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022-330-023
............ AP 22-33-23 Ira M. Jensen 22-33-23 0 Pss S/S Macedo, O1W -6f West Biggs Gridley Permit#1492-88E(ele fo ell & f ur lot development) --22- AMES W R06-1 S/S c�, OW Biggs C ley fj 377 F ur 22733-23 .43519-90 DALRYMPLE, Mark w __. OIJ Mark Grid 425 M&cedo, Grid (new sf) l� 0 0 I I RECORDING REQUESTED BY h BIDWELL TITLE & ESCROW COMPANY ORDER # 4-151430 AND WHEN RECORDED MAIL TO Name Mr. & Mrs. Mark Dalrymple street526 Social Hall Road Address Gridley, Ca. 95948 City s State MAIL TAX STATEMENTS TO F Name same as above Street Address City 8 L State APk Individ 022-330-023 THIS FORM FURNISHED 90-03399 i R e c Fee 7.00r DOC 35.20 me co ded Check 42.20 Official�Records r County 'of Butte Candace J1. Grubbs l Recorder 8:OOam 114 -Dec -90 I CD I SPACE ABOVE THIS LINE FOR RECORDER'S USE ual Grant Deed BY BIDWELL TITLE &'ESCROW COMPANY 2 The undersigned grantor(s) declare(s): I TRANSFER Documentary transfer tax is $ 35.20 ! �q�( pglp ( X ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( X ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LANTZ STEADMAN and DANA STEADMAN, husband and wife, ' hereby GRANT(S) to i MARK DALRYMPLE and CINDY DALRYMPLE, husband and wife as Joint Tenants the following described real property in the ( ! County of Butte , State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF I i Dated: December 6, 1990 STATE OF CALIFORNIA COUNTY OF -tt:� }SS. On ►, ('�n,i��;r n (a I q before me, the undersigned, a Notary Public in and for said State, personally appeared ,S -t> C,&M0-, ,) personally known to me or proved to me on the basis of sat- isfactory evidence to be the person_ whose name C.�z subscribed to the within instrument and acknowledged that executed the same. WITNESS my hand and official seal. i IN I OFFICIAL SEAL KEMED L. BLEDSOE s NOTRRYPUBLIC CALIFORNIA 3 - Name Mr. & Mrs. Mark Dalrymple street526 Social Hall Road Address Gridley, Ca. 95948 City s State MAIL TAX STATEMENTS TO F Name same as above Street Address City 8 L State APk Individ 022-330-023 THIS FORM FURNISHED 90-03399 i R e c Fee 7.00r DOC 35.20 me co ded Check 42.20 Official�Records r County 'of Butte Candace J1. Grubbs l Recorder 8:OOam 114 -Dec -90 I CD I SPACE ABOVE THIS LINE FOR RECORDER'S USE ual Grant Deed BY BIDWELL TITLE &'ESCROW COMPANY 2 The undersigned grantor(s) declare(s): I TRANSFER Documentary transfer tax is $ 35.20 ! �q�( pglp ( X ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( X ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LANTZ STEADMAN and DANA STEADMAN, husband and wife, ' hereby GRANT(S) to i MARK DALRYMPLE and CINDY DALRYMPLE, husband and wife as Joint Tenants the following described real property in the ( ! County of Butte , State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF I i Dated: December 6, 1990 STATE OF CALIFORNIA COUNTY OF -tt:� }SS. On ►, ('�n,i��;r n (a I q before me, the undersigned, a Notary Public in and for said State, personally appeared ,S -t> C,&M0-, ,) personally known to me or proved to me on the basis of sat- isfactory evidence to be the person_ whose name C.�z subscribed to the within instrument and acknowledged that executed the same. WITNESS my hand and official seal. i IN I OFFICIAL SEAL KEMED L. BLEDSOE s NOTRRYPUBLIC CALIFORNIA °At,Fo;N;. BUTTE COUNTY Niy Comm. Expires Feb. 1, 1993 (This area for official notarial seal) FORM #13TE-DED-05 (2500 5190) MAIL TAX STATEMENTS AS DIRECTED ABOVE =XFiIBIT A 1 The land referred to herein is described as follows: property situate in the County of Butte, State of as follows: Order No. 4-151430 All that certain real California, described PARCEL I: i ' f Gridley Colony No. 11, as shown on the official map A portion of Lot 12 o thereof filed in the office of the recorder of the County of Butte, of California on May 12, 1908 8lin Map Book 6 iat page 56 and more particularly described Commencing at the Northeast corner of said Lot 12'249 cefSoutht00 171ce West along the East line of said Lot 12, a distance orth 89° 32' West a distance of 150"fe t t true point of beo the point of ginning South 0°inning for the 117' herein described; thence leaving West a distance of 45 feet thence WestNorth and parallel thedistance of 15 feet to a point; thence South 00 17 Easterly line of said Lot 12, a distance of 180 feet to apoint;thence North 0° North 89° 32' West a distance of 149.10 feet to a point; thence 17' East a distance opf 225.0thence South8932 feet