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� ` . . . ' ``. , | - , - Lazy S,Lane, Chico 29-73B (new single faMi - rS Lane co 1w: ` a /SF) I Ism Perruff- #2402-79B new private detached garage 92-3556-B E 8 Lazy S Ln, Chico contr: Russ Collar, conv courtyard to living f f 913 MOVE BATH TO MSTR BEDRO( ^ AOM"Mh�. �, Lo 13 .. . PERMIT NUMBER _ g 3729-73B P r E PERMIT EXPIRES OWNER Will Baker Warren Munroe, Chico CONTR:. LOCATION (A.P. 46-54-4 N/W corner Stilson Canyon Rd. i and Lazy S Lane,.Chico t- t; 1� 4, • it M" - r ,I • w 1j i Zoning Foundation Rgh. Plumbing Rein. Steel Framing — ' —2-!9 Wtr. Htr. Firewall ELECTRIC VovZO ` /:1 --7 -'73 Temporary — �7 Final DATE COUNTY OF BUTTE Department of Public Works BUILDING INSIPECTIONNN RECORD Setback /'��/��L� ��/� �r Forms Piers & irdeFi ace Bond Beam �'✓y� '7�C- L t & Plaster Gas Piping & Test T Found. Vents Plmg. Topout ,2 Rough Elec. A Furnace Kitchen Vent Garage VentsSanitation & Water GAS Temporary Final BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS (1162) r .� /vim �..Y G.r!'�P — - � /•��e./" ..�:-..���%�' --� �,,.r -tet w , lYC�n � /--C2.P.rC�'e�/ ,r��G�j 1: yvli-� • e 4,72. �p -tit &A - "I-qoloL4 47 J. COUNTY OF BUTTE — DEPAhTMEtff OF PUBLIC WOR � �f� 7 County Center Drive — Oroville, California 95965 / ' / Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xa, Date Signature of Permitee or Agent Receipt No. /l -3 3 9� ? .;? — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0& PUBLIC WORKS BY Ir Date Building permit expires Date BUILDING Owner L - SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ©O. G" Contractor (fir �/`� v Total Valuation , Mai I i ng Address - Permit Fee ©- 0 0 Plan Checking Fee &/or Penalty C Telephone Na. z- /io Permit Fee $ �, $ ay Building Address T 7 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 / fJ d. ql-"2— Each Trap 1.50 ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. — r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa n ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel' Plans Parcel Map P 60R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family E�— Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b�al�ai—o Receps., switches &fix outlets Zr>�25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: A{/?PN�1�1�/�/j0/' Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 © /� 7 s �ex 2/9y Chi/�U� 644 Temp. Power Pole 5.00 License No. 1906UClassification_�-� Misc. wiring5/ ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xa, Date Signature of Permitee or Agent Receipt No. /l -3 3 9� ? .;? — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0& PUBLIC WORKS BY Ir Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT L�T� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �7 r X Date /1 . Signature of l5iIp4e or Ag Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. E TOR OF P LIC WORKS By Date Building permit expires Date ��. la / , BUILDING Owner LL SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address r�rl�% Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 S �A Each Trap 1.50 r C� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe4sJ C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ - $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 D D eLEc p,< R-rKO-frr# 372. - Main service incl. 1 meter 3,Od Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or l041T(more than 12) Ra e, Cook -top or Oven 1.00 /,04) Water H4efe—ror Space Heater 1.00 •,p 0 Light fixtures20 16 10 'Oa Re4q., swit & fix e t s p ,,,& a p D CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ 6u L/AN7 tf. 1111z;6177- H d, Ex. Fan or F.A. Furn. Motor ( 1.00 ! . Evap. cooler, gar. d�. or D� 1.00 14.0 O Air conditioner or heat mp 7-P 00, Water pump -0 Mobil Home Faci ities 5.00 Temp. Power Pole 5.00 R c -_/V /l License No. 02 (6©�� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S/19,10 $ S` WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor :.Code which requires every employer to be insured against liability for Workmen's Compensation. �V-<ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE _ $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �7 r X Date /1 . Signature of l5iIp4e or Ag Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. E TOR OF P LIC WORKS By Date Building permit expires Date ��. la / , 14 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioppd property for inspection purpopes. X Permitee or Agent Date ~;1 R9cefpt No. / i / cli, I t1:2 r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo�.'ch fees h e been paid. �I�E_C- F PUBLIC WORKS By J/ Date. permit expires Date........��........ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� Total Valuation Mailing Addressr / �4,4_e, Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building �% z,Lj PLUMBING No. @ FEE PERMIT FILING FEE $2.00 )Address /_/L, L e Each Trap 1.50 a Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -,Wo Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE FILING FEE $3.00 ver aPERMIT A (% 6[f��� Main service incl. 1 meter v Additional meters, each 1.00 Single i I y Duplex ❑ Mobil Home ❑ Others El Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 hal 610 Light fixtures -25 Receps., switches & fix outlets Z CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the na style of: G Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License N Classifica io Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00, Z_ Heating / Cooling Ventilation Hood 2.00 Permit Fee $ r-, r'� � $ p �L 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioppd property for inspection purpopes. X Permitee or Agent Date ~;1 R9cefpt No. / i / cli, I t1:2 r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo�.'ch fees h e been paid. �I�E_C- F PUBLIC WORKS By J/ Date. permit expires Date........��........ Owner &C Mailing Address Contractor Mailing Address Building Address A. P. No. 4/_�/p —` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 L� C�- Tel eplione: 534-4541 APPLICATION AND PERMIT ephone No. t I Telephone I Zoning & Plannin Fees I W.C. I Sa ' FireDept. I FireZone Use Permit EQA I ParkingI Map P Parcel Plans Parcel I 60' R/W I Improvements Bldg. Plans Recd I Parcel Approval I Plans Approval EW ADDfTION ❑ UTILITIES ❑ OTHER ❑ c C�Ji l.0 f/ -ti._ Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style License No. Classification G -:t I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. le certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 -me Toned property for ins ection purposes. e S' nature of Per'miitee or%Agent Receipt No./ � J (n White-D.P.W. — Y:ellow-Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace I_ Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler,,system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each SUb-panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar, disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ FEE TOTAL PERMIT FEE 1$ 167 6A(D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for i fees een paid. I T F PUBLIC WORKS BY Date Building permit expires Date.//. ...�3..... ..7�, ......... y - J"3td ►ri OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: James R. Errecarte ADDRESS: Rt. 5, Box 79-3A CITY & STATE: Chico, CA. 95926 IMPORTANT: November 6, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Application #5135-78B -' -- Building permit fee ----- $32.00 Retain 1/3 o�Ge------- 10.67 TOTAL REFUND DUE ------------------$21.33 $21.33 TOTAL $21.33 I, the undersigned, declare, under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................, Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval O (Check one) for the same. 6th Nov. 78 Oroville Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... ' Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. a E .1 INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:` 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. X Date 3D Zeceipt ignature oftP®ermitee or Agent No. / d �_)b0o1- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner /�/!/f�$ �% E1Q�QECAQ - E SO. FT. OCC. BUILDING V LUATION Mailing Address Rau77C-- 5 Sox 79-54 If/co !tet TJIS� 7-77 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /U J/✓ C0RA/E+2 ST /L9CA/ Planit FeeB/or Penalty ng Permit Fee , p-0 Fee (f,4/U O 8041) , til D L 4 -zY `'Sv PLUMBING No. @ FEE LAAI/E PERMIT FILING FEE $3.00 Each TraD 1.50 / Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s Sanitation FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PIS Recd I Parcelproval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION 0/ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 0V OR LE 100 AMP ORSLESS 5.00 Single Family [j3oo'� Duplex ❑ Mobil Homme ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 VV I Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWEL-ING OR ADDNST 1,ACCLBLDGSCCU 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, / BRANCH TLET CIRC NON.CONS ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g L250 FIXED A Ex. Occup. ( OUT ETS PLNS (RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 gyI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 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 relatina to building construction. and herebv PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. X Date 3D Zeceipt ignature oftP®ermitee or Agent No. / d �_)b0o1- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date PERMIT APPLICATION WORK SHEET j OWNER J�ME S P. C212ECfFP-Tr. Zoning Use Proposed Permit fee based upon: 1. 2. )3. Complete contract price. Partial contract price (explain). DPW'Valuation (show): Permit No. A. P. No. V -,g - Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. ------------------- ------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate .----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6'. Letter of signature authorization. ---------------------- V-1� 7 Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. --------------------- 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. --------- ---------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. improvements - plans required & DPW approval. ------- ✓�"�'� Date r/---- �8 7d Bldg. Inspector During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior to permit items must be signed or marked NA: issuance: 1. Zoning use 1. Index permit for items / 2. Legal parcel above and in addition the following: 3. Envir.Health - Date Plans Sent_ A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtice Sent` A. Street Imp. 2. Applicant advised by Telephone B. Drainage Mail C. Permits & Fees Other 3. Plans checked bv(J?ZT Date 7-7-7 � 5. D. Other Planning 4. Plans approved by Date!'