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HomeMy WebLinkAbout005-395-013i ARTHUR E. LYON JR. cG- 1306 -1306 Davis St, Chico OUSING COMPLAINT :. _ 4/5/83 5 995-.9--& - ---- SUE VAN HORN &WILLIAM HOU K 1306 Dpvis St, Chico��-' S�117 Permit#2191-86B,P,E(detac e p e shop) 5-395-13 2427-90B,P,E,M VAN HORN,Susan/HOUCK,William 1306 Davis St, Chico ( new sf) Permit#2333-91B 5-395-13 (1st renewal/2427-90) "005-395-013 -V92.2536B VAN ,HORN & HOUCK 1306 Davis ST, Chico i Q 2nd-'renewal/90-2427 i'I %��� y 005-39 '5=013 ~93-2902,'B VAN .HORN '`& HOUCK ' ` RE99WA090' 2427 '' j/fQ�=//�% 005-395-013 r PERMIT#94-1707;- HOUCK, WILLIAM � 1306 DAVIS ST. CHI,CO: .ADD COVERED PORCH/SF 005-395-013;: 'PERMIT#94-2147 VAN HORN; Susan& HOUCK', William 1306 DAVIS-ST., CHICO - -- 4TH RENEWAL .BP#90y 2427. �ij/�� /411. ,✓ 005-395-013 PERMIT#95-1839 VAN HORN, Susan & HOUCK,'William 1306 Davis St., Chico i.,�j 5th Renewal of BP#90-2427 r110 I,/1 005-395-013 PERMIT#96-1670 VAN HORN,Susan & HOUCK,William'l J 1306 Davis St., Chico 6th Renewal BP#90-2427/SF1'iNa 00 00 �. 005"395-013.PERMIT#97-1584` . VAN HORN,' Susan•& HOUCK .William -'1306 -Davis, Chico ' 7th Renewal BP#90-242' 005-395-013 #98-1916 VAN HORN/HOUCK , SUSAN WILLIAM", 1306 DAV•IS ST. CHICO ,' OWNER . +. .. ENEWAL OF 90-2427/8TH RENEWAL j" •~ i • i r' I• i 1 I � r Inter -Departrnenta[Memorandum TO: •1 AAUAaea FROM: 9.'�l - �V�P�4�i:.V • -t4l, . SUBJECT: $v1�KddVIS Y6 • T DATE: 5.3o..g�. and vacow- . ea s e la ve ?a r, &a s &KJ �. _ Z ��Zq hl tDENTIAL% �. 95-13 / j VAN HORN,Susan/HOUCK,William 1306 Davis St, Chico (new sf ) i G �� �1SCo\^Se r\ 27-91 - r'�roya-esu o nl�- %n.O/dem ,1 k JOB FINALED (Date)? - Signature v J=OK O`= Not OK -=Not Applicable ' MOBILE HOLIES =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'L"ft. / /'Nat. or? /" L"ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 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.-Coonectors Shthg.-Rfg: Bracing - 5. Alum. Awn.; Columns -Connect ons -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Root; 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 . 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- Enclosures-Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable RESIDENTIAL (S = Not Ready Date UNDERFL R (Plan§,4K except Ws Fi 1. Z g-Setba -Easements-Flo' lope tg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth - 3. Ft - 4. temwalls, Main; St lockouts -Wrapped 6. ee _ - 6a. Hol owns and Special Anchors Q,Zfab; Steel -Wrapped 8. Piers g. -Steel Fall-Fitting-Testr "Way C/ ewer Test 10. Gas Pipe; Size -Anchors 1J. W Pipe; Test -Anchor -Regulator -Service Test jfi��. Underground 3. Pienums & Ducts; Clearance -Material -Support -Ins. _ 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date %/--7- C Card B-1 J - Date Card B-1 p Date - L 7 - fr/ Card B -1,11n, 0,/ -'Date Card B-1 Date PLUMBING (Permit) OK except #'s 16 at r Htr.; Vent -Access -Combustion Air -Baffle 1 ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access r�Z 20. Test Tub & Shower, Second Floor -Tub Access - I! 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 4. ize Boxes & No. of Conductors -Stapled 5. Romex Installed Close to Edge of Studs & C.J. _ Equip. Ground made up w/Mech. Fastners-Bond Gas & Water_ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga'lIft or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect _ 31. Equip. Clearances Panels-Motors-Mech. Equip. - 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 MECHANICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support ent Fan} Exhaust above insulation 3 nsate Drain & Overflow; Size & Grade _ 7 rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet - 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Plans) OK except #'s -89 I'S it roper Material & Anchors Wal tuds-Nailing, Spacing & Bracing -Plates -Sound [ ng Walls over Girders & Floor Nailing D top in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 9Headers & Beam -Size & Bearing ingle & Duplex) Date JJWMING (Continued) Hangers -Post Caps -Anchors -Connectors 4 g. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. s r Type A Flue -Fireplace Throat clearance Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 491168rrn,windows or Exiting Doors -Sill Hgt. & Dimensions 50. rage Fire Protection Framing &1_Rrcfe-rty Line Firewall & Openings V­EDoors-One 3' -Check Garage -3rd Story, 2 Exits idth-Headroom-Rise-Run-landing-Fire Protection bAeJ5rywooq,en Roof Overhang -Attic Vents -Rafter Outriggers 5 mg -Nailing Veneer 56. Stucco h -Drip Screed -Fd. Vents-Underflr. Access lazin Area -Glass Protection -Skylights -Plastic. ar Is; Nailing -Bolts I ation-Walls-Ceilings i 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 E teps-Door & Sidelight Protection -Landings 6 . oke Detector 6,f Furnace; Vents -Clearance -Comb. Air-Connector- arage; Above Floor-Ducts-Mech. Protection 4. B room Exiting 6Br_'ArrV& Bath Fixtures & Tub Access -Spa E c. Trim & Subpanel; Breaker Sizes & Labels IqAfeirs & Rails 6 . Fi lace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. 7 it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. c. Outlets & Receptacles at Kit. Counter 72. G rage Fire Door; Swing -Landing -Closer 7 �`C. Duct in Garage -Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protection . In ation-Foam,Looked in Attic ❑ Yes . Guard Rails & Deck Construction -Post Caps 7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor . IJ Yes 8Kollowing instld.; Drive 0 Yes �rNo; Walks 0 Yes 0 No; Planters 0 Yes 17,/10 cco: Brown -Finish C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to enings r Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground tilation Throughout House ass Protection . erections from Previous Inspections 8grges Test -Meters Tagged; Gas -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval 94"Energy Compliance Certificate -Other Certificates Date 4ard B-1 Date Card B-1 Date (j �' ' Card B- JI -V Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 3 0Q5 -q95 -o13 BUILDING PERMIT ply -IV ELEPHOys.- Ivy SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING 16lNO Davza SA - C" CONTRACTOR'S NAMEELEPHONE T CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ,O(� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3 0(O e{\ V Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP ' PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0'l Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work':Q &/, qin- / o �5�ed Q-7 - Ing Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR Main Service 200AORLESS 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BUDS. SO 3.5¢FT: NO"EW CONST' MULTI-OUTLETT @7,50 APPARATUS 8 SINGLE OLmFT CIR. Ex. Occup. OUTLET OR FIXTURES j 20 @'.50 BAL @ .50 1E1 A Ex. Occup. DuT ASID°. , 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 FEt S 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.) If/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �nof /V -.J /�lM�-� 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. f' Mobile Home Installation Fee $ Energy Inspection Fee $ cc TYK TOTAL FEE $ ]C1 Op HAz. o. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicate bove for which fees have B s�/,Date PERMIT EXPIRES ON ct7-?? the applicable provisions Resolutions to do work been paid. _ Dale Receipt No. V /�'/ 0 3 a i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE OR GOLDE OD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville, California 95,965 - Telephone (916) 53 541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT 97-f,��% ASSESSOR PARCEL NUMBER 005-395-013 AR ZONING ILDING PERMIT OWNER SUSAN VAN HORN & WILLIAM HOU E 345E 1450 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1306 DAVIS CHICO, 95928 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ 128.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1306 DAVIS Energy Plan Checking Fee $ CHICO, 95928 $ PERMIT FEE $XXZAX 148.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 7TH RENEWAL OF B.P. #90-2427 (6TH B.P.#96-1670) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE 3 ELECTRICAL PERMIT Filing Fee 20.00 aOOV LE . Main Service pp.A Oq 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 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 and enalty of perjury that I am exempt from the Contractors License Law for the following reason: R 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 reaso Main Service 200A TO I000A 46.00 NEW CONST. DWEWNG .OLOS. OR ADDNS. ( ,ACC. BLOS. SO 3.5QFT. NEW CONST. MU T-0 NON•RESID. ANC cl cu @7.50 POWER APPARATUS d SINGLE OUTLET CSI R. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1'� @ .so Ex. OCCU . OUTLETSED PRES D.PUNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby a Ir der penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.?—/ / !9 g2 . t,14L L; ''' J AA' % / X/p�I fl n n _�L,___ Date L(7i_ gna re of pplicant - 9 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and Clemoliti nor construction of structures over 3 stories in height. Pe- ' 36 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 148.00 HAZ. D. FEES IMP FLOOD CDF 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. 'n - /� By / 41U Date PERMIT EXPIRES ON 7/31/98 Date ReceiptNo. 