to a ot aEasta distance tbears °of2164e10 st from the point of beginning; � feet to the point of beginning. PARCEL II: A.Right of Way for road nuthate�fficial Mapacross a ortion thereoff filedLot 2inftheldley office of Colony No. 11 as shown o the Recorder of the County of Butte, State,of California, on May 12, 1908 in Map Book 6 at page 56 and more patticularly described as follows: COMMENCING at the Northeast corner fGridley colony County Road whichlis thence North 890 53' West along the centerline of a also-the Northerly line of said Lot 12, a distance of 289.00 feet to the true point of beginning for this description; thence from said point of beginning South 0° 17' West, a distance of 247.63 feet to the Southerly line of that certain parcel of land describedin Deed drfro10m John1974 . Johnson, et ux to Department of Veterans Affairs, dated recorded October 22, 1974 in Book', thence atfacrighteangle North1194611 of ofiial Rcords at g89°153' records of Butte County, California; of Vterans Afars West, along the Sou the25Yfeetline thengeof saidate a-rightDpartmentangleeparallelftolthe East parcel,,a distance of line of,said Lot 12, South 171West a arallel with athe North li nce of 60 feete�ofhsaid tot a right angle North 89 53 West, P 12, a distance of 35 feet; thence Nor th3ofeet to171 sthe centerlinet, parallel tts1 ofsaid line of said Lot 12, a distance of 307.6_ County Road; thence South 89°,ofaterminoustforeof this6descriptionthe true point of beginning and the point AP No. 022-330-023 CGRr�. W..L/ Ex. ��// CAT. NO. NNO631 TO 19477 CA (3-86) �iJ TICOR TITLE INSURANCE (Attorney in Fact—Individual) STATE OF CALIFORNIA COUNTY OF 17�`D } SS' On Op 0o / y' CJ bef r< said State, personally appeared personally known to me or proved to me on a basis of subscribed tq� the with strum nt as the Attorney —in fact of is JC.zy)q �Z`D f�nvk3no.., and acknowledged to me that _ subscribed the name of �Qma �5__U �'.L'ma A, -.j thereto as principal and -J,) own name — as Attorney in fact. WITNESS my hand and official seal. Signature,� I the undersigned, a Notary Public in and for � evidence to be the person whose name Esq,•, • OFFICIAL, SEAL ry REBECCA L. BLEDSOE NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY +41FORN" My Comm. Expires Feb. 1,1993 RDOforpofficCUnotarial MENTI) 9 1 -005 72 SCHEDULE C ' N$' I! ' k' , w I The land referred to herein is described as follows: Order No. 4-151430 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: .� T. A portion of Lot 12 of Gridley Colony No. ll,rc^ias.shown on the official map thereof filed in the office of the recorder of the County of Butte, State of California on May 12, 1908 in Map Book 6 at page 56 and more particularly described as follows: Commencing at the Northeast corner of said Lot'12;'thence South 00 17' West along the East line of said Lot 12, a distance of'- 249.55 feet; thence North 89° 32' West a distance of 150 feet to the point of beginning for the land herein described; thence leaving said true point of beginning South 0° 17' West a distance of 45 feet to a point; thence North 890 32' West a distance of 15 feet to a point; thence South 00 17' West and parallel to the Easterly line of said Lot 12, a distance of 180 feet to a point; thence North 89° 32' West a distance of 149.10 feet to a point; thence North 00 17' East a distance opf 225.0 feet to a point that bears North 890 32' West from the point of beginning; thence South 890 32' East a distance of 164.10 feet to the point of beginning. PARCEL II: A Right of Way for road purposes across a portion of Lot 12 of Gridley Colony No. 11 as shown on that Official Map thereof, filed in the office of the Recorder of the County of Butte, State of California, on May 12, 1908 in Map Book 6 at page 56 and more particularly described as follows: COMMENCING at the Northeast corner of said Lot 12 of Gridley Colony #11 thence North 890 53' West along the centerline of a County Road which is also the Northerly line of said Lot 12, a distance of 289.00 feet to the true point of beginning for this description; thence from said point of beginning South 0° 17' West, a distance of 247.63 feet to the Southerly line of that certain parcel of land described in Deed from John A. Johnson, et ux to Department of Veterans Affairs, dated October 10, 1974 and recorded October 22, 1974 in Book "1946" of Official Records at page "165" records of Butte County, California; thence at a right angle North 89° 53' West, along the Southerly line of said Department of Veterans Affairs parcel, a distance of 25 feet, thence at a right angle parallel to the East line of said Lot 12, South 00 17' West a distance of 60 feet, thence at a right angle North 890 53' West, parallel with the North line of said Lot 12, a distance of 35 feet; thence North 00 17' East, parallel with the East line of said Lot 12, a distance of 307.63 feet to the centerline of said County Road; thence South 890 53' East, a distance of 60 feet to the true point of beginning and the point of terminous for this description. AP No. 022-330-023 iEN® OF DOCUMENT ' t �i �� i �A r • �• , ' t �i �� 1~ 1 — 9 1 T H 11? 