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HomeMy WebLinkAbout017-110-039R', K) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT .W. APPLICATION AND PERMIT C_- � 51 y ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHON SO. FT. OCC. BUILDING VALUATION 06 • � , 79 OWNERS MAW�/1pQiiE S �9� LL CONTRACTOR'S NAMETELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 4 ARCHITECT OR ENGINEERS MAILING ADDRESS - Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS ^ � ^ Energy Plan Checking Fee $ of a $ 67 PERMIT FEE $ (4 1p L30 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF)Duplex ❑ Mobilehome ❑ Other Water piping 15.00 Each as water heater or vent 15.00 SPECIFY TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities 13Installation ❑ Other ❑ Describe Work: P�pa Buildingsewer 15.00 Mobile Home S G W @20.00 _19 -A0 98—��7 7 1512 %y1-3 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR 3.5Qso ( ACCO. BLLEST NRA CONST. M NON•RESID. 97.50 OWER APPARATUS 8 SINGLE OUTLET CSI R. 20 Ex. Occup. OUTLET OR FIXTURES @''50 BAL @ .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License FIXED Ex. Occup. OUTLETSRES ORS 5.00 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. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 ❑ 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 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 Heating 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. Cooling Hood 6.50 Ventilation ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT FEE $ Carrier Mobile Home Installation Fee $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the Energy Inspection Fee $ /Qcc J� CPE T TAL FEE $� HAZ. I D. F12C IMP FLOOD I coF PARCEL 1 pD HD IS uE workers' compens tion provisions of section 3700 of the Labor Code, I shall permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work with comply w h thoseprovi s.This / Date l© AOSHA indicat above for which fees have been paid. of App Ica t - ❑ O er ntractor ❑ Agentermit is required for exgcava Ions over 5'0" deep and emolition or construction of structures over 3 stories in height. y B // Date N�y,��b PERMIT EXPIRES ON l �C0 �Cw Receipt No. • 4" WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date oun y LAND OF NATURAL WEALTH AN D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 9/23/99 TELEPHONE: (530) 538-7541 ROBERT HUMPERT FAX: (530) 538-2140 2249 HONEYRUN CHICO, CA 95928 Re: Building Permit # 98-2297 Expiration Date: 10/5/99 A.P.# 011-30-0-039 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ Permit work started, but not completed. Permit may be renewed for '/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ J No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /���e�7 (Rev. 12/96) APPLICATION AND PERMIT `'� ASSESSOR PARCEL NUMB Eij„� /t.11�lI - 3 o' o^JCcl ZONING BUILDING PERMIT OWNER R6 b Ul- Sys- 4 TELEPHONE SO. FT. OCC. BUILDING VALUATION D .OWNERS MAILING ADDRF.$�59A /� ^�q„ � Y CONTRACTOR'S NAME�tt^^��//M y TEV�LEPZHy/10NE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ A M ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ / O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS C ,. Energy Plan Checking Fee $ PERMIT FEE $ , (j LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF LD(Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heate 23.00 Water piping 15.00 Each as water heater or ve 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0} Installation ❑ Other ❑ Describe Work: {"� �L� l QJ� Gas piping stem 1 - 5 ou)ets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑, 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I 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 w kers' compensation provisions of section 3700 of the Labor Code, I shall with comply with ose provisions. X ` Date A ­hof S ure of Applican - wn ❑ C a for ❑ Agen n OSHA permit is required for ex vation ver 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ACDNS. ( a ACC. BLDs. 3.5¢x; NON-REOSDT MULTI.OUTLET 97.50 POWER APP Us a SINGLE O CIR. Ex. Occup. 20 (I'50 OUTLET OR RES BAL @ .50 Ex. Occup.OUUTTLEEDTSA RESID.OEA- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ �_3 TYPE — TOTAL FEE $(0, o0D :� HAz. D FEES IMP FLOOD CDP I PARCEL PD H ISSU This permit is hereby Issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By /Q./�lK,l'-l�_- �,LC� DatteeC7��"� w PERMIT EXPIRES ON 0"5" Date Receipt No. Z�/ 5 �' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDLOPMENTSERVICES - 7 County Center Drive - Oroville, Cal' rnia 95965 - Telephone (Rev. 12/96) APPLICATIO AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. 97-1739 ASSEWV4.1�139 Zo" BUILDING PERMIT OWNE�OBERT 11�'IL PERT TE NE3477 SO. FT. OCC. BUILDING VALUATION °W" MLI` tRAVES. CHICO 9596 CONTf�,T(,]jiJ�A1AME IJNJ, rJK TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LEND �_ •, CFire lace LENOER'S MAJUN AOD SS ' Total Valuation $ ARCHITECT OR ENGINEER UCE E NO. Filing Fee $ 20.00 Permit Fee S1401 SQ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Plan Checking Fee S SUILOINGADDRESS ) '% Energy Plan Checking Fee S PERM . FE ._. LOT NO. SU90NISION'SHAME PAR L MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF LZ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat' pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Wbrk: PERMIT TO COMPLETE 4$4-89 (REPLACES 96-0437) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home_ I S I GI W 920.00 PERMIT FEE : ELECTRICAL PERMIT Filing Fee 20.00 Main Service 22o0A oa OR 23.00 w LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profusions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereb affirm under penalty of perjury that I am exempt from the Contractors License Law,W the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licens contractors - to: construct the project. ❑ 1 am exempt under Sec. Business arid3Professi6ns de 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 or workers' compensation, as provided for by section 3700 of the Labor e, 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 p it is issued. My workers' compensation insurance carrier and policy number e: Carrier Policy Number (The above sections need not be completed if the permit is for work f a valuation of one hundred dollars ($100) or less.) certify that In the performance of the work for which this permit itr:, Lied, I shall not employ any person In any manner so as to become subj' to workers' compensation laws of California, and agree that if I should become bject to the W rkers' compensation provisions of tion 3700 of the Labor de, I shall o with comply wit ose provisions. X Date v _ —r- -7-1 Own r O C ctor ❑ Agen S' n Lire of App In OSHA permit is required for ex avationa r 5'0" deap and demolition orconst:uction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. owEwNo occuP. so. OR ADONS. ( a ACC. I s. 3.5¢FT. NEW CONS . ULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE ounET CI0. 20 ®I.50 Ex. Occup.OUTLET OR FDTTMES eAL .so FIXED APPLNS. . OR Ex. Occup. otJTLETS RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt t Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 421.50 HAZ o. FEES IMP FLOOD COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r �1- `15ate � PE l EXPIRES ON Date ReceiptNo. 222677 WHITE -0.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION OWNER: DATE Z �� LOCATION : �L 4 Zit' C - A.P. # 6 0-30 __a - D 0,�, CONTRACTOR: ZONING Fe. PRE -INSPECTION FOR: DATE TO INSPECTOR ------------------- PERMIT HISTORY: NONE AS FOLLOWS: 'q#ay �'% �� % --�'� /��.dlY' j�_�76 ef0 ��t 1-� ��-T�S� `%�� -�l/� lri4 � 7`0 L�y��y'�ll -73 /L90�� TYPE OF OCCUPANCY ----------------------------- FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED [] HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES [] HEATED -COOLED PERSON CONTACTED /� r OTHER COMMENTS: / / ° �� ase Atvoec vr -j m ACTION RECOMMENDED: Y ISSUE HOLD FOR OTHER: BY DATE ., 11-30-39 ROBERT HUMPERT JR.. 2477 °Hvgey,o run Rd, Chic--.----_----.-_ _-_ 1Permif#484;87B,P,E,M(new single family) 11-30-39 Permit#967-88B(lst renewal/484-87) - 1.1.--90= 39 _ .. _ _ .... _ t#1584-89B(2nd renewal/484=87) 11-30-39' Permit#1970-90B(3rd renewal/484-87) ! 11-30-39 Permit#799-91B(#W renewal/484087) 11-30-39 92-819 HUMPERZ, Robert 242.9 -Honey n .Ru cony Rd, Chico Po of lst floor of to kitchen & I- garage 011-30-0-039 room -- HUMPERT, ROBERT 93-11108 2429 HONEY RUN RD, CHICO IST RENEWAL/92-819 94-1334B 011-300-039 HUMPERT, ROBERT 2429 HONEY RUN RD., CHICO 2ND RENEWAL BP#92-819 011-300-039 PERMIT#96-0437 HUMPERT, Robert 2429 Honey Run Rd., Chico Complete BP#87-484 011-300-039 PERMIT#97-1739 HUMPERT, Robert 2429 Honey Run Rd., Chico Complete BP#484-87 .� +��.� - - � _-�__�"'1 1 � R� � 't� � ; . DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 BEAUTY September 29, 1998 Robert Humpert RE: Building Permit # 97-1739 713 Northgraves Expiration Date: 10/6/98 Chico, CA 95926 A p.# 011-300-039 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: , ( ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all codes of the application form. KI No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the Chico office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, —Mic el C. V eira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION * N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 97-1739 ASSEStff r—'Jdu 11-039 ZONING BUILDING PERMIT OWNE�OBERT HUMPERT 7894.3477 SO. Fr. OCC. BUILDING VALUATION GWN'�1TWMRAVES, CHICO 95926 000 '� CONTFb(MjDAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 401 -5n ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2429 HONEYRUN Energy Plan Checking Fee $ ROAD, CUT -00 $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O- Describe Work: _ PERMIT TO COMPLETE 484-89 (REPLACES 96-0437) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereb ffirm under penalty of perjury that I am exempt from the Contractors License Law the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BIDS. 3.5¢FT. NEW NON -R SLID. ST.MANCTI O RCUT 97.50 POWER APPARATUS d SI NGLE OUTLET CIR. OUTLET OR FDCTURS 20 Q 1.00 Ex. Occup. SAL @ .so FIXED APPWS. OR Ex. Occup. ourLErs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 w rkers ' compensatio provisions of tion 3700 of the Labor Code, I shall o hwith comply with those provisions. X _ Uete, / _ l� 9 % S.na ure of App Icant Own r ❑ C t ctor ❑ Agen ___F n OSHA permit is required for ex avations r 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 421.50 HAZ. I D. FES IMP I FLOOD I CDF PARCEL I PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work of indicated above for which fees have been paid. B1 P EXPIRES ON l G Iale Receipt No. 2 ?h77 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT qIl— L"73ci ASSESSOR PARC MS -foo -O!W ZONING BUILDING PERMIT OWNER t t • TELEPHONE 769 31- 80. FT, OCC. BUILDING VALUATION OWNERS MAI ADDr p , CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS ' Fireplace Total Valuation $ LIX '66 U ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee v40 I5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS/� CJT Energy Plan Checking Fee b b PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Pee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heatiir 23.00 Water piping 15.00 Each as water heater or vet 15.00 TYPE OF WORK New ❑ Addition ❑emodel ❑ Utilities ❑ Instal tion ❑ Other Descrrib; e� Work: �^ � � $ Fe 2 `�`�''� CJ`0 ^ L/ 3l Gas piping system 1 - 5 ouf2ts 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE b ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A y 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT: Np FEs,DT. MULTI.OUTLEr 97.50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ 1.000 Ex. Occup.OUTTLETS RESIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ 3 TOTAL FEE $ a , HAZ. D. FEES IMP FLOOD I COF PARCEL PO HO 6SUE 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 ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: 0 1 30 0-03c] Proposed Building Use: pri„ uilding Inspector: Date: R -/ S- 17 -)- At time of permit application, I was adviseda following data must be submitted prior to permit processing and/or issuance: -- Date Received By .All items have been submitted .------------------------------------------------- ---------- --------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------- =---------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1313. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. 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. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- a, ❑20. Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ----------- 0 22 Workers' Compensation carrier and policy number. --------------------------------- ts23. Owner -Builder Verification (Given to owner ❑, Mailed to owner -------- E124. Letter of signature authorization. ------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------- ❑26. Letter of intent on building use.---------------------------------------------------------. ❑27. Manufactured Home utility clearance. -------------------------------------------------- 028. Existing violations and/or expired permits. --------------------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. �0. er: ` Check to H.C.D (Date) n you issue thet Process as follows b Mail to owner, ❑ it to contractor. �� 3 �Telephonen and hold for pickup at office. ❑ Deliv6 with insp or. /W, %A Applicant: ate: / Copy of-Haz=Mat form sent ❑ Health Department, ❑ Fire Department, ❑ r ollution a : Z 7By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Ll By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major lab and materials for construction of the proposed property improvement: YESJ,NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have -contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY IVUM 3ER: cJ(e�—D DATE: 4G NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 I<- Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these riskss-are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This ONvner-Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Courcy Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICATION AND PERMIT 410, 0#a • ASSESSOR PARCEL NUMBER _ ZONING D r BUILDING PERMIT Y owN R . A u T HONE _ SO. FT. OCC. BUILDING VALUATION 7 A OWN I -A ESS �T n C - 00 O CON A Pd TELEPHONE CO TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN A Total Valuation $ �j Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O 1105.