777 IV 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP TOR GOLDENROD -APPLICANT . 2� .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: YES 19 NO ❑ 2. I HAVE)R HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:, PROPERTYOWNER: SOCIAL SECURITY NUMBER: _ DATE:���'� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 4' . _ -, 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. 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: ♦ 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 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, 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 "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 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. +]rely, 49. IN Vi ira,C.B.O. uilding 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 DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75RMIT NO. APPLICATION AND PERMIT �J ASSESSOR PARCEL NUMBER 005-395-013 ZONING AR BUILDING PERMIT OWNER SUSAN VAN HORN & WILLIAM HOUCK TELEPHONE 345-1450 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1306 DAYIS, CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 128.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS C� DAVIS, CHICO PERMITFEE $ 148.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF LX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: JTH RENEWAL/90-2427 �TH-95-1839 Mobile Home IS I GI W I@20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service600v 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.Ex. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 14 1, 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 ADDNS. ( 8 ACC. BLDS. ) 3.5¢ SO.FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .SO Occup. (ouriEDrs (RES D.OR / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) P I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. jjy►y�./ �j %� ��f��j�� X "' L v " ' '" A V ' —_ ate — �f=tet–` Signature of Applicant 09 Owner O Contractor ❑ AgentAn OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 148.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PO ND ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. / Date 8-1-97 (Date) ReceiptNo. v WHITE-D.D.S.-B.D. 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)abor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE[s/] HAVE NOT[ ] signed an application fora building permit for the proposed work. 3. I have contracted with the foiiowing 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: 7 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: I • . • NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: dw""ii "_ I V, NOTE: This owner -Builder Verification is required by Section 19831 and :19832 of the California Health( -and Safety.47ode.�. COUM of Wr?ff. This verification must be completed and returned to -our office before BUILDING DFPT . We are permitted to issue the permit. - J U L 3 1 1996 A1° -t,- cs– 3f�s -ol 3 OVER V� Y�, 9L #cy_t.Ck_ Dear Property Owner: An application for a building permit has been.submitted in your name listing yourself as the builder of property improvements specified:.• • . - e - 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 S300 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. Sincbrel 10 Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 4 ` ' t COUNTY OF BUTTE DEPARTMEh OPMNT SERVICES = BUILDING DIVISION a ' 5ERMIT NO. I,, 9595 -Telephone (91.6) 538-7541 ►ND ERMIT BUILDING PERMIT s ffiK,, SO. FT. OCC. BUILDING VALUATION Lg�_•.,..k WINM;�l�'�a� !�i��k�ti�» � � � � t��t� _ � � Fireplace treoNSTRucnoNu�ooi'*"a��Valuatlon $ Mmm$ 20.00 LEMOER'9 MAIl1iO:AooaE88 t - 'Filing Fee MCI �cwssFee $ y AACNrTECT OR EWNEER","' • � s•:' �R,,bi�' mA - - 11CF719E NOT tirt'�&�tth,�1ixG'}'w j ` Plan Checking Feeit $ . I Energy Plan Checking Fee $ , yyy7{{{,��x ARCNITECT:oR'ENaNEEtI'S MAItNfi ADOREs9 ��"' � _ �` � '1 �iIL'E,' �,�'S'S3'Y y,�"t C ''.;<5 'S" •rCviS� ���°��'n,�'Sye i y � � � b $ 7 '�� rsulu�NaAooREsa.�'* '�• r ;,�; , t � n'w•s�'�a r{� ,c „°,'�,, .� < PERMITFEE S . �rw = ,'1306 sDA9IS 3T `CHI04"�' tPLUMBING PERMIT Filing Fee 20.00 i,` � `4'^i � ♦" � wK "k ast q V b _(, q' .1 'j' jb- i a rt '�' A � yK d 141'•$. c yr a�'3� ' t,t`- 'ti.�;` ' 7.00 - ` �� ���� t�r>,s � : r � ''�b�*"y^,Tr,��"���-�,� �5•' EHch Trap - ���4. �9�i le'''".'1¢ $"�" -� • cT''Eaa2 -moi f'�� ?n•xn'- '� '^i•,.a'4.,`°,M'^. 's �,C{{'it -i�,s. - SOlaf Of heat pump Wfltef heater: - 23.00 - +'-"'" v - �� M1„ •',i'tK"">si';'«�� ^faik8� 3,.""?�iwLLJ kiorNoT+s�uaorvssorrs,NaaEs"�r� r "c t"IN PARCEL'•MAu & Water piping 15.00 "i$< ,'� i,s:tt>dF«L,�^`tir. `�;tY'r`r Each gas water heater or vent t 5.00 i 4s� � �rsUSE OF STRUCTURE i' .it. z Gas piping system 1 - 5 outlets 15.00 �, `� ,,r,ry wr�u� d`r Building sewe[ 15.00 -+ �� a SF Mi�0uplex�,O�obllehome D `Other }F F Mobile Home S G W @20.00 �,i-,,9i•C'p �4- :� ..•'+ '+.-'i!S.�i'� lr?r3f4 t .-n .•'"v:.ir rhb:, -� ;t C T SPECIFYr.c+aC16�'"t •14UM1..+?'•,'"' 1Y��,� ,� T TYPE OF WORK 9 1 ` a PERMITFEE �F��2 NewAddittori 0, Remode�`0 Un7tpes O� Instflllanon O Other] , 'C'"�`� �.i'�G�,1+d.�^+,";,'C 1•,�'I �,. � �.� ° r't.*•++. `4.3- •' �w �r �'` COnttHCtOf ��DescnbeWorii-.'�x�sf< ELECTRICAL PERMIT Filing Fee 20.00 aoov OR LESS Main Service (`� zooA ort LEss 23.00 y it a• K cGd at we:�fir;ik y` Main Service ( zoon ro wooA 46.00 NEW CONST. OWEWNG OCCUP. SO. ' OR ADONS. ( a ACC. BLns. 3.5¢ Fr. - LICENSED CONTRACTOR'S DECLARATION NEW CONST. MULTI•ouTLET NON•RESID. ( BRANCH CIRCUITS % @7.50 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter POWER APPARATUS 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. (8 SINGLE OUTLET CIR. 20 Q 1.00 and my license is in full force and effect.. Ex. Occup. (ouruar OR FrxTUREs aAL w License Class LIC. No. Ex, Occup.FIXED A`iRESI OR (oFIX OUTLETS lRLNS. EA 5.00 OWNER-8UILDER DECLARATION Temporary Service 23.00 I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License bile Home Facilities Lawp. r the following reason: 20.00 GT I, as owner of the property, or my employees with wages as their sole compensation, Misc. , Wiring 23.00 will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting. with licensed contractors PERMITFEE S to construct the project ❑ 1 am exempt under Sec. Business and, Professions Code for this Contractor reason_ MECHANICAL PERMIT Fling Fee • 20.00 WORKERS' COMPENSATION DECLARATION 4, I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ . I have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of, the Labor Code, for the Hood •6`.50 performance of the work for which this permit is issued. Ventilation, ❑ I have and will maintain workers' compensation insurance, as required by Section PERMITFEE S 3700 of the Labor Code, for the performance of work for which this permit is issued. I My workers' compensation insurance carrier and policy number are:, Contractor' Carrier Mobile,Home Installation Fee $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($too) or less.) ICI - , CONST. TYPE TOTAL FEE $ y Id I certify that in the performance of the work for which this permit is issued, I shall o not employ any person in any manner so as to become subject -to workers' NAZ. O. FEES I IMP I FLOOO COF I PARCEL I Po ND I ISSUE 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 This permit is hereby issued under the applicable provisions forthwith comply with those provisions. - of the Butte County -Code and/or.,Resolutions'to do work V G7 p Date A3___F indicated above for which tees have been paid. X .,, ; Signature of Applicant- ( Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 50" deep and demolition or construction7 By ate of structures over 3 stories in height. 8��gd PERMITEXPIRESON —7-1 7 Receipt No. ' (Dare) - . • WHITE-O.O.S.O- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 19161 538-754 PERMIT NO. APPLICATION 'ANb PERMIT fflf—o �P ELj{U,fA ER ��JJ��ff �-}} UU 11 zoAR BUILDING PERMIT MAN VAN HORN & WILLIAM HOUCK TELEPHONE 345-1450 SO, FT, OCC. BUILDING VALUATION MDAVISREST, CHIC 95928 4TH RENEWAL 6WNER R'S NAME TELEPHONE CONTRACTOWS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee @ 1 FEE $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1306 DAVIS ST, CHICO PERMIT FEE $ 148.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'SNAME PAflCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4TH RENEWAL/90-2427 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 URD RENEWAL/93-2902) OR LESS Main Service ( 'OV200AORLESS ) 23.00 Main Service 1 200ATO1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) SO• 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification as the owner, or my employees with wages as their sole compensation, will do ?f" he work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 FIXED APPS. OR W Ex. Occup' OUTLETS IRESIO.1 EA ( . ) 5.00Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ 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 96 Certificate of Consent to Self -insure. shall not employ any person inanymannersoastobecome subject tothe Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence //oof/f the granting of this permit. X Cy�� Date / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CON sr. TYPE TOTAL FEE $ 148.00 HAZ• I D. FEES I IMP I FLOOD I COF PARCEL PO I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fee have been By P I PIRESO (De rel provisions to do work paid. , 8-1-95 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoaittment, of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property 'Owner: Phone: 916-538-7541- An 16-538-7541- 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) 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 1/ Social Security Number Date "^TE: This Owner -Builder Verification is sent to you.ss 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 DEV)'Et,OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ITT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-395-013 ZONING AR BUILDING PERMIT OWNER Susan Van Horn & William Houck TELEPHONE 345 -145 - SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1306 Davis St., Chico 95928 2ND RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee @ i Fee $ 128.