- U A. Use Permit B. Variance When perms is issue process as follows: C: Other t/ 1. Mail to owner. 6. Other Agencies - Date Plans Sent 2. Mail.to contractor. A. Fire Dept. 3. Deliver with inspection. B. Other 4. Telephone and hold for pickup @ office. 5. Other J u, r . ..Q.,, -ate, i o•si'-�.yor�-v. a :S SN$OM 9rtp��� -IO Xft 3 - ` - r • 'James R. Errecarte. Rt: 5, Box 79-3A Chi co,• CA 95926 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center<Drive, Oroville, CA. 95965 PHONE: 916-534-4541 With reference to the above subject: DATE September 11, 1978 RE: Building permit application #5135-78 A.P. # 46-54-4 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Labor Code Information List of Codes Enforced OTHER / We need the following information: Permit application signed and completed where indicated with all copies returned. XXX Fees of $ 12.60 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil engineer or architect. Engr. calcs. sets of plans in.accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: Liye.� XXX 695 Oleander Ave., Cliico 7 County Center Dr., Oroville + ?Y3 -4/j// Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing 1XXX OTHER Fees of $12.60 for electric permit not covered at t;mP of =Prm;t application. 'Should you have any questions ?ming the above, please contact this office. ' r Yours very truly, Vol0 1N . Clay Castleberry VDirector of Publi Works L i .f. ' �I e Glancrer JFG:dd XChief Building Inspector F ..PERMIT NO. 2�+C -7A,E PERMIT EXPIRES OWNER Jim Errecarte'. CONTR. Champion Const., Chico 46-54-28 LOCATION (A.P. ) NE corner of Stilson Canyon Rd. & Lazy S Lane, Chico Y , t t d /ee,,, er Pole PG&E Serv. G&E Serv. G&E (Date (Signature) Reinf. Steel Final z N Fixtures Bond Be FIRE RINK. Motors i Framing � x Water Htr. Stucco Final Subpanels COUNTY OF BUTTE} — DEPARTMENT OF PUBLIC WORKS Grd. Fault Prot. Scratch BUILDING INSPECTION RECORD Service Brown Cooling Temp. Pole Finish Ducts Underground UI DING BUILDING (Cont'd) Ventilation PLUMBING Setback Firewall Soil Piping MOBILEHOME UTILITIES ------------------ Forms Parapets rst*I 6jor Sewer Main Bldg. Restroom Finish - 2nd Flo r.' /` Footings Windows 3rd Floor'•, i • StemwaI I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents r----- Water Htr. Stemwall Insulation Heaters Slab. Prov. for phsically _��_ Appliances Carport p handica ed Conformance of ex. Gas PI in 8� Test Footings structure Temp. Gas Slab Final Sanitation Patio FI PLACE Final Footings Footing V X ELECTRICAL w Reinf. Steel Final z N Fixtures Bond Be FIRE RINK. Motors i Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANIC4L Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pede I Water Piping Sewer Gas FljpA 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping !:A TE REMARKS OR �.;RRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ` COUNTY OFi-�t3UTTE => DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - rOroville, California 95965 Telephone: 534-4541 APPLICATIM AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned pro rt for inspection purposes. Xiteoate Signature of Perme r Age Receipt No. P--31 (,7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisidns of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECkQR�OF PUBLIC WORKS By Date., �� 1 ilding permit expires Date BUILDING Owner �G/`A 2 SQ. FT. OCC. BUILDING VALUA ION Mailing Address Telephone No. 1FFi'replace Contractor i p�e� Mailing Address '7S ` Total Valuation T I hon e - Permit Fee .60 Building Address C L Plan Checking Fee&/or Penalty Permit Fee Q -p 4ZZ!f Cow ya�z L'Al, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 CIA C Repair drainage or vent piping 1.50 A. �p -r -� � Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 IPNo. Fk/s t"6. Sa n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking P rcelEach Plans I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel A proval I PI pproval Lawn sprinkler system 2.00 NEW 1Z ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .� Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L too AMP 2.50 _ OaAi u� Main service OVER 25.00 100 AMPsoov OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DW L OR ADDNS. ( AC B DV.:JCCUP. � 20sgft �� O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MUL OUTLET NON.RESID. ` CIRCUITS) 2.50ea -BRANCH NEW CON ST R. POWER APPARATUS a NON-RESID. (SINGLE OUTLET CIR. EX. OCCUP(OUTLETS OR FIXTURES) gAL.FIXED APLNSj Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 i License No Classification Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ TTS0$ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ S( authorize representatives of the County of Butte to enter upon the above-mentioned pro rt for inspection purposes. Xiteoate Signature of Perme r Age Receipt No. P--31 (,7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisidns of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECkQR�OF PUBLIC WORKS By Date., �� 1 ilding permit expires Date { ,U tot uJ t s alct 0 p 4n(-' 316 roo W, 40 W0.1 rt— _4-g b__cja T 2L 5' Vorn 9trdlnn truss p Z2 6 k�U�o .A}-Uig-��� . j23 -W66C-= P_WiWO ce-t t viq jouu .4qZ--3557o ALL T I J L L i i i► (I � �s�''� t X►sn ►.�e 4 x 12 7' 3--5)4(7, 2Z46) 4 Sx 4oG*k q,5) IZ I(o-30�-. `T 40(ox2S�+C5xZZ4(o�+�7xloOX$,5�= 1�5(o.ZS 3040 1224b I 20lo — ri) = lo I zz 1,5 x 384-0 4u------------ qs - S�z- IZx ion 1 jzso uJPJ IZ AIla 4b vor, 4. W C I V5 (4 C> C> —A Certificate of Compliance:. Residential Project Project Address p d . Documentation Author Comnl12nCe Method (Packs e. Point Svstem or Cornvuter) (Page 1 of 2) CF -LR Date .b L) �'� L Building Permit k ephone (1 Checked By / Date mate Zone Enforcement Agency Use Only GENERAL INFORMATION (%) 1 Total Conditioned Floor Area: ft2 Building Type: X Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Left...... Multi -Family (4 or more stories) Existing -Plus -Addition Rear..... Front Entry Orientation: Noah / East/ S�iiEtf / West / All Orientations (circle one or more) Number of Dwelling Units: ( Floor Construction Type: Slab / r, (circle one or both) Infiltration Control: Standard/right (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, eti Wall .............. Wall .............. Roof ............. l Roof ............. Floor ............. ,Z_ Floor ............. Slab Edge ..... GLAZING Glazing Orientation Shading Devices Area Glass Type Interior Exterior Overhang Framing Type (sf) (sinele. double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood) Front.... (%) —'�— Front.... ( ) Left...... ( %Ah Left...... ( ) Rear..... M Z. Rear..... ( Right.... C ,�.p..y. Right.... ( ) Sk li ht Jg ....... Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc) (sf) (inches) Location/Description (kitchen, bath, etc.) StIK_(G Y3Ul (d1 Building Data Glass Area Glass Percent Condit' `Floor Area Number of Stories North ��Ls Slab ise Floor East v Check all applicable unit conditions: South L Single Family Detached ( Addition alone West�.�_ ( ) Single Family Attached t7IC4.Fxisting building Skylight ( ) Multi -Family ( ) Existing -plus addition Total Score Card Measures Point Scores 1. Ceiling Insulation or i Z a1ue(38) U-value(0.030) 2. Wall Insulation ' or -va ue -va ue(O.099) 3. Raised Floor Insulation 'q 1 or R-value(1) U-value(0.037) 4. Slab Edge Insulation or R-value(none) U value(0.77) i 5. Infiltration pec. Stan a 6. Glass Heat Loss I06-or'Iy pe ou a -va ue(O.33) Total Percent um 1- Glass(16%) 7.Shading(shade open) %Glass SC Eff %Glass North _� x V _ 'Y East _ �� x South x West —�� x =- Skylight x = 8.Shading(shade closed) %Glass North x SC o, 8, = East South x y x� = = West � x Skylight x - 9. Interior Thermal Mass Effective SEER (7.03) Interior Mass/CFA 10.Exterior Thermal Mass Points Total /�_ Exterior/ Mass(o) 11.Heating System b Call x Zonal control? (Y/N) o�duct a (. 8) (0.72/66.6) 12. Cooling System IJ ✓/ x I _ Zonal control? (Y/N) SEER (9.5) duct eff(0.74) 13.Water Heating Type(SG) Credit(none) Form Revised March 1988 Eff % Glass f Sum7-10 /. Effective ectrve or HSPF(0.56/5.15) Effective SEER (7.03) Points Total /�_ f Certificate of Compliance: Residential (Page 1 of 2) CF -1R 4 I- Project Tltle Area s C k1c,6, CA Date Front.... ( ) Left...... (W) (4 /S Project Address 1 Left...... ( ) / Rear..... (N) Building Permit N Documentation Author Telephone leph' 1 .Z ' Checked B / Date Y Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area::r Zft2 Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition -- Front Entry Orientation: North / East Sou / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slab / ed Floo (circle one or both) Infiltration Control: tanda ight (circle one) BUILDING SHELL INSULATION Component' - Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .....:........ . i Ip I C Wall .............. Roof ............. - V fill l�f Roof ............. Floor ............. Floor ............. . Slab Edge..... GLAZING Glazing Orientation. Area s Glass Type (single, double) Front.... (S) 16'b— Front.... ( ) Left...... (W) (4 /S I Ocr Left...... ( ) Rear..... (N) 11 2_5 5 Rear..... ( ) Right...: ( ) 23 .75 10(rco Right.... ( ) Skylight.....:. p dW -Q- Skylight....... Shading Devices Interior Exterior Overhang Framing Type (roller blind, etc.) (shadescreen, etc.) (yes/no) .(metal/wood) THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc) (sf) (Inches) Location/Description (kitchen, bath, etc.) �- Y -LK � X we /Raisiosed Floor ed Floor Area Slab�ZNumber of Stories Slab/ Check all applicable unit conditions: XSingle Family Detached ( ) Addition alone ( ) Single Family Attached ( Multi -Family )Existing building ( ) ,, <Existing -plus addition I. Ceiling Insulation— � or Value(38) U-value(0.030) 2. Wall Insulation `/ or -va ue -va ue ) 3. Raised Floor / Q Insulation L t or --valu�9)-va�T lue(0.p37) 4. Slab Edge Insulation or -value(none value( .77) 5. Infiltration d , / 6. Glass Heat Loss pec. stan ar or Fid ype(dou a -va ue ) 7.Shading(shade open) .