1 -� _ w I+hers 1 I T.- C� N . , '•i• C P vt ly • i EN ERCT •Y,,, C• -EP T I F I SCAT I ON LOCATION ---� A.P. NO. ROOF ' .Material_..._ _ - -- - ____� Brand Name-------—--.. Thickness---------- Thermal Resistance (R Value) ----- EXTERIOR TALL Material FIBERGLASS _ _ Brand Name_ CERTAINTEED Thickness (Inches). Thermal Resistance (R Value)19 CEILING Batt 'or Blanket Type FIBERGLASS.' Brand Name CERTAINTEED Thickness (Inches)_ U Thermal Resistance (R Value)3 Loose Fill Type___ rll_gGLASS_�_.. Brand Name_- CERTAINTEED...__.-_.-_-... Minimum Thickness (Inches)tSNo> of Bags L41 Weight/Bag_2 lbs Area Covered (Sq. Ft.) A(oS� Thermal Resistance (R Value)3_$ FLOOR,ELEVATED MaterialFIBERGLASS.-_ ~_ Brand Name_,_ CERTAINTEED Thickness Inches)_ �_ Thermal Resistance (R Value)-__ FLOOR, SLAB Material _ Brand Name___ -- Thickness (Inches) ^— — Thermal Resistance (R Value)—,. - FOUNDATION WALL Material - _ _ Brand Thickness (Inches) _ Thermal Resistance (R Value)__—_ I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE; ABOVE BUILDING IN CONFOR.MA.NCE WITH THE STATE OF CALIFORNIA ENERGY r REQUIREMENTS. HAKINS 1 1Djt.5.jRIE5 ,INC ==— - 379407. Firm Name/Owner State Contractor's License No. ._3! t c 191 _--__—-------- — — Signature Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON' THE BUILDING DEPARTMENT APPROVED PLA148 AND ATTACHMENTS HAVE BEEN INSTALLED AS ,REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. • Firm Name/Owner ---_—_—_-_-._—= Date---_...._..--------•---.__.-- ' Signature Gen. �ontrGtor/Owner Date jx J RESIDENTIAL F22-33-234359 :90B, W, E, M47 T DALRYMPLE,'Mark 425 Macedo, Gridley (new sf) for �oordf kAll� Iv- 101- Wif 0 COPY Address GAS at7 Dti Meter By -OFFICE ELECTRIC Meter By - Date OFFICE COPY Address tl GAS Meter By Date ELECTRIC Date Meter By JOB FINALED (Date) Signature V 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,i _3 196 Memorial Way, Chico — Phone: 891-2751 { 7 County Center Drive, Oroville — Phone: 538-7541 r 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A`L. ay Y�j pig �,3,5 l SzJ OWNER I f PERMIT NO. A routine inspection- indicates that the following violations of County Ordinance exist at the -above address and should be corrected. Please notify this office whencdrrection of work is completed. If you have any question pertaining to this ma er, or ne additional explanation, please, contact this office immediately. 'IWI 4j / nywf C.c., 2ZO-I-t 7 0 fLA S a/� 64-fZ3-� 0`5 v� t Date / V ~ / / Inspector •.0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector 0, �., Date_ I tU X VOK O = Not OK Not = Not ReadKable MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s'` 1. Zoning Rea uire ments-Setbacks-Easements Date Card 6-1 Date Card B-1 M MISCELLANEOUS - Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date card 13-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s _ - 1. Zoning Requirements -Setbacks Easements ` 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 M MISCELLANEOUS - Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 ✓=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (: ' = Date UbMRFLOOR (Plans) OK except #'s 1 oning-Setbacks- Ease men ts-Flood-SI ope on 2. Ftg., Main; Soils-Elec. Grnd.