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2429 Loney Run Rd, Chico Permit fee $f"Q PLUMBING PERMIT Filing Fee 1 1%00 Each Trap 5.00 Ll�—� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 dG USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: conv port of 1st floor of garage to _ _ kitchen & livinx roon d G0MAL6.'rc Permit Fee $ .00 Contractor �— ELECTRICAL PERMIT Filing Fee 15.00 ' 7 600V OR LESS Main service 200AORLESS 18.50 Main service 20CATO1000A) 37.50 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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o $ OR ADDNS. ( ACC. BLOGS. (/� 3.64 q.ft. -7-�; NEW CONSTR ULTI-OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS R) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED AP PLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q — 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 9,00 Cooling Hood 6.50 Ventilation permit Fee $ 30, 50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in onsequence of the ting of this permit. X Date3 Z q Z Si nature of Applicant — Owne Con .tor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. _ff-OM Mobile Home Installation Fee S Energy Inspection Fee $ y�cc Ci'� C ST TYPE W TOTAL FEE $ /7g/ HAz ✓ DFE '7FLOfdo t/ coF PARCEL � Po IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated ab or which fees d AD EC624 9F PUBLIC By P IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS q -V gZ_ Date C% Z 109810 105.0 S 9 Receipt No. -- WHITE-D.P.W., YELLOW-1,5.1s..R, PINK -INSPECTOR. GOLDENROD -A LICANT f g j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION 11A�A MEET I / /, Permit No. G} OWNER PU bri�T- Li V Nl-Pr:;;47T A. P. No. d' Proposed Building Use Coir/ L,/ Building Inspector Date JY 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) obI ehome installation data including manufacturer's installation F structions. A0. ees of $ �v�9. , .... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .............. School Districtfeespaid .............. a 14. Sanitation approval from l ! G 2 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, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ........................... ....... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of.Hform sent Health Dept. - Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior pe mit ' su nce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: tTS — R&iZ 560T77 ;4t>C) SO�a Contractor, designer, owner, was advised of above required data by_phone—inail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by— ydate p Plans checked by 12V_ Date S-ZS'QZ Plans approved by r Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance - - -Location owner Plan Approved for: hold final for: rj"nl clearance O.K. for: C1 Sewage Disposal Water Supply Water Supply Water Supply NOTE *** -T—Date San arian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r7 County Center Drlve - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PARCEL 3u40 �� .J zoN IZ �' BUILDING PERMIT OWNS TE EPHG ONE 702 /'% S0. FT. OCC. BUILDING VALUATION OWNER'S AI LIN WZ F 1 64A C H UI(LJ- CONTR CTOR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ,OD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ dos -00 Energy Plan Checking Fee $ - Ov ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty - $ BUILDING ADDRESS �V/V Permit fee $�SOo �(� PLUMBING PERMIT Filing Fee 15.00 G Each Trap 5.00 tJ.v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.outlets 5.00 Building sewer 15.00 JS.0 Mobile Home S I G I W @ 15.00 TYPE OF WORK New"' Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: o1ST 10A -IL- 1--tLJ1-6, f LIVIA) G P_hV Permit Fee $ 7� (7 / Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS$,50 200A OR LESS Main service 200A TO 1000AI K 37.50 CONTRACTORS LICENSE LAW I declare under penalty p y of perjury lur y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. OR ADONS. ACC. BLDGS. 3.54 sq.tt. NEW CONSTR ULTI-OUTLE NON•P.ESIO. BRANCH CIR ITS @ 5.00 POWER APP ATOS tr (SINGLE O ET CIR, Ex. OCcup(OUTLET OR FIXTURES 20 76d RA a Ex. Occup. OUT ETS 7RESID )REA 3.00 Temporary s ice 15.00 Mobile Ho a Facilities 15.00 Misc. W King 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERIIJUT FilingFee 15.00 Heating Cooling Hood 6.50 S� 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 Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA ion of structures -over 3gstoriesoinehe 9h do s o r S'0" deep and demolit' nor construct- Mobile Home Installation Fee $ Energy Inspection Fee $Lld, occ CONST TYPE TOTAL FEE $ l/!/_ HAz 1 0FEES I IMP FL000 COF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT PERMIT EXPIRES Date __ applicable provi- resolutions to do have been paid. WORKS i DaBY te Receipt No. — 7–` WHITE-D.P. W., TELLOW-A5SESSOR, PINK -INSPECT R, GOLDENR Oa-APPL I CANT 1 r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in.processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction.of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. -4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise,�and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner, Social Securi y Num er Date 3 , 3 Z. 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 BUTTi - Deoarcmenc of °ublic t�or'.cs 7 Councy Cencer Drive, Oroville,.CA 95963 Phone: 916-538_7541 OWNER-3UILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has. been applied for in your name and. bearing your signature. Please complete and return this information at your earl -est opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit vill 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) L 2. I (have/have not) (:::7 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the wor!c but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone T, ype of Work Signed: Prooerty Owner Social Security Number Data JOTi: 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. owl r�oAJ ENltiiCi�fNiEtd7AL APR 13 1992 r CNICO, CALIFORNIA Q,� 7 q --I� (a, u 41t&-,�7- PAU J ec7- �u LL /4gt C1N,Tcb �u, 77-7�Al /3� M n v� r� TD S d AJ Fir U 1 L� 6-� o N L�200 . fiv (. LCA le4l Z �-) ) &7 4—e tAJ A'' �� 4 COUNTY OF BUTTE -DEPARTMENT Gf DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT `n4l,:;�7 ASSESSOR PARCEL NUMBER 011-300-039 ZONING BU DING PERMIT OWNER ROBERT H tPER TELEPHONE SO. FT. OCC. BUILDING VALUATION EST. 48,000 OWNERS MAIUNG ADDRESS 713 NOR71KRAVES AVE, CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 401.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2429 HONEY RUN RD, CHICO PERMITFEE $ 421.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CR Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGlites ❑ Installation ❑ Other b ascribe Work: PERMIT TO COMPLETE 87-484 Mobile Home S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service OOO ( 200AV OR LESS OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLAS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI�OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 SINGLE POWER APPARATOIfiLETUS ) CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.66 BAL .SD Ex. Occup. (OUFIXED ATLETS PRE Iso. °) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 7<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 f ith comply with th se provisions. X Date Sig a o pp Ican - wner ❑ Con a or ❑ A4e A OSHA permit is require Ifor tions o e '0" deep and aemolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 421.50 HA2. D. FEES I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for whi fees have BY IPERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. 1A1122/4�� -5n WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r O.B.- i • Sf•i > : Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this veivication is received. . 1. I personally plan to provide the maj labor and materials'for constriction of the proposed r perty improvement: YES NO[ ]. 2. I HAVE-AYF. NOTI ] signed an pplication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAl�: ADDRESS: CITY: PHONE:CONTPULCTOR'S LICENSE NO._ 4. I plan to provide portions of this worts, but I have hired the following' person to coordinate, supervise, and provide the major work: NAl�: AD DRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some -of` the work bu contracted (hired) the following persons to provide the work indicate NAltiiE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER SOCUL SECURTI-Y NRYEBER: Doi DATE: `Z NO'T'E: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0ti-ER BUTMDERTNT Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder' you are the responsible parry of reword on such a permit Building permits aro not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourse14 you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific inforaration about your obligations under Federal Law, contract the Into. -nal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, prooerry owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a lice :sed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors_ is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned_ Sinceref : . Michael C. Vieira. C.B.O. Manager. Building Inspection NOT': This Owner -Builder Information is required by Sec:.ion 19830 of the California Health and Safery Code. n\17,R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT S&;VICES -BUILDING DIVISIGN 7 County Center Drive - Oroville, California 95965 - Telepnone (9 16) 533-75.11 APPLICATION AND PERMIT PEaMir ,. ASSESSOR P"ACEL NU"GER ©�•/ Q� _� �C / I Zo"'4 BUILDING PERMIT oiNNER � i . I OCC. SO. FTI BUILDING VALUATION OwNEAS WRJNGDRl 3 COMRFLT061'3 N►uE 5 I TIMEP-ONE I I CONTRACTOR -3 M^JuP.O eCOAESS Fireplace 1 eorarnuertowlewEr u"1O'Ow" Total Valuation Filing Fee S 20.0c LJEN0o1'3 awtlre ACORE33 Permit Fee 1 S Aacwmcr oR d"GOWER ucVAE Ne. Plan Checking Fee 1 S Energy Plan Checking Fee I S •AC-%WMCT OR EWMEMs wuuno ACOMS Penalty 1 5 eua.O.AGACOPESS V� PERMITFEE S 11a PLUMBING PERMIT I Filing Fee I 20.00 Each Trap 1 1 7.00 1 tOTNo. SuaoivBiON-3 PIACEL W" I Solar or heat pump water heater 1 1 23.00 1 Water piping 1 15.001 USEOFSTRUCTURE SF Ouplex ❑ Mobilehome ❑ Other Each gas water heater or vent 1 1 15.001 Gas piping system 1 - 5 outlets 1 1 1 5.00 1 Building sewer 1 15.001 TYPE OF WORK New ❑ Addition emodel ❑ Utilities s C3Installation C3Other E� ( Describe Work: rr U �'%` _ V—�� Mobile HomeW I S I G' I I 1 I @20.00 1 I ( I PERMITFEE 1 = Contractor ELECTRICAL PERMIT 1 Filing Fee I 20.00 Main Service ( e00v OR LESS ) 1 200A OR LESS 1 23.00 I Main Service ( 200A To 1000A ) 1 1 46.00 1 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chaoter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lie. No. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, c will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code• for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars (Sion) or less.), ❑ I certify that in the performance of the work or which this permit is issued. I shall not empiov any person in any manner so as to became subiect to workers' compensation laws of California. and agree that if I should became subiec: to the workers' compensation provisions of section 3700 of the Labor Code. I snail forthwith comply with those provisions. X ___ Date Signature of Acoticant - ❑ Owner C Contractor ❑ Agent An OSHA permit is reauired for excavations over 5'0" deep and demolition or construction of strut tures over stories in heignt. NEW CO NS7 OWELUNG OCeUP SO Oa •LOONS ( a nce. altos. ) I I 3.5e Fr. NEW CONST, uuLi40UTLET ( NON•AEsiO. ( sp.Ncm ciRCUrTs @ ) I I 7.50 ( POWER n ) I I I a SET OUUTLE us OUTLET era. EX. Occup. ( OR FOrTUAES ) I I 20 (y I oo OUTLn.ET SALra 50 SIO Ex. Occup. ( Fi"ETIRES ORStO.i EA ) I I 5.001 o uTLr; IRE Temporary Service I I 23.00 1 Mobile Home Facilities I I 20.00 1 Misc. Wiring 1 I 23.00 I I I PERMITFEE S Contractor MECHANICAL PERMIT 1 Fling Fee ; 20.00 Heating 1 I I Cooling I I I Hood 1 1 6.50 1 Ventilation 1 1 1 PERMITFEE S Contractor Mobile Home Installation Fee 1 S Energy Inspection Fee 1 5 OC__ CONST rvPE ,�•� I (TOTAL FE_ S o FE" : iYP I FL000 I ccF i PWCFi i Po No 65 = I 1 This permit is heresy issued under trie appiicaoie provisions of the Butte County Code and/or Resolutions to do wore ino csted above for which fees have been paid. By Date PERNIITEXPIRESON :r)—, �7 1 �/ / Receipt Nogr `�C-, wri r -• � L. f _A N A P Y.iO.Nw ti��C.-.iJO GCLOENA(�r,..1P 0,_. Ci17 C.00001e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI IVISION 7 County Center Drive - Oroville, Califjirnia 95965 - Telephone (916 8-7541 PERMIT NO. APPLICATION AND PERMIT 9- 1363 ASSESSOR PARCEL NUMBER 011-300-039 ZONING FR5 BUILDING PERMIT OWNER ROBERT HUMPERT TELEPHONE 342-9027 SQ. FT. OCC. BUILDING VALUATION 2ND RENEWAL OWNER'S MAILING ADDRESS 713 NORTHGRAVES AVENUE CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 170.