%Glass6 SC North x East x —�--- South x = West x Skylight X 8.Shading(shade closed) %Glass SC North 6 x O. 0 _ East South x _ x — West Skylight _ _ O, 7r x = x = 9. Interior Thermal Mass 10 -Exterior Thermal Mass 45f4f ,P 11.Heating System 61 6 x Zonal control? (Y/N) or �SSyI�C 0.72/6.6) p 12. Cooling System -I x Zonal control? (Y/N) SEER(9T.) 13.WaterHeating C� Y ype—(S—G) Form Revised March 1988 ntennor Mass/CFA ExteriorWall Mass(o) East Z: South tL'_ West Skylight Total_L__ 6" Y ota ercent Glass(16%) Eff % Glass Eff % Glass —L I —� Credit(none) Points Total �0l �'l,�GacUC (s) Sum7-10 uct e . 8)ect"ve _ or HSPF(0.56/5.15) 7,03 duct eff(0.74) Effective SEER (7.03) Credit(none) Points Total �0l �'l,�GacUC (s) Sum7-10 Certificate of Compliance: Residential (Page 2 of 2) CF -1R -HVAC SYSTEMS • Minimum . Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (of approved equal) K)e kms!%L(- l 1 AVL �Q 330 Maximum Furnace Heating Output:/,__ Btuh HOT WATER SYSTEMS Tank -Manufacturer/Model # Featu 4 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed -to comply with Title 24, Chapter 2=53 and Title 20, Chapter 2, Subchapter 4, Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a.copy of it and transmit the -certificate to any. subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. DesigneriBuilding Owner Namse: j y' t/ Name: G (-w L Title/Firm: _ GOWTje, (.AD L ,A1e_ rirriS Y Title/Firm: prw-,v-cTX_ y Address: y p t' W l c -L# W Spec N/o s 2 D Address: B L C44 -1.i An Telephone: Telephone: Lic. #: p a �ry � (signature) (date) (signature) (date) Documentation Atithor Name: Title/Firm: Address: Telephone: q 1. (_ (signature) Fonn Revised March 1988 (A), C6L0 '{ Y Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) Mandatory Measures Checklist: Residential MF -1R 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 binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION . - I DESIGNER I ENFORCEMENT Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. . *.§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls); §2-5352(k): Slab edge insulation.- water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perrn/inch. - §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. �- §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality _ standards: — §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: _ - a. Tight fitting, closeable metal or glass door - - b. Outside air intake with damper and control c. Flue damper and control - 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures. r� §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. �, L §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. - * §2=5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. — §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). . §2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: ++ I a. Od/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. j Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/watt or greater forgeneral lighting in kitchens and bathrooms,( §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. j Forth Revised December 1987 L K�e)Rvy- ��ul Rz Weighted Averages Item Type 1 Typel Type2 Type2 T e3 Weighted No Value Area Value Area Vau e TAympa 3 Total Average' Value x ----- ---- -- ---------------- �yt_�,►cf+pl�rt t r� + C—�xL) + ( )X(_�>/ Weighted Averages = Weighted Item No V Pue1 Typel Type2 Type2 Type3 Type3 Total Average Area Value . Area h� _ Cid -A.L o7� ; _t CkT.r g ----=----=-=-- xc/ ILI + Weighted Averages + +--�x�----�>/ Item No Type Puel TYPe1 Weighted Type2 Type2 Type3 Type3 Tota Average Area Value Arna 17-1— D] Insulation Certificate F-LA�v S LA A - Number and Street Jca, 6A City County Subdivision Lot Number ROOF Material ',..... Thickness (inches) Description of Installation Brand Name Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name Thickness (inches) :,�, �� Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) 3,:> Loose Fill Type Bratid Name Contractor's minimum installed weight/ft lb, - Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR - Material - Brand Name Thickness (inches) _Thermal Resistance (R -Value) SLAB FLOOR - - Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL - Material Thickness (inches) Brand Name Thermal Resistance (R -Value) . Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. -7p General Contractor (Builder) License Number Signature and Title Sub -Contractor (Insulation. installer) Signature and Title Date License Number 15PE-,C-1F-1z--4-T70A1S A-bb.)77ol-V A(V6 RClniobe-z- 11v& Ca nh 1�s Aa Alo (--us� des ,3 'SITE of WA -76 -t 5EWE A/0 (-N a vA GA !. IN "I I /7' ! m -F 6 - 'PI - CIA DI ro 6 --------------- Fr 10 OL c ir) 4 -pi 10 t -Gk -,j 0 Ve-d 4 0 r;q r4 I OA - 5/`7.'C- /h //'GAG Y� Y 0 /76e- 0 mot q c cavo 5 4,,,oln Y- , I i �oi�t,✓ eX5 �h�� S `Ta Lie-. rvV Ir s Y\R.C. ! /� V �__ lon�;' e.����L • �oz�y �y7�C't•%�`rb� l�vv('•� /S iyr.�.�t;•a�Pco. . l _ I • G1._nG. . ........ e,c.J � o r S •> � v�-, r✓t h GSC S /� C<vcz.,� SI � �-- I etc 5 ► �t a T, I rL,LC'SS0..✓ p O Y" f� ✓/ �,�., b G. Gl krl'1'\ ,: I ��. �5.�` U i� tii �C..- 0 e . � ..f'� � y� � 12, A ° cQc?,-ts r, 7L SI d o'er arr— 10 61( If -d 4v a 5 rl`` J, cs>e_✓-n/--- /o ' I o �L/jL� • 30 OilI���! r7l O eih Ca r-, D cc•'Vu`t.t,:..,.r C fit I i'1'1!<�.Q..L��, O O W/�l�cS1.v---- r'i i .--- I --. , ._� f- .z X yo -sky 1 ---._.. --- Irs�'Gri[e� %r/ �r�1LGL�h �i.')y�i�,p�1�,— C-*��• r �{.�c�:;' :-, �, sv�-,vi57� %roY,Zc�. \.GI Po 1 ,J � 7�`/Ql �_�l."�_7� _. �+/��/.__..� .__ ��: _... S�l G C_ca , . � ��GI: � -(" 1 �-.; �-: rc; • f �Y� •h-, � l i � 3 — _o�'!�%�•: �r 11--- .uv�_r�� C�vt-�l'"(� t•''o-o� C� 44 ►�-� hj o6�PS�Sur� wccsdQ-ao� &kle. kloa�-e sem• as,_. O-[4 :. - _ —.__ � �..� w � � �.� - --- e•>'1 wG�(�_Gt�._�;tl}—_ • i Gl�t1 _ 1='� _._I_�� :. _ � � r_tz: � C. f_\ Y 1 ,j 11 Xew 2-,), Net,/ T L n o V, d.w /et - - --------- - ---. 11CL -WWW11 lill't 4-6 L.I-- f Pi ....................... ....... ......... . .... IcuV )b�,s IA&cd ;raj h141k,11 07De . ..... ..... n, (N -i 4v 10. -kv ij I It e -47l" / 011,b:i- �Zyo . 1-'i" tvc, CAr e hr+ o-NS��oc�,Se All Ih�wiaY-s r7v►�e�.� —._ ©�'�_�4�... _�-a �r � `� � � ..,l" k -C.040 (�..._... _ � GC,vC.�NS ou1S �S //!�•�G�� /F oI,Y! i� ark f���r2. �aAa.�n� I /�/sr-7 �.0 C�//V�ry ��o o Y / ✓�..� __._l r� • _ i'LC _f...J —C_=1 r••CCt 1 ` �Jn c�,_ �='� �_:, � _ CN//'•�C./.7� [,®_.�_� �..1� !�'l��'.... -��l.R��il .(7 %r�/�•I.1 a ./0�� i i Z.S ko\ V- V`a ,' t...S Gl.` tie =Cider;`.:; � �.. �.r-'=j 4 J r ou! V-, WC -614 -,V - C-614--,v'And And -h bc�r_J`I`: t n F i u --w c raz k. i" -o b It e -47l" / 011,b:i- �Zyo . 1-'i" tvc, CAr e hr+ o-NS��oc�,Se Certificate of Compliance: Residential (page 1 of 2) CF -1R Project Title Date Project Address Building Permit N Documentation Author Telephone ' ._ X � ! N � [ Checked By /Date . Compliance Method (Packs e, Point System or Computer) 1 / Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: f[2 Building Type: X Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) � Existing -Plus -Addition Front Entry Orientation: North / East / �S�ttelt / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slab /r (circle one or both) Infiltration Control: Standard/Tight (circle one) i BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, ical, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Shading Devices ' Glazing Area Glass Type Interior Exterior Overhang (es/no) Framing Type (metal/wood) Orientation S (single, double) (roller blind, etc.) (shadescreen, etc.) Front..-.. Front.... ( ) Left...... ( W) VTT Left...... ( ) Rear..... Rear..... Right.... Right.... ( ) Skylight....... Skylight....... THERMAL MASS Type/Covering Area Thickness Location/Description(kitchen. bath, etc.) (slab/exposed, tile. etc) (s� Cm L tsunaing Lata %Glass Glass Area Glass Percent i Condit' 'Floor Area Slab ise Floor Number of Stories i North__LW_ East v� x Check all applicable unit conditions: South L ' Skylight Single Family Detached ( Addition alone Westl_ x ( ) Single Family Attached DoOExisting building Skylight x ( ) Multi -Family ( ) Existing -plus addition Total- _ Score Card Measures Point Scores 1. Ceiling Insulation b or i Z - alue 8) walue(0.030) 2. Wall Insulation or -value -va ue(0. ) 3. Raised Floor Insulation ' or R-value(19) U-value(0.037) 4. Slab Edge Insulation or -valuei�(none) U value( .77) 5. Infiltration . pec. star a 6. Glass Heat Loss or pe ou a -va ue(. ) 7.Shading(shade open) %Glass North x East _� x South x West x ' Skylight x 8.Shading(shade closed) %Glass North_ x East �_ x South x West x Skylight x 9. Interior Thermal Mass 1O.Exterior Thermal Mass b 11.14eating System x Zonal control? (Y/N) (0.72/66.6) 12. Cooling System ►J x Zonal control? (Y/N) SEE— R� 9 13.Water Heating Type(SG) Form Revised March 1988 SC Q 0 _ S - Interior Mass/CFA ExteriorWa-11 Mass(o) act ' -(Y 8) _ 0% = duct eff(0.74) Credit(none) 21 ota`I�l e Glass(16%) Eff % Glass Eff %Glass ectL�ivee SE or HSPF(0.56/5.15) % d.3 Effective SEER (7.03) Points Total Sum? -10 Certificate of Compliance: Residential L 1. (Page 1 of 2) ' CF: -1R qy Project Title X C,6 0 CA Project Address ,17,2wt Le - Building Permit N Documentation AuthorQ C lepho n y Checked B / Date 2 Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: Zft2 Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition — Front Entry Orientation:. North / East Sou / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slab / ed Floo (circle one or both) Infiltration Control:(!Ada ight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value. (attic, to garage. typical. etc.) Wall .....:.:...... :Z412 I G 14 Wall .............. Roof ............. — 3z> ,J Roof ............. Floor ............. 4Z- q T;`/ 1214' Floor ............. Slab Edge ..... GLAZING Shading Devices . Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation . s (single, double) (roller blind, etc.) (shadescreen, etc.) (es/no) (metal/wood) Front.... (S) 16'b— t) Front.... ( ) Left...... (w) �,� I & • Left...... ( ) Rear..... (N) Rear..... ( ) Right.... ( ) 23 - Right.... ( ) Skylight....... D aW -e Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed tile, etc) (SO (inches) Location/Description (kitchen, bath, etc.) i w 15 -f-- a old /Raissed Floor ioed Floor Area SlabOyZNumber of Stories Slab/ Check all —applicable applicable unit conditions: ,Single Family Detached ( ) Single Family Attached ( )Addition alone ( ) Multi -Family ( ) Existing building <Existing -plus addition 1. Ceiling Insulation_ � � or �t Value—(38) _1Tvalue(0.030) 2. Wall Insulation 1/ or -va ue -va ue 9) 3. Raised Floor / Q Insulation L ( or -value ) -value 37) 4. Slab Edge Insulation or -values e(none) U -v lue(0.77) S. Infiltration Spec. stan ar 6. Glass Heat Loss or ype ou a -va ue . ) 7.Shading(shade open) %Glassb North x East South x West x Skylight x x 8.Shading(shade closed) %Glass North 6 x East x South x West x Skylight_ x 9. Interior Thermal Mass 1O.Exterior Thermal Mass Ass�l/Glee/ 11.Heating System 6- C� x Zonal control? (Y/N)Sr-OTrgr (0.72/6.6) Aoq*c q�� 12. Cooling System x Zonal control? (Y/N) SEERRi(-9 ) 13.WaterHeating T/ Type (SG) Form Revised March 1988 SC �_ SC Interior Mass/CFA Exterior Wall Mass(o) Glass Area North_ East Glass, Percent - th_1_ — We West Skylight -� Total_�r `A O Eff % Glass �s) Eff % Glass o � zS� Credit(none) Points Total uct a 8) ectrve or HSPF(0.56/5.15) _ O u- t ductduct eff(0.74) Effective SEER (7.03) Credit(none) Points Total Certificate of Compliance: Residential (Page 2 of 2) _ CF -1R :. -HVAC SYSTEMS Minimum _ Duct _ Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) W>%� �a �[p- 330 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS System Type (storage gas, etc.) Tank "Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Featu • COMPLIANCE STATEMENT'- This TATEMENT'-This certificate of compliance lists the building features and performance specifications needed -to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the -certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built-in multiple orientations, all building conservation features which vary are.indicated in the Special Features/Remarks section. Designer , Building Owner Name: 1` ��' S�j Co iy✓ Name: Title/Firm: c4N-r Q, (,(,A -R_ Title/Firm: OrW-AJ-0_r_ Address: W /L-L9W spe-101'-s Q D Address: B 4: Zi (✓ � � Ciq' q�Z�� C�Fi-1 a n7 Telephone: Telephone: Lic. #: D a (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: d �?/V W.' �v� Name: Title/Firm: I VC Agency! Address: as je Gr Telephone: L - Telephone: —O Ve (L (signature) date) (signature or stamp) (date) Form Revised March 1988 Mandatory Measures Checklist: Residential MF -1R 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 fisted on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor. transmission rate no greater than 2.0 perni/inch. §2-531.1: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatlierstripped, all joints and penetrations caulked and sealed: §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality _ standards: §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door - b. Outside air intake with damper and control c. Flue damper and control - 2. No continuous burning gas pilots allowed.. _ HVAC and Plumbing System Measures. §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. . * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-53 f6(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for -general lighting in kitchens and bathrooms( §2-5314(c): Gas feed appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 DESIGNER I ENFORCEMENT J L; Oq,te R.Y' �/"/ q 2-. Weighted Averages Item Type 1 Typel Type2 Type2 T e3 Weighted No Value Area Value A� YP Type3 Total Average Value Area Area Value ----x l ►IJ(s_ -1- ►J ----------- x77- ---�-- Q� ,r _ Weighted Averages - Item T 1 Weighted No Va Type Type1 Type2 Type2 Type3 Type3 Total Average lue Area Value Area Value Area Area Value ------------- �< a x 1 L + + c — )x( ),/ Mlz, = Weighted Averages Item Typel Type2 Type3 Type3 Weighted Thtal Average Insulation Certificate ent Number and Street • is County Sul J C-1 � CA I 6A City sion Lot Number Description of Installation ROOF Material L....- Brand Name Thickness (inches) .Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name Thickness (inches) .��� �� Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name 'Thickness (inches) Thermal Resistance (R -Value) 3e. -Loose Fill Type Brand Name - Contractor's minimum installed weight/ft Ib _ Minimum thickness inches Manufacturer's installed weight per square foot to a6eive Thermal Resistance (R -Value) RAISED FLOOR Material Brand Name Thickness (inches) -Thermal Resistance (R -Value) - SLAB FLOOR _ Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) _ Thermal Resistance (R -Value) Declaration - I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. ' b -7o General Contractor (Builder) License Number Date Signature and Title License Number - Sub-Contractor(Insulation.Installer) Date Signature and Title :5PEZ'-1F1,--,4-T70-?VS. r -o& A-b0)770',,V A16 11V& reFW 4OUI5 A -Alb :SAA)6Ai+ � -----._ __ _-- i zg• 72- C-0 C) wc:i'm c All %A /2::, /0 1 C— - � - -55Z)/Vo Cus,6 Fee - PP\TPAPA-norj a, cl(2 mk" -_ .-._._._ �..__ y b eta ►�..e .......c:.e.� I I h�c ran !i------ WATE-R f 5 p, c> clq' q is�e, 4. 0 Fr -a&-.Jr i _ rc�d �' G���i Vic? h .'� , %� r Y I 0 Ve,6�v P)m C4 I'M OA -S 7(e 654 CA Mot --I - Yl lie oela,1117-��l /S' e. tt/ eal) Z'k w,11. . , -, ----- Y 417 V, 'I . Ij /VLj I(Q471, j! C? C C4-0 o -F r, 4), C/(I' -1'0-vl 0� -c-.C4, Com, auf- Y) p;ers orovIGG-A, cks C, LIL- el-pl� Ck C")r-vu s %)e.,- /ow', - 43r --I - Yl lie oela,1117-��l /S' e. tt/ eal) Z'k w,11. . , -, ----- Y 417 V, i vv v t v-.ov— a v q r 5 U( I et IS, no V I'h Ij - 0 .21 L .... .. . ..... .... auf- Y) C, LIL- el-pl� Ck C")r-vu s %)e.,- /ow', - 43r II 12 L, L&j-a-o kcLQ-t f—;Y— ra-n rc-a�-,j rc_cl (,I's L� eL rA.VTO-5 -/V 0 Add 12�,► �t - a rpt- �,�� i vv v t v-.ov— a v q r 5 U( I et IS, no V I'h Ij - 0 .21 L .... .. . ..... .... I IX %P? L--� M. 5 17.1 VX 1C . ..... Dv e-cxoL t&f sl Yekc f/-: 740 JU _j1p c? M(7we�vi, ce— c -,F - oo d -Q I ! Ct5; �I C4" b tw I t'vl CVG(.) t,) ii V, e\j j le— lav;� do-uy Li'tol ey/ 40 VLQ el^+yk4 PLUM -*,net v) 0A a-IIJ Lcc 730S-0 17.1 VX 1C . ..... Dv e-cxoL t&f sl Yekc f/-: 740 JU _j1p c? M(7we�vi, ce— c -,F - oo d -Q I ! Ct5; �I C4" b tw I t'vl CVG(.) t,) ii V, e\j j le— lav;� do-uy Li'tol ey/ 40 VLQ el^+yk4 _L � ; i iNs� ►a s l � �' � ,�' r� G,R�1" 7V : _ e.�„l _ 1� `•rrr, ✓ __ l-s_s�er�,.__.-�'-- - �-�. /;-, s �r .ter. .... _.. a _._.ew mv /'kii�r l.._as___-��—__.1'�L�_.:r::.�....—_ln•�[.1__.^�, __7 l✓'. ��\'`i^�)�.i�._ �r Vi/�.I I /nJr wo s'J lam— C...: `•. I\y- ►h:5 � / r'1 ��-t`��/,,// C� w �1•...�c-r•�.I �1�,!�• � lF%•a• '- (! --- !--...... ... Vi a►- e_... or ....�{ OU....-... �ta� J f 7 77ecl %57A�U in:�uG.' II - I J'c,f•V•1 �•�� CJ tT(J'Y ,\.,�;: �..5 {/�• V /lY15,�.� - � r:iC(' ---�--1-----=C"f.�---`�'-�=--- ���ri c_J'_�_/7J�� f a s3 b .-c_. k"v c)c(. 4/ c e"ori z. v\. OV, o h Sol I W✓� lJ�. VVV ----------- - I rFFIIOL) -All e -Q 4-t, WS -tJ C64-r-epe 61, C-1 - --J- 4rA* LAP -541A /7 C&Ja 11 ........... Ole C, a amp X k-o\.IeN,S, Cl V--(..Cl(lC) CA. n7,7 All II 1 kuw "An/k Ct'v\r"( Ile ----------- - I rFFIIOL) i •" c 1 RE ENTIAL 011-09-0-028 92-3556 B,E... KRUGER, Louis & Sandra 8 Lazy S Ln, Chico contr:'Russ Collar conv courtyard to living/sf I a - 4 - qz A/d PfaA,,O , Jtf-4A .1c;ib Oet y t a JOB FINALE Signature xY J=OK O =Not OK ., = Not Readyable MOBILE -HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) + 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG - 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements t 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1 6. Water; MH Test -Regulator -Connector 4 cI r 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 " 1 it _ ,-� \� • „f .•A.t"w ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors VShthg.-Rfg.-Bracing ti �- 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =Ov. O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans).OK except a's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Ste s, Main; Sttgklflockouts-Wrapped 6. Stemwalls, G rage; Steel-Blockouts-Wrapped 6a. Hold wns and Special Anchors j1--/3�qz Steel -Wrapped jjjjjtAk ,4, 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date// -/2 -Qt Card B-1 V.6 Date Card B-1 Date ft Card B-1 W Date Card B-1 Date PLUMBING (Permit),OK except u'%, 16. Water Htr.: Vent-Access-goKbustion Air -Baffle 17. Water Pipe: Test & A94,e6or-Nail Protection 18. D.W.V.; Test -Fitly & Anchor -Nail Protection 19. Shower Panst,` First Floor -Tub Access 20. Test Tu,44 Shower. Second Floor -Tub Access 21. Gas ipe: Size & Anchors Date Card B-1 Date------------ Card -B-1 ------- -------------- --------- -- ---- --- -------- --------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except fr's 22. Fixture & Transformer Clearance -Ins. Protection ---------------- ------------------------------------------------- ec. Receptacles Spacing -Lights &Switches at Doors ------- --- --------- ----- ---- -------------------------------------------- 24. Si7P Rnxpc & NO of Gonriurtnrs-Staled --------------------------------------------------------------------------- 25 Romex Installed ClncP to Fripp of Stud-& C.J. - --------- ------------ 26. Fn-- Ground and & Water ----------------------------------------------------------- -----Gas.---------------- 27. Aooliance Circuts in Kitchen & Conductor Size!GFI _________________ _-_-_--_------------------------. 28. SubLl pd Wire Sizer r a Cu or AI-A.C. Wire Size r / ga. Cji-or AI 29. R- Circ i i qa Cu or AI -Oven Circ. / ! ga. Cu or Al. InsViated Nl eutra'❑ Yes ❑ No --- ------ -------- --------------- - --------- ---------- - - - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect ----------- ------------------------------------------------- 31. Equip. arances Panels -Motors -Meth. Equip. 32. CI es Closet Light -Shower Light -Spa Light ------------ --------- ----------`- ------ ---------------- - - Smoke Detector --- ----- --------------- ---------------------------------- ---- ----------- Date zit Card B_1 v___._ -- Date------ Card B-1 -------r- -- ---- ------------------------------ Date Card B-1 Dale Card B-1 Date MEC NICAL (Permit) OK exce 4's 311,"A.C. Ducts Insulation upporl ------------- ------------------------ --------------------------------------------- 35. Vent Fan: Exha above insulation ----------------------------- ---------- --------------------------------------- 36. Condens rain & Overflow: Size & Grade ------- ------` -- - --------------- ---------------- -- _ 37. Fur ce-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- - -- - - -------------------------------------------------- 3a tic Access & Platform if Furnance in Attic ---------- Date I . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except w's 3 Sils Pr er Material &Anchors -- --- -- ------------------- - 69-A-4-- -- - �;� 0. Studs -Nailing_ Spacing & Bracln -P a Sound ---------------------------------- --------- ------------- 4 aring alts over Girders & Floor Nailing - - ------------------------------------------------------------ --4 rat top in Walls (rat proof) ---- -- -- --- - - -- ---------------------------------------- ----------------------- 4 Fi Stops; Furred Ceilings -Stairs -Chases -Tub ------------- 4- ----------- Fumed -------------Chases-Tub ------------- eaders & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Trey -Shthng.