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006-660-031
CONV CHICKEN HOUSE To SF 5/19/92 4 00(10-6490- %d Kasemeyer E/S Hosler Ave., app.1300'N.of Nord �G� D O s; Ave., Chdco Permit A66-1-80P,E(ttil.,W') 4a 5. '-ELEC.- /'Z 2004 1510A 504 GAS /27-9-8O t SUPPORT STRUCTURE'REQ. IUo COMPACTION TEST REQ. Nz '-uo Contr: Richa-r-d Van S a erfl;16, Permit 6922 -80MHI conte Anderson Awning& MH Serv., Chico Permit #16,115- -,OB (new ,awn i /MH) 3602-90B,P,E,M XASEMEYER, Ted & Loreda 13104 Hosler Ave, Chico (conv storage to 60/640) 9 KASEMEYER, LOREDA 13104 HOSLER AVE. CIUCO UNKNOWN FIA))qe iy%i4lf MEI PERM FND EXT SITE f .4 ifI P. A 41 a W -006-020-063 08-2213 KASEMEYER, LOREDA ` RESIDENTI 1 13104 HOSLER AVE. CHICO UNKNOWN i MH PERM FND EXT SITE PERMIT NO. i r PERMIT EXPIRES OWNER R CONTR. i ASSESSOR PARCEL t OCATMN Y` I THE HCD FORM 433A FOR THIS MH CANNOT x BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: ! (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) + (2) STATEMENT OF FACTS(ONLY ON p NEW MH'S) " j _INSPECTOR.TO VERIFY SERIAL & LABEL #'_S.. } CHECKED a SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E -Temp. Gas Service Called PG&E JOB FIN ALED (Date) Signature O = Not o OK RESIDENTIAL (Single & Duplex) - - Not Ap lioable p Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ / Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeMrapped 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 55. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance-MatedalSupport-Ins. Shear Walls: Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sae & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Bo es & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex 1 stalled Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 79. Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. Ventilation Throught House MECHANICAL (Permit) OK except #s 89. 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 91. 37. Condensate Drain & Overflow, Size & Grade 92. Water & Sewer Connected -C/O to Grade -HD Approval 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Cana B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred CeilingsStairs-Chasers-Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60, Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK NotReadyble MOBILE HOMES Date MOBILE HOME UTIUTIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / / Uft. / /Nat. or/ tt"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing-VeneerSh=o-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Pard B-1 Date Card B-1 Date E HOME INSTALLATION(Plans) OK except #'s Card B-1 Date Card B-1 Hing Requirements- Setbacks Easements s; SiaeSpacing-Marriage Line Card B-1 Date Card B-1 a&UM Test- a nd-ValveConnector POOLS (Plans) OK except #'s ectricit • H Test -Crossovers -Breakers Clearances 1. Setbacks -Easements in; Test -Fall -Flex Connector ; 2. Soils; Compaction -Structure Stability Et,Wa-!gp*FT'Test-Regulator-Connector r 3. Pool Stricture; Steel -Connections -Thickness Dead Men -Lining D-17ater and Sewer Connected -C/O to Grade -HD Approval j 4. Elec.; Receptacles and Lighting, Distance -GA 8. Gas angftectricity Tagged 1 5. Elec.; Pool Lighting; 15 Volts-GFI 9. T wns-Type-Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed &a -'Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 11. Cert�pancy i 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit DD``"" rtnanent Foundatigp Only: License Decal -*k Date j/lj (,c��q Card B-1 VA%dZ Date Card B-1 Date // .2 4 /qp Card B-1 o -A Date Card B-1 /iq .tea" I" -S' L 77 Y Y-7fF -5 5ei:o-/ / -2- 7o- o4,11-- L S�- y lrA,,O- MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerSh=o-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Stricture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 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/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ EIT (Rev.12/96) APPLICATION AND PERMIT T��� ASSESSOR PARCEL NUMBER 006-020-063 ZONING Z r Z BUILDING PERMIT OWNER KASEMEYER, LOREDA TELEPHONE SO. FT. OCC. BUILDING VALUATION 1560 84 240.00 OWNERS mA'LIN° AYD3104 HOSLER AVE. CHICO CONTRACTOR'S NAME TmtTTNL]LA.T ViYi4'ir�VY 1Y TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 84-24 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13104 HOSLER AVE. Energy Plan Checking Fee $ CHICO PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 1 9 -no Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EXT. SITE M/H ON PERM FOUNDATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 00 Mobile Home I S I G I W 920.00 PERMIT FEE $ rs Inn ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Jorce and effect. 9� �� / License Class Lic. No. oC OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the 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' 5gmpensation insurance carrier and policy number are: Carrier ca 0C = %Cc Policy Number (The above sections need not be competed 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 forth ith comply with those provisions. ' q y� X Date SignatUrN of Applicant Owner Con ctor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA TO tOooA 46.00 NEW CONST. DW NG OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT. NEW R°ESIU MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. p ,.� EX. OCCU OUTLET OR FIXTURES BAL .50 Ex. Occup. ..ED A D.°�w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE394.50 TOTAL FEE $ HAZ. D. FE I P OD CDF p D ISSU � �- This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (.� Date �• q8 By Q(� PERMIT EX ES ON l 0' / I Date Receipt No. 250644 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSORPARCELN UMBOR D� ,_ Q .— 3 ZONING BUILDING PERMIT OWNER /' SE In r1 —97 , (� _ � '4 SO. FT. OCC. BUILDING VALUATION /�T �°1ON! OWNERs MAILING sol �qls� 104. 0 . 0c:::L`—`-'— ^ U � l__ & l CQ— J /� I � CONTRACTOR'S NAM! TEItPIgN! CONTRACTOR'S MAAJNO ADORESS coNsTRUCTONLENDER LENDER'S MAILING ADORESH Fireplace Total Valuation $ O ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 5-79 . $ 2eG I ARCHITECT OR ENMEER'S MAILING AOr Ess Plan Checking Fee $ mLOm ADGRE88 I Energy Plan Checking Fee $ CAA1 L,cl-ITS • PERMIT FEE = SO LOTHO. SUBDIVSIO"NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 - Each Tr 7.00 r USEOFSTRUCTURE, iD * �� 1 Solar or heat pump water heater 23.00 SF ❑ Duplex O Mobilehome Other � M NA Water piping 15.00 ls,c, sPECFY I Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 1 New O Addition O Remodel O Utilities O Installation ❑ Other O Building sewer 15.00 15 , • Mobile Home S G W @20.00 Describe Work: X�I • _ G ' 1 . ,. PERMIT FEE ELECTRICAL PERMIT Flonj Fee 20.00 Main Service °DOPA D0R LE=ss 23.00 Main Service 2ooA To IowA 46.00 NEW CONST. OVVEill1O OCCUP, sO. 3.5CFT. OR ADDHs. i ACC. BLDs. NEW CONST* MULTI -OUTLET RANCHCIRQffm @7.50 POWER APPARATUS A SINGLE OUTLET CtR. EX. OCCU ourLET OR f-0TTURFS .Oo eA20 0L I.sp ! Ex. Occup. ovrLETs NS EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. PE TOTAL FEE $ IIAZ D. FEES WP fLD00 COf PARCEL PO NO 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. By Date �— PERMIT EXPIRES ON RQ . WO COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL , ER: UU l0 "O 0 7 Proposed Building Use: Building Inspector: Date: ct 10 (G At time of permit application, t was advised the following data must be submitted prior to permit pro essing an or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- E�VPlot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ EL3-1`6omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- rl ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!------------------ 1:16. -----------------❑6. Energy Design Compliance and supporting documentation. ------------------- --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- Cl 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ . Manufactured Home data and installation instructions including Tie Down Specifications .------------------ sof- ------ eesof $------------------------------------- ----------------------------------------------- 1. Impact fees as shown on the attached schedule. ------------------------------------------------- % J ❑ 1 alif0 f Department of Forestry plan approval/fees.--------------------------------------------------------- 1 Flood elevation certificate ----------------------------------------------- Sanitation --------------------------------------------- Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------- ❑ 24. Letter of signature authorization. --------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.---------------------------------------------------------------- 1__128. ing viol 'ons and/or ex ' ed permi---------------------------------------------------------------- ❑29.433 A, " ' ant Dee. Title, heck to H. $ .--------------- 030.Oifi r. ------ When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, o Air Pollution Date: By: �? Copy of plans sent ❑ Health Department, o Fire Departmen , ❑ ther: Date: By: 1. Index permit application for the above items numbered: IV Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter, by Date: Contractor, designer, o ,mer was advised of the above required data b ❑ phone, o mail, ❑ B " ding Di ' 'on c unter, by Date: Plans reviewed by: Date: ' CJ '�j Plans approved by: Date: /d • !