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 148.00 1306 Davis St., Chico 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 EX Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New O Addition O Remodel El Utilities O Installation Other C 'enewal of B.P. #2427-90 Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Z Main Service ( '001 11 LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. ) 3.5C FT.SO. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �/�icense No. Classification 4! 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.UT ED (RESID OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I 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. VI 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Q G X �/V w�� �/�t/�1 Date C? �/� -(� Signature of Applicant Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CON T. TYPE TOTAL FEE $ 148.00 HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS//A/W By V5� PERMIT EXPIRES ON lDetel provisions to do work paid. Date GO (( /— Receipt 148426 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF LOPMENTSERVICES - BUILDING DIVISION r r.. OWNER 7 COUNTYCENTER DRIVE - OROVILL'L, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 D PERMIT APPLICATION DATA SHEET bi r C Proposed Building Use A. P. No. Jam" 3q 5- 3 Building Inspector _�� Date -6/36r/93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14., Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ....................... ................. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: - 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... `. 20. Pre -inspection for IreInspect'°n `e4°� required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). " Certificate of Workmans Compensation Insurance. ........: ................ Owner -Builder Verification (Given to owner , Mail to owner ........... i0 / 24. Recorded copy of Agricultural Acknowledgement Statement . ................ 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. ' 34. When you issue the permit, process as follows: _ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / A , -_ Acreage Applicant, V"�"�� Date �� �� Copy of Haz-Mat form sent Health.Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_ phon' Counter b ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • r k COUNTY OF BUTTE - Department of Public_Works- 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION COUNTY OFBUTTE BUILDING DEPT Attention Property Owner: OCT 12 IftJ 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) _ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person construction: Name' Address (firm) to provide the proposed Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date Oct. Q f? 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.___ 3 95- In l�1©gin . _. j' LL COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. Californla 95965 - Telephone: 916/538-7541 APPLIC"ATION AND PERMIT PERMIT NO. Z— � ,N ASSESSOR PARCEL NUMBER 005-395-013 ZONING` AR BUILDING PERMIT OWNER Susan Van Horn/William Houck TELEPHONE 345-1450 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1306 Davis St., Chico 95928 2ND RENEWAL CONTRACTOR'S NAME 01,mer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee @ i Fee $ 128.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 143.00 PLUMBING PERMIT Filing Fee 15.00 1306 Davis St. Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFRI Duplex❑ Mobilehome❑ Other New Single Family SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWJ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: 2nd Renewal of B.P. #2427-90 _ (lst Renewal was B.P. #2333-91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 1 g,50 Main service 200ATO10o0AI 37.50 ONTRXCTORS LICENSE LAW I declare under a of perjury check one): P 1 y ( ❑ 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 .Q 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-Mobile ontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thi eason NEW CONST. DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. 3.64 sq.ft. NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. OCCUp(OUTLETS OR FIXTURES AO 9 76, FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Ho Mobileome Facilities 15.00 Misc. H g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare undet genalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t saidCounty,i�on,5Qqu� of the granting of this i19Z X i ice. Date / Signature of Applicant — Owner a Contractor ❑ Agent h An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do which fees have been paid. Wo::;��J�R PUBLIC WORKS By Date%zl-9Z, PER IT EXPIRES Date 8/1/93 I ? 11-77,37 Receipt NO. , WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoartmenc of Public Works 7 Councy Cencer''Drive, Oroville, CA „95963 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 maj.or labor and materials for construction of the proposed property'improvemec,t (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"�� Social Security Number Dace J-mA 1-3. 9 92 - 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. Qw-ill �tf- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ✓ 5-395-1 ZONING AR BUILDING PERMIT OWN usan Van Horn & WIlliam Houck TELEPHONE 45-1450 SQ. FT. OCC. BUILDING VALUATION ow"Fnb�Atavis SES; CHico 95928 1ST RENEWAL CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ ;0,00 LENDER'S MAILING ADDRESS Permit Fee @ 1 Fee $ 128.00 ARCHITECT OR L:V ,INEER LICENSE NO. Plan Cherking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $138.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ® Describe work: 1,-,t Renewal of B.P. #2427-90 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under p y of per ur .(check onel: _ Y — ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code f r V,s reason NEW CONST. DWELLING OCCUP.0d OR ADDNS. ACC. BLDGS. ) , /zQsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 200030 5AL@30 Ex. Occup. OUTLETS ((RESID )FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare uniller penalty of perjury (check one : ❑ The permit is for $100.6t va uation) 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. dl shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 County in consequence of the granting of this ermit. i Date [T / N�Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ 138.00 HAL I CUA PARK I SCHL I FLD I CDF I PAR I PO l HD 1 This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work ind' ed above for which f s have been paid. DIR OF P WORKS By 8/1/92ate PER IT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR, GOLDENROD -APPLICANT w�•;.,. COUNTY OF BUTTE - Department of Public Works 7 County Center"brive, 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) 2. I (have/have not) signed an application fora 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 Co 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: i Property Owner Social Securit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Ji COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection -indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation„ please contact this office immediately. AM Date o / Inspector REV 10/92 µ COUNTY OF BUTTE �''�BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES z. /411' Main Street, Chico,,CA - (916).891-2751 4 7,,County Center Drive, OroVille, CA - (916) 538-7541 « 6 . CORRECTION NOTICE A routine inspecti indicates that the following violations of Butte County Ordinances exist at ,the above addr s and should be corrected. Please notify this office when correction of work ii complete . f you have any questions pertaining:to this matter, or need additional explanation, please c tact this office immediately. 5 ,I/1 L'I IMA /--'\ t>AA' AAA_ n A /P/1 I /1 f' I 3 r Date - Inspector V OL14 REV 10/92 ' 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 t "F OWNER PERMIT NO. ; A!� A routine inspection indicat s that the following violations of Butte County Ordinances exist at the above address and ould be corrected. Please notify this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, please con ac is office immediately. r Date REV 1 Inspector 11C �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `r'County-Oenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -T � -/- & ASSESSOR PARCEL NUMBER 5-395-13 ZONING AR BUILDING PERMIT OWNER Susan Van Horn & W'lliam Houck TELEPHONE 345-1450, SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1306 Davis St. Chico 95928 72 360.