314(e), Gas fired appliances equipped with intermittent ignition deviets• Type/Covering Area Thickness 12.5314(a): Refrigerators, refrigerator-freezers. freezes and fluoretcau tamp ballasts certified (slab/exposed, tile, etc.) (SO (inches) Location/DCscription (kitchen. bath etc.) by the CEC Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the bualding feawres and performance specificatiotls needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapter 4. Article 1 of the California Administrative code This certificate has been signed by the individual with overall design responsibility and the building owner. who shall HVAC SYSTEMS' Mirnimum Duct retain a copy of it and tracl�smit rise certificate to any subsequent putdiaserof the building. Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER HSPF) (attic etc.) R-Value (Btuh) (or aMU6V t- �L-441 Desi ani Building Owner Gr�r� ♦ 7 Gr NaIft me:. . . flame: t .`i ' - TukJt=tmt Ti k/ um: Addrtrss: Address: Te le¢1OT= Maximum Furnace Heating Output:Btuh tee. a: Telephone: HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) (signattue)/ /�l� f, (date) Azignanae) (dart) " x Documentation Author Enforcement Agency SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Name: name: Tldc/l-tern- Agency: Addrc=' Telephone UFfem.sPEIZFSCATIONS: Tap Cnd Bottom Ona xebs SFN4,C1AL PLtTE POSITIONING CHART _ Cesora 4 i� iekir - FIR T 2'� MI6 S H, ice` 1430, W 2 BO, ft 2 'T 'w -347 Standard UnlYarm Loading tPSFI JO 7�Ts Y. tsnl Y. t2n7_ ANGLE_ - 2� -II B 2- 1430 3 657 M 4 �' - =547`TCLL �• 16.0: TCOL 14 '_0: SCOL 10._OS — �2„52 .Sv*at CTTora kw, 4" i2: HEbFFIF+_ _ _ c 3Z -1115 B 3- 1430, .W S- 80-: - T 4>F -1655 8.4-. .1430' M5.0 PSF-.Reaucrion-in Bottom,;CharrJ 3'� 1.1.60 0.0 -- 3ncrea5e - 1-250 -- - = 0.00 - =4.;C5 90 _O - _ Alas Maar 2x <' SCAhitARtF FEEA4-EIR ` LIVE LOAF? OEc. LECTIOY HASEO - Ot! L/240 -2-52 1.60 0.0 - tote Chd Bottom Chd webs - T 3- 0..933 B f- 0.681. -:tit' i,i - 0.034 K:. 2. �- 0.;393 ti � -- NOTE: ,R=_G=T_FEO BEAFFINC- SIZES. .. - T 2- 0-'.-75.6 c- :O_681` w 3 - 0'_364 1t'. 4, 0.393 - 9EaR'I t,;DLIZREM�NTS- - T 3- 0.975' B 3- 0.679' :w 5 •� CT^044`- e FEARING, e14 SIZE REO`.. SIZE' LBS T 4' 0-953 B 4-, -Q.6B2 1 BZ s Zn.. 2^tS ITT,_ 1280 . 