� Sets of plans on i 1A in o Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE Plot Plan Attached Floor Plan Attached Sent to B.D. TO:'..Building Department / �/� FROM: Environmental Health SUBJECT: Sanitation Clearance AIL 06- 12 - Z3 Owner Location AP# / Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ./ Clearance for I. -dwo ii4g.. Other 6 c A 1 A In Hold final for: . Final clearance O.K. for: NOTE: Environmental Hea Specialist S 0 ' Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 89172751 7 County Center Drive • Oroville, CA (530) 538-7541 CORRECTION NOTICE K&ti R P L, if (Z- Yel;- 27Z13 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. Date Inspector '—lam \� / REV 10/92 COUNTY, OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER hGSE'.YYI� ' CC Lore a A. P. 0 �(4) OZOrO� PROPOSED BUILDING USE (�l • N\ �`` 1 `iLATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES , - Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ' V/"2-. SCHOOL DISTRICT FEES (paid at District Office) • 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - = $ !#Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion 1# ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process: APPLICANT Q� `� DATE Z O Pursuant to Government Code Section 66020, you are hereby notifie at items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified' in Government Code Section 66020(a). a Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owners (Rev. 2/97) .F..-�'r+r T".t'�'^'.r? �. g_ �..ry.+e''�+J�y�({Swaw`f+�t"iriY�(�.,`�.-..11s�+I'�-.1..,'�'1�..n�✓"'.,dVr}i+�-�.'YF+,.+n�`�-...s��-�„MYrr•sBMM'�Y.7w•,.•-rb.-..r�ry�v-i"•.�r..wr +^r:r %-*..� � r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �ra'�� �(_�(� Building Department No. A.P. Number �Q�— ! lZy'—f /�� Jurisdiction: City E�] County Property Owner v Property Location/Address b^ Subdivision Lot No. F-T-%a(Q(A ;247 oD Residential Development Sq. Footage NEW' 7A)L 60 No of Living Mobil& Home Addition (Group R) Units Installation Commercial/Industrial Building Department Representative New Addition Irioor rians reviewea Dy bcnooi uistnct rersonne0 Sq. Footage (Including Exterior Roofed Areas) Asj�c� Date .t District Identification No. A School District certifies that (Applicant) / 71&e Z=L ILZ (Street Address) (Phone Number) / 0. - (City) (State) (Zip Code) has complied with the requirements of Resolution No representing Q 0 square feet. School District Representative Paid by Check # _ dil Remarks:. by payment of $ IFBi2F926 $ ULL 1 HTIGATION $ ItO i, Date - r Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you. from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Ouality Act (CEO.A), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm /{OSLEK AVE 'I 38. I 20 EXIST RESIDENCE – 2 4 X i6o 6V.1 tr the joV of till times and it is un!or4ul (To 13E 'REMOVED) rake any changes or alteretions'on some withov =on from the Deportment of P„&-' wark ctj r u . \ -S o\/ --�� 1 1 0121v,5w,1Y 5 ET B A C K L I tit E ---M matericAs T, wo&manol p S” Be io EX 15T S / q ce With Recognized Good Practices and o a quality prasyribed for the S- ecified use in t�h. Uniform Building, Plumbing & Mecnicol a 25b` 16 INotionr_) $ec}riccsl C��. 'I20%32 I20x32 RES IDW 10 — 7 E X 15 T S I CTUrRl=S AI\lIa EiII�EF�7 I$:'� CZ K D RES 16V �� SPALL BE CLEAR OF AL". � E, ib A SET BACK OF 03 I" 1'. FROM I -raw] 11 Ff. FROM T14E FEAR CLEAR OF STRUCTURES AND EQUIPMENT I MrWft A n rr CA%1t A\tGGIJAA111 (o x IZ WELL 51{E'D Ar. i, S7"oR, E PROPOSED RES)DENCE 24o X 60 3 BR) a .1 2-5 96� EES LL BE �IC*�l e– LOREDA"- K.ASEM EYE R -IB t o'+ HOS LER AVE CHICO CP- 9S973 JUTTE G/# O Cp -020 - o!D 3 ��._ BUILDING DE3�,�d'sr�f�`'� ° NOV.-13' 98(PR I) 16:43 FIDELITY, PIONAL TEL 9166994331 9fl-46981 2, P. 002 . � r RECOMM S'MEhtiOi poOR RECORD 15 DUE TO QUALITY OF ORIGINAL OOCUME�4T .... -' aE shoal OLl C%eC Cp•a3n ,� _. 3 guTTE fj,0LCOUNTY- CALIFORNIA whieh'NeQ� i The souther! 96.25 feet of Lhc �Jcst half of ].ot 1'--, "H05LER TRACT. NEAR CHICO,of guCtc, SCat�' of Gall o=ai p, entirlod. a RecotdcY of the County ...� filed in the office of th at F1Sc 6. ..v on may 9, 1913, in Book 7 o P "tb�edtizY om n=:ked EXCEPTING THEREiROMrr-ba certain strip of land SO feet ir. In tyh s1oGg' nad ecaYoad of Butte, dated July 18. 1938; .� ve mentioned Lot 11, Os described in that eeYEaia •.;._..� ,... Westerly side of the abo pap 313_ Alexander D. McLeod, e� ux, to the County of Offioial Rdcords, at P S AuguNC 13, 1936- in Book 86, _ A,Ses SOr 's parcel No. 044-03-0-063-0 c .2;>,. �UCOUNTY "'LD IN DEp ARTS ? PPR-01/VD t 1. Owner's Name: kO RCpA 81ASE4CyE2 2. Assessor's Parcel Number: D (v — O26 — d !o 3. Installer's Name: S9YeR6-S7- 6/V7_6_lZ PR/SES 4. Is the site currently under permit? Yes[ J No[XI Permit No. 5. Is the site an existing site? Yes[X] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? %B 0 Amperes. 7. What is the mobilehome site circuit breaker rating? Da Amperes: 8. What is the: elect iical' ratin of the mobilehome site? t g j 0 d - �u-Amperes. 9. Is the mairi`service remote from the mobilehome site? Yes[ ] No[X] If it is, what is the rating? ?p c) Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[x] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- JOCK Amperes - b) The main service: Load- y Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[XI None[ 12. Size ''of gas pipe at the mobilehome site from ' .': the meter or ,y> tank:. inches. "i r 13. What is the gas pipe.length from the meter or tank to the mobilehome? z0 14. What is the mobilehome gas demand? B.T.U.* ,. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). t eTHE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION O :;.. M n O �y c. Z May 1995 8.5 r': '.tY4g ACI 1";J1 Mobilehome Manufacturer: 1 -S,AIyL j,A/e Manufacture Year: -- If other than single wide, furnish Setup Model Number: P 2 1 1 Width: ,2 Co. (ft.) Length: Ceo (ft.) Tagalong or Expando Size -- (ft.) x. (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete- block[ Other: s Provide Tie Down Specifications for all Mobilehomes:- __ f-0 U nV191q 7-1 oma/ r�ar.L.r b `c Line 1 Piers: F-0U&MA7/0a Line 1 Openings Fvoaa,9 T/o^ - Size minim 1 x r Size minimum: [ ] x'[ ]. r Spacing maximum:Each side of openings From ends -maximum: `, : ; �',.` with width over: ` Line 2 Piers: 04" ,ine 4 Piers: ' Size minimum: [ ] x [ ]. Size minimum: [ ] x [ ]. Spacing maximum: Spacing maximum: From ends -maximum: From ends -maximum: ` Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 _ _.,Line 1 t Line 2 t» +, Line 2 iSizemnimum: ' , ..................... -.. .......................... ................................... ».. . : J=}k ; Main'Hearns Line2 .................................................. ine 2 Line I .Z Line 3 Line 2 ....... ............. !'............................................................ Main Beams ............................................................................................. Line 2— Line -1 _ ...................................................ine 5 Tag or Triple e 4 Line 1 ' r r�ar.L.r b `c Line 1 Piers: F-0U&MA7/0a Line 1 Openings Fvoaa,9 T/o^ - Size minim 1 x r Size minimum: [ ] x'[ ]. r Spacing maximum:Each side of openings From ends -maximum: `, : ; �',.` with width over: ` Line 2 Piers: 04" ,ine 4 Piers: ' Size minimum: [ ] x [ ]. Size minimum: [ ] x [ ]. Spacing maximum: Spacing maximum: From ends -maximum: From ends -maximum: ` OVER i' s`F.. Line 3 Roof Loads: 'ocon CSize. minimum %u): (from CJ in 5 Roof Loads: iSizemnimum: ' , EDoca ion (from front): > C Ti .Z OVER i' s`F.. .� rA a 0 cmg iL5 a � 0 ;;Q cn rn N -� rn �o m r- 0 _ F err+ W Q rn Q� N � 141-� z W p Q � ro _ 0 .0 rn � Z Fri � r wtiJi 90/TO'd 7-96L 999 9i6 O O m A o rn Z A C .wM . M ,,-, m I� e� N 7� n Z A Z �JJ rA a 0 cmg iL5 ML' 22S9 b5Z GIZ BO:it L65i-0Z-adW ' 9N I S3WOH S3N I -1),AS 'c�:Zj L66Z-0Z-ad4J rn - I 1 p r1 0 _ F err+ W Q N � 141-� W 90/TO'd 7-96L 999 9i6 ML' 22S9 b5Z GIZ BO:it L65i-0Z-adW ' 9N I S3WOH S3N I -1),AS 'c�:Zj L66Z-0Z-ad4J -\/OD L 10 OPT 48' SHOWER 0 .a(\ OPT OR BOWL LAV DISC FO/Z -S;"'A1VPA12,0 67' 5' L. 6> CA ;11'47,,V -.r C>IVI 2,_ C) . E.G. a SEP 2 5 1990 Chico, Cali'lomla t 2-7 - -Z.. 9OVED .....iunty - --3il He Ith 12' 1-12' /(oSLER 'AVE I 1 EXI ST IZES l DENCE — Z4 x (oo (TO i3E 'iZEMOVED) SETBACK LIWE APPROVED 8istte County Ex t5T 5EPTIC Env`'`Gs"'tr '"za Ith 38' 25b` igna 10� i t I 20 (io' I I 99zo x32 I FES IDW \ ( 90 I � Exl ST sEPrrc ��Ka REstpE-ac�) L Voo\/ -- --- ---- — ---- -----� .S� tJJ21V�WAY ------Z— Io' ►a' J � Co x IZ, \AIELL 5KED per �ig� � SToR�t l E PROPOSED RESIDENCE 240.X 60 L0REDA'-"'KfiSEM EYE R (3 BR)1310 + HOSLER AVE E�vironmelllai Fiea4th CHICO Gp� 95973 SEP 2 S 1998 A/P # 0Co-020- 04v3 5 C A LE I 3o' Chico, Califomia " = RECC,RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION + 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -Dec -1998 1998-0051655 Has not been compared vith original Butte COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LOREDA KASEMEYER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 13104 HOSLER AVE. 7 COUNTY CENTER DRIVE MAILING ADDRESS CIRCO, BUTTE, CA 95926 CRY COUNTY STATE IIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CRY COUNTY STATE ZIP SAME UNrr OWNER (if also property owner. write 'SAME') MAILING ADDRESS cm Covin Suis ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 98-2213 (530)538-7541 BUILDING PERMIT TELEPHONE NUMBER 11/24/98 SIGNATURE OF LOCAL AGENCY O CIAL DATE COUSIN GARYS F CTORY BUILT HOMES DEALER NAME (dnot a dealer sate, write 'NONE,) 91265 DEALER LICENSE NO. SKYLINE 1998 P211 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0446—L 60'X 26' ULI-479824-25 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNUVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #006-020-063 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHrIE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #006-020-063 All that certain real property situate in the County of Butte, State of California, described as follows: THE SOUTHERLY 96.25 FEET OF THE WEST HALF OF LOT 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOSLER TRACT, NEAR CMCO, BUTTE COUNTY, CALIFORNIA;" WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAU 9, 1913, IN BOOK 7 OF MAPS,. AT PAGE 6. EXCEPTING THEREFROM THAT CERTAIN STRIP OF LAND 30 FEET IN WIDTH ALONG THE ENTIRE WESTERLY SIDE OF THE ABOVE MENTIONED LOT 11, AS DESCRIBED IN THAT CERTAIN DEED FROM ALEXANDER D. MCLEOD, ET US, TO THE COUNTY OF BUTTE, DATED JULY 18, 1938, AND RECORDED AUGUST 13, 1938, IN BOOK 86, OF OFFICIAL RECORDS, AT PAGE 373. I �, BUILDING PERMIT NUMBER: 98-2213 Address or location of unit: 13104 HOSLER AVE., CHICO, CA 95926 Legal Description of Real Property: A.P. #006-020-063 (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LORENDA KASEMEYER Owner's address: 13104 HOSLER RD., CIRCO, CA 95926 ` INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR V.LN.: MANUFACTURER'S NAME: SKYLINE YEAR: 1998 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C t SEP.'