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2-�® ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 144-96 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ hVVA PLUMBING PERMIT Filing Fee 10.00 Each Trap .5 2.00 10.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 1 5.00 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 .5,00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ® Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other ❑ Describe work: 1 BEdroom _ Permit Fee $40.00 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 1 2.50 2.50 CONTRACTORS LICENSE LAW 1 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 u I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. SLOGS. X 2yz2sgft 24,55 NEW CONSTR ULT( -OUTLET 2.50 ea NON -RE SID BRANCH CIRC ITS / POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occu z0 ®80« Occup(OUTLETS OR FIXTURES eAL®30 FIXED Ex. -Occup. Occup. OUTLETS PLNS (RESID )OREA.) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $47.05 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. < I Contractor MECHANICAL PERMIT FiIingFee 16.00 Heating 116.00 6,00 Wall Heater lin Cooling 3 Ton 1 6.00 6.00 Hood 1 3.00 3.00 Ventilation Permit Fee $25.00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �6 ! Date d Signature of Applicant - Owner [r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over '0" d e an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 cC 3 CONST PE TOTAL FEE $ • HAz '� cuA PAR scH FLD PAR �DHIssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By. PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 0 - Q 9-1-17 ,,11 Receipt No. ' 66487 �!, WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEC R, GOLDENROD -APPLICANT 14, COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION ® 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AOPLICATION DATA SHUT Permit No. OWNER /l/ Gr/ LL/ /l� G/� Proposed Building Use Building Inspector Date % �6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by 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 .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation .nstructions............................................ es of $ -,:� Cc O,iEtI; .............. ....... 11. Chico Urban Area fees paid ... P?Z; ..0-H*f $t_.q.Z�.(13.31.... i/ 12. Park fees paid .................................................... 3. r' 1i!T7 School District fees paid .............. 6 �� 4. Sanitation approval from Health Department -7- t 7 9 V 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-Inspec, request to e� 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 o, Mail to owner ❑) ..... 4. Recorded copy of Agricultural -Acknowledgment Statement ......... .,Letterof signature authorizati �/ ........ J �t t�S� -rwOC- 27. When you issue the permit, process as follows: to owner. Mail to contractor. _��Telephone,�4�/1 <,p and hold for pickup at m`' Qoffice. Deliver w./inspectoii) Other Applicant ,LY��21/yl vim'% Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pLripf to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by phone__nail—counter by NA) -.date % Z% Contractor, designer, owner, was advised of above required data by_phone_mail co ter by date Plans cljecked by kDate- --Plans approved by Date --.)- Sets of plans on hold in &_;"ff`ile�abiAP folder 1 Copy—DPW j f n 0 TO Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Owner Loca on # Plan Approved for: Sewage Disposal ,�. Water'Supply i Hold final for:. Water Supply Final clearance O.R. for: Water -Supply Clearance for __�__ bedroom Aeb+-lre-home. Other- 90-30773 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENT,IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded a - prior to issuance of a building permit. T 11-te pr.oyer.ty described herein is adjacent � 90-030773 1 Rec Fee 5.00 to Land or. included within an area zoned 1 Check 5.00 for agr.i.cu l.t..ur.al. purposes, and res:i.dents Recorded 1 of this prulerty may be subject to incon- i Official Records 1 ven.i-ences or d i.scomfort ar i.si.ng f rom the County of' 1 1 use of agr:icul.t..ura.1 chemicals, including,. Butte 1 but not .1Jmi.Led to herbicides, pesticides, Candace. J... Grubbs 1 and ferl.:i l.irers; and from the pursuit- Recorder 1 of agr.i.cu.l t.ural ope:raLions including,. 12: 1 ipm 20; -Ju 1 -90 1 �, , VS. 1 but not-. lim:i.tcd to cultivation, plowing, ------ -- ---- - ----- --- spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establi.shcd agric.u.l- tural zones which have as a priority use for productive agricultural. purposes, and res.i.dew s within said zones and on adjacent property should be prepared to accept such i nconven-i.encG or' discomfort from normal, necessary farm operations. All that real property situate in the CounL y of Butte, State of California, de:;c r i..bed as follows: le/fI1G�G OA/E ; THS BAST SLY 30 FE£T OF t.oT'$ IN DI.Oc4G %� A5 51400A) OU cp/tTiRtN KhP eu4lrl.Ep ° poNcll£R'S SEc 90 APPITIOtiJ to TOE. TMN oFcHrco '/ wt+ickl MRP LuA5 x co&PED IN I*E OFFtcE. Or- T}lE Rfi- 60"EYL of -Tlfr- CO1AM-r ' OF stl'1'Te i STATk 06 Cl►�t�oteN/li� pN sreFTSµV>eIL 7t f9ol r.ld Boo1c 5 oL MAFSl AT FA6E 15', EXc,EPTtNG-tHSFte ( "PA Toe 5otATIfVLL-1( '30 FE2r 'M&W-OF. PAtZOS(- TV-) o 'MF ouejST£kz" ZQi FeeT, ap CoT" 0 tN Rar.otl� (p/ +45 SHevJ�1 oW VY}hT GEKT�4�1! MAP F.�tTLED novkcttr✓ee, M",L)D A pl>%-"0&) Tn ,%E -Foww of C*IGp "I Wi4loti MAP arAS 12E¢o►2Dti<D SEDiEMfSE�- 7� 1901 rN Book. 5 of A4Ap$1 Stkl- E CectNT-y AP -COP -04/ k- PA6S IS e,,wn G KYLE t-evM -roE Soct^74f9& -Y le, FF -ET 1*eYM of Date: v State of C&Aome ) County ofw SS. PROPERTY OWNERS J� AhL0&l --- On this the ar,�IrK day of v lx , 1 19_q, before iue, the undersigned Notary Public, person lly appeared �km El Personally known to me. [?I Proved to me on the b�isis FFICIAL SEAL o OFRCI f_ satisfactory E'v:LEL(`IICe. Ato be the person(s) whose name(s) ppTApEMPusJANE E FRYF1NU► subscribed to the within instrument and -acknowledged Lha t MMA gUTTECOLOM executed the same for the purposes therein contained. 'f N Wfl' ESS MyCantt►6(pirnJam 3.1"2 WHEREOF, I hereunto set airy hand and official seal. Present A.P. Nea_. �!VTj -� Notary Pub] -i (:L EN® OF DOCUMENT 101 ` � ' ` . . � v ^ ' ' ' ' � ' ` . . � /.. . ^ . ' . . ' . ~ ' ~.. . . � ^ . ' .� . � '. . _..�rvS�°'�wR°'.�.,v-r-.r•i� �'f�F fr:'YMS-•., -�- ,.;�.m.,K`1'��'!(SF�Tr�t;�+'¢°1'�+f�FSj7"l'sYF�v�f�Y�V�'%"P"'°w,'"Y�t+rq"�`"3wwr.+P"�'`;(."_._ BUTTE CBUNY PARKS DEVELOPMENT FEE CERTIFICATION FORM fi CHICO AREA"RECREATION AND PARK DISTRICT Assessor'Parcel Number(s) Property Owner vI;A Al V 41VZAWZ-1-1111W 4/ CIC Project Location/Address V/ % / C (v 9sYz Subdivision Lot Number(s) Residential Development: (check one) 1/ New Development Alteration/Addition Mobilehome(s) Non-Residential to Residential Total Number of Dwelling Units Comment: -7116 ` Bili ding Depakfz4nt Representative. Date t. ' �k7kir�Y 7�C �k 7k 7k � �k k k k 7r Yt Ak 7k 7k k A 'k yt k 7k K k �k YC ]k k yC7h h /f �It k 7k �If 7r �lC k k k AC �k 7k 1r7k Yr k � 7k 7k YY yl7k 7Y 71f 7k k �Ir k k yl7kakyC 7Y Yr 7k 1k SryC �lr Chico Area Recreation and Park District(CARD) certifies that Sat._� VA0ROP_0 � L- L, Art (Applicant Name) (Phone Number) ` OAJ iS Si CZCZ (Street Address) CAA (City)ti. (State) (Zip Code) has complied with the requirements'of. Butte.Co. Resolution No. 89-681 by payment for dwelling units @ $722 for'total payment of $ ���•�� CARD Representative Date �.. PAID BY CHECK NO. $ REMARKS: BANK NO. PAID BY CASHt RECEIPT N0. park.fee (7/89) - ._ra•w.•�o...arF-.`r ..w.•�frr�"�.-y..'.F..�.;ary@t3!"�$j,:x^,�,iy�7:"Pym.,�•'err`��"w�"•itiitf"C�'�'�'•�„,':'"lw�-:r;,;4!til-w{".,'^^"'F•?1 ..,:rte_. Y+i-:kw `.r BUTTE COUNTY...�CHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form. per Bui.lding)• A.P. Number 5 � 3� Building Department No. School District City County [:�o Jurisdiction Property Owner 505AW VA x1 H i912 IV d1l GG/1I /12 Project Location/Address ��D �/g:�I S r G H /CT> Subdivision Lot Number Residential Development: Sq. Footage. # of Living MHI .Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) BuiJoin Department Representative D-te (Floor Plans reviewed by School District Personnel). District Id No. Q�,�a� 1(� Jlil1 Q School District certifies that (Applicant Name) (Phone Number). (Street Address). ; (City) _ (State) (Zip Code) 'has complied with the requirements of Resolution No. 1-119-9 by the pament . of $ �C� /. �� representi y - ng square -feet. School. -District Representative D to PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS,: white -applicant, yellow -building department, pink -school district SCHOOL.FEE. (8/88) rl� D i hind - 6 a cGce� ��'367 un - w 9 5 _ 3 _57 /,7 s' _ 3 95--13 Owner: Permit No. ENERGY CERTIFICATION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose'Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB . Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name 'Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California.Ener&, Requirements, FIRM NAME/OWNER STATE'CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 Inter Deparimen 0to 'Memdrandum (7 14- 49,pl 0* TO: FROM: SUBJECT: ie ID DATE: 0�, sr //I-- io, ......... . . 