-Ring. 47 e ce Ties or Type rance ' flit Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. ws or Exiting Doors -Sill gt. & Dimensions ------------- Gemstr ----- 5 y ine trews pen -in 9s 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing VVe-neer �a .�56. Stucco Mesh -Drip Screed -Fd. Vest - nderflr. Access --------------------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts QQj�69. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card --1 Date a,QXrj., Card B-1 Date ,?• q- Qa Card B -1//Q Date Card B-1 Date FINAL (Plans)X except ft's t. St s -Door Sidelight Protection -Landings Smoke Detector F� F Vents-Clear.an.ce-ra-*+h 'Air -Connector - In --- - eec rotection ------------- ��4-_air.....-------------------------------- -- ---- 65. Labels ---------------------------- ------------ -------------------------------------- -------------------------- ces- a rth - - - - - --- -- ------------- 6 x. ---------------------------- 70. _ e --------------- 7i Flar n ,tlatc a o^^^ oc at Kit Counter ----------------------------- 72.-- -- ----- ------------------------------------ - 73 A C. Duo- in CaraoP-Daullm 74-1- Vents Elaara_ce_Co h ° Connector-P.R.V. I tion --------------------------------------- - 75. ---- ' -- 7&-STe-c. Receptacl----- g --- ) F.I. Romex Protection 7y�rnsu1ation-Foam-Looked in Attic es ------------------------ ---------�,.-- - 78,�eard 9 ilc x nPrk rn •-= s 79FkI<Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Fylo�r pees 80,,Pelowing instfd.: Drive L Yes ❑ No: Walks ❑ Yes No: Planters ❑ Yes 9-5-0 ----------- -------------------------- ------ 81. - -- - -- - - -------- --- 82 bing Vent bove oof: Ibg.-Applianc ' Fi ce. Clearance to Openings -- -- -------------------------------- ------------------------- - a 85. Exterior Flec Trim' G.F.I. Receotacle-Under round 86. Ventilation Throughout House -- - - - - - - - - - ---------------------- -- o. - - -- ----------------------------------------- aa C nrra �Y ws r,e n�i ar Ions - - - - - - -- -- - - --- ---- ----------99 ------------------------- 8 rs a ed: Gas -Electric ------- ------------- 90.- Wate ewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ------ ---------------'- Date --- Card 6 -1 U - Date Card B-1 Date? 03 Card B_1 /� ____ Date Card B-1 Date Card Date Card B-1 Comments at Final - r7 -�. �y�y a�{p` N waf- �I Now COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE N l i A -CA 1 A— PERMIT NO. A routine itspeetion indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work isewrpleted.lfyouhave any questions pertaining to this matter, or need additional explanation, please contact lbk office immediately. — All A rl A _ n n i f P A Date c;?,` Inspector REV tors¢ t Hwy- , _ . s �.._ .�- • � . �r � _ .r.�,,"'.'!'�, s.F"'�Y`r."d'7'�'�.+rVi.-.�-•+--F�-ti...iP��--.^...YT�rr' �r-...�w...M COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS {w 1469 Humboldt Road, Chico, CA - (916) 891-2751 h 7 County Center Drive, Oroville, CA - (916) 538-7541 OWN 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Oa33J$IV,. PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances east at the above address and should -be corrected. Please notify this office when correction of work is completed. If you avg-a—n—yquestions pertaining to this matter, or need additional explanation, please conta is office immediately. Date Inspector REV 11/91 r.. Owner: Permit# ��� S�� ENERGY coQ42�l�� CERTIFICATION. 7:.v A.P. Vie. CR:PT_O`l OF INSULATION ROOT MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL Giber;lass BRAND NAME Certineed THICK`'ESS G; j, ti THERMAL RES. CEILING BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed THICKNESS / o THERMAL RES LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR -ELEVATED MATERIAL -Fiberglass BRAND NAME Certineed _ THICKNESS THERMAL RES. 4 FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS THERMAL RES. --- J HEREBY CERTI1Y THAT THE -ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REOUIREMENTS. HAWKINS IND.IN /dba SHASTA INSULATION LIC.#650722 Ihereby certify the above insulation and all required items as shown on the building department approved plans and attachments have been installed as required by the State of California --Energy Requirem_ncs. - -All equipment, devices andm terials are of th#, quality prescribed or are spe.cificUyaroved v the State of lif. 70 -- -- ---------------------- FI M NAME/QuNERLEA E PRINT) STATE CONT. LIC# SIGNATURE OF GENE AL CONY OWNER DATE . This certificate must be on file with the Building Dept. prior to Final and posted within the building. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 011-090-028 ZONING SR -1 BUILDING PERMIT OWNER Louis & Sandra Kruger TELEPHONE 345-1061 SO. FT. OCC. BUILDING VALUATIO OWNER'SMAILING ADDRESS 88 Lazy S Lane Chico a 425 ' R' 22 C7�'�' 2 G4 �� .-6*149 COV lq -J• OQ CONTRACTOR'S NE Russ Collar TELEPHONE 894-3955 £'Sk 2.200 , CONTRACTOR'S MAILING ADDRESS 4425 Willow Springs Rd., Fireplace CONSTRUCTION LENDER MId Valle Bank UNKNOWN Total Valuation $ , ;220 (3 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ZZq•Sa ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 101.25 f/4.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Z0«00 Penalty $ BUILDING ADDRESS Permit tee 37q ZS 8 Lazy S. Lane Chico 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 1 7.00 Each qas water heater or vent7.00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition [_'Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Convprt Court- Aria 1-O Living _ Covprpd Porch — DI rnF ala IJ5 Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1�1 licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code and my license is in full force and effect. License No. O; 70 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) El 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 IOOOA, 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00am (POWER APPARATUS el SINGLE OUTLET CIR. 20 76d Ex. Occup(OUTLETS OR FIXTURESFIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. "have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating R"Q� Cooling g Hood 6.50 Ventilation Permit Fee $ [},QU 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 against,sai' ounty in co a ce of the granting of this permit. X —, `2 Date Ori s 9L Signature of Applicant — Owner g pp ❑ Contractor Q�Agent ❑ An OSHA permit is required for excavations over "deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ R-3 CONST TYPE VN TOTAL FEE $ HAz I DFEES IMP FLO D COF PARCEL ---- PD HD ISSUFy V/ This permit is hereby issued -under the applicable provi- sions � of the Butte Co trty Colde and/or resolutions to do j / work Indic edwhich fees have been paid. F PUBLIC WORKS D E�ve By �' Datel�� PERMIT EXPIRES Date Receipt No. 123191^10 Q WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, DEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC,,WO KS - BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAt95965 - TLEPHONE (916) 538-754 PERMIT APPLICATION DATA � HEET OWNER ,u,c SO�MeQ/trf- ���c,.l�11� Y A. P. No. 0/ I - OqC - Oag Proposed Building Use Building Inspector V . BA.+6u1`-. Date 10-%-92. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ....................... . Complete plans, 3/4 sets, signed by prepfirer 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). .... Xr&Mobilehome_data and manufacturer's installation instructions, 2 sets. ........... Fees of $ 31 Za.O-D .................................. jO—oZ 2- 99 Impact fees as shown on attached schedule. ...... California Department of Forestry plan approval/fees......................... . Flood elevation letter (100 year flood by California Engineer. f(xeP.ja�a�,. �GCr�l f 22 -- 4 Sanitation and plot plan approval .0 Health Department . ............ —2 , 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). ..... . r Pre -Inspection request-- 20. Pre -inspection for I 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 ligt. ....... . PI ��LM 1�C01��y1 Y1 �D (¢C �tci►�o� — Ob br. Q. fC_ iO�Zf�9T When you issue the permit, process as follows: Mail t owner. Mail to contractor. 10 Telephone Q9�1.3456' and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant G Date C 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 i r40.ol uance: (Circle new item not checked above). A AIX 1. Index permit for above items No. 2. Additional items required: �Ca- tdesigner, owner, was advised of above required data by { � phone _ mail Counter by _ Date 10 , ctor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by NAJ Date o 1f192 Plans approved by Date Ft 3�R2 Sets of plans on hold in File cabinet AP folder ((Ak ,A, Copy - Department of Public Works tC X 4 ON COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916)5387541 )WNER taw �J l.l�C' A.P. NO . ?ROPOSED BUILDING USE IZ -3 DATE REC. : DATE REC 1. School Distric Fees (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential ......... X =$ unit amt. Commercial(per sq.ft.) - X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ -0 units amt. Commerical( per 'sq . f t. ) sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid pr-;:.07-- to r=o-to issuance of the permit. APPLICANT DATE l 6 - -7 - �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSO P9 RCEL y{�+BER 2 l/ U Oa• ZONING - BUILDING PERMIT OWNER LOIti/5 �5A�10�C'�- �Ru6E�- TEL PNON 3�S/o�j SO . FT. OCC. BUILDING VALUATION OWNER'S �O 55 5 0�-3 t CONT T°�Oij'S NAME ggy39S.s' C c5; (,A,( 5 Fireplace CONSTRUCTION ewElR � � 14 alb - „q� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ Z Z .5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $102 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILQ�NG ADp7;r G (c/( (///,/%J,Z tJ( Permit fee $ 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 ED""' SF Duplex[] Mobilehome❑ Other ED SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 _ TYPE OF WORK New ❑ Addition Ej�r' Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license Is In full force and effect. License No. g03/7o 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 Main service 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP.6\ OR ADONS. A BLOGS. // 3.66 Sq.ft.CC. NEW CONSTR UL [.OUTLET NO N -RE SIC. BRANCH CIRCU ITS @ 5.00( POWER APPARATUS e) -SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76d S. Ex. OCCUp. OUTLETS FIXED APPRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g O� '15.00 `$ _ Permit Fee $ .i%D WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EW,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 Filing Fee I .00 Heating Coolin 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.occ 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 againgt-!