- 14' 98(MON) 08:48 FIDELIT" NTL. TITLE ' -TEL;916 343 '410 L, L i,%LLO 111LE /,ND [Sunw mmpIIX► ' _ ,.1, hIlk.% K1a311113t.t.) • ,It. TI, :1(0V I1 113z 0. 1990 "•''I Ttrd and lured• Kasemey tr CLARK' A IIEL5011 .%%a 4191 Esplanade, Space 17 CLERK-AEvvnLER `�1i•' Chico, CA 95916 *F1 t'.tt L J :385.17 utt 1U S99 39 BANK OF AMERICA .r — a'- .. TITLE 6ROER NO. SPACE 411V1VE Tlll% LINT; 1`011 KRt11KllCN•S U.NE DOCUMENTARY TRANSFER TAX29.70 ._ -=Computed on full value of propeny conveyed —Or computed on full value less liens and eneurrt- brances remaining al time of sale ESCROW NO. a-4515 /7 Ctw.P. of 0-0- S.. i'l da M. ' Cw•t a,t,.•.,�.e tai t.w nr•., Dcolinda M. O'Cwia .Ao S%�tr.a.t HOT JrIT TgloV Q . t Joint Tenancy Grant Deed QC�.fu Y1 PUlt .\ VALL'ADI-E 03\' 11)EIl.1T1t)\• rra•ipt of Aldt•h it IKrCh►' wlulawledged. Peolloda M. O'Gvi ,..and.Jerry L.,, G'Gwin, her..hu91'.a!!A.......... ---.............................. -...... ...... _..... .............. ................ _.... - -....._.........•........-.......------.........................•........._....._........-- du hrrrhy CH ANT to Ted Kasemeyer„and Loreda )L3vemeyere., husband..and•.vii4.-........._................. ...... ............ __._............_ AS J()I.\TTF.NA\TS, ill the veil property uluAhA In the... Uoineorporeted.Atea •.•••linntl) ur Butte il•tr of Calrfunds, de•txihial a► fulluw-s: The Southerly 96.25 Feet of the West half of lot 11, as shown on that certain Map entitled, "HOSLER TCT, NEAR CHICO, BUTTE COUNTY, CALIFORNIA:” which Map was filed in the officeTok f the Recorder of the County of Butte, State of California, on May 9, 1913, in 7 of Maps. at page 6. EXCEPTINC THEREMO,`t hac certalo strip of land SO feet to width along the entire Westerly side of th above mentioned Lot ll, as described in that certain Deed frou Alexander D. McLeod, et ux, to the County of Butte, dated July 18, 1938, and recorded August 13, 1938, iu k 86, of Official Records, at page 373. Jasessor's Parcel Nei. 044-03-0-063-0 The undersigned JerryO'Cwin, huaDand of Deollnda M. O'Cwin, to ;olning I execution of this Cran Deed herein for the sole purpose of conveying any It he may have acquired a spouse of the herein named Crantor. P. 002 1 i+1�Nf,Hrr+e�et,Ifra.sN Iia 19 80 i lleolinifa N. O'Cuio iZ 1. A NEL i • 1 R NOTARY PUBLIC � Butte Cotn+ry PDX Cul©/`"✓` -r... . State cf Cerllarnlr t • A.Ay Cc—.rnittlen Txplrel Apr. Is, 908 ♦ ..... . . Chico c:.unly of But te I �N Ih. November 17 • 19 80 , Lrf%ur nrr, Ihr 1111d%-1,wiml, a \ulrr)- 11111111% 111 jnd fall ajul .,Bntce w t:,tt%rl) •t%, �I.rl,•, I.,•r..ntullf4111witrel DeollndaiM. O'G`vin and Jerry„L. U'Cvin 4 �J Lu".%u h. nr I,,Iti the I• runt uhnv nutty a are'. CJ 1. .uh�nlyd t.r Iltr Writtle% Itt.lnnu% 'tri •tltutul%tl�%a) trt n.• Ih•I t hrY r•a%a.u,al I or •Anw. .• �!' r \t I IN Ks% III)) h•lul aa all Mlit 1 •vl. t - r.. \nor) 1•ubar. III Art.1 f .dJt) Butte t„t,t,t x.11 \ly (imuui�.ialn rf;ti 61 . / I.P4 ) \I�11.'I'\X 1. I 1 \II \'I,% I I 1 CA. E AS ABOVE SEP. - 1i'98(MON) 09:11 FIDELI T'. 'ITIONAL TEL:9168999f Order N0. Escrow No. Loan No. WHEN RECORDED MAIL TO: 94-0-"6982- : 1 Rec Fee 12.00 LOREDA KASENETER I Check 12.00 13104 H05LER AVE Recorded r CHICO..CA 95926 Offaclel Recerae I County of I Butte I Ca.+dace 3. Grubbs I Recorder I 1:09p- 14 -No,. -94 I PUBL XX 3 AFFIDAVIT - DEATH OF JOINT TENANT STATE OF CALIFORNIA ) COUNTY OF BUTTE ) ss. 1 LOREDA KASEHEYER of legal age, being first duty sworn, deposes That XEBXKXSM M THEODORE GEORGE KASEI1EYER the decedent mentioned In the attacheo eerhfi Cendicato of Death is the'same person as TED KASEMYER named as one of the parties in tnat certain GRANT DEED dated 11117/80 executed by DEOLINDA H. O'CWIN 6 JERRY L.•O'CW1N to TED KASEKEYER AND LORED' :ASUSYER as joint tenants, recorded as Instrument Plc. 58517 on 11/19/BD Book 2570 Page_ $63 01 Otficiel Records of BUTTE County. covering the following dOSenbed property situated in the County of BUTTE Slate of Dated 11/ 14/94 LnYi ]A At►'M V I SUBSCRIBED AND SWORN TO before me. the un0ors.2ned. a Notary Public in and lot said Slate. this 14TH day or NOVEHBER 1994 �. Z 9 WITNESS my nano and Official seal. •! � �•S . .o r. r. •.., /f , S-gnature s �' C. AkACON ` - _ __ V.vn.• r.ry••t a nr.'I)Y1� •,_ _. - .___ _ ,Te,► tl,,•,� nI, ul4,p n.d,v dl .+•.d o says. copy of in P. 002 1 f SEP. -14'98(MON) 09:11 FIDELIT, ITIONAL 3EL:9168999Z 9 8 2 CERTlFICATEOF DEATH ... .., Bila b— -U4 0� y rM w,w. w,�..► _ ,�, r. � ..—_. ice• Tbeedora• Cwr • K'sewo7or • La,a' • •••• • Rl ��_• .r.el rtela ■ 0 10 ! 99a � w i 011_1 66.T-49-7618 0..,ID_ 1 w►rl— a • .•... � ❑)< .e a.7 Whim,.,. ... _ r sem_ c• aAoeda 129 w ....a -_e ' heat "tt0r ^�• —. 131" Hasler yar..o ., �• � mr.• .. r ar • ..,., r r .._ti. CDlee rBstN 95926 a0 LaGall for la bred. Kaaa■•rer—WlraL7100 Heeler Chl.a. CA 93926 Londa r_ ~_..., - Dere• 13104 Hagler �`-'�� ►Tsalt Georg* Keeesq•r _ D � r r. _ e r'� !rl[80 AL WORM= 1 HR. R"- as .._ _ ��+.. r �. • ,.� �� HtTASTA.TIC Pf=rMTE CANCER 081151199a 1 Rse.-1JlOK VAG.6r, Alin. CA OSTA Cllyp. CA _ aX, FiCAT111R STATEN W iTla 1g to c�r[W,ttut tM attatyai la ■ tiae and correct CONI o[ the rttAl r rd rblGh 1■ a. [tla•M .tkJ�•e[rlee ant e[ vh1cR 1 •� the legal aa•todlm. ��• =�l�J. VITAL STAiISt t.r` SWYIIULOFW11RUA;0i"U& I � ITIS ' 6ette County aP•rtwent of Pub1te 11.•attn IP 0 Cet:..tr Center Drl.e, thorllle, CA 95765 11117: W UMF113lMI UTl! tP t31U'1F113111W 3 P. 004 a /• / 1.1.1 �. I owc� CA/R6S _ y� •961 ' i 194 6y'tk %..-,, • td/11/: K•etoo- reeesell . Chico F.H. ....a Kee10e600+ r••o. 1-=,_; .}��c� • +• ult0 _ CR100 13104 Hagler e r'� !rl[80 AL WORM= 1 HR. R"- HtTASTA.TIC Pf=rMTE CANCER YM dh a s+w�.+ mr,w.�.•++,. arr sr �• +.� r er aa• � .r. VXNC • _ 06/OA/ • 3 • Cams/199w Ross D ■alket 0 m Ca ��r. n.y �• err .. .......•y _,.I �r M• ,r r. a.a_. M ,a4M 7- _ 08!10/!99.1 •ITldAr lcR l r.\r'e the h r. cr~r a --e 1097 aX, FiCAT111R STATEN W iTla 1g to c�r[W,ttut tM attatyai la ■ tiae and correct CONI o[ the rttAl r rd rblGh 1■ a. [tla•M .tkJ�•e[rlee ant e[ vh1cR 1 •� the legal aa•todlm. ��• =�l�J. VITAL STAiISt t.r` SWYIIULOFW11RUA;0i"U& I � ITIS ' 6ette County aP•rtwent of Pub1te 11.•attn IP 0 Cet:..tr Center Drl.e, thorllle, CA 95765 11117: W UMF113lMI UTl! tP t31U'1F113111W 3 P. 004 td STATE OF CALIFORNIA g DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT � �. DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS This unit 'is.'.ai ® Mob 11ehome Commercial Coach E] Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FAc..oQo sal yLjv� y,�� o� I/,We, the undersigned, hereby state that the unit described above: f c+ . i �j Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on SGPT 9 �g at clglcl d - Date (City) (State) }Signatu a of each affiant Printed name of each affiant e Address /3 �(6 Adw y 9� '.City co State - C/o HCD 476.6 (Rev 11/86) M ..... . VIOLATION CHECK LIST A. P. #. - Address 1-3 Owner Owner's Address 11-01 Owner's Phone No. Supervisoral District - Tenant's NamePhone No. Type.of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Notedyes no Penalties Required 1st..Notice Sent g3 2nd. Notice Sent ate Date - Comments and/or Determination - /��3 i -,!ff- gip. Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) i c i. F 4 January 21, 1993 Ted and .Loreda Kasemeyer 13104 Hosler Avenue F t Chico, CA 95926 RE: Building Code Violation A.P. #006-02-0-063 13104 Hosler Avenue, Chico , } Dear Mr. and Mrs. Kasemeyer: 1 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for conversion of an agricultural building to a living unit. Since permits and inspections are required for the above work, please submit ii three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued �! and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and t approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording' of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Dave Purvis or Bill, Barron in this office at the address or telephone number listed above. JFG:dms cc: Assessor Building Inspector Sincerely, OAtginui sk 3ned by jl� F. Gland -W J.F. Glander Manager, Building Inspection ,� � i o i`. a e � c v - �,��E ut .� _ -. } . :�� `. ... y..i• err :.,�<%`Se• ;+4�t�+r`E�i6:•+et�v - , ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS .. ' ' ' ' '- 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER -61,3 'ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. C a A -. Date J 1 _f Inspector NA e 7, ---Ae Alk U��7 �/Q N ve H alp^ov q l +S u 1d � ISO $�G.