-// tg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ffVAOL 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 66lold Downs and Special Anchors 7 lab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel L,--'-9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Dat Card B -19"J Date Card B-1 Date RYCard B-1 /P/ Date Card B-1 Date PLUMBING (Permit) OK except #'s L/1'6. Water Htr.; Vent -Access -Combustion Air -Baffle t,,f% Water Pipe; [gz& Anchor -Nail Protection y.W.V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access L,Ytas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL RICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection 3. ec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 25 mex Installed Close to Edge of Studs & C.J. y � uip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes ❑ No ervice-Riser Conductors & Ground -Main Disconnect uip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3. moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. C. Ducts Insulation & Support . QA._Vent Fan; Exhaust above insulation L-1-6. Condensate Drain & Overflow; Size & Grade —3Z--F6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet X38: -Attic Access & Platform if Furnance in Attic Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3$,,S>, s, Proper Material & Anchors O."WoUs Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub V44. Headers & Beam -Size & Bearing jingle ,& Duplex) Date 'FRAMING (Continued) angers -Post Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 7. F place Ties or Type A Flue -Fireplace Throat clearance . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing $ 1. Property Line Firewall & Openings %__52-e%C Doors -One T -Check Garage -3rd Story, 2 Exits 53 -Stars; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers L ---Sr ing-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Qlazing Area -Glass Protection -Skylights -Plastic 8. Shear Walls; Nailing -Bolts Insulation -Walls -Ceilings filtration-Walls-e0 -ws l9 Date and B-1 Card B-1 Date -c Card B-1 Date Card B-1 Date FI (Plans) OK except #'s 6 . E�t,gteps-Door & Sidelight Protection -Landings Sm ke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa le rim & Subpanel; Breaker Sizes & Labels airs & Rails ireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 2_1-Efec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer p. arage-Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In arage; Above Floor-Mech. Protection Ib., F jec.-& Mech. Equip. Listed for Location 7 rS_p,geceptacies in Garage; (G.F.I.)-Romex Protection . Insulation -Foam -Looked in Attic 0 Yes LAfT_UffLfRails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Qewance Looked under Floor 0 Y Following instld.; DriveYes o; Walks Yes No; Plan 0 Yes No eco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing dallents Aboya-Roof; Plbg.-Appliance-Fireplace.-Clearance to 80,1%ate fl; Disconnect, Electrical, Plumbing xter.iUf'Elec. Trim; G.F.I. Receptacle -Underground Throuahout House §A:r/Correq14TPs from Previo4slnspoons 9. G t -Meters T d; -EI is ater & Sewer Connected -C/O to Grade -HD Approval nerQy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Dat zi and B-1 Date Card B-1 Dat('CardB 1 Date Card B-1 Com ents at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; Chalifornia,95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 22-33-23 ZONING SR1 BUILDING PERMIT OWNER Mark Dalrymple TELEPHONE 846-6784 SO. FT. OCC. BUILDING VALUATION 2280 R 91 200 OWNER'S MAILING ADDRESS 526 Social Hall Rd Gridley 95948 760 M 10,640 CONTRACTOR'S NAME Owner TELEPHONE 660 Cov 6,600 172 porch 1L720 CONTRACTOR'S MAILING ADDRESS Fireplace Imas 2,500 CONSTRUCTION LENDER UNKNOWN C Total Valuation 112,660 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 465.50 ARCHITECT OR ENGINEER, LICENSE NO. Plan Checking Fee $ 232.75 Energy Plan Checking Fee $ .00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 42 M e Gridley$ Permit fee 723'2 PLUMBING PERMIT Filing Fee 10.00 Each Trap 9 2.00 18,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF 6a Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5-00 Building sewer 5.00 9-00 Mobile Home Is G W 10.00e TYPE OF WORK Ne)KJN Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 bdrm _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10, �� Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license Is In full force and effect. License No. Classification tA 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) El I, as the owner, am exclusively contracting with licensed contract-Mobile ontrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. SLOGS. I 2'/2¢sgft 76.00 TLET NEW CONSTRESID, RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS5) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050C 9AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 10.00 Home Facilities Mobileot- 15.00 Misc. H g 15.00 Permit Fee $ 108.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 91,000 BTU 6.00 Cooling 47,000 BTU 6.00 Hood 3.00 3.00 Ventilation 9.00 permit Fee $ 34.