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2499 HONEY RUN ROAD PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SX)P( Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Cl Installation ❑ Other CXj( Describe Work: 2ND RENEWAL/92-819 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1ST RENEWAL/93-1110) Main Service I 2110101 LESS ODA ORLESS 1 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. I SO. 3.50 FT._ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1:1 1 am a licensed `under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification i I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason AR NEW CONST. MULTI -OUTLET -NON-RESID. I BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for 5100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. jK I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 CourVV in consequence the granting oft is permit. Date XI&Vg­natureof Applica Ow r ❑ C ractor ❑ AgentICA- An OSHA permit is required for exc ations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 190.00 HAZ• I D. FEES IMP I FLOOD I COF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable of the Bu County Code and/or Resolutions indica a ve for which ees have been BY PERMIT EXPIRES ON !De tel provisions to do work paid. �/ /�'/ Date ( % 7 4/27/95 /f Receipt No. r( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTORGOLDENROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: Attention Property Owner: An 'owner -builder " building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) /=f'!i'V signed an. application for a building permit. for the proposed work. 3. I have contracted with the follo erso (firm) to provide the proposed construction: Name Address City Phone Contractors License No. _ !+: I plan to provide portions of is work, .but I have hired the following person to coordinate, supervise, a provide the major work: Name Address Phone 5. Sig r City Contractors' License No. I will provide some of the work�but I have contracted (hired) the following persons to provide the work indicated: AAA Phone Tvae of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �iutte Couniy BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (9161 536-7541 FAX:' (916) 538-2140 CHICO OFFICE -.1469 HUMBOLDT ROAD, CHICO 95928 TELEPHONE: 916-891-2751 APRIL 6, 1994 ROBERT HUMPERT 713 NORTHGRAVES AVENUE RE: Building Permit #92-819 & RENEWAL CHICO CA 95928 Expiration Date: 4-27-94 A. P . # 00-11—=3.0.05039 DEAR MR HUMPERT: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: IM Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the CHTCO office. Thank you for your prompt attention concerning this matter. Yours very truly, C. Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERM ASSESSOR PARCEL NUMBER 011-300-039 ZONING ., - FR5 BUILDING PERMI f OWNER ROBERT HUMPERT TELEPHONE 342-9027 SO. FT. OCC. ,U, LD.LNG=V-AA�k1ATION �7 I1xSTARENEVNL OWNER'S MAILING ADDRESS 713 NORTHGRAVES AVE., CHICO CA 95926 J CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 170.00 ARCHITECT OR ENGINEER NONE LICENSE ND. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 2HONEY ADDRESS RUN ROAD CHICO Permit fee $ 185.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK Remodel E]Utilities ❑ Installation[ Other [I New' , Addition^IONV Describe work: PART OF 1ST FLOOR OF GARAGE TO KITCHEN AND LIVING R00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ,i T RENEWAL OF 92=811.9 Main service 600A OR LESS SS 18.50 Main service 200A TO IOOOAI 37,50 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 ;Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 3.66sq.ft. NEW CONSTR. MULTI-OUTLET— NO N.R ESID BRANCH CIRC ITS @ 5'00 POWER APPARATUS e (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS (RESID )REAJ 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I 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. 10 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ree to save, indemnify and keep harmless the County of Butt-6against all Iiib' ities, udgmen ,costs, and exp ses which may in any way accrue agai s s'id C i onseque ce th g anting of this emit. X Date gnature of Applican o er ❑- Co actor ❑ Agent An OSHA permit is required fo excavatio over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 185.00 HAz DFEES IMP FLOOD coF PARCEL PD HD IssuE This permit is hereby issued under the sions of the Butte Count de and/or Work Indic a ve r hich fees I C F PUBLIC By PE MIT EXPIRES Date applicable provi- resolutions to do have been pai ORKS ate 279 Receipt No. 140311 WNITE-D.P.W., YELLOW-AS9[530R, PINK -INSPECTOR. GOLDENROD -APPLICANT 1! 4W :W .(1`,7qw Npc;av 17, ,- r. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CA IE013NIA-95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At timeof p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. .............. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... PR�"�egIn 20. Pre -inspection for �QO required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ........ . ..... . 31. Existing violations/expired permits. 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Q ! Acreage ApplicantAADate 7 0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department o:l�Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 . OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has."been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) W L-5 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name, Address Phone Type of Work Signed: f Property Owner Social Securi Number - Z Date 4 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - TI-1cl,hune: 911;.:538-7541 APPLICATION AND PERMIT 33ESSOFt PARCEL NUMBER - O ZO S BUILDING PERMIT wNER V (SMP TELEPHONE 4z- 02- SO. FT. OCC. BUILDING VALUATION wN' iMAILI G AOOR E33 5 Akik4r,4-4,ug, 1 i z eBM �.C- yam ONTRACTOR•S NAME ��/ 0 �! (U 64P­ TELEPHONE _ ONTRACTOR*S MAILING ADDRESS Fireplace ON3TRUC TION LENDER UNKNOWN - TOtai Valuation _ .ENOER'S MAILING AOORE33 Filing Fee S 15.00 Permit Fee S .RCMITECT OR ENGINEER LICENSE No. Plan Checking Fee $ RCMITECT OR ENGINEER'S MAILING ADORF-53 Energy Plan Checking Fee $ Penalty S IuILotNc ADOREss Permit fee S PLUMBING PERMITFiling Fee 15.00 . Each Trap 5.001 Solar or heat pump water heater 20.00 .OT NO.SU801VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE ;F Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 Mobile Home S G W @ 15.00 TYPE OF WORK Vew❑ Addition❑ Remodel L7 Utilities C] Installation❑ Other 9escribe work: O.D .V (I Q"--1— s(= 1S —t FLO02, :, F & ZJQLJ — A0AA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslness 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 200A TO 1000AI 37.50 NEW CONST, DWELLING OCCUP. OR AOONS. ACC. R man. a 3.6Q so.ft.l NEW CONSTR ­LTI-OUTLET NON.RESIO 9RANCH CIRCUITS) @ 5.00 (POWER APPARATUS SINGLE OUTLET S a) CIR. Ex. OCCUp( OUTLETS OR FIXTURES A 20� 760 FIXED APOLNS. OR Ex. Occup. oUTLETs IREsIo., EA,) 1 3.001 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. lotice to Applicant: It after making this statement, should you become subject I the W. C. provisions of the Labor Code, you must forthwith comply with such rovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIIng Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor certify that I have read this application and state that the above information 3 correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the County of utte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue 3ainst said County in consequence of the granting of this permit. DateT gnature of Applicant — Owner 01Contractor❑ Agent ❑ I OSHA permit is required for excavations over 5'0" deep and demolition or construct. .n of structures over 3 stories height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAZ 0FEES IMP I FLOOD I COF PARCEL POI HO ISSUE his permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date eceipt No. / `),in 3/)— �ITC•O. P.w„ TCLLOw-�]eC]]On, PINK-IN]ICC TOw, GOLOCNw00-APPLICANT Robert Humpert 713 Northgraves Ave. Chico, CA 95926 Dear Mr. Humpert: - uite Co BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES / CUI)N'IY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 536-7541 FAY: 1916) 53:3-2140 April 9, 1993 RE: Building Permit # 92-819 Expiration Date 4/28/93 A.P. # 011-300-039 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for z the original building permit fee (plus a.$15.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew. your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed .by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. ElNo inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Chico _ office. Thank you for your prompt attention concerning this matter. Yours very -truly, JFG:hla J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments: [Renewal Application [JOwner-Builder Information ❑ Owner -Builder Verification Chico -1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE"A" (Additions) Owner �lJ M F'l-= #;Z -T— Climate Zone Permit # 4.9Z=8`�9 Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 / ZONE 16 R-30 R-38 R-11 R-19 R-11 R-19 R-7 R-7 U-.65'(Dual) U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING ;g NEW HEATING, VENTILATING, AIR CONDITIONING AND HO/T' WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. BUTTE COUNTY OTHER APPROVLU 12/85 *1 - HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) C3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope-) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load s maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU t2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Califor a AdministrationC de. 14 _ TU OF B LD ESIGNER R APPLIC 3 � Io Flo M �l ogo iZ ONS Ut�.�M I VI>��� 7- q Z Al D I C 91 T IE -S .� D D t_ o .. �4 Sq FT �o wc� �.-(lz.-S q- d� � � � v i 5 ►� o � 2 � 10 o Q SS • 3� , c�,M S. S i p 7 M C.E / 1 2�c.2D -- cl'3o 3 S o G� Nl�sa�c o N tZEcc2��_ --iT4(S A-Ppu c;9Tcn t,j -Poup-Et� 0 U • r -I L --A Fb- a : :3Q2�- �Q'r/��o6�) f,ozs = • gag �S'' P P---------- 714s- VI: 6s V= �,exro6 97z 'S� ZCILL „dK ljt�::�i.i.«�.,',�,;�.�„1,:;•r'4��`x"y^r�yrd i�.:r`i�.:;Ey>'�zwtir7w+'i►.n'*-..x�...,�Yw„v=, n.�.r �.a. , pi7 sj:..,.yj��ra • l BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) .A.P. Number /%' 30 Building Department No. School District City D County Jurisdiction -Property Owner �-(� M Project Location /Address ' j A n�-}�AV S U Subdivision Lot Number Residential Development: [:��a —7�' Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Buil- ng Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 222192 School District certifies that R i " --90 9 t plicant Name Street' Addres Phone Number ( City ) (State) (Zip CC�ode ) has complied with the requirements of Resolution No.�� / by the p yment .of $ /��73_ representing -7q3 square feet. School Dis rict Representative Dat PAID BY CHECK �N}O . REMARKS: 7Q BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district S SCHOOL.FEE (8/88) 71� P 41 C> -It r I �ST4 b 3`� _ rn z rq Ln St, "s 33 7� 2E, IGS P 41 C> 4 �N t� um 'I.,At j i �— � __- –fit—N � •^! to ' P o . VV Illi„i„.j e I f •7i i . ,� 22 ---- --- - { 7�j vi r v t I r is Lq R � 0 � G -Z �7 p�p � a � C � ARP �� p , � �• � �� F� �; r i• �, R � fi y c Rg �"e�FE E I is Lq �4fis�g - P p�p � a � C � ARP �� p , � �• � �� F� �; r i• �, R � fi y c Rg �"e�FE E I V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 11, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11-30-39 ZONING BUILDING PERMIT OWNER TELEPHONE Robert Hum ert Jr. 342-9027 OWNER'S MAILING ADDRESS 713 North raves Chico SO. FT. OCC, BUILDING VALUATION CONTRACTOR'S AME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee $ 10.00 Permit Fee@-,! fee $ 156.50 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2477 Honey Run Rd., Chico Permit fee $ 166.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20,00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF12 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition emodel ❑ Utilities ❑ Installation❑ Other] Describe work: r-fpe-.. i of B R #424-87 (1st renewal of B.P. #1584-89) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License NO. Classification. El I, as the owner, or my employees with wages as their sole COmpen- s tion, will do the work,and the structure is not intended or offered r sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.8d OR ADDNS. ACC. BLDGS. yzQsgft NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCCup(OUTLETS OR FIXTURES 20 0 0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. eo'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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a e to save, indemnify and keep harmless the County of Butte against all Iia I' lies, judgments, sts, and e xpense@ which may in any way accrue again id�Countco equence of the ing of this per ii. X Date Z Z S' nature of Applicant — Owner &ntr Dor Agenr n OSHA permit is required for exc vations c6rCr a and demolition or construct- ion of structures over 3 stories in height. C) Mobile Home Installation Fee $ Energy Inspection Fee $ 0cc CONST TYPE - TOTAL FEE $ 166.50 HAz. CUA PARK SCHL FLD CDF PAR PD ) HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date � PERMI XPIRES Receipt No. 88220 v 164 SD go. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -IN PECTOR G DPPLICANT . . 4 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit Number Date h1kre -, ZZ i 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. - - � c, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californial95965 -Telephone: 916/538-75411�9/P APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11-30-39 ZONING BUILDING PERMIT OWNER Robert Humpert, Jr. TELEPHONE 342-9027 ,SO FT. OCC. B DATION OWNER'S MAILING ADDRESS 713 North raves Chico 3rd RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 fee $156.