60' 40, -1 L A 44 t 160i j- 60' ot TET ...,_ , I I ;—,--,-'+--r.T r r_• - T .1 —r' . r � �r, , : i-�'--L. ; .{...i 1-r , .off: ..•"K, ... ,.; . 1...i 1 L? l A iPOP i 1 t I , 44 ;.A +4,j i Hr Is 141 owl 0 fill 11 . `. .. t .l .I i � lit i 7•. �,�I� , , , . , I 00' - 60' I ' -71 40'- • J .L. I I , , i i t � J N, ' l . is , I ` � _ f I I � I , i .� . E .. � •. .I_...'r. I , i•- J I. L, 1 .._ .,_. r. , .._:._,- 0, • r i t 100A f ' fi I 120 I 140 l I 160 �...__. ` x_,20 ._. ., . _ 40. _...__.__._ ._......6 ----•-' '- -i...__:80 _ .. ` J._.. _�__. . �__�._......s--- _1 ..__-_-_.___... l .,._- -_-._ 3 0 7'D 9 h (RESIDENTIAL 1306 DAVIS .ST , hCHICO r ADD'COVERED PORCH SF R qi4- - tCO4 Yfy ;r 4 ;.a - 1 ' L ' r JOB FINALED (Date) +� Signature "� Tw i:• t • O (RESIDENTIAL 1306 DAVIS .ST , hCHICO r ADD'COVERED PORCH SF R qi4- - tCO4 Yfy ;r 4 ;.a - 1 ' L ' r JOB FINALED (Date) +� Signature "� Tw V=OK O = Not OK • = NotNot Reeaadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'L" ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well - Clearance & Disconnect & Utility Clearance Date/Initlals MOBILE HOME INSTALLATION (Plans) OK except #'s 1: Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line r 3.. Gas; MH Test -Demand -Valve --Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy y MISCELLANEOUS Date/Initial DEC COVERS CARPORTS. GARAGE Plana OK except #'s o Requirements -Setbacks -Easements o ngs; Soils -Size -Depth -Spacing -Connectors -Steel .. 3. Decks; Gridera and/or Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftre: Connectors Shthg: Rfg :Bracing 5. Alum. Awn.; Columns-Connectione-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses 9. Siding; Nall Ing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connectlone-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Teat V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL = Date/Initials UNDERFLOOR (Plans) OK except #'s •' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3.'Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12: Electric; Underground •13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except is 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nati Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --25. Romex installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin--roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Ovefharig-Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wails; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa " 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer T_ 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location a 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 1 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing C 83. Vents Above Roof; Pibg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - TelephonQ, 1916) 538-754 PERMIT No. APPLICATION AND PERMIT - /7/1) ASSESSOR PARCEL NUMBER 005-395-013 BAR ZONING BUILDING PERMIT . OWNER WILLIAIM HOUCK TELEPHONE 345-1450 SQ, FT. OCC. BUILDING VALUATION 168 21$4.00 OWNER'S MAILING ADDRESS 1306 DAVIS ST CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHO NE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1306 DAVIS ST PERMIT FEE $ 109.10 CHICO, 95928 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 SFXX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition yX Remodel ❑ Utilities 1:1Installation ❑ Other ❑ Describe Work: COVERED PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SD. OR ADONS. ( &ACC. OLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ftd 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA2001.00 `00 Ex. Occup.FIXED APPINS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ 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 $ 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 County/in consequence of the granting of this permit. X l/�A,1�, qt ofJ_ �1 Date Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S DCC CONST. TYPE TOTAL FEE $ 109.10 HA2. D. FEE IMP FLOOD XX 1,;O'J PARCEL H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which f s have been paid. By Date PERMIT EXPIRES ON - ete) � Receipt NO. 163259 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,�J,,�4'�P•v`KV•..r.atie-.eu'i�`i^.►'ii���e**�A,�``�+': FY��.�`'�nN`""�►Ftp`'^''Yah,7=4"�k9t'*..+wr:.�w�'t�t,4da�f �r-"""i'i"�.�w`�"'1�+. OUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING WIS-ION' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHON ) 538-7541 P E RM I T AP P L I CAT 0)N DAT�aSHEET A OWNER lV A. P. -No. Proposed Building Use Building Inspector Date lv At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ,4 DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and'calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. �- 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ?� 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown. on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ...........:::: : :: Sanitation and plot plan approval C 0 Health Department. . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . • •Pre Inspe'«ion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . 222. Certificate of Workma.ns Compensation Insurance ........................... ' 23. Owner -Builder Verification (Given to owner , Mail to owner ............ ` 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization.................................i....... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .............................. ... . . . . . . . . . . 29. Documentation of legal access......................:......I.......... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ` Acreage Applicant VVw` / V /� Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail C unter by _ Date If Plans checked by Date Plans approved by Date 7 /L Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY . 1'1ut Plan Au.chcd Fluter Han Auachcd � TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP#i Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other_ f Hold final for: Final clearance O.K. for: NOTE - EI ironmental Health Specialist ' 8/92 Date Av CER41CATIOWOPINSULATION N* ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS "P.O.'. BOX 854 VEST SACRAMENTO*, CA 95691. LIC: #202026 LOT - 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 P.O.-BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 P.O., BOX 1631, RENO; NV 89505 LIC. #10675 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DATE INSULATION COMPLETED CEILINGS SQUARE FEET) SQUARE FEET) SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL ---*IBEf03LASS- MATERIAL MATERIAL FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT LD MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R - VALUE APPLIED R - VALUE APPLIED MIN. INSTALLED 'R VALUE APPLIED THICKNESS INSTALLED THICKNESS WEIGHT PER INSTALLED THICKNESS .INSTALLED SQUARE FOOT KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER W R GRACE TlrllS IS TO'CERTIFY THAT INSPLATION AND/OR HAS BEEN INSTALLED TALLED IN 'CONFORMCAN SEALANT I I _ �^TWAPPLICABLE CODES, , MATERIAL STANDARDS AND REGULATIONS. • SIGNATURE -INSULAfT-ON CONTRACTOR TITLE DATE MANAGER SIGNATURE-GENERAtwCONTRACTOR i TITLE DATE REMARKS: SIC -303 FILE COPY IL 1-4 '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) 2. I (have/have not) 4f2JV� 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: WAA Property Owner UlIZZ4 Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to .issue the permit. Opt, IC3 UL cc IT I suite coun D OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial.woy ISI 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 . Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 March 30, 1982 Registered Mail - Return Receipt Requested' Arthur E. Lyon Jr. 1500 Wellesly Way Sacramento, CA 95841 1E: Complaint — Hazardous Housing — 1306 Davis Street, Chico, CA — AP# 46-115-04 -------------- Dear Mr. Lyon: This department has received a complaint alleging health and safety hazards in the above listed dwelling. The Butte County Assessor's records indicate you are the owner of the property. Following referral from the Sheriff's Department after removal of a Mr. Floyd Braton to a local hospital, I contacted a woman currently occupying the house, to make an inspection of the dwelling for noncompliance with pertinent sections of Title 25, California Administrative Code, Chapter 1, Subchapter 1, State Housing Law Regulations. These sections regulate minimum standards for health and safety of the occupants of rental dwellings in California. The current . occupant denied me entry to the dwelling. This letter is a request to arrange an inspection of the dwelling to verify that it is safe, and does not pose health or safety hazards to your tenants. Please contact me at the above listed address or telephone number and arrange for a joint inspection of the structure within TEN`(10) DAYS of receipt of this.letter. .Please be advised that an exterior inspection revealed hazardous electrical wiring, lack of weatherproofing, and general lack of maintenance for the structure. It appears that electrical- deficiencies, could lead to a fire in the structure Sincerely, HowardJ yd . Sn e Jr.. S. Division of Environmental Health HJSlmlf cc: `ll ublic Works J. Glandes a Susan Van Horn William Houck 1306 Davis St. Chico, CA 95928 Dear Ms. Van Horn and Mr. Houck: Eat& Count( DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD O. McELROY Deputy Director July 9, 1992 RE: Building Permit No. 2333-91 Expiration Date 8/1/92 (A.P. No. 005-395-013 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for the original Building Permit Fee (plus a $15.00 "Filing Fee"). The renewal permit will extend -the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. .'If your construction is completed or should you have any questions concerning this matter,. please contact the Chico office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. 