-Qto( Jac n ��u�rcrn �►'� r�Ga ( (ivGtS � ��i--- -o4-- 0z -f'd hr�f�ei C32.__ '?)aced of ' Building Owner Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION ROOF Material Thickness(inches) -EXTERIORWALL Material Thickness(inches) CNILIor B 1ankejryp _ e Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVAT,Eb icknls (inches ) FLOOR, SL4B Materi l/ -inic esskincnes) Widt (itches) Matey-fial . \ Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Valug)' Brand Name Thermal Resistance(R.Valu: - 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, is -consistent with approved -building department plans and attachments and con= forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a� shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirtments. -7-r BUILDING CONTRACTOR/OWNER (Ple e Print) ( FIRM NAME) ac �.// A ��l - - S GNAT R F BUILDINGCO CTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC 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. SEPTEMBER 1988 y COUNTY OF BUTTE . �•�/ `' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone''. 891-751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whenco ection of work is completed. If you have any question pertaining to this matte or need additional explanation, please contact -this office immediately. Date / ___120 0 T% Inspector - . Ci . i, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7,541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3�a 2 -`?D 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �/ Inspector _ S. I"ui.;oa�if�K �.r^r .—�:�'ls�,�:.X• :�.isi `i's�-�y— ..+ 76.e r � i�,:r.:sw�". �--t=�::.i�;.r : , r �. , - c,re �.:.7s� �. _ �r�IP, COUNTY OF BUTTE �.• DEPARTMENT; OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3� 6'� -� a OWNER 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 correction of work is completed. If you have any question pertaining to this .maer,o'r, ,need additional explanation, please /contact this office immediately. *�t Date Iy Inspector F ESI TIAL 6-02-63 FT 3602-90B,P,E,N[ KASEMEYER,.Ted,& Loreda 13104 Hosler Ave, Chico (conv storage to 60/640) JOB FINALE Signature -,. J=OK O =Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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. Gas Pipe; Size -Anchors 11.Water Pipe; Test -Anchor -Regulator -Service Test 12.Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection - 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19.Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 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 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water t227. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 8. 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-Mech. Equip. 32. Clothes Closet Light -'Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Y42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-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 Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN Plans OK except #'s t. Steps -Door & Sidelight Protection -Landings 2. oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 4. droom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels _A7n S airs & Rails z place or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 4Elec. Outlets & Receptacles at Kit. Counter image Fire Door; Swing -Landing -Closer Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location c. Receptacles in Garage; (G.F.I.)-Romex Protection ZE5insulation-Foam-Looked in Attic ❑ Yes ,_48-e0ard Rails & Deck Construction -Post Caps __.7�dn. Vents & Crawl Hole Door -Drainage & Wood -Earth arance Looked under Floor P, --Yes . Following instld.; Drive es o; Walks 57Yes 0 No; Planters 0 Yes o cco; Brown -Finish A Unit; Disconnect, Electrical, Plumbing . vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings er Well; Disconnect, Electrical, Plumbing E for Elec. Trim; G.F.I. Receptacle -Underground entilation Throughout House . 9,!Es Protection rections from Previous Inspections s Test -Meters Tagged; Gas -Electric oC er & Sewer Connected -C/O to Grade -HD Approval 91< Energy Compliance Certificate -Other Certificates Date f/ l Card B-1 Date s_�j Card B-1 Date - Card B-1 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) v-OK . O = Not OK ' = Not Readyable MOBILE HOMES 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 -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 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-Panelboards-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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil•le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSFSSO'R PARCEL NUMBER 6-020-063 ZONING ARMH3 BUILDING PERMIT OWNER Ted 'S Loreer TELEPHONE 894-5613 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILINGG ADDDRRESSESS 13104 Hosler CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 170.50 $ 85.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 13104 Hosler Permit fee $ 265.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 6.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 JC •QQ Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cony .4a - TA vi o sP ci Fv Gaspiping system 1 - 5 outlets .00 5.00 9.00 Building sewer 5.00 5-00 Mobile Home S G 10.00 e aq TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 60/640 _ C�S Permit Fee $ 36.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AOR MP ORLESS10.00 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under ElP provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.e\ OR AODNS. ACC. BLDGS. / 2Y:�sgft 15,QQ NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tri SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES P 20@506 DAL@ 90 FIXED APPLNS Ex. Occup. OUTLETS (RESI. OR D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. f 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 FiIirig Fee 10.00 Heating Wall htr fo, Cooling 6.00 Hood 3.00 Ventilation Permlt Fee $ Contractor -22.0011 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. 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 Cou ty 'n consequence of the granting of this permit. G X(/,1/� Date r� �� `���7� Signature of Applicant - Owner [X 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.L7 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 358.75 HAz - CUA PAgK SCH FLO A P HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREC R OF PUBLIC BY the applicable provi- resolutions to do have bee/paid. WORKS Date ' Receipt No. 79947 /� _ '- WNITC-D.P.W., 7ELLOW-ASS' / 390R, PINK -INSPECTOR, DOLDENROD-APPLICANT P IT EXPIRES Date ��-Z7- _ % n�C i TO FROM: SUBJECT: Buildinv Department Environmental Health Sanitation Clearance oy, �.-�- 6-z-62 -"' pyo r Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^anal clearance O.K.. for: Water Supply Clearance for bedroom m home. Other NOTE * * * _ G✓%— _ Date Sanitarian r .-nn-v..9•S^7.0 -'ter `� � ...w-•- ' �b�r•-RTi�'�'.�+.'xl'�"'s"'r'�q^;'s'�"4'^�; � r.y.-' _.._ C COUNTY OF BUTTE - DEPAAtME LT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL�L {ALIPORNIA 95965 - TELEPHONE: 916/538-7541 " PERMIT APPLICATION DATA SHEET r� Permit No. OWNER U A. P%�o. ^ O 2- Proposed Building Use/,2g�4Building Inspector / Date �d 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 instructions....................................................... 10. Fees of $ ............. _ 1. Chico Urban Area fees paid .... ....... Via ....................... = r�rl" Park fees paid ................. WIN—a4milift* ................... 400- ,'- 12<; / School District fees paid .............. /D - o Sanitation approval from CH (C Z2 Health Department 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 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of �Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Letter of signature authorization 27. When yo issue the permit, process as follows: Mail to owner. Mail to contractor. t/ Telephone and hold for pickup atC�office. —Deliver w/inspector. Other Applicant _./�iC/ 1S�Date Q. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permitjjs 1. Index permit for above items No. 2. Additional items required: (Ckcle,neW iterp y[ot checked above).; 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 —mal l_counter by date Plans checked by Date Plpfis approved by I Date _ Sets of plans on hold in . File cabinet ZAP folder Copy—DPW },iti4sly-Y.;F7vr;a<*e"'t^�,GrR-,e7;isF'+S'isy'frs�'-fh3r�i•=�:-,iiF�n�;��nr'd`�t�C'.xi=i3,"F�1C}-.7ixlicrfk:trKlf��e'.e�nJCi�..e'*'e""rt+�9�'"',�i��`•:"'rr��'`�.Yt,��f�',�.;'w}�"��rr�t:,c�y�9;v�i�;�'r�"s�'•iizt,.i4�.:. }-{ e ' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Fornt per -Building) A.P. Number �o° Z� Q� 3 Building Department No. School District Gys City = County �` Jurisdiction U Property Owner 'f"�7% A-,75� Project Location/Address Subdivision Lot Number Residential Development: El Sq.,, Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition ( Including Exterior /'}� 1 �: - �%� C Roofed Areas),' A/' if B ~ildingi partm nt' Representative Date' ` (Floor Plans reviewed by School ..D str ct Personnel) f ` District Id No.AJ �� ��.Q l�lh gyp(' ! 0 School District certifies that ns 1i (Applicant ame) (Phone Number). (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No.�9 9� by the pa ment of $ �K m/J�" representing bon square feet.. School District Representative..' % Date PAID BY CHECK NO. A)14 BANK NO PAID BY CASH • 1 J white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AFFIDAVIT OF CCuPLI��\CB WITH COUNTY CODE SECTION 24-202 TO BE R=CORDED BY OWNER i 90-044319 A)(3) (ADDIT ±O`i`.L DWELLING =V SINGLE rAMMILY RESIDEN='_AL ZONES ) Aoolicant - / ccr,;n. expif.2s f!'kW 19, 1:43 Zone ��� II rr T� A?