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $166.50 PLUMBING PERMIT Filing Fee 10.00 2477 Honey Riin Rd., Chirn Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New Addition ❑ Remodel❑ Utilities [I Installation❑ Other® Describe work: — _ #1584-89) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl der peh Ity of perjury check :� I am licensed under provisions Of pt. 9, Div. 3 of the Business and Professions C d e is in full rce and effect. License No a sification 1, as the Owner, Or my employees with wages as their sole COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&\ OR ADDNS. ACC. BLDGS. I /zQsgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCUITS) 2,50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR. I Ex. Occup(ou TLETS OR FIXTURES 20050Q Bw103O FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and penalty of perjury check o e ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department ertificate of Workmen's Compensation Insurance or a Certificate of It, 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemnify and keep harmless the County of Butte against all Iia I ities, judgmen ,costs, and e e ses which may in any way accrue again s id C i onsequence of g la of this ermit..—_ — IX Date a gnature of Applica t — 0 er n actor ❑ Agent ❑ An OSHA permit is required for excavat' over 5'0" deep and demolition or construct -DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OcC CONSTTYPE TOTAL FEE $ 166.50 HAz cuA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees ORO PUBLIC BY PERMIT EXPIRES Date_%/ the applicable provi- resolutions to do have been aid. p WORKS / c- / Date Receipt No. &(005< WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE.z-,Deoartment of Public Works_ 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in -processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mat&rials for construction of the proposed property improvement (yes or no) 2. I (have/have not) L signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City —Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide'some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securi _ Number Date NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI,U,E, QALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -79V ' / Permit No. OWNER ��— A P No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from 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 ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Otherc,.1 ApplicantX, _ .Date � r/ J `� r U Copy of Hez-Mat form sent Health Dept. I Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, .1 designer, owner, was advised of above required data by —phone _--jnaiI_counter by ..date Contractor, designer, owner, was advised of above required data by —phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11-30-39 ZONING 1 BUILDING PERMIT OWNER Robert Humpert, Jr. TELEPHONE 342-9027 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 713 North raves Chico r RENEWAL CONTRACTOR'S NAMETELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER p UN NOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1 fee $156.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $166.50 PLUMBING PERMIT Filing Fee 10.00 2477 Honey Run Rd-- Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 - Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel[]- Utilities ❑ Installation❑ Other ® Describe work: 3rd nPwal of 'R -P- #484-87 (Ist renewal of B.P. #1584-89) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under peri Ity of perjury Lcheck o ❑ 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. ClassificationFIXED ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not.intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&\ OR ADDNS. l ACC. BLDGS. / 1/20sgft NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20030¢ ewL930 Ex. Occup. OUTLETS PLNS R (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor e - WORKMEN'S COMPENSATION INSURANCE I declare and -natty of perjury 14ec�k ow" ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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. XDate Signature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 33 stories in height. Mobile Home Installation Fee $ I Energy Inspection Fee S ► occ CONST TYPE TOTAL FEE $ 166.50 HAz I CUA PARK I SCHL I FLD PAR I PD 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 applicable provi- resolutions to do have been aid. p WORKS Date 4/1/91 Receipt No. d �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS N ` 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO / ASSESSOR PARCEL UMBER ZONING BUILDING PERMIT N RTELEPHONE {,L VYI r . 3 SO. FT. OCC. BUILDING VALUATION OWNER'S A LIN DDRESS CON RAC TOR'S NAM TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS, Permit fee $ J(21I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 °( Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF k— Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Additiona Re odel ❑ Uies I . stall ion❑ Other Describe work: til' I 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aODV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- �\ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ACDNS. ACC. BLDGS. , /z¢sgft NEW R OUTLET NON•R RES'ESID BRANCH CH CIRC ITS 2.50 ea /POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20@50t DALO 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare .under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 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. 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 liabil' ies, judgments, c sts, and expenses which may in any way accrue a ins t id Count in co quence of the r n ing of this p rmit. X Date ore of Applicant — Owner Contra r ❑ Agent SHA permit is required for ex ons o r 5'0" deep and demolition or construct- structures over 3 stories in height. rReceipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE JSr..0LJF-L1D0DJPARCFLJ P11 ND 39UE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for hich fees ^ DIRECTOR UBLIC PERMIT EXPIR Date the applicable provi- resolutions to do have been paid. WORKS Date No. D.P.W.. YELLOW-AlIel350R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE Department of. Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. �haDi�je/.ave not) signed an application for a building permit roposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .I plan to provide portions of this work, to coordinate, supervise, and provide th Name but I have hired or . Address City Phone Contractors License No. person 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed : Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE' -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ^d ASSESSOR PARCEL NUMBER tl_r_3 ZONING BUILDING PERMIT ER ITELEPHONE Z- SQ. FT. OCC. BUILDING VALUATION / R'S MAI LI G R SS l ONTR AC O 'S NAME EL ONE C-ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fe Z ; ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PF47RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ (Addition ❑ Remodel ❑ Utilities ❑ Installation[] Othe Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 _419ONTRACTORS LICENSE LAW I declare under p ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW T DWELINGCCUP.y\ ADDNS1/22sgft // NEW CONSTR.TI-OUTLET NON-RESID BRA CH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLET3 OR FIXTURES 120 0 50t 200030 .AL@30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undyInhalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains sad ounty inEs s q ence of the g a f this permit. _ X Date Signature of Applicant — wner❑ 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 $ TOTAL PERMIT FEE $ occU P. CONST.TT SCHOOL FL.00DJ PARCEL I PD H6_ -,Sur This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT p PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS `/ _ Date '! S — Receipt No.��lj WNITC-D.P.W., YELLOW-Aee Cs eO K, PINK -INSPECTOR. GOLD CN RSD -APPLICANT I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 1-114(%4-- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec ri y Number Date j 8 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 , DEPAR.TMENT`OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9513 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -3 O ZONING j BUILDING PERMIT OWNER TELEPHONE 1 .7 OWNER'S MAILING ADDRESS ' OWNER'S -7/ rrvork- .4 c�,Li SO. FT. OCC. BUILDING VALUATION 0 0 0©- J1 O M 16,L/ 20. 00 CONTRACTOR'S NAMEIF(� TELEPHONE O L✓ i�/a,� (ArL CONTRACTOR'S MAILING ADDRESS Fireplace pov• uo CONSTRUCT/ON LENDER VNKNO WN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10,00 $ y , Uo ARCHITECT OR ENGINEER LICENSE NO. ARCHITE T OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ c $ $ BUILDING ADDRESS Nfi u+.► Permit fee $ y,Sa PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /.'/,.0 1- Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION 5 NAME 1 S PARCEL MAP Water piping 5.00 S O0 Each qas water heater or vent 5.00 5"00 USE OF STRUCTURE SF,J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 , Uia Building sewer 5.00 ,s, UO Mobile Home S I G I W O.00ea TYPE OF WORK Newg_ Addition❑ Remodel❑ Utilities[:] Installation Other ❑ Describe work: %��li-� _ Permit Fee $ -C' L,•OV Contractor ELECTRICAL PERMIT ir Filing Fee 10:00 Main service 100 AMP OR V OR LES 10.00 ,bD Main service EA. Aoo'L too AMP 2.50 .21 ,510 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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) owner, am exclusively contracting with licensed contract- 7044) ❑ 1,a as ❑ I am exempt under Sec. , Business and Professions Code for this reason NE DWELLING OCCUP.& , A h2sgft sy.�p0 NEW CONSTR. ULTBI OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20950Q SALO 30 FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 W#,J Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Uc� 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 Countyof 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 againsygaid County in ao'sequence of th ranting of this permit. X Date Si 7ature of Applicant — Own /K Con cror ❑ Agent An OSHA permit is required for excavations over 09dse nd demolition or construct- ion of structures over 3 stories in height. % Mobile Home Installation Fee $ Energy Inspection Fee $ p, 0© TOTAL PERMIT FEE $ ,00 o uP. CONST. Tr Pc FLoO PARC PD ND 1390E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR ZOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �O� y 7 Receipt No. '%% 1 WNIT!-D.P.W.. 7ELLa W-A88[990R, PILAR-INBP TOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.- UB IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET �� (/�� R Permit No. OWNER Uro�Oer+ 11tt -Oe-7 y t A. P. No. Proposed Building Use S�� Building Inspector Date %Z 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. . . . . . . . . . . . Plot plans in duplicate-44pl-e,&te, signed by preparer of plans. 33. Complete plans in duplieate/440icate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans, j 7f 5: Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . /7 Statement of Intent for Non -Heated and AC Buildings. 4. Fees of $ 17? - 57() . . . •. ,. .. Letter of signature authorization. . . . . . . . 6 fM, Sanitation approval from of ki,o Health Dept. . 11. Planning approval for (A) Use: (B) Parking: . 12, Certificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name sty , classif.) 4. Owner -Builder Verification (Given to ownerL-3, Mail to owner ❑.). _15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . t Pre-Inspec.request to � (Date) re -Inspection for Required, Building Inspector Recorded copy of Agricultural Acknowledgment Statement. -Z ON -7 7 119. Driveway Permit. 20. P t plan approval from city of 21 When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 3Y;L-90'X7 and hold for pickup aCkit office, Deliver w/inspector. ` Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not the ed above). 1. Index permit for above items No. - '4ef 44 2. Additional items required: Contractor, designer, wne as advised of above required data by_::�`phone__jnail_counter by date Contractor, designer, er, as advised of above required data by_phone_mail co+ er by date Plans checked by Date Plans approved by Date Sets of plans on hod irY%,F—File cabinet AP folder Olz` — Flours: 10:00 a. - 3:00 P.M. Copy—DPW TO: Building Department' FROM: *Environmental Health, Chico SUBJECT: Sanitation Clearance 121, 04 —30 - 3,9 Owner L cation AP# Plan approved for: sewage disposal_ final for: c Final clearance O.K. for: Clearance for___ bedroom mobile ome Other Note*** P Ila 4,-� ' o -I � , Sanitarian y water sub water supply water supply 3 -q -P2 Date TO: Building Department FROM: Encroachment Permit Section RE: }, 'Dg lueway.'Clearance ober i7��Mn e,7L_ 2-'Y 7 7 �oA.eR, A_/_ _ �l - 3 0 owner tl location AP # Driveway permit 3 el" l - 4�- has n sign ure been issued for the above property. 3 -3/-9 7 date 1140 Returnto DPW AGRICULTURAL STATEMENT OF ACKNOWLERECORDED BUTTE COUNTY DGEMENT FOR RESIDENTIAL DEVELOPMENT UFFiCIAL RECORDS By Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 87— 8820 1981 MAR _S PM 3`9 The property described herein is adjacent to land or included CANDACE J.GRUBBS within an area zoned for agricultural purposes, and residents of this - property may be subject to inconveniences or discomfort arising from CLERK -RECORDER Fes-. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: f45 stlowti DLJ rHA-r G Gru'4, , Pi4.2c.: e- i 14p D/= -/I-+(--S o u rH A3',qS-r u/He r�2 I Sic no ,vw,�Nc. �nyi ) 2,4 41 6:-,f I N 7-7 OF1'' c o Tl-f-� 2 E�o2 p� � U v t�'J o /-- &7-1 $-t o f c/4—t- i(-- c3,e ti ),oc- e J14 ti H y 6 4 ,AJ ao is 6'C a F ec-L- �'`'�'' S , A -T— per- C—. 3 , Date: _ PROPERTY OWNERS:. 0 A 65P-7- le - 4U M P&PfT L State ofCSCir-ot?/V"[-) On this the �� day of «, 1900-7 , before SS. me, the undersigned Notary Public, personally appeared County of ,[J�►T(-� ) 1 4�7 Personally known to me. L/ Proved to me on the basis Officicl Seal- of satisfactory evidence. ":.,. JOHN H. IMRIE to be the person(s) whose hame(s) A2E subscribed to Notary Public - the within instrument and acknowledged that =:•,••?• A:cpa County Slate of California executed -the same for the purposes therein contained. MV Ca -nm. Exoires Jan. 17, 1990 IN WITNESS WHEREOF, I hereunto set my hand and official seal. �e Notary Public Present A.P. No. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for iny our 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) L—Pj 2. I (have/have not) C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _,/ City Phone �/ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. ' Social Security Number – p Date_%� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before. we are per- mitted to issue the permit. RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM I `- Owner __A,O Y Climate Zone // Permit No. Floor Area /�2 so Compliance path: Package ❑ A ❑ B ❑ C oint System ❑ Budget ❑ Other 433 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ®-"­ Roof/Ceiling Q� Wall :z Slab Floor Perimeter —❑ L� Raised Floor 7, (2) INFILTRATION: (A) A vapor barrier is required in climate zones, 1, 14 & 16. 113 p� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. [� (C)'All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: BUTTE COUNTY ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket BUILDING DEPARTMENT ❑ (F) Air-to-air heat exchanger (3) GLAZING: APPROVED (A) Location Area Glazing %FloorArea C/., Single Double Triple ®/ Total Bldg / 0 gL North 'Z�!70 `' i _K " CiY East 3� 3 South ®� West 3 Y ❑ Skylights (B) Shading Shading �/ Coefficient D s i ion 9 63-11, l3 East ❑ South _ ©/ West ,. G ❑ Skylights ®/ (C) South Overhang Length of projection —Pft. Description ❑ (D) Moveable insulation: Area ft2 Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 W (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting Air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the. provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORM 6 ' ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight y fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily . accessible, openable, and tight fitting damper to draw'air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A)"Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated'slop Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. W (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting Air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the. provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 A6) DOMESTIC WATER .SYSTEM (A) Gas Only (brand and model number) ❑ Heat Pump w/Electri,cBackup (tank size) FORM 1 Gallons''�� (brand and model number) Gallons (tank size) 13 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) Q� :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with f R-12 insulation or greater. C� (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Stearn and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). c (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. �7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 30 0, elevation I heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU 'Cooling: Summer design temperature °, cooling load BTU *2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) Sni/rC Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2,, Chapter 2-53 of the California Administration Code. 7/83 S NATURE OF BUIN DESI R OR L ICANT 3 RESIDENTIAL PLAN CHECKING GUIDE (S.F. , DUPLEX '& MISE.. ONLY) 7/85 OWNER Ro 44IQ Bldg. Permit A : P . # # GENERAL zoning requirements: (sideyards and number of permitted living units). Valuation. .3-"* Plans signed by designer. Energy Design and Compliance. Existing violations on property. PLOT PLAN ,,Ij Complete parcel size and dimensions. .2� Setbacks, sideyards, easements, -etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. >� Special conditions on creation map or compliance document. FLOOR PLAN X. Complete to scale plan with dimensions. ..2! Required windows for light and ventilation (Sec. 1205). 3. Required windows for second -exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). �7! G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ,9! Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. r1-6'+Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). ,J -Z: Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough -:to construct building. 2 Floor construction details complete enough:to construct building. ,cg! Elevations and wall construction details complete enough to construct building. , -t! Roof construction details complete enough to construct building. replace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. �./Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)).: Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32).. �� Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCEQ ANEOUS'ITEMS TO LOOK OUT FOR (CONT'D) Garage'door or porch header sizes. f a 9 Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. 7/83 FORM RESIDENTIAL ENERGY PLANeCHECK/INSPECTION SUMMARY Owner O Y Climate Zone Permit No.. y Floor Area fy so '• _ _ Compliance path: Package ❑ A ❑ B ❑ C oint System ❑ Budget ❑ Other 4.33 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling 3 U Or Wall Slab Floor Perimeter —❑ FJ j Raised Floor (2) INFILTRATION• (A) A vapor barrier is required in climate zones, 1, 14 & 16. —❑ p' (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and / labeled. [tom (C)'All swinging doors and windows leading to unconditionF:d areas shall be fully weatherstripped. i Tight - the above standard features plus: BUTTE COUNTY ❑ (D) Continuous infiltration barrier 13(E) Electrical outlet plate gasket BUILDING DEPARTMENT ❑ (F) Air-to-air heat exchanger (3) GLAZING: APPROVED (A) Location / Area Glazing %,Floor Area Single Double Triple q1 ❑/ Total Bldg /©fL Y �- North�p C�._ CY East e 36 South Q� West Z3 Ile ❑ Skylights (B) Shading Shading Coefficient D s i ion [(�]� East sG y South 9__� West ❑ Skylights Q/ (C) South Overhanf Length of projection .2—ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= Ra MC= Location ❑ Type - Area Ft. 'HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 FORM [3 (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight • fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable-, and tight fitting damper to draw'air from the outside of the building; and a tight fitting flue damper .with a readily accessible control. 7/83 *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A): -Heating ❑ Central Gas Furnace L (brand and model number). Btu/hr (heating capacity) Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar ;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated s lo,p?�j Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr, (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling 'capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. SE ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct., plenum, -and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 �6) DOMESTIC-WATER.SYSTEM -(A) Gas Only FORM 1 Gallons C.Y� *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 30 *, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU / Cooling: Summer design temperature °, cooling load BTU *2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) Submit T.I.P.S.E. chart or'other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 S NATURE OF BUI Nt DESI R OR LICANT 3 (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ * 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft <backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) Q� :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. f LTJ (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be -certified to the Energy Commission. �7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 30 *, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU / Cooling: Summer design temperature °, cooling load BTU *2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) Submit T.I.P.S.E. chart or'other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 S NATURE OF BUI Nt DESI R OR LICANT 3 Z NE 11 OWNER POINTS PERMIT NO. _ ASSIGNED ACTUAL 1. SLAB - INSULATION I 2. RAISED FLOOR - R-19 �! d 3. CEILING - R-30.=ate! i 4. WALL - R-19 ��7 0 5. NORTH GLAZING 3c} 2.41L3.6%. � r$ • 6. EAST GLAZING ,3�6- 2.5-3.6% Q 7. SOUTH GLAZING 0_ 1.6-3.6% d _ -A v Y 8. WEST GLAZING 3 (a- 2.9-3.6% 9. SKYLIGHT --e- 0-1.3% 10. SHADING (Exclude Overhang) EAST - .66 ! 4 Q SOUTH - .19-.42 WEST - .13-.36 " 2 .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' O 12.. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU11P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% .WOOD STOVE _ L P C_- WATER YHEATER ATTIC -6-0 7. ate OTHER - TOTAL POINTS = -able 3-1. Slab Floor Points Table 3-2. Raised Floor Points Tn:ula- I R -Value of Insulation I I R -Value of I tation ! ti-Jn I I 1 Insulation I Points 19tpch, I I 1 I Inches l 0-1 3-4 ! 5-6 I 7+ I I I R -Value of Insulation I I I be3 18 -T-TT 7 I - 4 I 0 0 I -1 I o- 11 1 -s I -sI -s I I 5- 7 I -6 112 - 15 I -5 I -3 I -2 1 1 1 8- 12 I Floor I 16 - 19 I -5 1 -2 I -1 I i I 13 - 18 I P2 20 + i -S i -1 i 0 i +1 I Area 1 1.10) 10.65) 10.41)1 7/7/83 I 22 I I Table 3-3a. Ceiling Insulation Table 3-7. South -Facing Glazing Pte Pointe tation I East I I 3.2 I Table 3-11. Horizontal i 0-3.1 to 6.4 op 1 I Glazing Type I I R -Value of Insulation I Points I I Total I i ( .67-.82 I 0 0 I -1 Z of I Sngl, Dbl, Trpl, 0 1 3.2 1 6.4 1 8:0 1 9.6 I Floor I (U - I (U - I (u . I I 19 i -4 I I Area 1 1.10) 10.65) 10.41)1 0 1 +1 I I 22 I I I 1pointe-J.Points i ointsl I I o I 01- 1 +s 1 +9 +g 1. 1 I + I 1 up ee=l=5=I +2I +2'�`I +2 I 49 1 +4 1 ( 1.6- 3.6 1 -1 1 0 1 0 1 I I I 0 1 +1 1 +3 1 +6 I +7 .13-.36 l 0 1 o f 0 I 0 1 0 .37-.57 I 0 1 -1 I I -6 I -7 I 5.3- 6.5 i 6 1 -4 I 3 1 -2 1 -4 1 I -16.1 -20 I I I I Skylight I I 6.6- 7.7 1 -9 1 -6 I =S I I .7 11.5 1 3.1 1 3.9 1'5.2 r ---- r- 0-.12 1 1 7.8- 8.9 1 -11 1 -8 I -7 1 .37-.57 1 0 1 -1 1 -3 1 -6 1 -- I 9.0-10.0 1 -13 1 -10 .I -9 I Table 3-4a. Wall Insulation Pointe i 10.1-11.5 1 -17 1 -13 ( -11 I 10.42- 1 0.41 i 11.6-13.0 I -21 I =16 I -14 I R -Value of Insulation I Points I i 13.1-14.5 1 -25 I -19 ( -16 (. I I I 1 14.6-16.0 1 -28 1 -22 1 -19 I I III I -7 I - +3 ; I rable 3-5. North -Facing Clazine Pte I I I Glazing Type I I Total I I Z of I Sngl, Dbl, Trpl, I Floor l, - I U- I U. I 1 Axes 10.66 1 0.42- 1 0.41 1 I 11.10 10.65 ( down I 1 0.1- a 1.2 I a+4 I +4 I +4 I 1.7:=2,.-3 I +1 I + I +2 1 s_a- 3 -2 I +1 I 1"13 h -4 I 4.9- 6.1 I -7 I -4 ?--3 6.2- 7.3 i -9 ( -6 1 -5 I 7.4- 8.2 I -12 I -8 1 -7 I 1 8.3- 9.7 I -14 I -10 1 -8 I 9.8-10.8 I -17 I -12 1 -10 1 10.9-12.0 I -19 I -14 1 -12 1 12.1-13.2 1 -22 1 -16 1 -13 I 13.3-14.5 I -24 I -18 I -13 14.6-15.3 1 -27 I -20 I -17 I West -Facing Glazing Pts. Total I Z of I Sngl, Floor I (U - I Area 11.10) 045 I lints I up to 1.3 I + S I 1.4- 2.2 I +3 1 2.7- 2.8 I 0 I I -3 I 3. r-4. 2 I -S I 4.3- 5.0 I -8 I 5.1- 5.6 1 -10 I 5.7- 6.2 1 -13 6.3- 6.9 1 -15 I 7.0- 7.6 1 -18 1 7.7- 8.2 1 -23 I 8.3- 8.8 1 -22 I 8.9- 9.5 1 -25 I 9.6-10.1 1 -27 I 10.2-11.0 I -29 I 11.1-11.8 I -35 11.9-12.7 I -38 1 12.8-13.5 I -42 1 13.6-14.3 1 -46 1 14.4-15.2 I -50 1 ..Pa. 0.63) 1 0.41) lints I lints •i +i +6 1 +6 +4 I +5 +2 I +3 �`01I +1 6 I -4 -8 I -6 -10 1 -7 -12 1 -9 -14 I -11 -16 I -13 -18 1 -15 -20 I -16 -23 i -17 -26 1 -21 -29 1 -24' -32 1 -27 -35 I -29 -33 I -32 I T.M. 1 -In c.. -u-- P--lr._•--- . I SC by I I Orten- I I Floor Area tation I East I I 3.2 I Table 3-11. Horizontal i 0-3.1 to 6.4 op I I 6. I 0 -.19 1 0 i +1 I +2 I .20-.36 I 0 I 0 I it -..0--1-6 I 0 ( .67-.82 I 0 0 I -1 j.83 up i 0 1 -1 i -2 I South 1 0 1 3.2 1 6.4 1 8:0 1 9.6 I I to I' to I to I up 13.1 .3 17.9 19.5 I I +2 I +3 I 0 -.is 1 0 1 +1 I I .19-.42 1 0 1 0 1 0 1 0 1 0 1 .43-.66 1 0 1 -1 I -2 .4 I -3 I .67 up 10( ' -2 I -4 I -4 I -6 from Wall I West I .111.6 6.4 1 8.0 I to I to 01'7.9 to I up 1.5 i 3.1 i 0-.12 I 0 1 +1 1 +3 1 +6 I +7 .13-.36 l 0 1 o f 0 I 0 1 0 .37-.57 I 0 1 -1 I I -6 I -7 .58-.82 I -1 I -3 1 {I -12 i -IS .83 up I I -2 1 -4 1 I -16.1 -20 I I I I Skylight I .1 1 .8 1 1.6 1 3.2 1 4.0 1 to I to' I to L to I to I .7 11.5 1 3.1 1 3.9 1'5.2 r ---- r- 0-.12 1 0 1 +1 1 +3 1 +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 1 -6 1 -- .58-.82 .I -1 1 -3 1 -6 1 -12 I -. .83 up 1 -2 1 -4 1 -8 1 -16 I -20 1 I I I I I 1 Table 3-11. Horizontal South Overhane Pointi, Table 3-9. Sk lie.ht Points I South Glazing Table 3-6. Eaet-FacingGlazing Pts. T I Length Out I Area, Z of Floor I Glazing Type from Wall I I I' Glazing Type I I To al I i i T -'- I Total I I I Z o Sngl, Dbl, 2r p1, 1 1 0-6.3 I 6.4 up I I Z of I Sngl, Dbl, Trpl, I Flo l U- l u- l o- I I I I I Floor 1 (U - I (U - I (U - I I Area 1 0.66- 10.42- 1 0.41 i 0 - 0.5 -2 j I Area 1 1.10) 1 0.65).1 0.41)1 1 1 1.10 1 0.65 1 down 1 1 0.6 - 1.0 I -2 I -3 I I 1Pq is 1 oints 1 ointsl 1 1.1 - 1.9 I -1 1 n I• • r� I up to 1. 1 -1 I 0 1 0 I I 2.0 up I 0 I 0 I i up to 1.3 I +3 I +4 I +4 I I 1.4- 2.2 -3 I -2 I -1 I I I I 1 j ( 1.42.4 1 +1. 1 +2 1 +2 1 1 2.3- 2.8 I -6 1 -4 I 3 1 Table 3-12. Movable Insulation -2 I I O I I 2.9- 3.6 I 1 -6 1 -5 1 Points I -5 11 1 I 3.7- 4.2 1 -11 -8 1 -6 I I 4.7- 5.6 1 -8 I -4 1 -3 I 1 4.3- 5.0 1 -14 -10 1 -8 ( I Moveable Insulatloo�l 1 1 5.7- 6.7 1 -10 1 -6. 1 -5 I I 3.1- 5.6 1 -16 1- 1 -10 I I Area, I of Floor I Points I 1 6.8- 7.7 1 -13 1 -8 1 -7 i 1 5.7- 6.2 1 -19 1 -14 -12 I ( I 1 1 7.8- 8.7 1 -13 1 -10 I -4 1 1 6.3- 6.9 1 -21 1 -16 -13 1 1 8.8- 9.7 1 -1.7 1 -12 I -10 1 1 7.0- 7.6 1 -24 1 -18 1 15 1 1 0- 5.5 1- 0 � - I 9.8-11.2 I -21 I .-1S l -13 1 1 7.7- 8.2 1 -26 1 -20 i 7 1 I 3.6 - 11.5 I +2 1 111.3-12.7 ( -25 1 -18 I -15 1 1 8.3- 8.8 1 -28 1 -22 I -f9 1 1 11.6 - 17.5 I +4 1 1 12.8-14.0 1 -28 I -21 I -18 1 1 8.9- 9.5 1 -31 1 -24 1 -21 1 I 17.6 - 23.5 I, +6 1 114.1-15.3 -32 i -24 1 -20 1 19.6-10.1 1 -33 1 -26 I. -22 1 I _23.6+ I 44 I 1) I Table 3-13. laf!lttatloo Control FeRtvres Points I Control Features 1 Pointe I �._. 