0 JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico - 196 Memorial [day/891-2751 Yours very truly, William Cheff Director of Public Works (W . Glander lief Building Inspector Paradise - 745 Elliot Rd./872-6307 2191-86B,P,E PERMIT NO. PERMIT EXPIRES SUE -VAN HORN WILLIAM HOUCK OWNER Owner CONTR. 5-395-3 & 4 ASSESSOR PARCEL 1306 Davis, Chico LOCATION OFFICE COPY Address GAS Meter By Date - ELECTRIC Meter By-,ee3 Dat Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E All� JOB FINAL Signatu J = OK 0 = Not OK , - = Not Applicable MOBILEHOMES * = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas;' Local iorrTest-Wrap:/ /"L" ft;/ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI . 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Appjicable = Not Ready J RESIDENTIAL (Sin-gle and Duplex) ' ` Date UNDE OR Plans OK exceptk's Date FR (Continued) __ __ _VvIoni.rig requirements -Setbacks -Easements 4& Epel5brty Line Firewall & Openings __Soils-Ssaef-eteczQfriek- / /'' Ftg. Depth 4 , - Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils- /12-/" Ftg. Depth 50-,-e idth-Headroom-Rise-Run-Landing-Fire Protection__ - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth alls, Main; Steel-Blockouts-Wrapped-Slab 6lls, Garage; Steel-Blockouts-Wrapped-Slabo 5 P wood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing-Veneer Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steelaziog _ Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 63:' Shear Walls; Nailinc-Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI 046' Card -BI Date Card -BI ( / Date Card -BI Date Date FIN (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings Q' ^n4P'flatarrnr Card -BI Card -BI Vent -Access -Combustion Air 1 4eSPipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection .1z.-6ftaW9r Pan: Test, First Floor -Tub Access X19 T_1 uTTJ hont'ie_r, 2nd Floor -Tub Access 19. ipe: Size & Anchors Date _ Card -BI_ Date Date Card -BI Date mace; Vents -Clearance -Comb. Air -Connector - I Garage; Above Floor-Ducts-Mech. Protection a room Exiting G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes Lab lq2. Stai7s & Rails 6 / ve; Clearances -Hearth . Elec, Outlets at Wood Panel; Int. &Ext. 6 nce; Grnd.-Air Gap -Cooking Clearance & Receptacles at Kit. Counter Date ELE ICAL: Perrniq OK except q's rage Fire Door; Svfing-Landing-Closer uct in Garage -Damper Card B-1 Card B -I _ 2&1 ylztu /re'8 Transformer Clearance -Ins. Protection 2✓'. ..R-6ceptacles Spacing -Lights & Switches at Doors 22. a Boxes & No. of Conductors -Stapled lam2 Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & QS 2 n_gHance Circuits in Kitchen & Conductor Size Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 2?�ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, I ulated Neutral Yes No /�(� 2 Servic - +ser Conductors & Ground -Main Disconnect "Dr 3� _ Eqw Caearances: Panels-Motors_Mech. Equip. Clothes Closet Light -Shower Light ---- 4 Date Card -BI Date Date Card -Bi Date - e� rts-Clearance-Comb. Air-Connector-P.R.V.- n Garage; Above Floor-Mech. Protection 71p," p „ Elec. &Mech. =quip. Listed for Location ., Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - � -- ked in Attic ❑Yes uar Rails & Deck Construction -Post Caps F n. Vents & Crawl !-tole Door -Drainage & Woo =Earth Clearance ooked under Floor ❑ Ye Following instld.: Driv C1 Yes o: Walks Eli Yes No; - Planters ❑Yes No own-T=own isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Ve is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ el connect, Electrical, Plumbing -- E erior Elec. Trim; G.F.I. Receptacle -Underground 6'1 entilation throughout House --- - - I ss Protection Dale MECHANICAL (Peirnit).OK"except N's _ _ 8 orrectiois from Previous Inspections - e ed; Gas -Electric Card -BI Card -B1 Date 31. A.C. Ducts. Irlsdfation & Support _ - - 32. Vent Fan' xhaust above Insulation - 33. Cond ate Drain & Overflow: Size _& Grade 34. F. ace -Vent: Access -Comb. Air -Return Air Vent -115V outlet - -- 35. tic Access &Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date - _ - FRA NG fans) OK except Ws Water & Sewer Connected -C/O to Grade -HD Approval — p lance Certificate -Other Certificates -- - - - - Card -BI 5 Date Card -BI Date Card -R'. late Card -BI Date Card -BI Date Card -BI Date Com lents at Final: Proper Material &Anchors Z37.alls: Studs -Nailing, Spacing & Bracing-Plates-S--nd ngWalls over Girders & Floor Nailing c raft oP, in Walls (rat proof) - 4 tops. Furred Ceilin s- Stairs -Chases -Tub 4 Head ✓8 am -Size & Bearing gers-Po st Caps -Anchors -Connectors 3 Ing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring. Saar-FTTTOIZin Ties or Type A Flue -Fireplace Throat --°_Access: Size & Romex Protection -Draft Stop -Ins. Battles 1Tr. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing -------..-- ---- - - _- (NOTE An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 j� Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE /-/0V-VV fl I e�.yt 2 l9i - k-0- OWNER a PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when cor ction of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. P Inspector / ✓ Date e7 'V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone.916/534-4541 .v APPLICATION AND. PERMIT ASSESSOR PARCEL NUMBER� ZONIN-G BUILDING PERMIT OWNER oC ti ( i— TELEP(�HONE y -iys0 SO, FT. OCC. BUILDING VALUATI p� r• \ / Dov- oo OWNER'S MAILING ADDRESS JV yr ' CONTRACTOR'5NAME TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 6,S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 13j Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C) Permit fee $ o ��s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ej, o o l a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ✓J• SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 1 pU Mobile Home S I G I W 0.00 ea - TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: o 1". �.v� Qr tVe"4-e 6 �e� _ Permit Fee $ r 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q. CjQ Main service D'L 100 AMP 2.50 vJ CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (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. PPPJJJ 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. LING ,AMP OR ACDNS. ACC. BLDGS. / '/20sgft / , oo NEW CONSTR. MULTI -OU NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES z00s0t 5AL030 EX. OCCup. OUTLETS P(RESID IREA.) 2.00 Temporary. service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ p 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. I• shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1 vVJ 3 X t(A, !�s „� p' /�G Mobile Home Installation Fee $ Energy Inspection,Fee $ TOTAL PERMIT FEE $ Occup CONST,TYPEJ JFrOJPA"1fLJ PD HD ISSUE Arr This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R OF LIC WORKS p By. ` Date PERMIT EXPIRES Date Signature of Applicant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. G t47 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r,..,-�«�� Ji �' :^.i;�.� .t..'r'i {N1s�. {« � e• '.j. i .tF ,. ,. t ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFOFMIA 95965 - TELEPHONE: 916j/5344541 PERMIT APPLICATION DATA SHEET Permit No. OWNER if o.N Hort�l i-%ot^cf _C'l A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building InspectorO Date 3� At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . ., 9. Letter of signature authorization. . . . . . . . . . M 10. Sanitation approval from Cit to Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. re -Inspection for Required, Building Inspector W6�r18�UQdrbd.copy of Agricultural Acknowledgment Statement. . . _ 19. Other Driveway permit .,(const. a rc}-t -1 ..-When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Uc---- Date x046 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a i of application, circle item.)` 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by. Plans approved by Other: Copy—DPW to to Date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# i Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for / bedroom me home. Other ' idoLe"�°Q Date ,w COUNTY OF BUTTE*- Department of Public Works 7 County.Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return -this information at your earliest opportunity to avoid unnecessary delay in.processing and issuing your building permit. No building permit will' be issued until this verification is received. . �l. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) y%�$ -2. I (have/have not) f, rim 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 Social•Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office -before we are per- mitted to issue the permit. 