„- T Buildi g Permir. co declare, that the d:.;el -- =� (Building Permit ) at address (present) on AP n intender for the sole Occ.:-,Pa_^_cv O_. c n e a c- tae adult 1✓er -sc-s who are 60 years of ace or over, end t:_e ares of floor s- =ce 0 - the dwelling unit does not exceed 640 sc7uare -feet. Said pro;,ert1 is more particularly descr_�D`d in _ __ t -= c h 6- 6 hereto . I also understand that V_c_at_ons off tneSe Orovisions are S D 5 to the penalties provided in Section 2S-' 1 03.- c= the Butte Ccun -i/ Code. S_gned L/ Dated - 1t� T;41131':?. C V 0F.�1�.fii . K ..... Attach Notarization Form.... ..... ?�OT�.i�Y i� %iLMC s OFFICIAL SL'/,L vv JAN WiNTERS si u! v &JTic CO ii•' y My ccr,;n. expif.2s f!'kW 19, 1:43 AFFIDAVIT OF WITH COUNTY CODE SECTIO`, 24-202 (A)(3 TO BE R=CORDED EY OWNER (ADDITIO;`iAL DWq LI�iL Iii S!NGLE FAMILY RESIDEN J. I SON: -S ) Applicant �� s _ /%�� Ar Dace C - L n /r Zone /7 �� I7 AP T Building Per ; m_t I 7-,% - k-��r,�7- co declare, that the d,.je_? _gig ( Building Permit` ) at address (present) %/(L S%l� I�UC'- o n A P ®) a, -4Ln- 6'? -0 - 06-3 i s inter-ded for the sole occupancy cf ore acult or t:oo adu � censers Who are 60 years of age or over, ,-- a - .e area o= flocs as -,=c= of the dwelling unit does not exceed 640 sccare feet. Said cro_erty' - is more particularly e i., y d ser �d it - � �'x attachea carer i also understand that violations of ---ese provisions are subject to the penalties provided in Section 24-63.1 of the Butte Count,l Code. Sicned Dated - - 1 .: � �'r.:e L-L:"u I•i::v vYt%�:::". 1'.: ��: iia: r::�E -tin OFFICIAL SEAT;4iG l5. C.P. 0F. ��.� 2�� 19.:).Q. JAN \•VINiERS BUTTE COUNITY .....Ya1. l .� �1 ....A�tach Notarization. Form y comm, expiras (,AY 19, 1�^3 ?�o-rjC�v r:7Li.ili COUNTY OF BUTTE -Department-of Public Works 7 County Center Drive; Groville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone.: 916-538-7541 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) �. I (have/have not) Wg;y� 11 signed an application for a building permit for the proposed work. 3. I have contracted withthe 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 butI have contracted (hired) the following persons to -provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Security Number / Datel 19 1 l -- 1� fi b NOTE: This Owner -Builder Verification is sent.to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLOTION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3 ZONING BUILDING PERMIT owNE TE EP oE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS Z- 5, CONT g_CT 'S A // TELEPHONE CONTRACTOR'S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee - $ t0 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD ES ! /%l - Permit fee $ S7, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ,Q 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 S Duplex❑ Mobilehome❑ Other S d (�C����V SPECIFY Gas piping system 1 - 5 outlets 5.00 d Building sewer 5.00 Mobile Home I S I GJWJ 10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti/lities ❑ =ionE] Other Describe work:. � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST, r DWELLING OCCUP.tr OR ADONS. \ ACC. BLOGS. ) , /zOsgIt NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (POWER ! OUTLET CIR. ) Ex. Occu o p UTLETS OR FIXTURES 0050 e2AL03C Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check 6ne): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have -placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating W11--tL - Cooling g Hood 3.00 Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct..l 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 HAZ I CUA PARK SCHL I FLo I PAq, OD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. :Z :5-� `t %i WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .L X This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Departr Public Works, County of Butte. 31 P NSOTE.—/l!! Matedols & Workmanship Shall Be ie Arc--rdance" with Recognized Good Pre :tires and 01 a quality prescribed for the Specified use, in the Unifom Building, Plumbing & Mechanical Codes and the National Electrical Code. i o` A setback ofJrtt- fr6r property lines and a 50 ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. RA1D CLC�>? or- ,A4,c- f–�MC-fT BUTTE WUNW ; BUILDING, 015PARTMENT APPROVED 03! —6 3� Me t Pf A j 20 F- fmA @ @niV th J 'T lanis.-wid-s I at all lim" Ige Wi 7, Pecipeatiom-MLI s a rid - it, is 0 nlaw" to' '0.7 . . . . . . rmTpi She C- -Depadr�eni Of co F- —i---�p—� ! ' - - - i -10 -i.A 6eftck od�g from the 6perty lines and a setback of the road- --(V from j 50 ft. —..i __!___ ._:_,.__.., .__ ��.__ __ . +_ : centerline shall. be clear of Stroctu ies equipment �uiprnent except q '-for;a2u�-2:-ft-. eaveoverhang. ".b aC�F 90 c:76 F F 360 I___; BUTTE "a brid(Val.-W&A -dti 1p�-Sh.w 0- -: (HA a—ce-0 —P- -ces: §uiLDING DtPARTMEW C, ize res rib ed for the �peified use i 0 pg. APPROVED • 7"�h�o �oHcrt1<< ✓4/H�,S , Boor Sys/GMS . Piessvve Tre r1-ed Mia /i M"' --,Poor Sf/s lee" 7 /n fo Reelwooel ae Pressure Tredl ei� �f tto,v1; O G ,Pe dwoo el or ressvrc Treo/ee✓ �xfCr/Dr.� L r/rteltr s/o6 �-,/�k �3loOr k Are a oa � n . � � %pier S•! �� 101to tie/ �fjarr A.4, ' ¢ "MSN � N 4CT a a J ' \ � w e e O r • 000w r r oo_ - c s a e ti V M 9.NN1� • �s \ v of� � : s.o �•�. _ ,r' • loll ti -2 j$rr Jy�•� r�J .w � r . i • o � c : ,r' • i AL z � r P T T �•`4''�1 — w S N o s - - :S•i':eJ • o � � r P T T �•`4''�1 — w S N o s - - :S•i':eJ w it r z s ° o+ - ,f �•"'' =Ho« a «uln�j"�SPPPt3G ,r,. y •wp y_N_ f �I . i J,�... _3 3 �PiiFiC 0 f �r�dir1i suns of 21 open 5.7 sq.'t. s hei9hL vc, OP St y Glazing. P cn a- !� '0-0�;z7v� Ora with - high, A AV VA�W cote 1 P 6 N E�D e-6 scv�— I Z? BV�AP�164 �� Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject w the Standards must contain these measures regrdless of the tom iance te approach used. Items marked with an asterisk (•) may be superseded by mostringent compliance requirements listed on the Certificate of Compliance When this checklist is incorporated into the permit documents. the features notedilull. be considered by all parties as binding minimum component performance specifications for the mandatory measures • _. r-: ---:::--__ : whether:they are shown elsewhere in thrdocuments:oron this chaklisronly:::- :- —::: - :- '--c--_—.--- -:----: —_.,.� -•-,- •_--_:_ -.. ,_::.---.._,-----:-_-:: •-:--,, DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures 62.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352 ft Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - watn absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perntfutch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. . §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfiltratioNExfiltrationContols ... . a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and pcnetratiau caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback Utermoatat on all applicable heating systems. ' §2-531N6(3): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12-53116(b): Exhaust systems have damper controls. 112-53 i4(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: 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): first 5 feu of pipes closest to tank insulated (R-3 or greater). §2.53I2(Excep6on 1): Pipe insulation on steam and steam condensate return de recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: - c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting -'25 lumenslwatt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas feed appliancesequipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent tamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATENMNT This certificate of compliance lists tires building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. C'lhaptcA 2. Subchapter 4. Article I of the California 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 purcluser of the building. Designer Name: rale/Fum: Adams: Tekp%onc tic. 0: (signature) (date) Documentation Author. Name: Tttk/Fum: Addm=: Building Owner Nate: COUNTY Titk/Fum: Address: milhin mr-PARTMEN� Tekphone A (date) Enforcement Agency Nairne: ' Agency: Teleptlonc 2. Wall Insulation Single- Number of stories R -value 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 3. Raised Floor Insulation Single- Single - R -value One Two 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 R-5 88 5 _ . 0.60 . 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 S. Infiltration (Air Leakage) Specs alibn Points Standard 0 6. Glass Heat Loss ,:-Total:- ::-Total: Insulation in.Floor Slab Floor R -value One Two Number of stories R-0 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 37 R-5 88 5 _ . 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 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -14 S. Infiltration (Air Leakage) Specs alibn Points Standard 0 6. Glass Heat Loss ,:-Total:- ::-Total: Number of stories Slab Floor R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 50 -121 "'Number okStories -39 R -value, One Two Three 40 -90 37 R-5 88 5 2'' R7i,. .. ai , 3 F2 factor -19 -9 1 10 30 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) Specs alibn Points Standard 0 6. Glass Heat Loss ,:-Total:- ::-Total: 0 Slab Floor Effective Percent Glass --Effective Percent Glass Percent Percent X SC) 0.40 .