§ipId-Counntty in c e% ce of the granting of this permit. L / Xf� S� "� Date wT (o �L Signature of Applicant - Owner [D""' 9 pP ❑ Contractor Agent ❑ - An OSHA ion of structures toverr3gstories ineheigvhttions over 5'l1" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ •3 CONST TYPE TOTAL FEES ?/ O 31 - I I HAz 1 0 FEESJ IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ,_ , ing permit applicatioa� at 9 IIA -Z-`1 1-,Aj A.P. #Q// " D 9,)' o2Kfor Gr-eaz does not equal or exceed the definition of "Substantial Improvement."# I am aware the building site'is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS /7Z y PHONE NO.�� DATE *Substantial improvement is defined as follows: Any repair, reconstruc tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement. or repair is started, or (b) if the structure has been.damaged, and is being restored, before:=the damage occurred. NOTE: Documentation may be -required to substantiate costs. f p (:= 17`75 17-7� r 115 � Fog- 12 SGOf'E- `f-22 f'/F Fon 13�q x ll��g b - q M Mprx ^ 1&50-5 FT- LG S ,z 2 x gg 4a- VM,",x 4 f � 2 x 39 s �s� LP1s _ 0 el /1/d x l l r M/-/ZO CA'wI 5 Pc 4(6 ,.y4[' 1"`i�,'C�C 2i, �� •g^ i4"7\� +,,�rmr�Ra+--. �.�y�-.rn5i�-"+r,' e�''r�"Vr"'x1�'t�p7�.eN�tl*,�;:r�`r'sr+-•r•',K`- .r.».,,rr � r^-�.+i�'^.�-r'••�; . . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) r, School District Building DepartmentmNo. A.P. Number O 1 1 ' Oq0 - 02g Jurisdiction 0 City 0 County Property Owner kh,wV4& ..:} Propertylocation/Address Subdivison Lot No. Residential Development 0 Sq. Footage Q a 5 No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage 1 New Addition (Including Exterior I i• Roofed Areas) Building Department District Identification No. (Street Address) Date ool District certifies that ustQcA/l J (Applicant) a9y-395 (Phone Number) C, K (City) (State). (Zip Code) has complied with the requirements of Resolution No. _ yCj, -� N by payment of $ representing _4D square feet. School Distract Representative Paid by Check Number Ai �Q Bank Number _ °Paid by Cash z___ Date Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEdA),-this project may be subject to additional school fees to fully mitioate its impact on the school districts schools -i, White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ADDITIONS TO RESIDEl`Tr AL BUILDINGS ENMGY SHEET PACKAGE "A" (Addi tions) Owner k. e U r. a -L - `Climate Zone i 1 Permit # Q Z- 3!; Z Floor Area �2 5 The following data showing mandatory -and required„featu=es of Package "A" shall be installed for.addi.tions;.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. ZONE 11 ZONE 16, APPLIES TO NEW AREA SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density). R-38 R-19 R-19 R-7 U-.65 (Dual) -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 VMAXIMUM—GIXZING=167 OF AREA PLUS—REMOVED=GLAZING NEW HEATING VENTILATING _AIR CONDITIONING AND HOT WATER SYSTEMS IN, CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS*SHOWN ON BACK OF THIS SHEET. OTHER 12/85 R-30 CEILING R-11„ WALL ,FLOOR SLAB R-7 GLAZING SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density). R-38 R-19 R-19 R-7 U-.65 (Dual) -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 VMAXIMUM—GIXZING=167 OF AREA PLUS—REMOVED=GLAZING NEW HEATING VENTILATING _AIR CONDITIONING AND HOT WATER SYSTEMS IN, CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS*SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 BZATING, VE.MMT.ITING,_AIR CONnT_T_ZONING SY=4 (A) Hsaciag Q Caac--al Cas 7uraaca --� (brand and model number) SE Btu/hr (heating c49acic7) Q Heat Pump ' (brand and modal number) ACOP Bcu/hr (besting capacity ac 47'7) Q Active Solas type (liquid or air) Collaccgr brand and ft model number Solar fraction collector area collector orientation collector tilt raced y-incarcapc raced slope Q Other (describe) *I (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity ac 9507) Q Electric Heat Pump EE8 Btu/hr (cooling capacity ac 95'7) Q Ocher (describe) DOMESTIC WATER SYSZr:! Q (d) Gas Only Gallons (brand and model number) (tank size) C3 Haat Pump w/Electric Bacicup (brand and model number) Gallons (tank size) Q *2 Active Solar (collector brand and modal number) (raced 7•incarcapc) (racad slope) (solar fraction) 2 ft (backup beater type, brand and model number) (collector area) (collec=or oriancacion) (collector tilt) Q Location of Solar Panels Q: Other (Describe) *I Submit documencac:no of sizing heating and cooling equipment by ftoual J, sizing cbarss (farm #4) or ocher approved mechods, section 2-5352(8), and fill out the following: Heating: Winter design camperacure •, elevation ', heating load 3T4 elevation factor z heating load - maximum outlet capacity gas furnace 3TU Cooling: Seamier desiga temperature •, cooling load 3TU *Z Submit T.I.P.S.E. chart"or ocher approved system (form M) to document sizing of solar panels. DESIn COMPT-TANCr STATy2tt: The above building design meats the requirements of Ticle 24, Part 2, Chapcar 2-53 of cha Californ Administration Coda. SIGUATURE OF 3UILDI,iG OESIMMI OR APPLICA.Yr 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR' Stairway details: landings, rise..and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). L-4-. Exterior plaster - weep screeds (Sec. 4706). ,3: Proper roof pitch for roof convering (Chapter 32). v6: Roof covering type - (fire hazard).. d7�--Foam insulation - protection. A-8: 36" halls and stairways. -Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. —IG—Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). �r Attic access and ventilation (Sec. 3205). e? L,-ff. Underfloor access and ventilation (Sec. 2516). o -13. Combustion air for fuel.burning appliances - L.P.G. requirements. •-M-.. Noise requirements on duplexes. --l-5- Energy design. vY6�Flashing at all exterior openings. --17'CDF responsible area requirements. I• . lh. �c IsfVY1c 5- J I- CL � � u�por elood 7 YU- S7 dlLLh� °Yi f. ,,. o 1 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 92 - 31-S6 OWNER kOuroee A.P. # ill-nq�-D2® Plan Checker_ i4cu GENERAL vY. Zoning requirements: (sideyards and number of permitted living_units). 2. Valuation. Ne&fb t*Lw maa_waA-&m-Go 4 KALIJ CaJUR& AAa.t ,p4 �, WX 4p,,tKQ4AJ polkpk,a 3: Plans signed by designer. Proper description of work on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN 'T. Complete parcel size and dimensions. -2: Setbacks, sideyards, easements, etc. Other. buildings or structures.)t t& /t -giw J dOAOI L.OW 101& plan Grading, fills, drainage. 5 Flood hazard. Sly FkOd 01x6 n 6. Special conditions on creation map, (noise, CDF, fire -sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. --8-. Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. P P ?l.Z��.���p��JIQ/!7 kJ�Gr/1�A2��G�OdL�G.ce� • Required windows for light and ventilation (Sec. 120 , 3. Required windows for second exit (Sec. 1204) . nkAa Skylights (Chapter 34 & Sec. 5207) . p(44 Zc jegd la a kp { w� L5- Human impact glass (Sec. 5406). "fS. Required room sizes, ceiling heights (Sec. 1207). -7: GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). ,SJ Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). r.Yr 1 - 3`0" exterior exit door (sec. 3304 (f). -1-2: Fireplace and wood stove location, alcoves, and clearance. 1k3: Smoke detectors (Sec. 1210). X4'. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS .-I—Standard bracing or engineered design (Table 25V) -2' Unusual shape, size, or split level house requiring lateral design. 3-. Clerestory requiring balloon framing and/or engineering. ._1+- Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. �9- Fireplace construction details and calcs if necessary. -10- Rafter ties or bearing ridge beam. -1-1. Garage door or porch header sizes. -T2:" Stud heights. i3 -.-Adobe soils - special foundation design. -Retaining walls requiring design. --15-.-Special Inspection required. FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at A.P. # for does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS PHONE NO.. DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is_be,ing restored, before the damage occurred. - NOTE:. Documentation may be required to substantiate costs. LONGFELLOW LUMBER CO. INC. 89 Loren Avenue _-. Chico, CA 95928-7434 (916)'893-0112 - FAX (916) 893-0140 PRELIMINARY NOTICE INFORMATION DATE Klz NOTICE . CONSTRUCTION LENDER. ESTIMATED TOTAL PRICE OF MATERIALS $ �. U 5 Certificate of Compliance: Residential Project Address p d - Co zntatlon Author xl ance Method (Packs e. Point $vstem or ComDut (Page 1 of 2) CF -IR Dace 1 q'' Building Permit N Telephone C Z— Checked By / Date Climate Zone Enforcement Agency Use Only. GENERAL INFORMATION Total Conditioned Floor Area: ft2 Building Type: X Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories)Existing-Plus-Addition 1-4 Front Entry Orientation: North / East/ She ilEtf / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slab / � ed dr (circle one or both) .Infiltration Control: Standard/Tight (circle one) BUILDING SHELL INSULATION Component Insulation . Location/Comments Type R -Value (attic, to garage, typical,.eti Wall...... ... Wall .............. 1 Roof ............. Roof ............. Floor ............. tZ i Floor ............. Slab Edge..... GLAZING Glazing Area Orientation (sf) Glass Type Interior (single, double) (roller bli Front... (�)-'4A A�— Front.... ( ) Left...... (1J) Left...... ( ) Rear..... M Z. Rear..... = Right.... C� o y Right.... ( ) Skylight....... Skylight....... Shading Devices Exterior Overhang Framing Type THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc) (sf) (inches) Location/Description (kitchen, bath, etc.) s-rIK_a (6u1 tai yuuuiug "ULU Glass Area Glass Percent Condit' 'Floor Area Number of Stories North_�S Slab ise Floor East. O Check all applicable unit conditions: Sou►h Single Family Detached ( Addition alone West ( ) Single Family Attached D04—Existing building Skylight ( ) Multi -Family ( ) Existing. -plus addition Total — Score Card Measures Exterior W I Mass(o) Point Scores 1. Ceiling Insulation or i b G d i Z a8) U-value(0.030) l-7 =. /lue(3 2. Wall Insulation 1 I or o� duct a (. 