1 .. BRAC�1�a 'J'rHH�iS SftOwME E(Y` it NHERE= R=flCtZfiED _ SIGs �ONTiIV10C15 LATERAL SRACINGf,,ATTACHEO< M%'FFL TifQ }' 1307,NAILS PANEL POINY SPLICESA4-- LOCAr'E0= 2ZZNt + FROM EITI-e �” TO 6X BC::�:7:4 PAReC POINTS_ TKrS: TRS USt-mer ae -T_CHO: -ACCOROANCS� + TK, SCBO RESEAHCH,'REPORT 15CT., = -"- R-'3G00 HOLOI`K--- VALUES AREL Z03- PSZ TN'., ._. 'SOUTHERN, PINE--lGI:.AS FrR-L`ARCK- ANO( 152- -.PL-ATX-q BASED€- Ort' GAE' 7 UNSER AT TIME 1 1` 7-30-0 6-2-a „ ` t2r R3245 4864 sa - 7 9-E_3 1630 4890 1630 8u � K �t 3245 3245 _ EPARTM = 7-11-12 8,-0-4 I_ 6-0-4 7 -AP ( PRU 1 --: 2' _Q-O, `aV -RALL w ' = FATE: -COCE .-' SPACIr ,:. WE IT IS, THE RESPONSIBILITY OFOTHERS TO ASCERTAIN T"Af THE LCAU.S UTILIZED ON THIS DESIGN PEET`' CA-£XCEEO TK... R.O06 ;-.. :r JBC=BS : 24'_00�(3i'S2I9S _ ACTUAL OEAa LOADS. IwPOSM BY THE:-SIT:UCMAE AND THE L.VE'LOADS I-IMSED Tif IME LOCAL 9UILOING-CGG£ CA HISTDRICAL CLIMATIC RECORDS. +NU RESPGNSIIIILITY IS ASiUHEO Rei III+£!tSI NTL-xCCL:iaCY vERIFY ALL - _ wk DINE:+SIC " PRIOR TO . FtPR!CxiT(Ni, CCert.EC78FT PLATES SMOwlr. AAE T'ii�}NAL. 16. 39: CA 24 ;W GE AS, SPECIFIED FABR(CAT, -4 SHALL COrPLY WITH TME 'GStALITY CClTROL MANUA.L� -;V.DT<:.TRUSS-P�ATE INSTITUTE ITPIT AND Tr•E; ,- ., ..- to. TRUSwAL TRUSCCx }yHUAt" ALL PANELS 1IOT SPECIFICALLY DE2I�N:T ARE TO 9E GUALLT D[titOED.CEltO1E5 . ' SPECIAL CUTTING CULT LATERAL. BRACING REDUIRFO CF INDIVIOt:::c Tom''` _ YEM8ER5- IS NOTED ON iNI5� DRAw!!PG BRACED BY S{iT!'t++G la+LESS� OTK;IwISE STATED. w,,FPE' '; - _ ,. -,- _ - r �. - - �-' - � THI`r DESIGN ASSt.'MIS ,THE--TOP OrAi6 10 BE CCITINiUMSLr NQj RIGID CEILING i5'aP'�_ z4- DItCTLT TO- THE BGLTOk CHORO_:.:II-SHAtb HE 9TItEEO AT 7tiiEAYALS NOT.E•C£EDhtG; ID:'-0'. :PERSONS ERECT.f."«+ TRUSSES: APE.. CAUTI MO TO'-SEEK PRISFESSIP^.NAL. ADVICE REGARDING 7£"POAART- fRFCif0'+�. EREECT: '' _. - .*�' ` '-� �" - M��A, �`'S MS _ ,HW-G*L' wPERS IS nEG[SZApD! 10 PREYEtiT TOPPLING AlR: 'z^M.tNO[N!G . AEFER T4 HRiCINL Y�.rr2 4 SS£S -. CCM"FMTART AN`:FECONMENOATi�.S- (IPII'. *!£R£ CCrFUSIDN MAt tits LOt4ERtittiG PRL+PE.