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 ,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 15 -17 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 2 12 14 16• 18 20 7..Shading (Shade Open) 0 Slab Floor Effective Percent Glass --Effective Percent Glass (pe vmt glass X SC) 0.40 (Percent glass x SC) 4 Effective One Two Three %Glass %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 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4. 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 3.5 2 5 7 13. Shading (Shade Closed) 0 Slab Floor Effective Percent Glass Mass 3 (pe vmt glass X SC) 0.40 Effective 4 1CFA One Two Three %Glass Nom Eat South West Uylight 18 44 -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 2 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -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 8 9 3.5 2 5 7 11 ✓°1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 8 10 11 11 5.0 4 7 9 11 12 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor Mass 3 Stories 1 0.40 Stories 4 1CFA 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 0.90 8.25 17 15 13 11 9 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 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 -12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single - Wall Family Family Mutti Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling (am -2S or -2 SEER WA - 8.0 -14 8.5 -9 8.9 -5 9.0 -4 9.5 0 10.0 4 10.5 .7 11.0 10 12.0 15 13.0 20 (SEE Effective -25 or SEER less 5.0 6.0 6.6 7.0 8.0 9.0 10.0 11.0 12.0 13.0 -30 -12 -5 0 9 16 22 26 30 33 Zonal 10 No Co -Stories One -5 Two + 3 Sum of 1-6 -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 X7.79 13 - 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 X64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0. 1 13 10 0.90 8.25 32 28 4 20 17 13 1.00 9.17 37 32 •28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling (am -2S or -2 SEER WA - 8.0 -14 8.5 -9 8.9 -5 9.0 -4 9.5 0 10.0 4 10.5 .7 11.0 10 12.0 15 13.0 20 (SEE Effective -25 or SEER less 5.0 6.0 6.6 7.0 8.0 9.0 10.0 11.0 12.0 13.0 -30 -12 -5 0 9 16 22 26 30 33 Zonal 10 No Co -Stories One -5 Two + 3 Certificate of Compliance: Residential Project Climate Zone 11 �- Buil ' g i rt Check By/ Date Documentation Author Telephone Enforcement Agency Use only BUILDING DATA G % Glass North Conditioned Floor Area ��_ Number of Stories East Slab/Raised Floor Number Number of ,Units South JX Single Family Detached (SFD) [ ] Addition Alone West Single Family Attached (SFA) [ ]Existing Building Skylight [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total BUILDING SHELL INSULATION Component Insulation LocafforalComments Type R -Value (attic, .to garage, cMicrl, etc.) Wall .............. /3 Wall ............. Roof ............. �� T Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type 0APntafinn /nil North Noah ( ) East ( ) East South Sou th ( ) West ( ) West Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Type (furnace, air conditioner, hero vumn) Minimum Duct Efficiency Location E. SEER,HSPF) (attic, etc. Duct R-Valt, Manufacturer / Model # Maximum Furnace Heating Output: Btuh G pEP HOT WATER SYSTEMS gU1LDgt� Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or aaaroved eaual) St�e�ialft a V Is - '.S t7 — —Maaw SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) (st,!m SEER met ducts In attic) Sim of 7-10 0 0.2 to r14 to -4 to +6 to 16 or 5 { -6 +5 +15 more ............ , - - ....._-.._........ 2 -10 -8 -6 -4 ' -6 -5 -4 -3 -4 -3 -2 -2 1 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 3 11 9 7 5 7 ,. 14 12 9 6 3 3 24 Weedve SEER -15 .12 R xauet efficiency) -1 Sim 017-10 0 -12 to -1410 -4 to +610 16 or 5 -5 +5 +15 more 5 -21 -17 -13 -9 t -9 -7 -6 -4 -4 -3 -2 -2 0 0 0 0 6 5 4 3 1 12 9 7 5 1 16 13 10 7 1 19 15 12 8 i 22 18 14 9 1 24 20 15 10 Control Adjustment 7 6 4 3 lin; System Installed -4 -3 -2 .2 2 2 2 1 . tTK ! RASS Ic.�v.t.d •l.bl Interior Mass/CFA t•TYPE I MASS (UIHC b 4.2, ie: exposed slab) 0% 5% 10% 15% 20% 25% 30% 35% 40% 4S% 50% 55% 60% 6974 70% 75% 80% 8594 90% 95% 100% 105% 110Y. 115% 120% 125` 0Y. 0 0.2 0.4 y Vetached and Attached Unit Size (sQ 1.5 0 1200 1700 2200 2700 to to to or s 1699 2199 2699 more 0 0 0 0 8 6 5 4 5 4 3 3 3 3 2 2 _5 _ 4 3 3 24 -18 -15 .12 -1 -1 0 0 -12 -9 -7 -6 -16 .12 -10 -8 _ -12 -9 -7 .6 -3 -2 .2 -2 • 5 4 3 2 _2 1 1 1 -19 -14 -11 -9 • 5 4 3 3 -6 -5 -4 -3 oily (Individual 24 units) 28 • Unit Size (sQ 3.2 700 12oo 1700 2200 to to to or 1199 1699 2199 more 0 0 0 0 7 5 4 3 5 3 2 2 4 3 2 2 5 3 2 2 -23 -15 -11 -9 1 1 0 0 .12 -8 -6 '-5 -13 -8 -6 -5 =12._ _8 -6 -5 -4 -3 .2 i .2 3 2 1 1 0 0 0 0 15 -10 -8 -6 9 6 4 4 . -4 3 -2 -2 . tTK ! RASS Ic.�v.t.d •l.bl Interior Mass/CFA t•TYPE I MASS (UIHC b 4.2, ie: exposed slab) 0% 5% 10% 15% 20% 25% 30% 35% 40% 4S% 50% 55% 60% 6974 70% 75% 80% 8594 90% 95% 100% 105% 110Y. 115% 120% 125` 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.5 2.7 2.9 3.2 9.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8.. _ 1 1.6 L8 2 -2:2 24 '27 28 3.1 3.3 9.5 3.7 3.9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 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 58 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 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 32 9.4 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 28 3 32 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 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 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 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 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 80%. 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 56 5.8 6 62 64 66 85% 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 52 54 5.6 5.9 6.1 63 65 67 90%" 1.5 1.7 •2 2.2 24 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 69 100Y. 1.7 1.9 21 2.3 25 28 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 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 5.6 8 6.2 6.4 6.6 68 7 110% 1.9 21 2.3 2.5 27 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 69 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 6.6 6.8 7 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.1 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 .7.2 7.3 125% 2.1 2.3 2.5 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 roint Nystem summary: Ulimate Gone 11 SCORE CARD Measures Point Scores 1. Ceiling Insulation /I? or R -value [38] U -value [0.030] 2. Wall Insulation /.3 or -1-2 -valu [11] U -value [0.098] 3. Raised Floor Insulation or R-value[19) U -value [0.037] 4. Slab Edge Insulation �_ or R -value (0) F2 factor [0.77] S. Infiltration Standard p 6. Glass Heat Loss e- /191,/ - 9 -/0-- Type [double] U -value 10.65] % Total Glass 116] Sum 1.6 7. Shading (Shade Open) % Glass S Eff. % Glass a. Northq30 x ►1. = 6.3�! -+,l b. East 4 x = c. South x = _4 d. West 3� x �, 41 e. Skylight -,-Aer- x 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Wiiior:Wall"Mass ~tvf (S:i 11. Heat ng`Syst�In .. r; Zonal Control?'('Y / N ) 12. Cooling System`. , Zonal Control? ( Y / N ) 13. Water Heating % Mass SC Eff. % Glass 8.% x _x X /� __ TYPE 1 MASS AREA _ /O % �- InteriorN.-%; CFA COND. FLOOR AREA TYPE 2 MASS AREA=Q�p"„ ExteriorWall Mass ND. FLUOR AREA /V 6 -7=10 2 x / 1 = SE or HSPF Duct Efficiency 10.781 Effective SE or [0.7216.6] t HSPF (0.56/5.151 SEER [9.5] Duct Efficiency iency [0.74] Effective SEER [7.03] Type [SG] Credit [none] Point Totak w �., =PERMIT NO. 5661-BOP,E •PERMIT EXPIRES OWNER Ted,.-sKasemeyer CONTR. owner ASSESSOR PARCEL 44-03-63 LOCATION E/SHosler Ave., app.1300'N.of Nord Ave., Ch ixo t , ,i Temp. Power Pole i Called PG&E r t' Temp. Elec. Service Z 11CIARX Called PG& Temp. Gass Service Calved PG&E /JFINALED (Date C I Signature V = OKE O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLObR Plan OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwal Is, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. o Insulation -Foam -Looked in Attic E) Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date . MECHANICAL (Permit) OK except q's 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ -38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ 43. 44. 45. CI -n -g Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J c OK 0 = Not OK — = Not Applicable * = Not Ready MONLEHOMES MISCELLAKEOUS w � � Dptiy MOBILAHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's Zoning Requirements—S s—Ea menfs 1. Zoning Requirements—Setbacks—Easements s; special M upport—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors I eVr; L on —T—F{rYf� —C nc to 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; L on—T — 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Z,/ft 5 lectricity; L on—CI ces— —/,1 A4 Go _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures r_Test—W : / /"L"ft./ /"Na .or "L"ft./ /" LPG 6. Carports; Windows—Doors tility Clearancea 7. Elec. Card -BI Date ard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date DatV MOILWOME INSTALLATION (Plans) OK exceptleT Date POOLS (Plans) OK except N's oning R rements—setb s—Ease s A& 1. Setbacks—Easements otings; Size— acin —Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH De d—Va —Con orj5:&: 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 71ectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI am; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er H Test—Regulator—Connector i 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed at Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tag ed 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xi ; Insp.—Sketch 1 er1. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -Ir, Date and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date �Va;io�irem- Inter-Repartmen al Memorandum FROM: /J te/ �e SUBJECT: A DATE: •�l--Z��Bd , Z, County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-421 ;-Ext 7.8 7 County Center Dr., Oroville — 534-4541 -?