8) ective or I -va ue� -va ue(. ) (072/66.6) 3. Raised Floor q ' 1 12. Cooling System 0iJ " l 01-74 Insulation or x _ R-value(19) U-value(0.037) Zonal control? (Y/N) SEE 4. Slab Edge Effective SEER 13.Water Heating �/� i Insulation or (7.03) -values e(none) -9 value .77) yperT (� 5. Infiltration Form Revised March 1988 pec. Stan a I 6. Glass Heat Loss T� or �� /�0 pe ou a -va ue(07B)otal�Percent Glass(16%) 7.Shading(shade open) %Glass North SC 0/ Eff % Glass —, x P ` East -- x South �_ x West _�� x = =_ Skylight x - 8.Shading(shade closed) %Glass North x East �_ x SC o, r Eff % Glass r 5 South x �- West x Skylight x - 9. Interior Thermal Mass Interior Mass/CFA l0.Exterior Thermal Mass Points Total Exterior W I Mass(o) 11.Heating System i b G d x l-7 =. Zonal control? (Y/N) o� duct a (. 8) ective or (072/66.6) HSPF(0.56/5.15) 12. Cooling System 0iJ " l 01-74 7"03 x _ Zonal control? (Y/N) SEE duct eff(0.74) Effective SEER 13.Water Heating �/� i (7.03) yperT (� Credi— t(o e) Form Revised March 1988 Points Total Certificate of Compliance: Residential L (Page 1 of 2) CF -1R Date qv ProJectAddress 1 clt�� (jly Building Permit N / Documentation Author O Telephone lephon Checked By / Date 2 Compliance Method (Package, Point System or Canputer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: Zft2 Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition — Front Entry Orientation: North / East Sou / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slab / ' ed Floo (circle one or both) Infiltration Control: tarda fight (circle one) BUILDING SHELL INSULATION Component, Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. ",i 10 I C 14 Wall .............. St Roof ............. . Roof ............. Floor ............. -E;`/ 21G Floor ............. - Slab Edge ..... GLAZING Glazing Area Glass Type Orientation. s (single. double) Front.... (5) 16-b_ Front.... ( ) Left...... (W) (4,, -- 4.SLeft...... Left ......1 ( ) Rear..... (N) / I zS 5 Rear..... ( ) Right.... ( ) 23 .75 1AKxUT - Right.... ( ) Skylight.....:. aW Skylight....... Shading Devices Interior Exterior (roller blind, etc.) (shadescre etc.) Overhang Framing Type THERMAL MASS Type/Covering Area Thickness (slab/exposed tile, etc) (Sf) (inches) Location/Description (kitchen, bath, etc. 5 stemSummar :ClimateZonell Lf w IS ate w ing ata Conditiorled Floor Area Humber of Stories Slab/Raised Floor Check all applicable unit conditions: XSingle Family Detached ( ) Addition alone ( ) Single Family Attached ( ) Existing building ( ) Multi -Family Existing -plus addition Glass Area North! East Glass, Percent South West Skylight Total__7.,t --- D!L — Score Card Measures Point Scores T. Ceiling Insulation_ �% � or 2__ Value 38 ( ) U-value(0.030) 2. Wall Insulation or -va ue -va ue ) 3. Raised Floor q Insulation t or -value(1)-va)�0•037) 4. Slab Edge _ Insulation or T--value(none) �v[� ajue(0•77) 5. Infiltration pec. Stan a 6. Glass Heat Loss or Type(do a -va ue ) i 7-Shading(shade open) %Glass SC North 6 x East x _ South x _ West x _ Skylight x _ 8-Shading(shade closed) %Glass SC North (� x East x —_ South x _ West d• x _ Skylight_ x _ 9. Interior Thermal Mass Tri—ten—or—Wass/CFA 10 -Exterior Thermal Mass asS((/4` ExteriorWall Mass(o) 11.Heating System x o/7'9 _ Zonal control? (Y/N) duct a 8) — (0.72/6:6) L}�dMlt 12. Cooling System x 0-74 Zonal control? (Y/N) SEER (9-) duct eff(0.74) 13.Water Heating V Type(SG) Credit(none) Form Revised March 1988 1�iY ota ercent Glass(16%) Eff % Glass 4a 3-- Eff % Glass 1 ecUve or HSPF(0.56/5.15) d3 Effective SEER (7.03) Points Total CsJ Sum 1-10 -5,;V _qq It, :,A Certificate of Compliance: Residential (Page 2 of 2) CF -1R -HVAC SYSTEMS Minimum . Duct _ Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh)• (oi approved equal) _ - SSS ►�. W" � 1 G �,A,K. i pK --6 � 330 Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank-Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) -� COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed -to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any. subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built-in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer / / Building Owner Name: I`��' SS 60 t& -e- Name: G k—_ W l S Title/Firm: c4W-r Q, - C. --o LLA12_ r t1 -+'J5 Y Title/Firm: CrW- r&X- Address: yy9,<' W/LIA'W SPie tJ/,5 ft.D Address: B 4::6� S L1�1 Telephone: lag • 3q!S - Telephone: Lic. #: D a (signature) (date) (signature) (date) Documentation Author f.' �/ Enforcement Agency W Name: O �/V `--'"`� Name: Title/Firm: Vt Agency-- Address: gency:Address: &sme Gr Telephone: L Telephone: —OF, CL (signature) date) (signature or stamp) (date) ` Fom► Revised March 1988 Mandatory Measures Checklist: Residential MF -1R 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 binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures k * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. *.§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does, not apply to exterior mass walls): §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality _ standards: §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2 No ti b con nuous urnrng gas pilots allowed. HVAC and Plumbing System Measures - §1 -5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating_ piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Oa/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520: Lighting - 251umens/watt or greater for -general lighting in kitchens and bathrooms.( §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 DESIGNER ENFORCEMENT 0 0 0 Weighted Averages Item Type 1 Typel Type2 Type3 Weighted Type3 Total Average- --------------------------------------------------------x I�VJCs-f—p�2r t� +( <c—)xC----) + + Weighted Averages Item Type 1 '1j pel Type2 Type2 Type3 Weighted Type3 Baal Average No Value Area Value Area Value Area Area Value XLIL4 + LS + + �c EXU + c EXU + Weighted Averages Weighted Item Type 1 Typel Type2 Type2 Type3 Type3 Thtal Average No Value Area Value Area Value Area Area Value Insulation Certificate Number and Street City' County Subdivision Lot Number ROOF Material I Thickness (inches) Description of Installation Brand Name Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name ' Thickness (inches) Thermal Resistance (R -Value) l CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft Ib - Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR - Material - Brand Name Thickness (inches) ' -Thermal Resistance (R -Value) _ SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL - Material Thickness (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. —7U General Contractor (Builder) License Number Signature and Title Date Sub -Contractor (Insulation. 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'' T1�.' ►�.._—���' r rte... ,�. �.. / %>< G.lc.� U.t�_._� k1 l� e_.,l � �,J , 1 tiJG ii r I (/�: ��tn.�.-C� l�� 1'' l� i✓l� �O Gt 1 t'. f: C. r't'!-------f -- Oil.1 "ID ! I,�..��o Vim., � �.c.. ��' i't �� a,,.+.,�� _ � .� � �X � w �., • � ,�,_ , . t--ILO _J- ' I �` �'r c�-,-,.«,i t•�`v�Y" �'� 1'l 7,305 ---------- i..—_ i. �'LQa� Glh_e_G`----_...-----._.�lS;f'�k__ .��1,¢-v�Utn/t._, ��'v�c-r•c�i-e_-_ (,,�:w�...... ..___..---__��,r.. i� P/X�5T7 !4 e7L �U Re—Ce—o"F D 5;-6o 0D/�y� �! lJ0LA. o G%i c;t; �/, r� .� r .�, mac_. ,1,t5 I���C�., 1 — - rV+ .7,.1 i . Ii l �j I Gt/�(G•� E Q9 7 / J24 C')- f--70 �''✓" �' �� �A� �f Com•-� `�-G✓ ��.v c.� �_. � ��.:_�' .tf� �"�� _ do-oY 7v ��� !•' S ,: `i�?•-f' `]L. / 0. / [` A !_or/?�1 .�!����� -- ` Z ; 7 f 1"IAJ %%liG Al f b aY ea�en,r4--o Lc - - i e.-�o V-, �(� • vi � G{IAC,v>7S � �e�.�.c��35�— � � ort� r�S / /lG�i��K � / � �I,+'r_. i�••v a r ►�h, r-�.. 1 i-Q LLP- els -� jY l4t1 GanCt I S 561 0�� G%�o " ►� � 1 �. Gi.riG� 'i✓rte) LG i Nl5 Nl G R.4�L> 1 r� C A...-r e e, c. ..c _ <.: ' t 4'L Q-41i t,,u cry fes. 4-1.7 - (' � F'�o`6�.l.1� G( V-o�C.�.t..G\.— GIS 1'L�_C_�. ��� ��t: j •t._y �� l� c•�.l 1-� l.�J ct�T'�--'tr Vic nZ-7I i 1� LOAN -yP -r- il 6 i %l.P�w (/V o`% k. 6 L e..Gl. 11l• r:� rt, IriGl I e 1 1 1691 i ( ` I �I L8 i ;---�------- -- uv i� i� c+o•-e_ 1,�+-�---N� �oc�,Sc.. ISI i'"A��l } _ '�O11-C9J-028 - -498-2558 -- RESIDENTIAL' KRUGER, LEWIS & ANDRA 8 LAZY S LANE, CHICO _ RUSS'COLLAR MOVE BATH TO MSTR FEDRO( t PERMIT NO. PERMIT EXPIRES OWNER / { CONTR. = ASSESSOR PARCEL ti. LOCATION { T ,i 1' t ' y SC - I = CHECKED SRA BY FLOOD CERTIFICATE REQ.. 1, FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY .l Temp. Power Pole Called PG&E Temp. Elec. Service t Called PG&E Temp. Gas Service Called PG&E A91 —1-9f r4OB FINALED (Date) -- < Signature } �= OK O = Not OK ' = NotApplicable ady NoReady HOMES' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnecbonsSplice-Decal-Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-Testa/Vrap; / ^:tt / /Nat. or/ /"L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing VeneerShxxm-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandValve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pod Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod LBhtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnecbonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerShxxm-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod LBhtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL - = Not Applicable * = Not Ready Date ,,UNDER OR (Plans) OK except #'s Zon' g`-Setbacks-Easments-FloodSlope fg., Main; Soils Elec. /e /Fig. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftlq. Porches &Decks; Soils -Steel-/ P Ftg. Depth Ao*ltemwalls, Main; Steel-Blockouts-Wrapped (Single & Duplex) 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8 i -Fireplace Ftg.-Steel WV.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. 1 J^ater OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Pipe; Test -Anchors -Regulator -Service Test �D 12. Electric Underground 13 Pienums & Ducts; Clearance -Material -Support -ins. 1 Hers -Sills -Anchor Bolts-Joistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Date'' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. ate .-, Vent -Access -Combustion Air Baffle 1 atW.Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection Showe an; Test First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 59. Shear ; Nailing -Bolts 60. B e Interior / Exterior Wall Panels Date `?.,,_q q Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date LECT.RICAL (Permit) OK except #'s F re & Transformer Clearance -Ins. Protection E . Reqptacles Spacing -Lights & Switches at Doors - Si es No. of Conductors Stapled 2&.-'R?.ra4stalled Close to Edge of Studs & C.J. 2 . quip._ Ground made up w/Mech Fastners-Bond Gas & Water 2 .. ce Circuts In I c en c or Ize GFI u I u or AI-A.C. Wire Size / / ga Cu or AI —A] -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 3 Iser Conductors & Ground -Main Disconect 32, ces anels- otors- ec p 33. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'a A.C. its Insulation & Support 36,-Yd'nt Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Y4?-qj Card B-1° Date Card B-1 Date Card B-1 Date Card B-1 Date '!!:� i2AMING (Plans) OK except #'s 40 its Proper Materials & Anchors 41. }Wall;.8 tt"ids-Nailing Spacing & Braces -Plates -Sound 42. jWaring Walls over Girders & Floor Nailing 417 D top in Walls (rat proof) 6 e Stoos. Furred CeilinasStairs-Chasers-Tubs 48: Headers & Beams -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cling. Jois ftr. Tie urlin-roff Brac.-Truss-Shting.-Ring. Irep a earance otbili n- r�a�[Stop Ins. Baffles IV Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions '. 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. g- ailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Vid 58. Glazing Area -glass Protection -Skylights -Plastic 59. Shear ; Nailing -Bolts 60. B e Interior / Exterior Wall Panels Insulation -Walls -Ceilings iv 62. Infiltration -Walls -Windows Date1 •.t'? - Card 13-1 CIO Date Card B-1 Date Carl Date Card B-1 Date AINAL (PI ) OK except #'s 63*"Ext'Door & Sidelight Protection -Landings 61,elmoke Detector 65. `l Fumace; ents- onector- ove oor- ucts- ec otection 9"`^ " Exiting G.F.I. & Bath Fixtures & Tub Access -Spa ec.Tri & Subpanel a er Sizes & Labe it 70 erepMM-67`S 'CWRMML-� 7 72. Ki ance 73 7n 7 Eler OuH�B Reeeptieales•eNrit 6euat Fire neeP e..: I ading ^1osure age- a 7 V. 1 72 Plh Flex & Mc+rh Frniin I icfnrl 1nr I rr�Knn 78 tection Insulation -Foam -Look ttic No—luard rails & Construction -Post Caps 8 Fdn. VBents & Crawl Hole Door Drainaq�,& Wood -Earth Clearance Looked under Yes 8$ilCCSJmit Disconnect, Electrical -Plumbing 85e7ent4Ab6ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86ewater , Disconnect, Electrical, Plumbing 87 terio . Trim, G.F.I. Receptacle -Underground 88 ntilation Throuaht House X C2!nons from Previous Inspections 911'_G- _4s -rest -Meters Tagged, Gas -Electric 9e- Wate!J4.816wer Connected -C/O to Grade -HD Approval 93 ergy Compliance Certificate -Other Certificates Date )Vj_gq Card B-1Va Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: { COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive - Oroville, CA • (530) 538-7541 CORRECTION NOTICE — M, I A C' 17F- J57se OWNER 4PERMIT NO. A routine inspection indicates -that the following violations of butte county Ordinances exist at the above address anti -should be corrected. Please notice this office when correction of work is completed. I ou have any questions pertaining to this matter, or need additional explanation, please c act this office immediately. I!k AtA--) 9j 1 Date 2' 1 / 7 Inspector REV 10/92 LOERKE INSU INSULATION CERTIFICATE Chico — - City ounty Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. Ib. Minimum Thickness Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5" 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 6.5" 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) inches. Brand Name Johns Manville Thermal Resistance (R -Value) R13 Brand Name Johns Manville Thermal Resistance (R -Value) R19 Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) DECLARATION I hereby certify that the yabove insulation was installed in the building at the above location in conformance with the Indicated on the Certificate of for residential whedre applicable. e4,Part.6, California Code of C.L.#499150 LOERKE INSULATION CO., INC. contracoro.aOns a mg u mtem Signature, ate General Contractor (Co. Name) Or Owner Item s i� t re, ate or Co. ame Or General ontractor (Co. ame) Or Owner tem #s Signature, Datenstallmg Subcontractor (Co. Name Or General Contractor(Co. ame) Or Owner ;r ' -,COUNTY OF BUTTE - EtPAR17MEfi OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11-090-028 ZONING SR -1 BUILDING PERMIT OWNER KRUGER, LEWIS & SANDRA TELEPHONE SO. FT. OCC. BUILDING VALUATION 224 R 12Q96 OWNERS I81UPE frSt . LANE , CHICO CA 95928 EST 5000-00 O°NT"'O`S"S""ECOLLAR TE°NE8955 CONTRACT4 4R¢2TNG ADDMLOW SPRINGS RD. CHICO I CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 17.096 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $122-85 BUILDINGADDRESS 8 LAZY S. LANE Energy Plan Checking Fee $ CHICO $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition IR Remodel [3 Utilities ❑ Installation ❑ Other ❑ Describe Work: MOVING BATH ADD TO MASTER BEDROOM Gas piping system 1 - 5 outlets 15.00 00 Buildingsewer 15.00 ' Mobile Home I S I G 1W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fLAforce and effect. , /� / -70 License Class LIC. NO. `-+j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of 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 400A TO 46.00so CCU000A NEW CONST. DWF111NG OCCUP. OR ADONS. ( a ACC. BIDS. S° 3.50FT. NNON-RESID. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUn ET CIR. Ex. Occup. OUTLET OR FORUREs BAL @ ':w Ex. Occup. D�IEt°rs RES,p,°FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: JD 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 rformance of the work for which this permit is issued. I 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' compensgtion iinnsurer�ce carrier and policy number are: Carrier 5 fak-„f.{/ Policy Number 07(0 - qlql - (The above sections need not be completed 0 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' laws of California, and agree that if I should become subject to theo workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply o provisions. )a �+�o X Date , ” Signat re of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 2 4.50 9.00 DUCTS PERMIT FEt $ PIP AA Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT L FEE $ 5Z81 5 :HAZ. D. FEES IMP FLAOD CDF P C PO HD ASUecompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date D to Receipt No. 1fi0 70 119 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - ./� f -w. 7�. ..!', ..i= .4 ry.i IY1..t!• i s."-, a:..y. �. i.i.i S ' COUNTY OF BUTTE- DEPARTMLNT OF DEVELOPMENT SERVICES -,BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET nwNR.R- Lr -,j I %R- S-rl, L ARRRRRnR PARrFT mTTAARFR• H _ (79 o -. r)7 f:2, Proposed Building Use: S Building Inspector: c-- ' Date: I I/ I/ -Te At time of permit applicatio 6, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E13. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans: ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 1 pact fees as shown on the attached schedule. ----- SL -k 4-1-1- 1 _ of!_1�------------------------------- -- %alifornia Department of Forestry plan approval/fees.------------ ?0,4- = � 4=elevation certificate. ---------------------------------------------------------------------------------------- 4. Son and plot plan approval �� �' Health Department. -----ID -- l � — Z �--------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ;!(Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ;02.1'0wner;Builder Verification (Given to owner El, Mailed to owner 0) - -------------------------------------- 024 `�Uttec of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner/11 Mail to contractor ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: �7�j (& ff//,t/ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polllhtion bate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 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 DP 'on counter, by Date: Plans reviewed by: Date: Plans approved by: !ff:t2 Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 4, f E.H. USE ONLY Plot Plan Attached Floor Plan Ac had A Sent to B.D� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance k ru�,r 8 �Zy S LN• /� o90-oz� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well � Clearance for-dwe4i.Rg. Other C/a ,� /,rte, ��/,/� o� 4W Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date COUNTY OF BUTTE - DEPARTMAT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Orville, California 95965 - Telephone (530) 538-7541PERMIT NO. LRev.12/96) APPLICATION AND PERMIT 1! g"G?5y ASSESSOR PARCEL NUMBER ZoNiNG BUILDING PERMIT OWNE/R'' TELEPHONE SO. FT. OCC. BUILDING VALUATION L OWNERSLINO ADDRESS iia1,L,/ S G IS C c? C4 V� 2 c� oa CONTRACTOR'S NAME I a A lIYY�`JJ f `- T6 y 3 y5 S CONTRACTOR'S MAILING ADD, ,RECO 4112 57cAA«,- 75 CONSTRUCTION LENDER Fire lace LENDER'S MAILING ADDRESS Total Valuation $ 7 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAJUNG ADDRESS Plan Checking Fee BUILDING ADDRESS Energy Plan Checking Fee $ $ /r PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 / y USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 f r Each as water heater or vent 15.00 S— TYPE OF WORK New ❑ Addition <Remodel ❑ UtiGtieas ❑ Inststlation ❑ Other ❑ 'Y%Ud/i' �,4p�1 f -n % /yj�d Describe pWork: � d[� fd P�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t ELECTRICAL PERMIT I Fling Fee 20.00 LESS Main Service = oA 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. 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. ❑ 1, 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 0 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 lt 1 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. Main Service 200A TO 1000A 46.00 _ NEW CONST. OWELLNG OCCUP. SO OR ADONS. ; Acc. BSB. 3.5¢FT: NON.RESID. MULTI OtTTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET C0. O1�f °R FDm"'� Ex. Occup. BAkL @ .50 D APOWNER-BUILDER OR Ex. Occu . ounFrs (PRL.1o.1EEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 `z PERMIT FEE t 1,5 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation %� 7 ' PERMIT FEt $ Mobile Home Installation Fee S Energy Inspection Fee I $ ql-- occ CONST. TYPE TOTAL FEES 5`6 v - 8� HAz. D. PEES IMP I PLOOD CDP PARCEL PD I NO I ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date PaW ReceiptNo. '2-70-20)(P WHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I t --�FROrOsF.a AQDITIO[� l o, c., t o VI A. y L ani, LAOa I 4c).c,>'