1 Standard �I 0 10.9 air changes per hr I I I I I 1 Tight I +12 I I I I 10.6 elf changes per hr I' I i I I Table 3-15. Cas Furnace Without Refriteration Cool!ne Points I Seasonal Efficiency 1 Points I I (SE), = 1 1 I I I } 7< - 76 I 0 1 } 77 - 2 I +2 I I 83 - 8 I +4 I ( 89 - 9: } +6 1 I 95 up +8 I I I I Table 3-16. Heat Pumo Points I Energy Efflc!ency 1 Points I I Ratio (EER) I 1 D A +3 j I 0 - 8.3 I +6 I I 8 - 8.7 I +9 I 8.8 - 9.1 I +12 } 1 9.2 - 9.6 I +13 I I 9.7 - .2 1 +18 I I 10.3 - 10. I +21 I 10.9 - 11.5 I +24 I 1 11.6 - 12.3 I +27 j I 12.4 - 13.2 +30 1 Table 3-17. Cas Furnace With Refrigeration Cooling Points l- 'Refrisor, (tonl Cas Furnace I I Cooling 1 SE : 1 I 8.0 - 8.3 I 01 +2 46j .+61 +8 1 I 8.c - 8.7 1 +21 *•t 51 +91+t0 1 1 4.3 - 9.2 1 W +61 +101+12 I 9.3 - 9.7 1 +61 +81+101 21+14 1 I 9.8 - 10.3 1 +311-101+121+1 +16 I 110.4 - 10.9 1+10;+L2i+1:1+16 +18 1 111.0 - 11.6 1+121+141+161+181+20 1 7/7/83 TABLE 3-14 (ADAPTEO) 4ASS DWELLING AREA SQUARE FOOT ZONE 11 INTERIOR THERMAL MASS POINTS AREA SQ. FT. 1,000 t A e C D A 1,500 I C D A 2.000 8 C 0 A 2.500 B C 0 I A 3.000 8 C 0 A 3.S00 B C D A 4,000 I C D I I A 4.SGO 6 C-0 I +14 I A- S_,000 i I C JI 50 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 O 0 0 0 0 0 +8 0 0 0 0 0 0 0 0 l 0. 0 0 0 100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 Ot 0 0 0 0 1 150 6 i 6 1 4 4 4 2 2 2 2 2 ! 2 2 2 2 ! 2 i 2 2 2 f 2 2 ! 9 2-E +10 +11 2 0 2 2�.✓2 +.S U 200 e 8 {\,1 6 6 4 2 4 4 4 2 4 4 2 2 2 2 .2 2 2 .2 2 2 2 2 2 t 2 253 1010 a 6-6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 300 12 12 10 6 8 -e�1 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 1. 2 2 2' 2. 2 2 2 35O 14 14 12 8 10 IC 0 6� 66 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 4 4 2 7 2 2 7 400 14 14 12 8 10 10 8 6 8 8•--6 4 6 6 4 4 6• 6 4 2 4 44 2 4 4 2 4 4 2 t 3 4 2 2 500 18 18 16 10 12 12 10 6 10 10 S 6`` 8 6 4 6 6 6 4 6 6 '2 6 6 4 2 4 4 1 2 4 j 600 22 20 18 12 14 14 12 8 12 12 10 6 10 1`0 6 6 8 6 6 1 6 4 6 6 6 4 6 6, 4 2I 6 4 6 4 4 2 1 193 24 24 20 •14 18 16 It 10 14 14 12 8 10 10 10 10 10 e 8 8 6 4 e S. 6 4 6 A 6 41 6 6 a P. 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 �1?yl 10 8 8 / I ! 6 6 4 e i 6 4 6 6 L 4 900 1,000 i8 30 28 70 74 26 16 18 22 ?2 20 20 18 '10 12 14 16 18 16 18 14 16 10 10 14 )4 14 14 12 8. 1 2 12 1 12 10 10 6 ! 10 12 10 10 3 10 6 I 6 110 a ee f0 e 1 8 8 6 I1 8 e 6 c I.;OU 1.200 .it 34 32 32 t8 30 20 22 24 26 2/ 26 ?2 22 14 16 20 22 20 20 18 10 18,11` l.i 16 14 IB 18 14 8 10 t{ 14 11 14 12 12 8 a t It 14 10 12 6 8 )0 12 10 12 10 10 6 6 6 8 10 10 8 10 10 0 a e 4i C. 6 3 1J In a e In 6 f i i 1.300 34 34 32 22 28 26 24 16 22 22-'20 12 18 18 16 10 lu 14 14 a 14 12 1 8 12 12 to 6 12 10 10 6� 10 10 8 F. 6 e 1,.00 34 34 32 24 28 28 26 le -W 24 20 1i 20 18 12 18 16 14 10 14 14 12 a 14 li 8 12 1? 1G C. 10 10 17 5 1.500 36 34 34 24 30 30 26,/' 24 24 22 i! 22 20 18 12 18 18 16 10 16 16 14 8 14 1 8 1! 12 )0 RI It li IC 2.000 2,500 34 3,�2 22 30 34 30 3/ 26. 30 110 18 22 26 30 26 30 22 26 16 18 22 22 20 14 120 20 18 12 18 18 16 10 ri UI 14 11 12 o 5 1 26 26 24 16 24 24 22• 14 22 22 18 12 20 20 18 :"3,19 1t - I6 'D 1 3.OG0 34 32 30 22 30 30 26 18 28 26 24 16 24 24 22 14 22 22 20 14! `� : .J 1h li i. 3,500 _ _ 32 )2 30 20 30 30 26 ld ?d 2/ t4 16 26 to 22 )t i `4 .4 20 14 , 4.000 32 32 30 20 30 30 26 18 ' 28 2B 24 It 26 2•i 2: it I� 4.500 32 32 26 20 130 1) 26 1t j i8 ?= ;E s_eoa 1 32 T7 If ' 23 ( IJ ;u :6 14 I A) 1. 3y Concrete Slab: HC -8.93; R-.29; Factor•7.3 ----�-- ---�_--�-- -- 2. 3 3/4• Thick Common Brick: IRC -7.125; R-.13; Factor -7.3 8) 1. Sy Concrete Slab: HC•1/.106; i•.4i8; F'actor•7.1 t) 1. 8• Solid Filled Block: HC•20.63; R-1.93; Far tor•6.1 wood stove X33 point s(no back up) 2. 8` Sottd Fitted Block With Both Sides Exposed To Conditioned Air. CaSablanCa fan + l.point NOTE: Use all square footage directly exposed to conditioned air for Thereal`Hass Area: HC -10.164; R-.965; Factor -6.1 D) 1• Thick Concrete/Tile: HC -2.55; R•.083; Factorp3.7 Table 3-19. Zonally Controlled Electric Resistance space Heatlnq Points I Pointe for this measure gill 1 be completed after the CEC I I has approved an Alternative I 1 Component Package for Resistance '1 I Ilei 1 -- - ?able 3 9. Active Solar Space Heatlnq wicn Gas Points 1 Net Solar IN I (NSF), % 1 0-6 I Mints I 0 1 I 7 - 14 C • only 1 +2 I I 15 - 23 Floor Area- j +4 I I 24 - 30 Net Solar Fraction (NSF), i I +6 I I 31 - 39 I I I +8 1 I 40 - 47 I Electric Resistance 1 ; 0 I ( 48 - 55 ; -40 I 1 + , I I 56 - 63 I +14 I 1 64 - 71 I +18 I I 72 up I • +20 I Table 3-20. Solar Water Hendon Wirh Cw- M..•k:.n D..4- I!ultifamil(per unitpoints) I Mints I I I C • only 0-5 i seat Pomp Floor Area- I Solar with Electric ( I I I Net Solar Fraction (NSF), i I I per un} t, I I I sent• It, Part 2 I I 0 i I Electric Resistance I I I I I Only ; -40 I ft2. 0.9 lu-1S 2x-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +14 800-999 0 +3 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8' +10 +12 +14 1,500-1,999 0 +1 +3 +6 +7 +8 +10 2.11,00 Pnd up 0' +1 +2 + +5 +6 +7 +9 All others (pe 8U0-899 building 0 points) +5 +tU +14 +19 +24 +_9 -+3i- 34900-999 9 00-999 0 +4 +S +13 +17 +i1 +26 +30 1,000'-1,199 0 +4 •1-7 +11 +15 +19 +22 +26 1,20r.1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +1 +5 +7 +9 +12 +14 +le 2,1100-2,999 0 +2 +3 +5 +7 +8 +10 +11 3,06.0 nr.d uo 0 +1 +3 +.S +s +7 +9 +10 Table 3-21. Other Water Heatina Pts. I System Type I I Mints I I I C • only 0-5 i seat Pomp 0 I Solar with Electric ( I I I I Reelstanca I^ckup I I I Meeting the Regutre- I I I sent• It, Part 2 I I 0 i I Electric Resistance I I I I I Only ; -40 I ------------------------ y 30 24 ILA Cb n .......... o (10 -CC L;OG C- T ZI"r- zy C7 N - N " - - -- _ O -� 1 �9 00-2419 HUMPERT, ROBERT 24291-IONEYRLIN RD., CHICO CON7R: OWNER 1'1 •'r) � �j' nt l zn n.S� 01-2547 HUMPERT, ROBERT 2429 HONEY RUN, CHICO PERMIT TO COMPLETE 00-2419 --,3ee a9 02.2861 HUMPERT, ROBERT 2428 HON EYRU N, CHICO PERMIT TO COMPLETE BP#00.2419 I 3 03-3348 HUMPERT, ROBERT 2429 HONEY RUN, CHICO Cont: OWNER RENEW ALBP#97-1739,00-2419 017-110-039 05-1194 HUMPERT, ROBERT 2429 HONEY RUN, CHICO Cont: OWNER COV DCK&GAR CONVERSION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT. NO. BPO51194 d,P/7—//o —e'5% LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of, perjury that I am licensed under Issued Date: 07/08/2005 APN: 011-300-039-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 2429 HONEY RUN RD CHI License Class: License Number: Map Index: Date: Contractor: Description: CONVERT GAR TO STUDIO, NEW UPPER OWNER -BUILDER DECLARATION DECK, ADD FRENCH DOOR, MISC I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 REMODEL Business and Professions Code: Any -city or county which requires a THIS PERMIT WILL COMPLETE 87-484 AND permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ALL SUBSEQUENT PERMITS THROUGH signed statement that he or she is licensed pursuant to the provisions of 5-5-05 FOR BUILDING OF NEW SINGLE the Contractor's State License Law (Chapter 9 commencing with Section FAMILY 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Owner: HUMPERT ROBERT EDWARD JR' �1. as owner of the property, or my employees with wages as their // 2429 HONEY RUN RD sole compensation, will do the work, and the structure is not CHICO, CA intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 95928 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). Applicant: HUMPERT, ROBERT ❑ I, as owner of the property, am exclusively contracting with 713 NORTHGRAVES licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does CHICO, CA not apply to an owner of property who builds or improves thereon, 95928 and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (530)343-3642 under Article the BusinessaQrofes�sio� ❑ I am E95; 'JJ Owne Date. Contractor: RKERS' OMPENSATION DECLARATI N I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation License #: insurance carrier and policy number are: Carrier: Architect: Policy #: Engineer: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall Total Square Ft: 147 S.F. forthwith comply with those provisions. Valuation: $1,470.00 Date: Census Code: Applicant: WARNING'Failure to secure workers' co pensation overage is unlawful, and shall subject an employer to criminal penalties and one 1 1 c.,� 1�31 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY applicable provisions of the Butte County Cody and/or This permit is hereby�indicated I hereby affirm that there is a construction lending agency for the performance of the work for which this is issued (Sec 3097 Civ.) Resolutions of o 6for which fees have been paid. q, —)U permit - By: Date: Name: PERMIT EXPIRES ' y� Address: • Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc f any official form or doc ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu s. 1 17Z Print Name: { — IJ �L� E � /14 V'FiQ f �I�c Signatur . `" Date: Owner ❑ Contractor 0 Agent for Owner 13 Agent for Contractor X7 BUTTE COUNTY � DEPARTMENT OF DEVELOPMENT SERVICES 46 BUILDING BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY* ?;too r O3 WNER �> % LOCATION it Nam _ A. V • Fv CONTRACTOR Name Address City State E-mail I Lic. # ARCHITECT/ENGINES Name APPLICANT NAME Address / City Sta. Book cry i Planner S ,2 CONTRACTOR Name Address City State E-mail I Lic. # ARCHITECT/ENGINES Name APPLICANT NAME Address / City Sta. PERMIT e�' BP BIN # I WORKER'S COMPENSATION I Policy Number Carrier I - ' if hiring anyone other than license contractors, a certificate of worker's )mponsation must be shown at the time of permit issuance. 0 T Yipo� LENDING AGENCY 5 3 `as X00 -� 4 �—J ���0 46�6 Description or Scope of Work- �O 00 -�' APPLICANT SIGNATUREWAF For office use only: APPLICANT NAME Name n 1` Addre Book cry (:,-ost Planner S ,2 Phon Fax E-mail -�' APPLICANT SIGNATUREWAF For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page -1 Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 draa�t✓B'Y�r/ �Gi Fooidyo 11Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other depart er costs are not refundable. n .✓ el Received by: Amou SRA Receipt #:'g� �� ��� Sheriff 4SMIP Date: t- O_5 Total REV 7-27-04 1 , f SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) : • - , . ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential, Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). _3—Sanitation-and-site-pJan-a e-EnvironmentaLHeatth Department Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment, Permit for driveway.from the Public Works Dept. (construction approval prior to occupancy). ❑ 6.. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 r - >!utte County Department of Development Services TF DONNE CHRISTOPHER, DIRECTOR K.-�o 0 County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: QSUBJECT: Z DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(c .buttecountv.net Plans Transmittal For Review Per Contract 5/16/2005 Applicant: Hum ert, Robert Permit No: 05-1194 Project Type: Deck/Gar Conv APN: 017-110-039 100% 70% Plan Check Fees $ 285.95 $ 200.16 $ 285.95 $ 200.16 WILLDAN Fee $ 200.16 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBERI v • v� Proposed Building Use: 1� Permit Technician: Date: Items required in order to ply for a permit. All boxes MUST be checked OR marked NA in or er to apply. 1. Site plans, 3 o ets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ' !!W6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R raining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... r 1 Erosion Control Plan Required........................................................................ 2 : ees as shown on the attached Schedule of Fees Due Sheet .............................. CtyofChicoPlumbing permit........................................................................ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (✓ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 1-1 Deed Restriction.......................................................................................... ❑ ❑ Legal description, ❑ MH,. Title, title search, registration or MCO ......................... SII ther: ❑ �3Other: When issued Telephone �/� "/� [� -1 and hold for pickup I have been inf6rmed of the above items and requiremerkts for obtaining a building permit. Applicant: Date: _ v 1. Index pg mit application for the above items � mbered: Plan Check Letter 2. Additioi"ial items requ. Contractor, designer ow er as advised of the above data y1phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by � `phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed Y: Date: Structural approved by: ate: Note transfer by Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Nan Attachad Floor Nan Attached sam to B.D. 110 -e39 Owner Location A # Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental ealth Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPRC r � --- Balance Due ..................... $ 'to( U • v h24 --- FEMA Flood elevation review ... $ --- Additional plan checking Fee .... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT.(per dwelling) $ A.P.# O' j ��. d� 1 DATE RECEIPT DATE # DATE EC q . NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Buil 'ng Division) �! SMIP A 6 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durAg the plan checking process. APPLICANT Pursuant to Govirnment Code Section 66020'you are here notified have 90 days from the date of approval of the project or from the impo protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner DATE — r" 0 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You above mentioned items during which you may protest. The requirements for a (rev. 3/05) R I IL]D ; A S RI�I-CAli IOC, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES (/ NO [ ]. 