1' X ' 11 11 �GF/ TYP At i R c.crrs , TMs set of plans and specifications MUST bE kept on the job at all times and it is unlawfil to make any changes or alterations on sam t written permission from the Department o ublic ._ Works, County.`of Butte. FLOOR PLAN 318.. _ �'0�� s APPROVED _ y TE. --All aferials A I ccordence Aith Recognis a quality ascribed for _ niform Build g, Plumbing NCONOMl eetrical Cod , Good Pra is Specified Machanica l S d ctrd. fj-a na cI�.9, es and in the Viand ��I LS �au.9� n..ataL roof 3o /b. Fc Lt 2 ply w004 sti cQ�f cic� 2 xlv"� (Z °I c M kY SPAN I ' q" 11"Ni Zi Sa a 241#0(c ✓ A- 30 1010 Z••X%U a 1 4�' etc &-, 6., / q (qj I ► 8' .Zx6s � fV�E' ? (,tJOVLO IWOO A RE S I V O 1 N 4 .Z,� " 0. C— GRAOE foot s F - SQgc.� NCS standard fr-Rnrin9 Provide 1/2' x 10" anchor bolts @ b' O.C. max. and within_ 12" of joints. /6 TYPIcAL. FgAMING lop I = / '. 0„ COUWy BUILDING DEPARI?AEN� APPROVE R,'VU . o 0 cu. A. Pro ide 1/s" x 10" anchor bolts @'91 .C. max. and within 12oints. S,*Np DET�IL A. -A. FD LINDA %/ D /V PLAN mrm ,aVVY IDUILOING PAR I Al PVD 3� 0 I okik Z V rn 1✓ '>�T, E LE VAT/ ON i EAST E L- E V A!'rI O IV 3/p~ �• ON ..r n 1 I I I I. I I Sl}WN poo I 1 J Z9 1✓ '>�T, E LE VAT/ ON i EAST E L- E V A!'rI O IV 3/p~ �• ON ..r n 1 I I I I. I I Sl}WN poo 1 �r D r Z M 01 .09 m v 1 �r D ' 'Acting June 5, 1984 Pacific, Gas & Electric RE: Substandard,Housing P.O. Box 49 AP #46-115-04 Chico, CA 95927 Gentlemen: The residential building located'at 1306 David Street, Chico, has been inspected by this office and the Butte County.Realth Department and has been declared substandard pursuant to the-provisions'of the California Realth and Safety Code. The owner has been notified to rehabilitate.or•demolish the structure. Due to the unsafe conditions found, and since the building is presently vacant, this office hereby requests, that you disconnect the-gas and electric services at' the earliest possible time. + Your timely cooperation concerning this request would certainly be appreciated. Should you have any questions concerning this matter, please contact-this office. Yours every truly, Will ism Chef Acting Director-of 'Public Works. w. Original signed by + J. F.SzIr��P J.P. Glander, JFG:aj Chief Building Inspector cc: Chico Health Department r A 0 !43.VUUVd3O k I Nnoo 'PIAF,t. M -L Rt e.erTl c t tS .. • ':1 .y {`Pips-. �`- ... «car,01 ` PROVIDE -APPROVED VENN SAND AbE-4) UATE ' BUSTION AA FOR 'HEATE'-R. 9/nR W N ,rircrt-,✓ ...7..•, 1 ZLe sO' /� •IXC "15 14-1 O 41 X �; Co F) _ W rr �Oloie defector Max. Rise = r Minn. Run '' rice Run m)ustd too to toe, betwee lar�k3st & Smallest rise run: vt o H.gU0,P-kL wrwcm , s "VlVef X -4f• i v 11 a' `� ::rl �iJr• figs T Fi-R, " 149. A[: �Iy° s �Ql 98L S 9(JILDING D it V '' rice r - 1 `� ::rl �iJr• 1 r. V figs T Fi-R, " 149. A[: �Iy° s �Ql 98L S 9(JILDING D it V ••Y - _ '' Cl . i; -:h"• .s+ ... '.M 1. Provide: 1 vori dow with Iglum �a open .of 24" high ' wide. 5.7 c;. ft. area;. and 44a max height. sill U -LLL -f • '1 �. 71 QJt -QQC 1212 � i�• ° .. B4L�o/vy - 72+•_ . .5E'=OA1D FLR. Nxr. p� I I I • I I I I I 1 I I I I I B U COUWN P ROV F Jot f i NJ 1. 6*1 [" sileatA4* y h • +K Po'v" � +�2/tom• 1 E Thls W of plans and specifications MUST `be kept'on the job at all times and it is unlawful Po make Any changes ur alterations on same wA, out written permission from the Department of Public Works, County of Butte. • 4 °x l0 2nx �u HAnY.�1l It ArtA�/'k"K NOTE. ---411' Materials & Workmanship SINJ 4K Posy' Accordance with Recognized Good Practices an1l of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes anAl eYt L t~he National Electrical Code. W�Vq°t) `4XG QoST��'�P w/Z�sp bots'► !� M2MA fcll w r FY 2ooF/WZ1 METAL Wr 1 F61 I ! r 3E.T8Aae SEWE�C LRT��L F02 F�tfu2E f/pv,�-4P ' �- — — -4 • —— i a, $P# 242-7-90 I I I n� N i sf f I I I • I I I � so's�yce S I I I L --------------- I A 6x/5r(n/!v SHOP JU UrRUMRES AND MUIPMENT iNC1.UDINO r3, s�nri� r7rnrr� OVIFIRANGIO•SHALL 13E CLEAR OF ALL EASEMENTS. c, k--X(517A1C7 lZgSIPENC6 A SET BACK OF S F�. FROiVI THE SIDE AND P. Pfau PoSF r� PoRcH Rrx�F FT, FROM THE REAR PROPERTY LINES AND FT. FROM. THE ROAR, CENTERLINE SHALL BE' LE OF STRUCTURES AND EQUIPMENT EXCEPT' A.9h"f. EAVE ovERHANG. yGorPcfl?/ PA 15; 5rfl-e6l- tT'fl6p�. I /g `'SQ, x !z''Q6c p, zz; So . x 12'f W-- r I . 6` I -c• -c- �J -�- -t- I I -ry?. NO, S E,e-v. PL4-V IL I { o P v-Wsrtt,iA HoctsE FOUNDATION ... BUTTE COUNTY BUILDING DEPARTMENT 4R0EDwm,�i�. a,✓ �/l2-/�� Oizo Oos� powT /30� D��S STS G�--eco • I � La�?J_Ls N/Siv���n� ti>. I W Q � 0 � p 0 - u.I C�� L • z I 0 - C�� L • z D 4. In U1 - H Q a zz L4 tW1,117 ium/agii Isa I: ueeNaq &C+ m, -euj C, '0% 01001 pz�.'nsccufj unu u n u i iAj "W *xew a SL A% +Qp 77U 31A 91 —V qV (3NY'-. LN3A MAOI ddV- 3GLAOIIJ tv 3C nr �-4 0-o-0 i ------ 0— S-A-12UA-av-4v -ktv o u � `�- C qNj $ • ` N490 .. C Q CL ti q � W C h b � W qj LU ex csw 0 kL ' t � v ti q � W C h b � W qj LU ex csw 0 kL LU tt`�L LU ex csw 1. Ceiling Insulation r Single- Number of stories Number of stories R -value One Two Three R-0 -103. -49 32 R-19 ' -8 -4 .2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 _ 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 • ' 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Controlled Ventilation Crawispace Single- Single - Number of stories -64 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 8 6 4 U -value Number of Stories -26 R -value 0.80 -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 6 3 Insulation in Floor 12 8 4 Number of stories 25 R -value One Two Three iR-0 -17 -8 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value . . -9 -3 .--..0.60. -144 -70 -46= 0.50 =. -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 -.0.20 43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 i 0.06 -6 -3 • -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -14 " Number of stories -64 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11-2 .40 -2 2 R-19 -53 .2 .2 4. Slab Edge 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 S. Infiltration (Air Leakage) Specification Points: Standard , 0 6. Glass Heat Loss ! Total -14 " ---�Efketl�ePerceshCClasa -64 U -value 16 Percent (percent glass x SC) -59 .51 to .41 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 4 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 " -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 1 3� 8 12 17 16 -20 0 4 9 13 17 151 10 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 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 J�2 -4 12 14 16 _ 18- 20 7. Shading (Shade Open) -14 " ---�Efketl�ePerceshCClasa -64 na 16 -12 (percent glass x SC) -59 Effective na 14- -10 %Glass North 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. nor 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 1 2 4 2 3 4.0 -11 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 1 1 1 1 2 i 0 -1 -2 -4 -2 0 na = not allowed ".9 IB. Shading (Shade Closed) 1 .1 1.. Effective Pet cc It Glass -4 0 2 (Pamt alaat x SC) 4 %GcM %u Nath Eaq South West Skyf)pht 18 -14 48 -69 -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 -65 8 -5 -17 -23 -21.. -56. 7 d -14 -19 -18. -47 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 .1 1.. '. 1 -4 0 2 3 4 3 0 na a rx11 el cried 4 .' 6 8 8 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Wall Mass Family Stories Mass Detached Stories Famly - ]CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -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 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 .' 6 8 8 9 3.5 2 'T 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 1.2 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 Single- Single - Sum of 1.6 Wall Family Family Multi Mass Detached Attached. Famly - 0.00 0 0 0 0.20 0.40 3 5 2 44 1 0.80 8 10 6 8 0.60 .5 1.00 1.20 13 13 10 12 7 8 I 1-40 1.60 12 10 13 13 9 11-...:. . 1.80 200 10 10 12 .. 11 12 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type .. I Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume) ducts In attic) Stm of 7-10 -25 or -24to-04to -4b -+6 Sum of 1.6 16 or SEER lass .25 or -24 to -14 to -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 . 1181-_- 15 13 11 .8 3 5 120 13.0 Effective SE or HSPF 11 14 12 i (SE or HSPF x duct efficiency) Effective •25 or -24 to -14'110' oto +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -6456 -24 to -11410 -07-38 +6 b -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 .. I Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume) ducts In attic) Stm of 7-10 Interior Mass/CFA • Type 2 WS t 1.76 utec-4.=1 - t TYPE 1 MASS WIMC It 4.2, Se: exposed slab) " 0% 5%, 10% 1S% 20% ,25% 30% 35%' 40% 45Y. 50% 55% 60% 6514 70% 75% 80% 85% 90% 95.% ,100% 105% 110% 115% 1209: 1,25• 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 -2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2.5 2.7 2.9 3.1 3.3 3.5 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 2.2 24 27 29 3.1 3.3 3.5 3-7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 3o% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 .26 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 $.