> Skyway and Elliott Rd., Paradise — 877-3435 / CORRECTION NOTICE f_ ..................d............... .......................... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r1�''................................................... ........................................................................................................................ ........................................................................................................................ ...................................................................................................................... -'./�;� Date 1..-....�l � Inspecto.f��,�,...4... :i!t.f............ /Do Not Remove This Tog (400-4) rJ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343.-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE ,or BUILDIN'G OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional e p nation, please contact this office immediately. " . 00, I Inspector' !//' - �///�/� Date :::?/7- An a�i3O " . 00, I Inspector' !//' - �///�/� Date :::?/7- An ZA „' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLF_, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome' has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5,- under permit number 1;7yl for the following location: Owner Owner's Address-,eT % %30,A' 47-7e r— 4�VZ4 Mobilehome Mfg. f��LL� PAST~ Model 2 k"41") Year -7R Insignia No.''!,l 617n7 3 7E% Serial No. '::;/)77< 414K It is hereby certified for occupancy at the above described location and may be occupied. Directory of Public Works Date / /' /�� / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,57/,,0 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 2 d a� APPLICATION AND PERMIT ASSS e PARCEL NUMBER ZONING UILDING PE MITBR oI, ffA (g I / Y,67^ SQ. FT. OCC. BUILDING VALUATION .'^ OWNER'S MAILING ADDRESS 4 19 % E 5A-QriAInE C I+1 L -o CONTRACTOR'S NAME I(�fcFtaR VAN STAVEPN M. H. SERvicc TELEPHONE X72—()36y CONTRACTOR'S MAILING ADDRESS 1`1-80 CAJeOZOLL kcv P9R40i.rE Cts. 95961 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ ' LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A '! iEss 3 oar PLUMBING PERMIT Filing Fee 3.00 rEach Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Mobilehome0Other SF ❑ Duplex❑ / SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ - Utilities ❑ Installation& Other ❑ Describe work: (� /)ELECTRICAL Pennit Fee $ Contractor PERMIT Filing Fee 3.00 Main service 1000 AMP OR1 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): Ei<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. 3'714-7 _ Classification — 6 1 ❑ 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 CONSTIR ULTCI OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &� NON•R ESID, 1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5ALE BALD A FIXED APPLNS, OR `` Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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. Heating Cooling Hood 2.00 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. X t'�t.ChAn�d-VGtw..J� Date IZ-2.--e© Signature of Applicant — Owner❑ Contractor ❑ Agent Elwork 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 $ Land Development Fee $ TOTAL PERMIT FEE $ �' V OCCUP. GROUP I TYPE OF CONST, PARCEL PD 1 18SD This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT OF PUBLIC By. PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -2-- /7--JPf / l-! 3 3 Z Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT' OF PUBLIC WORKS - BUILDIN.G'IDIVISION 7 COUNTY _CENTER �DRIV't r= OROVILLE, CALIFORN'LA 95965 - TELEPHONE -:'916/534-454-1 PERMIT APPLICATION'DATA SHEET Permit No. 121 A. P. No. '4 q--0 3 (o _✓ Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation 41 Other (Explain) Building Inspector Date /91 / i 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. . . . . . . 1__ . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from 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 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other LOr; - o. T'tU�1 When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephoned')?_--- 0_�ktnV and hold for pickup at office. Deliver w/inspector. Other �% V /V�_A�A�Datee Applicant�C' . Ifs 0 4 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 at time 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 Plans checked by _ Plane nnnmvarl by Other: Copy—DPW . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.. PHONE: 534-4541 e MOBILEHOME INSTALLATION SHEET 1. Owner's name: e 0 ICA E EM E YER 2. Installer's name: Rtc-NA 40 UAN STAWE rJ �. :TEnvrcc 3..Is the site currently under permit? Yes / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /'fi No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- l o o Amps 6. What is the mobilehome site service rating? --------------------- Z ° Amps 7. What is the mobilehome site circuit breaker rating? ------------- Iv 0 'Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / No (If yes, identify the load and size: (Load). (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �lYc (in.) 10. What is the type of gas service? --------------------------=-- Natural / / LPG /�--f- 11. What is the gas pipe length from meter or tank to the mobilehome? SO� (ft.) 12. What is the mobilehome gas demand? ------------------------------ /gSiODD M*)(•(BTU) (This information not required if pipe length less than 6'ft. on natural gas or less than 50 ft. on LPG.). r :� �oryc17 r-- . i a l�cc.�iv�c v / 61 o0o CVg A/ j O© o Coote �uP MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. J1<YZ_1A16 furnish Setup Model No. 9 Year 1 7 Width J%+ (ft.) Box Length_(ft.) Tagalong or Expando Size ft. x 'ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnith manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specif'e tn e x3b (in.) (in.) Center support Center support locations* footing sizes (in.) «r `' 26 .3 0 (in.) (in.) 2 7-67,,, 3� 3 (ft.)'(in.) (in.) (in.) o�o�r 3� x3o (ft.)(in.) I (in.) (in.) a1Gx40 (ft.) I (in.) (in.) (in.) F- -cA. o u 14. W SG, cob � QjC,11 Vo Tdp q100. *If center piers are other than drawn above, ',draw in. -locations, spacing, and dimensions. Footings (check one) [9-1. Wood either pressure treated or foundation grade. P-1. Other (specify) Supports (check one) 1: Concrete block. 0 2. Other (specify) o( --Tagalong or Expando, show support details. I2 x 7 o -- Typical Support in.) (in.) Footing Size (ft.)(in.) Id -r 0"t (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang b o ZZ -80 BUTTE COUNTY BUILMNG DEPARTMENT APPROVED C13 t C im n p a c f"; -0r. COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 _ APPLICATION AND -PERMIT A140 ASSIS 0 ,PA� NUMBC G +� BUILDI G PER IT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRE S CO/WO 'S NAME' TEL PHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A DRESS � PLUMBING PERMIT Filing Fee 6)00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOF S UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer r Lawn sprinkler system 2.00 TYPE OF WORK New Add ition❑ R emode I [—]UtilitiesF Installation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 00 Main service 80°o AMP ORS 0 LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penaltyof perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and m license is in full force and effect. y 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) ry 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 CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONST R. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 50@� BAL@los Ex. Occup.(0UTLETS IRESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 8 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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. Heating Cooling Hood 2.00 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 sa' i c s ence of the granting of this per it. Q� X ate �,/2.'-CJ � Signature of Applicant Owner Conr or ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC PD H ssD� V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /` —r -O Receipt No. V& D ?, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 17 COUNTY OF BUTTE — DEPAR-T*lEkTbP P'UBLIC WORKS — BUILDING DIVISION * E7Countty Center Drive — 0roville, California 95965 —Telephone: 534.4541 A . PERMIT APPLICATION DATA SHEET Permit No. A ,— OWNER --J X A.P. No. C� Proposed Building Use / ' Permit fee based upon: Complle a Contract Price !/ DPW Valuation Building Inspector �, r \<j CY ZA& Date / / _ /c1 —C7U At time of permit application, I was advised jthe 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. State Energy Forms No. .............. I..... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $....................... I.......................... 9': 0, �0. Letter of signature authorizato`............................................................ Sanitation approval from Health Dept.... 1. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow).................................................................................................. 15. Pre -inspection for required. Pre-inspec.request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other ' 7 Applicant Copy of plans sent Health Dept., Fire Dept., Other Dater; During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appli ion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans approved by OTHER: Copy/DPW Telephone Mail Other Date To: Building Department From: Environmental Health . Subject: Sanitation Clearance P� SPl�P Awl, / 290 l/• o 3 -- 6 � ner 3 on �F, Plan approved for: sewage Disposal 1,� 'dater Supply Hold Final for: Water Supply !