2. I HAVES;,TfIAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/412004 Butte County Department of f Development Services ADMINISTRATION ` BUILDING . GIS • PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Via Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than -your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their '*own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued. until the verification is returned. iv__� Mic el C. Vieir4 C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 'N47 WILLDAN Serving Public Agencies June 20, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1639 Jurisdiction Job No: 05-1194 Assessor's Parcel No: 017-110-039 Description: Humpert Deck/Garage Conversion Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies of sheets 1 through 3, not dated by Robert Humpert. ➢ Energy Calculations: Two (2) copies dated 02/28/05 by Marty Runnels. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Q W I LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the plans and permit application. Butte County may recalculate the building permit fee based on this information. Specific Use Type of Occupancy Type of Construction V Floor Stories S Ft 2"dFloor S Ft Total Sq Ft Conversion R-3 V -N 1 315 NA 315 Deck R-3 V -N 1 147 NA 147 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerel saac Kuster Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Robert Humpert, 2429 Honey Run Road,, Cfiico, CA 95928 Page 2 of 2 Ricardo Guzman, S.E. Plan Check Engineer County of Butte Permit Number 05-1194 W illdan Project Number .14353-1639 PROJECT: Humpert deck joists PAGE: 0 PROJ NUMBER: 0000 DATE: 4/28/05 BEAM: deck joists USE: 4X4 rdwd #3 STRENGTH= rdwd #3 TRIAL MEMBER S.F. Fv (psi)= 80 b=3.50 A=12.3 -OK; ', 199% :` 14, ' ' . Fb (psi)= 925 h= 3.50 S= 7.1 OK,F 130% E (psi)= 1.20E+06 1= 12.5 OK 135% Adjustment Factors Adjusted Bending Stress F'b (psi)= 1037 Duration (Cd) = 1.00 Size Factor = 1.15 Temperature = 1.00 Wet Service (Cm) = 0.85 Repetitive Member (Cr) = 1.15 c� af )e> - Adjustment Factors Adjusted Shear Stress F'v (psi) = 68 Duration (Cd) = 1.00 Shear Stress (Ch) = 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 MAY 11 2005 22o'` Ef+ 13U COUNTY BUILDING G DIViS'ot'A 174 14 Z OJ �60 X 1E) � X401 c46t s,PcrZ tui %X"y— INPUT bre a OUTPUT SPAN (inches)= 78 max HORIZ. SHEAR (Vmax)= 279.38 lbs. TRIB WIDTH (feet)= 2 max AREA REQUIRED (A)= 6.16 IN UNIFORM LIVE LOAD (psf)= 40 MOMENT (Mmax)= 5.70 KIP IN UNIFORM DEAD LOAD (psf)= 5 SECTION REQUIRED (S)= 5.50 IN DEFLECTION (span/x)= 240 MOM INERTIA REQ'D (1)= 9.27 IN Adjustment Factors Adjusted Bending Stress F'b (psi)= 1037 Duration (Cd) = 1.00 Size Factor = 1.15 Temperature = 1.00 Wet Service (Cm) = 0.85 Repetitive Member (Cr) = 1.15 c� af )e> - Adjustment Factors Adjusted Shear Stress F'v (psi) = 68 Duration (Cd) = 1.00 Shear Stress (Ch) = 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 MAY 11 2005 22o'` Ef+ 13U COUNTY BUILDING G DIViS'ot'A 174 14 Z OJ �60 X 1E) � X401 c46t s,PcrZ tui %X"y— PROJECT: Humpert deck beam PAGE: 0 PROJ NUMBER: 0000 DATE: 4/28/05 BEAM: deck beam USE: 4X4 rdwd #3 STRENGTH= rdwd #3 TRIAL MEMBER S.F. Fv (psi)= 80 b= 3.50 A= 19.3 OK'. °_ 176% Fb (psi)= 925 h= 5.50 S= 17.6 OK _ 141% E (psi)= 1.20E+06 1= 48.5 OI< r" ' , . 267% SPAN (inches)= TRIB WIDTH (feet)= UNIFORM LIVE LOAD (psf)= UNIFORM DEAD LOAD (psf)= DEFLECTION (span/x)= INPUT (, •75 OU,TP-_UT- 81 max HORIZ. SHEAR (Vmax) .b Ib . 3.5 max AREA REQUIRED (A)=- -0"93 IN 40 MOMENT (Mmax)= 10.'76 KIP IN 5 SECTION REQUIRED (S)= 12.55 IN 240 MOM INERTIA REQ'D (1)= 18.16 IN Adjustment Factors Adjusted Bending Stress F'b (psi)= 857 Duration (Cd) = 1.00 Size Factor = 1.09 Temperature = 1.00 Wet Service (Cm) = 0.85 Repetitive Member (Cr) = 1.00 Adjustment Factors Adjusted Shear Stress F'v (psi) = 68 Duration (Cd) = 1.00 Shear Stress (Ch) = 1.00 Temperature = 1.00 'Wet Service (Cm) = 0.85 JIV, Ef 3�-�� Mpy i 1105 i CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 Project Address........ 2429 Honeyrun Drive ******* CHico, California 95928 *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run-32FD GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... JUN 2 0 2005 325 sf Single Family Detac ed Addition Alone Front Facing 280 de w E+ I 0.15 1 Slab On Grade MAY 17 1005 8.6 0 of floor area 0.49 Btu/hr-sf-F 8 ft WILLDAN BUILDING SHELL INSULATION Component Frame Cavity Type Type R -value Wall Door SlabEdge Orientation n/a R-13 n/a R-0 n/a R-0 Window Front (W) Window Left (N) Type Sheathing R -value R-n/a R-n/a R-n/a Total Assembly R -value U -factor Location/Comments R-13 0.088 FRONT, LEFT R-0 0.330 LEFT F2=0.760 SLAB EDGE FENESTRATION Over - Area U- Interior Exterior hang/ (sf) Factor SHGC Shading Shading Fins 12.0 0.600 0.650 Standard 16.0 0.400 0.400 Standard Exposed THERMAL MASS Standard None Standard None Area Thickness (sf) (in) Location/Comments S1abOnGrade Yes 325 3.5 TYPICAL SLAB MASS BUTTE COUNTY BUILDING DIVISION t APPROVED J ` CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition HVAC SYSTEMS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type Efficiency Airflow Location R -value Leakage D Type Gas 0.780 AFUE n/a Attic R-4.2 No No Setback ACSplit 10.00 SEER No Attic R-4.2 No No Setback SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Natural Vent Area or Vent Height. This building incorporates a High Mass Design. REMARKS All unknown energy values for the existing residence are taken from Talble 7-2; Default assumptions for existing building built prior to 1978. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to 'implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... Bob Humpert Company. Address. 713 North Graves Chico, California Phone... 530.343.3642 L' DOCUMENTATION AUTHOR Name .... Marty Runnells Company. Energy Calculation Services Address. 574 Manzanita Avenue, Ste 9 Chico, CA 95926 Phone ... 530-894-8466 icense. . Signed.. Signed. a ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 dd ******* Project A ress........ 2429 Honeyrun Drive CHico, California 95928 *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Fie C ec Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce - *150(a): Minimum R-19 ceiling insulation. er ment 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. r W oe MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance ✓ . with ASHRAE, SMACNA or ACOA. 150(1): Setback thermostat on all applicable heating and/or cooling systems. ✓ 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150 (m) : Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed ` with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ✓ 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Prn�ect Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). "A LIGHTING MEASURES Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 7�+ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 Project Address 2429 HoneD ******* yri un rve CHico, California 95928 *v6.01* Documentation Author... Marty Runnells ******* Bui ing Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check / Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition Zone Type ADDITION Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 325 sf Single Family Detached Addition Alone Front Facing 280 deg (W) 0.15 1 ReducedYear Slab On Grade 1 2601 cf 325 sf 8.6 % of floor area 0.49 Btu/hr-sf-F 0.51 8 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit 325 2601 0.15 Yes Setback 8.0 Standard No MICROPAS6 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 18.81 20.15 -1.34 Space Cooling.......... 7.96 5.62 2.34 Total 26.77 25.77 1.00 *** Water Heating not calculated *** 11 Zone Type ADDITION Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 325 sf Single Family Detached Addition Alone Front Facing 280 deg (W) 0.15 1 ReducedYear Slab On Grade 1 2601 cf 325 sf 8.6 % of floor area 0.49 Btu/hr-sf-F 0.51 8 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit 325 2601 0.15 Yes Setback 8.0 Standard No COMPUTER METHOD SUMMARY""} Page 2 C -2R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition Surface ADDITION - New 1 Wall 2 Wall 3 Door Surface OPAQUE SURFACES Area U- Insul Act Solar (sf) factor R-val Azm Tilt Gains Form 3 Location/ Reference Comments 158 0.088 13 280 90 Yes None FRONT 89 0.088 13 10 90 Yes None LEFT 17 0.330 0 10 90 Yes None LEFT PERIMETER LOSSES Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments ADDITION - New 4 SlabEdge 36 Orientation ADDITION - New 1 Window Front (W) 2 Window Left (N) Mass Type ADDITION - New 1 S1abOnGrade System Type ADDITION 0.760 R-0 No SLAB EDGE FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC 12.0 0.600 0.650 280 90 Standard/0.76 Standard/0.68 16.0 0.400 0.400 10 90 Standard/0.76 Standard/0.68 THERMAL MASS Area Thick Heat Conduct- Surface (sf) (in) Cap ivity UIMC R -value 325 3.5 28.0 0.98 4.60 HVAC SYSTEMS Refrigerant Minimum Charge and Duct Efficiencv Airflow Location Location/Comments R-0.0 TYPICAL SLAB MASS Tested ACCA Duct Duct Manual Duct R -value Leakaqe D Eff Gas 0.780 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 10.00 SEER No Attic R-4.2 No No 0.645 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Natural Vent Area or Vent Height. This building incorporates a High Mass Design. COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition REMARKS All unknown energy values for the existing residence are taken from Talble 7-2; Default assumptions for existing building built prior to 1978. HVAC SIZING Page 1 HVAC Project Title.......... The Humpert Addition Date..02/28/05 13:08:21 Project Address........ 2429 Honeyrun Drive ******* CHico, California 95928 *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date .Chico, CA 95926 530-894-8466 Fie C ec Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-05072ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -325 SF Addition GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 325 sf 2601 cf Front Facing CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... 280 deg (W) Heating Cooling (Btuh) (Btuh) 2352 618 585 326 n/a 700 1645 540 n/a 0 458 219 5040 2404 n/a 481 Minimum Total Load 5040 2885 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to cons%der all factors when selecting the HVAC equipment. ;Gf=�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephonee0) 538-754b3_ -31 E 0. (Rev. 12/96) APPLICATION AND PERMIT ((// ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER SO. FT. OCC. BUILDING VALU TION . OWNERS V2�rART CONTRAM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 OO Permit Fee $ 1 �] , ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 2 MTrQV Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: O iMobile Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home I S I G I W @20.00 PERMIT FEE $ �// OEJ •Z� ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY p l rY p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ' - ❑ 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' of Calif rnia, end agree trf I should become subject to the c 4compensation o tion p ovisi Ins of se o 3700 of the La or Code, I shall fo o provision ate g re on r Con r❑ A en OSHA pfor excava ns o er 0"deep end de olitio or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADONS. & ACC. BLDS. 3.5¢FT. Ntw PONRESIp MULTI.OUTLET 97,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES a20 0 1.00 50 EX. OCCU FOLED APP— OR Ts RESID. EA 5.00 O. 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for yr ' fe s h e been paid. 1(�.�m By Date Q� PERMIT EXPIRES ON �)') —(),- -/ Date Receipt No. - WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dec 17 02 11:3aa I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ajor labor and materials for construction of the proposed property improvement : YE NO ❑ 2. I HAVE�H] VE NOT ❑ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. T11is verification must be completed and returned to our office before we are permitted to issue the permit. OVER if Dec 17 02 11:37a p.1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourselt; you may protect yourself from possible liability if that person applies for the proper permit in his or her name: ' - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks ars especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the. Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law. contact the Department of Benefit Payments and the Division of Industrial Accidents. r If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an •"ownerbuildee, building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinilrel , ) ,•\ A ►t N ichadt C. Vieiia, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. • t A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2 (Rev. 12/96) APPLICATION AND PERMIT e - ASSESSORP CEL UMBER<� �^ ` /ti�Z.Q l/ l//�/_(_ ZONING BUILDING PERMIT OVUME T ,770.E qo "� S . FT. OCC. BUILDING VALUATION a o ' Q5[ OWNERS MAID ADDRESS • •vel 40 ley -11 14 CONTRACTO7j�jd$ E TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ C7 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ -7Z_00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS_zq 21q I (rW Energy Plan Checking Fee $ PERMIT FEE $ - J LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 01 Utilities ❑ Installation ❑ Other ❑ Describe Work: uff..i / I TcnnpleAc �) �re OO ' �—) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2a0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby rfn under penalty of perjury that I am exempt from the Contractors License Law the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ' will do the work, and the structure is not intended or offered for sale. -❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A 1000A 46.00 TOING NEW CONST. DWELLING CUP. SO OCCU OR ADONS. ( a ACC. BLDS. 3.5QFT. NEW CONST.OUTLET NON -REBID. MULTI. CIRCUITS 97.50 OWERLE APPARATUS PSINGOllfLET CR. sup 1,00 Ex. Occup. OUTLET OR FVTURES BAL Q .50 FUCED APPLNS. OR S.00 Ex. Occup. ovrLErs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (T a above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of C lifornia, and agree that 'rf I should become subject to the w ers' compensatio provisions of sec on 3700 of the Labor Code, I shall with comply with )hose provisions. p� X Date Q V gnature of Applica - ❑ Own r ❑ C tr for O Agen An OSHA permit is required for ex avation r So" deep and emolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ COST. TYPE TOTAL FEE $ Z D� HAZ. D. FEES IMP FLOOD CDF PARCEL p0 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for 7p:e n paid. �. By / PERMIT EXPIRES ON 10 / ` ate ReceiptNo. WHITE-D.D.S.