• FI£L.., E-£CT iCIt - '_ `//(�"' _. Tfii $VS{a�: $�E%iS Cd?iQQi iDi CLEARtt MARK :INTERIOR'- SEARIM LOCATIC5'. CAipffILEVERS. Al4U TTPE CHORDS CF iNE -TPU55 TO PREVENT jwPACP£A - .5i - LATIOU, TRUSSES. SHALL HOT BE PLACED- SN ANT ENvIRCNwENr THAT LULL. CAUSE. TH£ MOTSI.ME CONTEtir CF INE - _ GA, -- --: EILEf - _ MOOD' SD FXCEED- 19% ANDJOR CAUSE-[Dt:NECTCA. PLATE CGRAOSION. CAMBER, wMEN NECESSARY, IS -HEST OETERw INED' B+ .11MICIOUS APPLICATION OF EXPERIENCE: AND: THEREfORT: IS OUTSICE THF_ SCOPE OF :'RESACNSIBILTT'Y OF TRUS.AL-_ 2 f- $7,34 GAGE J I.aE PLUMAS C A.C<`_ d Version 2'-75; 1 r (+ - _ J �� � ,, �, ,,,, „ .. � - -, , �.,, �; . -, <. �, � .,+ « A �=' lul_ pp SS 2 tiT Ut1ig5 _ _ _. 1 7eDLCno�d 2,Pi � i2,CNEN�FIFt qo+Qh�a �q n'C.gm1887 � �� 3 4 2 �_ t37 S ow. Unl pr-m.Lo a i10 tPSFI SjRT14 0' P�,AIA P05IFICN7�NG CHART -5 - 0: ��b10,_ IIt� ANGLE -fi�rr � 'J� 7 H A . y rt dd . . 0: r.,,..._. 1. 9 H � •�� � 7CL 6.0. �TCIiL. I.! T sq 6{- Y dot Cnbad 2*'.,A ii2 HCA -FIA 7 �� -�3�• a9 N D � � N 6 30� 06 P5� A idu ciail in doctom lnot+n a MIS i.41S 2.8 -�dUigd, �. 2 M 7 , I en � S'o */ NC77 gECIttTAEt70EiEAgSNGJS93 9Oµ2 I be) Cho1gQ' DAt:t9m ch Haam y Nab taUAgINO p.gUt ACdp��F�glhi�l fi' - q.p tS p - q,ti7' 'N .« Cr.a80,N-Z - 8.? d L7�/ L�bAa LECTION tiASEa ON L/R4A 7 3.Q !<93 2, GCAAt G A Y,C,Sira: N W@q,. UA LOS T 1r 0.697 B � 0.Q� H _ 0.gqt5R !' 4 0,',33 FIT N n, 7.d n i.A T Z- 0..7 Ii 3- 0..©.t1 H r J .J50 I°O IS 0« Jq R4« - d n :n.. a:om 3n< sa18 -- Y v". 0_1 9'. ... 0.92. ;H 7 '-...0.1HQ - - t11'�RCSHG .�Ifw►+ptA� 51�QwN t!Y' « r+Meae fiEaUlgEa>'r 6- gtagrf HTTw4 ?Mq S3{ EftiIt VInkC. EdCiAG1NO` 1 tlikC+i�Q 1/4�ANL 0 , E AN L C'a i.-EMJ4qp {,�o VA A �r T H.t P7 NCSUt �t-4aN`ANfQ07. iS] XN RfETa-I IPNrtpTl.^-lnStdtl+,FlN ,, Fr.• ��y �` Ct� MAP4CTt1fIlt. 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IS tlR O G►GE A5 ?PECifIEO JO► fAtli#IeIT Cti S+IACL COHp4Y WITH, Sly, rnJ►CITY CONI OL MANMUJAL« OF INE IiitiSS PC'AN 1NSTITUtE TiPI AND THE t} tPUSwAL PUSCC" MANUAL,, ALL PANELS NOT SPECIFJCA�LY'QE51CNlTQO ARC'' to GE EGOALLY OIVTCEO r► 4ENWO A• :: $P(CIAI I tN0 ONLY LAIERA4 BNACINtl :%REQUIRED OF I10MQUIL TRUSS MEN9ERS:r is NOTED ON }N15'OPA+ING '^�'' iN4 S Dial SSUN0.S we TCP CAM TO Ot'CORT,tNUOUSLW OPACED OY SNEA1NtNG UNLE'S5 OtHERwISE StxtEQ wNERE' hh C ��* vo 011tD CEf4Ina tS APPLijo UtRECTLY 'td TI1E OOITP!J CHORD. II -SHALL OE ORACEO AT {NTERVALl NUt QCEEOING f 1. f I. i [- y +� 1,.j cM 1 _, it1"r0. , , PC SONS t�ryECt, fil AuSSE5 ,+RE CAUTIONE0 TO SEEK PPOFf&SSIOHA{L, AgV10E PEG+POIN%jEwPOPAtf . 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