/ Final Clearance O.K. for: dater Supply Clearance for 3 bedroom mobile home o Other Clearance for addition of l No/teems Sanitarian Date - 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I,personally plan to provide the major labor and mater is for construction of the proposed property improvement (yes or no) /711 . 2. I (have/have not) igned an application for a building permit for the prop sed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name d Z"_�_ 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 J Phone Type of Work Signed Property Owner Social S.ecur'ty number Date' 4U NOTE: This Owner -Builder Verification is sent to you.as required by Sections 19831 and 19832 of the California Health'and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0 r r fi a NOTE:—All. Materials & Workmanship Shall Be in Accordanc with Recognized Good Practices and Of a qualit prescribed for the Specified use in' the.. Uniform Bu Iding, Plumbing & Machanical Codes and the Nation I Electrical Code. 500 Sa' F N Fop, ns shall be with: Utility connec io 4 ft. of them bilehome, either directly behird or within the rear half of the roi idside (left) of they mobilehome. 'N v This set of plas and specifications MUST'be^ kept on the job a all times and it is unlawful to make any change or altPrations on some without written permission from the Department of Public Works, County Buffe.. SUM i J� A perrnii will be required for that i h5 a ctiorr of the mobilehome. _ 9 'BUTTE COUNTY WILDING. YDEPARTME' APPROVED I A setback of Afrom the property lines a id a setback of 50ft. from th road centerline shall a clear of structures or eq jipment except for a 2 ft. eave verhang. 'N v This set of plas and specifications MUST'be^ kept on the job a all times and it is unlawful to make any change or altPrations on some without written permission from the Department of Public Works, County Buffe.. SUM i J� A perrnii will be required for that i h5 a ctiorr of the mobilehome. _ 9 'BUTTE COUNTY WILDING. YDEPARTME' APPROVED V ' PERMIT NO. 6115-80B ' •' ' ' - PERMIT EXPIRES OWNER Ted Kasemeyer CONTR. Anderson Awning & MH Serv'.,Chia 44-03-63 ASSESSOR PARCEL E/S Hosler Ave., app.1300'N. LOCATION of Nord Ave., Chico Temp. Power Pole ' Called PG&E Temp. Elec. Service Called PG&E f Temp. Gas Service Called:PG&E AdO L -J JOB. ALED (Date) z Signature V = OK 0 = Not OK v - = Not Applicable RESIDENTIAL'(Single and Duplex) = Not Ready DateUN OE LFRD OR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. r Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -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 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [__1 No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except #'s Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ __41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBI,LEHOMES MISCELLANEOUS = -Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECK OVERS, CARPORTS, ETC. (P;ans) OK except N's 1. Zoning Requirements—Setbacks—Easements , Zoning Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch otings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete lum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance rports; Windows—Doors ii*---Eiesr� Card -BI Date Card -BI Date Card -BI Date Card -BI Date_ _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'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 COUNT TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / ` PERMIT NO. 7 County Center Drive - Oroville, Galifornia 95965 - Telephone 916/534-45y -- APPLICATION ANO PERW / ASSESSOR PARCEL NUMBER ZONING ARM 14 3 BUILDING PERMI (o,00 OWNER TELEPHONE 3 S 9S Z SQ. FT. OCC.1 BUILDING VALUAftION OW ER'S MAILING ADDRESS CONTIRACTOFTSNAM TELEPHONE CONTRACTOR'S MAILING ADORE d �QX b CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 4/19,1100 BUILDING ADDR ` ..7 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTUPAE SF ❑ Duplex❑ Mobilehome Other ECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORKk New Addition❑ Remodel❑ Utilities❑ Installation ff Other Describe work: /.2 Ix y V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 �f 'X '��/, Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): � �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. G--• 6 / License No. 379/g1 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2,50 ea NON•RESID BRANCH CIRCUITS) NEW CONSTR. POER •I OUTLET CTR, ER APPARATUS 6 NONR ESD, ( 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL@tCC FIXED APLNS. Ex. Occup.(OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �1-have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 3.00 Heating Cooling Hood 2.00 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 again t said Count in c eq nce of the granting of this permit. X�� Date Z Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYP of NST. �� PARCEL PD ✓ NO t/ ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /2 —[.P —?I over Receipt No./ WHITE-D.P.W., YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT r6.ik''�'AL.iB. "�'.O'''...::..Y++'.v...-....-�ti.^.s-.. Mt,s'�` � ��.%r-�..•-f+y '�����./+-'.J - ...'. �... r � 6..•�- _. �..r^v�l+;..r�..-.L.-=-,.... . _,- .. ..�•.i"��—a. ..;` COUNTY OF BU,TT,E —.DEPARTMENT OF PUBLIC,WORKS — BUILDING DIVISION '. 7 County Center Drive — 0roville, allfoti a 95965 — Telephone 534<4541 1 s ' ` 7 V PERMIT APPLICATION DATA SHEET �1 // Permit No. _ OWNER % n�F/ /C /dnC A-:14 0, is A A. P. No. --el Proposed Building Use Permit fee based upon: Complete Co tract Price Valuation -Other (explain) Building Inspector% Z4E4e444e 4Z -A Date 7 /l,G / At time of permit ap.p'fication, I was advised the following data must be submitted prior�fo permit processing and/or issuance DATE RECEIVED APPROVED 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. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. t-,1110. Letter of signature authorization., ........................................................ - Sanitation approval from ��/// Health De t..1,1A 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow).. ............................................................................................... �I 15. % Pre -inspection for required. Pre-inspec. request to (date) �y bldg.inspector 16. Other i When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant <� Date A, Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time 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 •� Date Plans checked by Date Plans approved by Date Z 10 8a OTHER: Copy/DPW To Building Department t '.�►, From: Onvironmentai Health Subject: Sanitation Clearanceee-;W 4�r -7,-. Owner �Location Plans approved for: Sewage Disposal. Hold final fox° : Final Clearance O.K. for: Clearance for _ _ bedroom mobile home. Other Clearance for addition of 001��� Notes -- water. Supply Water Supply dater Supply r is n ua to 3 My. 11 of ftsivrTr. '10 . . I A, and lot 'A 14 so 2GRX 2 CP P nOo 24.84 AC 20-17AC BESSE# cr 0 tP - 99 12 13 22-82AC 20.6Ac (> 2 98 q 08OAc. L PM 94-100 64 8234 1 to OAC 0 r 8.46 0. 38 '5001 A(16�,01' 14ea9AC Ito 10 4b 212.50 166 (m) L2 —,� 0&1 40.13 Ac 1 400 74 (93) 88 94/,-, O ©ZS Ac. O (90)1— 66orse 900 HIGHWAYt&ei.me. 50 Ac. NORD 25-OAc. I go/ op 330 660 050.4 q!1) qPI I q.55 Q5 4 0l2 i41 3724AC Ac. 05 AC 106. 00 AC 610 3 2 U4 ZOAC. v �e It (9, 8 A 5AC P, glik 0.6.04 173 S.WA _Cs� 0 a 16 E opus& 16§0 1 Ac; AC ccg 1648.4 =660 495 1498 660.7 1 706 'ILL-' Ira04 82Ac /0 AC kI. /0 4 vt I JO.Ac 04 v 4OAc j 10*Ar, ft `44 @ & a. (/D / O&7Ac. AM& A v -80 A c. 75 AC -1 21.43Ac. 660 goo NORD HWY 44.39 Ac 660eA2 1&174A." 14 `z9 gOf 106-501 t7 16 [42-011 .00, Cor X,4o7 -17 y -Say 7-1,-. Assessor's Map No. 06-02 rdkvY rract M.O.R. Rif. 6 Pg. 23 REVISE: 10-91 County. of Butte, Calif. HOSIOF rroet N.O.R. Bk. 7 Pg. 6 r > Zb . ': ck: rj -0 of ILW N� W, Vt �t ..._ __ ri Poe Z' 7rfftN A, "A 11 9, �k 0 # (L (k 1," '0' C, o u III q) Lx "J '13 1 ') " , In q, 1\j DSC ti I, Qj Ci Q 1z 1, c j 4j 11 , iz K�r ".t 'T �l O60 O Q, 3 4 S 61 ca I �qe co . ..... .. . Io 'mo ni LL Iz 99 O'd "7 6 N ZI z Or7 /0, �o + 0 1 4) ow, 00 NI SZ/ SL8 I J 4 C\I: u)l T C\j V3 QD* \0 > C=4� LLJ 01 eg 067 LZ L') Lki 03; Lf) 1,j < to hi "\1 Lu 0. 0\ N; C111r, 1�4 090. CY 0 + Lew V) i [fie N. L2 Q, 0%'b 'q tK k5 1.5r, VI 'b kt, u 14. W ti 'le N 1. , Q !-y> 0 �'j 61, °8N C\� C. Iv) 04 ri os. oe, p —I In 0 + Q (n G -ka N. \j :4 CO tu v Q. LL, �cs :�j LL, 60;;F k I.,, �L!F Z) 1j Q, -7 (1,J) . 0 - V ca 13 N In A. k4j .10 �t �I 0 �j �j 4. Lkj L V) C �j 0) tn 17 0i �j L ID In v) Q . ...... In :Q z kj h IM It, 43 v 44 ;19 Iz, 1 0 00 A _— -'� — NZ!m:—All Adance ofL-a quality- with prescribed gtenals & Wor-m nship Recognized "GoodrPracticesl for -the Specified Shall -use Be and -in -the. in — — 1 - Uniform Building the Nation -r al j Electri Plumbing & Machanica! Ica Code. Codes orad _ •® . k , ILI a k Id property A_setback-of_t. /D 10 -the — This-}sef} ke t on RkP the :pla�s,a fob ha I at t m s o� ei sa I atio�s ;ficafio+�s n it is i an s°rr'►e MUST b® i�rlaw f"rthO�?t - — of I� lines 50ft. from J- . and i-1 the ' road i a setback m `iCi wretten Wo,'ks�. F ermission Coa�n g a1 from the �— l of B e, Depcirtmkent of paablic . centrli s#ru I e shall�be tures-o-equipmeIfiexcept.: lealr ofl — for a 2 ft. eave Overhang. i r p X — EI l7TTECOUNTY BUILDING DEPI— AR � i—I T - - -i-P- ED, � 1 I TOW,c MAY i I t Ik � I I 1 .• I t i .�. i i , � is ,� •i a I ` t t i I I b , j lot r I i I t t