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26. 2.8 3 3.2 3.4 3.6 3.8 4 4.3. 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 .111 1.3 15 1.7 ._1.9 21 23 25 27 33.2 3.4. 3.6 3.8 4 42 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 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 65�y 1.1 1.3 1S 1.7 1.9 2.2 '2.4 2.6 2.8 39 3.2 3.4 3.6 36 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 57 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 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 1.5 1.7 1.9 21 2.3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7- 1.9 2.1 2.3 .2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 WY. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4. 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 toot. 1.7 1.9 ' 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5. 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 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 2.4 2.6 2.8 3 .3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 16.6 6.8 7 7.2 120% ' 2 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.7 . 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 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. -25 or -24to-04to -4b -+6 to 16 or SEER lass 45 I .5 +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 .3.2'. • •2 -1 " 9.5 0 0 0 0 0 0 1 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 9 4 7 3 5 120 13.0 , 15 20 13 17 .,. 11 14 12 9 -- 6 Effedlve SEER Not X (SEER xauct eMciency) &,n of 7-10 Effective -25 or -24 to -11410 -4 to +6 b 16 or SEER less -15 -5 +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 12.0 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 One -5 -4 -4 -3 -2 -2 Two + 3 3 :' 2 2 2 1 Single -Family Detached and Attached Unit Size (sQ Water 0199 1200 "1700 2200 2700 Heater Unca or ; to to to or -- Type. Type less :1699 .2199 2699 more SG None 0 ± t' 0 0.. - 0 0 or Solar 1.2 '' 8 .. 6 5 ., 4 ' HP - -HWR ' 8 5 4 3 3 WSB 5 3 3 2 2 POU _-_8 5 4 3 .3 SE None -37 -24 -18 -15 -12 Solar -1 -1 1 0 0 HWR -18 -12 -9 -7 -6 I WSB... -25 -16 -12 -10' -8 I ' POU 18__12 ... '-9 _7 -6 i IG None � -5 -3 -2 -2 -2 Solar 7: 5- 4 3 2 POU .3-- 2 1 1 1 j E None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 _-_ POU . -10 : 3. -5 4 -3 Multi -Family (individual units) -' •1 Unit Size (b Water 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less • 1199 1699 2199 more SG None 0 0- 0" 0 _ 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 1 POU 9 5 3 2 2 SE None '-45 -23 _-7115 -11 -9 Solar 2 1 1 0 0 1 HWR "-23' -12 -8 -6• . '-5. WS8 '' -25 -13 -8 4 -5 _Q411_23 -12 -8 -6 -5 . i IG None • -8 :. 4 - -3 -2 F-2 Solar. 6: 3 2 1 ! 1 _. POU 1` 0_ 0 0 0 IE None . 30_ -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 4 .3 ,2 -2 Interior Mass/CFA • Type 2 WS t 1.76 utec-4.=1 - t TYPE 1 MASS WIMC It 4.2, Se: exposed slab) " 0% 5%, 10% 1S% 20% ,25% 30% 35%' 40% 45Y. 50% 55% 60% 6514 70% 75% 80% 85% 90% 95.% ,100% 105% 110% 115% 1209: 1,25• 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 -2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2.5 2.7 2.9 3.1 3.3 3.5 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 2.2 24 27 29 3.1 3.3 3.5 3-7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 3o% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 .26 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 $.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26. 2.8 3 3.2 3.4 3.6 3.8 4 4.3. 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 .111 1.3 15 1.7 ._1.9 21 23 25 27 33.2 3.4. 3.6 3.8 4 42 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 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 65�y 1.1 1.3 1S 1.7 1.9 2.2 '2.4 2.6 2.8 39 3.2 3.4 3.6 36 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 57 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 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 1.5 1.7 1.9 21 2.3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7- 1.9 2.1 2.3 .2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 WY. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4. 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 toot. 1.7 1.9 ' 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5. 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 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 2.4 2.6 2.8 3 .3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 16.6 6.8 7 7.2 120% ' 2 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.7 . 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 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 S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight measures PC 30 or Eff. % Glass R -value [38] U -value [0.030) or �k-12' R-value[It] U -value [0.0981 -�� or ->. W- . R-value[19) U -value [0.0371 ,19- or ,,51/. 5,,51/- R -value [01 F2 factor [0.771 Standard X Type [double] U -value [0.651 8. Shading (Shade Closed) a. North b. East c. South d. West e. . Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating le. >- % Total Glass [ 161 % Glass SC Eff. % Glass X ?_7 = 3.3 X. 77 = ->. W- . .Z X , °7 = ,,51/. 5,,51/- 0 40 X X % Glass SC Eff. % Glass , X y74 �. X G• _ `/.7� e X� X 7 TYPE 1 MASS AREA Interior M %ss/CFA COND. FLOOR AREA TYPE 2 MASS AREA $ Exterior Wall Mass ND. FLOOR AREA SE or HSPF Duct Efficiency. [0.781 HSPF EffectiveS or [0.72/6.61 Not X SEER [9.5] 1Duct Efficiency [0.74] Effective SEER [7.031 Point Scores . �8 0 -3 -� Sum 1-6 Type [SGl Credit [none] Point Total: t' �.Ga ivaa ria VA V V1UFU411%Xi X%rb1UC1lt141 unmate Gone 11 Project Title oZ 1-364 S. S � � l�/�/ C� Bun gy.it Project Address -VAP, . Checked By / Date Documentation Author Telephone Enforcernent Agency Use Only BUILDING DATA Glass Area % Glass Conditioned E1o�r Area �y� Number of Stories �- North East 77_�5- 3`,0 _ ised.Ill •rte- ' W Number of Units / uth ngle Family Detached (SFD) [ ] Addition -Alone West %.. D [ ] Single Family Attached (SFA) [ ] Existing Building Skylight -ice-_ .a [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total / 97 /Zi— BUILDING SHELL INSULATION • Component Insulation Locafion/Comments' Type R -Value (antic, .to forage, rpiaal, etc.j Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. — Slab Edge ..... CLAZING Shading Devices Glazing Area Glass Type Orientation Interior Exterior Overhang Framing Type (sf) (single. double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metaltwood) North North ( ) — East ( ) East ( ) - South ( ) Sou th ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.) taa•� 10`r Of - 5-q03 s.. /}lie. 1l �/'Yowo1— HVAC SYSTEMS Minimum Type (furnace, iu;, Efficiency conditioner, heat puinn) (SE- SEER-HSPF) 7S Duct Location Duct Output Manufacturer / Model # (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: '?,POBtuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) StroA 44ilf` 44S SPECIAL FEATiJRES/REMARKS (Add extra sheets if necessary) i Mandatory Measures Checklist: Residential MF -1R NOTE: lowrise residential buildings subject to the Standards must conuin these awes regardless of the tom lance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requaemcnts listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the futures noted shall i be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIMON DESIGNER ENFORCEMENT Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. f §2.5352ro% Loose fill insulation manufactwu•s labeled R-Valuc. ' §2.5352(c): Minimum wall insulation in framed walls R- I 1 weighted average (does not apply to exterior mass walls). §2.5352ft Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 pumlunch. §2.5311: Insulation specified or installed meets California Energy Commission (CECT quality 1 standards. Indicate type and form. . §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sukA §2.5352(e): Special infiltration barrier installed to comply with §2-5351 mects CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight Fitting. closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control I No continuous bunting gas pilots alk wed - HVAC and Plumbing System Measures 02-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback thennosta: on all applicable heating systems. ' §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(by Exhaust systems have damper controls. §2.53I4(e): Gas-fucd space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.53I2(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5319(dy. Swimming Pool Heating 1. System has: a. Orloff switch on heater. b- Weatherproof instruction plate on heater; e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3- Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators• refrigerator -freezers• freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compHarlce lists th-, building features and performance specifications; needed to comply with Title 24. Chapter 2-53 and Title 20, Mpfrr 2. Subchapter 4, Article I of the Califomia Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building: Designer Building Owner Name: " Name Tit3elFum Trtk/Ftmt: Address: Address: I Tekphonc Tekphorie: Lie. 4: • • � a�i%l.9'Gl/yJ l/QiYt �i�ru/ �//1�/ 9U (signature) (date) (signature) (date) i - Documentation Author Enforcement Agency Name: Name: Titk/Fum: ALLY Address: Tekphoncz