-B.D. CA ARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT F_ OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received. 1. I personally plan to providdth ajor labor and materials for construction of the proposed property im vement : YENO OI HA HAVE NOTed an application for a building permit for the proposed work. I have contracted -with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF. WORK NOTE: This Owner -Builder Verification is required by Section 196.i1 and 194ril of Me California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Name 1HUMPERT ROBERT EDWARD JR x Addr1 12429 HONEY RUN RD Addr2 I CHICO CA 95928 Addr3 Addr4 Comments 11130003900 CONVERTED 09/08/88 Creating D oc#1 1983R 2883536 D ate Current Doc# Date 10/6/2002 7 Killing Dao# Date Asmt D esc 2429 HONEY R u N RD S uplCnk �1 Zoning I FR 5 D wellF�— Acres/S q Ft 120.63 .61N /C 011 Asmt # 011-300-039-000 Fee # 1011-300-039-000 Status ACTIVE Status Date Tax 000 INORMAL OWNERSHIP TRA 062-016 Situs F2429 HONEY RUN RD CHICO BaseDt Timber Preserve AgPres Etal F N otes r— B ands r— multi Situs r— Flag1 r— Flagg F 910 MH Asmt PP Pen Tax PP Pen Appeal Pending F Split Pending Land Structure Fixtures G roaring Total L&I Fix. R P MH PP PP E xempt Net 96,411 34,586 0 0 130,997 0 0 0 0 130,997 Rical T!R Dtr R!C 5tatj I PHY I OWN I EXP I TAX I_ HON I ATT I SIT ] APR, j PCL �' Find r _ .. 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 o�F> ASSESSOR PARCEL NUMBER 11,3-0— 3-0^ ZONING BUILDING PERMIT OWNER P0.0ox 9 HueAF T NoiE- q02 SO. FT. OCC. BUILDING VALUATION . OWNERS ILING-7 ADDRESS O� y Of ✓d CK/ 60Gn ' 5yl? e CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is O e ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72 - Z - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Plan Checkin Fee $ BUILDING ADDRESS 2 / , y /� Energy Plan Checking Fee $ $ C H% L PERMIT FEE $ Z LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF,Z"'Duplex ❑ Mobilehome ❑ Other sPEclry Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UUblities r❑f Installation ❑ Other ❑ Describe Wk -/V 0 6 f`s' 'R UQ� V �i U — t Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t L '7 ELECTRICAL PERMIT Fling Fee 20.00 600V LE Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 orkers' compensatin provisions of section 3700 of the Labor Code, I shall orthwith comply litJ those provisions, X Date I (f ( i ature of Ap ' an - Own r ❑Con ac o ❑Age An OSHA permit is required for a avations o er 0" deep end demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADDNS. a ACC. BLDS. 3.5¢FT: NNEW .RESD MULTI -11 O rU. @7.50 8 OSINGWELER APPARATT CU IR. OUTLE zo @ ,.00 Ex. Occup. OUTLET OR FDRURES BAL @ .50 FRED APPLNS. OR Ex. Occup. 5.00 ounErs RESID. Ea Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ COLT. 11 TOTAL FEE $ Z HAz D FEES IMP FLOOD CDF PARCEL I PO HD ISSUE This permit is reby issued under of the Butt unty Code and/or indicateW. ve for which fees ha By PERMIT the applicable provisions Resolutions to do work been paid. (ate ate Receipt No. WHITE-D.D.S.-B.D.' (VANARY-ASSESSOR P(NK-IIYSPECTOR GOLDENROD -APPLICANT OWNER.BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary dela; in processing and issuing your building permit. No building permit will be issued until this verification is received. L' I personally plan to provide th jor labor and materials for construction of the proposed property improvement : NO D 2. I HAVE d HAVE NOT 13 signed an application for a building permit for the proposed work, 3. I have contracted with the foll person. (firm) to.pmvio the,.proposed construction: NAME: ADDRESS: C, I'ry... PHO CONTRAe'I'ORIS LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY..._ PHONE: CONTRACTOR'S LICENSE NO. r S. I will provide some of the work*but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYOWNER: SOCIAL SECURITY NOTE: This Owner -Builder Ver flcation is required by Section 198.11 a California Health and Safety Code. This verification must be returned to our odlee before we are permitted to Issue the permit OVER Pod 19832 of the completed and OWNER BUILDER INFORMATION Dear Property Owner: IL, An appik edon for a building permit has been submitted in your name listing yourself as the builder of property impmvemema specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person appUes for the proper permit in his or her name. Contractors aro required by law to be licensed and bonded by the State of California and to hbve'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ,� t If yowl plid to da jko it own'work with the e;66 d of various trades that you plan to subcontract you should be aware of the following Information for your benefit and protection: . ♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the work (Including -materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer,. you must agister with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, IMal el C. Vi ira, C.B.O. ger, Building Inspection NOTE. Th Lr Owner -Builder Information Is required by Section 198.JO of the Cal/jornla Health and Safety Coda OVER i 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-75P ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT L2W —� ASSESSOR PARCEL NUMBER 11 611 ZONING BUILDING PERMIT OWNER p r ./ TELEPHONE ,3 tl.3 �% � FT. OCC. BUILDING VALUATION ,StO. V a' OWNERS MAILING AIRESS e Chea ,72i? CONTRACTOR'S NAME ti G� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS y Energy Plan Checking Fee $ e- 0 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF lYDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: �C^1� �t�� 'YN Dl 61194D®i�.;�- /y9�-7—AD 39t 4V ��"-2299 A-� ►� -+-�n i `7 7 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS ) Main Service zo.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f e following reason: I, as owner of the property, or my employees with wages as their sole compensation, wlll do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNs. ( & ACC. BLD S. SO 3.5¢SO. r,oµq�IDT MULTI- OUTLETITS @7.50 POWGERLE APPARATUS 8 SINOUTLET CIR. Ex. Occu OUTLET OR FIXTURES BAL p 150 . Ex. Occup. OIXuTLETSRESID.oEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �one hundred dollars ($100) or less.) Ice rtify 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 w kers' compensation provisions of s c ' n 3700 of the Labor Code, I shall o with comply wia e provisions. !,of X Date vindicated S' na ure of Applicaner ❑ Co act r ❑ gen n OSHA permit is required for exca tions o r 0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1.116 • b -o HAZ. D. F IMP FLOOD --- cDF — PARCEL PD HD _ ISSUE This permit is hereby issued under the Butte County Code and/or above for which fees have By �a�N v lr'1 PERMIT EXPIRES ON 11 the applicable provisions Resolutions to do work been paid. Date / 7 �Da Dete ReceiptNo.a�% WHITE-D.D.S.- D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the or labor and materials for construction of the proposed property un ement , Y1 K, I NO 2. I HAVEZ HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have: contracted with the following person. (firm) to.proyic�:the .proposed construct on: NAME*. • tell ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the workout I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY P DATE: NOTE. This Owner -Builder Verification is required by Section 198.31 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. OWNER BUILDER INFORMATION Dear Property Owner: 40 An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ; If yod pleat to do�your own work, with the exception of various trades that you plan to subcontract you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including' materials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, '4 6A-, Mic el'C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the Cal (ornia Health and Safety Code F�vl'"7D FGOOpl PSA -NJ 4 ,PD )-_rl DNA L_ Ll v/Du C _ SSC p (�©MS . �►2�� � ALsD r 2,1 70 .__.. J CLOSET 7 i 1 IN .n.w. NO. 299AG-1-18X24 Him 00 � \ r ///, i L111 G �o 3°ft \� P ector {k►r code. y f .. �.. fib, ._ ....... 4 - . tj ji bA 1-1 24" kIovide 1 bedroom window with minirr�mZq, 4� 0(',n dimensions of 24" high, 20" vvllpe" � a i sq. ft. .area, and 44" maximum,siif eight. G�Fl I° 19 This set of plans Fai-d specification MUST be kepv on thnjob at all tines and it la unlavFfc,a to mrl�w 4x ohrn. r:7 or r^tio_U !� G31 EEtiM-13 without writ, n Uerr-asG:o-.7 from the Department olPubliQ Works, County of Butte. i NcLv� 1►� c�* ¢84- g `7 :TO7'L+': All oda#;irjat V?`oP:C.a'zship shall Be In Ac.Cordance with _`Lt .o lZi ^ri Good 128ctloes and of s, gur.11',7 P_-ec— iT;;u for. T.1� + lgn; ifif=rl Ucg i thr MYz -orm B"LlIdIMC', Plumbing & Merhanica.l Codes wid the gational Electrical Coda. a LST L. �.vF- �... G-�►i��E. / copy c v aviLDiwG DF-vARTMEr APPROVED WILL '15 0 04 667rt2 PMA) 4,6to 8(_- 5 W lu— 6e 1%W %b be mi-sr4tLe-o o�J per, C P'0l5's 1447-t t-4 /6(4-r � DRAWN - CHECKED DATE SCALE JOB NO. r SHEET- I - OF �j SHEETS ' b% � tics 5°3tl o�`��� o, Z neo 3°ft \� P ector {k►r code. y f .. �.. fib, ._ ....... 4 - . tj ji bA 1-1 24" kIovide 1 bedroom window with minirr�mZq, 4� 0(',n dimensions of 24" high, 20" vvllpe" � a i sq. ft. .area, and 44" maximum,siif eight. G�Fl I° 19 This set of plans Fai-d specification MUST be kepv on thnjob at all tines and it la unlavFfc,a to mrl�w 4x ohrn. r:7 or r^tio_U !� G31 EEtiM-13 without writ, n Uerr-asG:o-.7 from the Department olPubliQ Works, County of Butte. i NcLv� 1►� c�* ¢84- g `7 :TO7'L+': All oda#;irjat V?`oP:C.a'zship shall Be In Ac.Cordance with _`Lt .o lZi ^ri Good 128ctloes and of s, gur.11',7 P_-ec— iT;;u for. T.1� + lgn; ifif=rl Ucg i thr MYz -orm B"LlIdIMC', Plumbing & Merhanica.l Codes wid the gational Electrical Coda. a LST L. �.vF- �... G-�►i��E. / copy c v aviLDiwG DF-vARTMEr APPROVED WILL '15 0 04 667rt2 PMA) 4,6to 8(_- 5 W lu— 6e 1%W %b be mi-sr4tLe-o o�J per, C P'0l5's 1447-t t-4 /6(4-r � DRAWN - CHECKED DATE SCALE JOB NO. r SHEET- I - OF �j SHEETS ' �� f N Com. Y. N a MO A4 1 fl• WEST - 0 A 0 S (A P 4L- UN�,-S Pte. I31Ai1"G CO- A3 c0 �. Cp A-T'f R( -,b PLAN f--Otz bETh1 u5 .--� APPROVED Butte County Environ n Health to Signa ur PLO -r- RL -A t` The 2001 CBC, CMC, CPC, CEC, and 2001 California Energy Efficiency Standards as amended by Butte County apply to this project P"vJ1v,, N,) PQ'.- coop, ANA r N,4r/a,v*e. Z,,4LI. a,vtpi wmas oN n+,s 1Pk*JrtT St+h trLL e4 445 POA4 j 164& F01- Cor 4 ft.144 Ltr w f rl4 C-4& - D6AA- R -L -Mo t4C-.rA6�.j"t'S 9ALL. wo4i! ON '7W]tl P4C?J4LC:7` ry 464: DO -U& 64 OVJA; -9- S€L..0&4.. k JmuD67t:ro4. 614*4.1. d4i Faiw/sl+&n A5 01L6L-mb 234 pu7T&-- C.ou.vi S,Lc�nt &e., wIcLL 4,44 0 ST _iA -W 4A.L MEG . , �;Lexcr 4 40c.0 ev1 d 1 y 6— St+ �PTLxln.A>' 7 Co"Pl AAA. A -LL 01/fE-v!51v"s 4 t3�DG 6eltA/r14r70AJ IN �'It44 TU FA -c.(-- a C-- 577M 0 . I.CAi31/Q(:;r O&TArc (...:I ��you7` Fd� Coin; 9. /I IMALt0 4. dlN/5Ofifr'iof 0/itC-< 6Y 40 �0- 444 7&04OARL 410045 r» 4& c&P&;4— AP&O . //. At NilM16O 5 . 40:�i zZe<_eP?"icAt.. PAAJ 96 cTv 4L ELLc -r, F -/)<7U 4& T`1A&l 5 /Ze= � EMcr I'C.,SPC-GI.4L OuT&-775 4LOw 545• C E'i . C.46 L& ?"u , 5o u -v 0 5 y sTtiv� , D 00 R_ 6 bCrL Arl-I L Fitt/, NOTE: See the attached Residential Construction Requirements. _L_Pages Fasteners for pressure -preservative treated and fire -retardant treated wood shall be hot - dipped zinc coated galvanized, stainless steel, silicon bronze or copper per CBC 2304.3. The builder is responsible for compliance with the proprietary hardware manufacturer's specific requirements for corrosion -resistance. . ' a tar'�.� �, �,c�:3�.�`"it3t1�, �i wi' fes'', ` , r�,•,:�*tFFy. Y"-AorNz any r OS w x, IV[ REVISIONS BY I! + 0 4t#T 0 v &AIrr 0 5M0IZE zZe<_eP?"icAt.. PAAJ 96 cTv 4L ELLc -r, F -/)<7U 4& T`1A&l 5 /Ze= � EMcr I'C.,SPC-GI.4L OuT&-775 4LOw 545• C E'i . C.46 L& ?"u , 5o u -v 0 5 y sTtiv� , D 00 R_ 6 bCrL Arl-I L Fitt/, NOTE: See the attached Residential Construction Requirements. _L_Pages Fasteners for pressure -preservative treated and fire -retardant treated wood shall be hot - dipped zinc coated galvanized, stainless steel, silicon bronze or copper per CBC 2304.3. The builder is responsible for compliance with the proprietary hardware manufacturer's specific requirements for corrosion -resistance. . ' a tar'�.� �, �,c�:3�.�`"it3t1�, �i wi' fes'', ` , r�,•,:�*tFFy. Y"-AorNz any r OS w x, IV[ REVISIONS BY G C y Q-- 4 V Z a 3 7 � 4 01RAWN CHECKED DATE JOB NO. L. GAN --f Op SHEET fi (��)-e_ I - •l r o Grlo kp 573 .7 &GOkoo/ki 0 z4 - C LO 5677- HALL 4- , 4 U AL ZNr> LEVEEL I APPROVED x 10 REVISIONS BY 'Ap l.UUj ?ei APPROVED x 10 REVISIONS BY 'Ap l.UUj Noris 66ITtk IWAN d4tt &AYM5 W" 8& gxpj 20c 647mf- GAI.*&& I)o,045 -rO b& I A) $74 & C t: Mllr$L AX ".0 5 1-0 6.0 ON &Z LL-V&L HAT 7�: HumA. WN kaT " CHECKED DATE 8CALE JOB NO. SHEET 9 ,. ,• 6 POO ar 6 Co 1a rl t3 rjo� S -T t+ktj RklLl wG- AS PC -,P, coo C 4-11 MAY,* r- Ir 7, (55-c �GJIJ�iYiOt� V' ��GYY\ C7j�GZ.1'�- �Q/� U -714 Pu Ir 4!11 �5 _ C. .. �.Y4-- I3.L-0C.K tit .l`' ,�k c .;�' - -�{ ..""` '/ . x,�n •, L 130 - 4 2tX it �T�. �' r� �► e t,41 51 m :50 to 6, 24 S) >¢�- b' 44< pIAa z.4H E5 • � Stet �5r� N� U �- Puw CrtEoC tjo F . S (M PSO N P&STwood CiT � ... 3 . EGD y h1i2 Pjvlzu- er � 13AtsG �f C3 G6 7 P)Efz- ps�-O �rL -8em of AcM �l s (ZtO�ooh �o S LT F -J) E�� PINAL CGrAAI3 Z 4' s -r � * ( I. .. - 4 f Xffl L/RMrFP r NO. 286AG-8-14X24 BUtTiBCOUNi BUILDING DIVISION APPROVED I FTAHI A ' D JUN 2 0 2005 rWR i w i i i I i •_ c ,, i �I � i I i _ ` � r ,' :. ? _ .' • t � ,, � ii i j � t i r i''' .. .. �`. r ..,.,r� �. ,.. _ - �'�� i V i .. ` ; .. .. .,„ � .o .. ,. ,.. .. r 4" � '� � ,1