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all It bilities, j)rdg ts, costs, and expenses which may in any way accrue ag t said"Co my Ir co r equenc of the granting of this per�rm��itt."" �� Date/(���/fU Signature of Applicant - A-4 r1% Contractor E]AgentEl An. OSHA permit is required for excavationso " ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FEE $ 943.75 HAz I CUA I PARK I SV 11/ FLD PARI V/ PD HD ISS E This permit is nereby issued under Bions of the utte Col nt ode and/or work i a t abov r hich fees IRECT O PUBLIC By PERMI EXPIR S Date the applicable rovi- resolutions to do have been paid. WORKS ate 8 Receipt No. 84886 - 317.75 --/ DD • WHITE-D.P.W., YELLOW-ASSESSO K -INSPECTOR, GOLDENRO APPLICANT TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Y), A�jj O er Location APS Plan Approved for: Sewaqe Disposal _ Water Supply �( Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobil home Other NOTE Sanitarian COUNTY OF BUTTE - DEPARTMENT -OF --PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-,O,POViLLE,'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET IN Perm'it N o. ? OWNER fC A. P. No. Proposed Building Use NZ-�-� S/ Building Inspector J�� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ...y, �...... ....................................... 1 ®I' 10. Fees of $ n ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................... 3. e:S& nJ�Z`� School District fees paid .............. IX `4. Sanitation approval from 0,e01/i/_ZZ-, Health Department 1 . City of Chico plumbing permit........ ................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. x/23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... . Letter of signature authorization .................. Zw 27. When you issue the permit, proces as follows: Mail to caner. Mail to contractor. �- Telephone �67g� and hold for pickup at 0 6 ' e. Deliver w/inspector. Other M �' SS! off Applican &&OPJDatel���JZ!/ Copy of Haz-Mat corm sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit,iuance: (Circle 1. Index permit for above items No. - 4— /V 2. Additional items required: checked above). Contractor, desig a owne , as advised of above required data by..vphone_-mall—counter by ..date Contractor, designer, 2Fas advised of above required data by— phone-Plans checked by Date f �/ Plans approved by Sets of plans on hold in Copy—DPW % ffl AP folder unter by date 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 —.3— 02 ZONING _ BUILDING PERMIT OWNER V � TELEPHONE .-� SO. FT. OCQ. BUILDING VALUATION 0o O Q OWNER'S MAILING ADD SS -� sB c/ -/. ,�. �y 0 6 . L CONTRACTOR'S NAME TELEPHONE /^��_ O CONTRACTOR'S MAILING ADOR SS 1..� - / —0 Fireplace r,.1,�5 'L Z7 o d CONSTRUCTION LENDER UNKNOWN Total Valuation $ , LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2�OC• 5 Energy Plan Checking Fee $ / Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 113 6o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 5 0 C. USE OF STRUCTURE SF,,PJ'*' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 50 0 Building sewer 5.00 5A Mobile Home S FGTWT 0.00e TYPE OF WORK Newo Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: -3 132, Permit Fee $ , A Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 /0,00 Main service"EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Oc UP. OR ADONS. Acc. BLDGs. 1 6.� �z¢sgft -NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 9AL0AL0 30 SO Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 ,60 Mobile Home Facilities 15.00 Misc. tiVirin g 15.00 Permit Fee $ 0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMITFiling Fee 10.00 Heating pop /37-<.❑ Cooling �7 0 0 6y 0 Z>❑ Hood f 3.00 3 06 Ventilation app it Fee ee $ .© a Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3Q _ m a7 occ CONST TYPE TOTAL FEE $ 3 ALSC.,ELD HAZ CUA PARK I PAR I PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.5n - �j/ WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1 OWNER -BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will beissueduntil this verification is received. Q. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Qhahave not) signed an application for a building permit foproposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following parsons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner."i Social Security NL Pbrer Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit: :ywy�.rrF,a•�tsi:.�°,sv�q"�''13j�:yit,Fit;:+Ji!^"""`"`�trr-"4ws►�T"'o s �,x'?S "F"°fFs�'G'r^'pirc?►:3'�r ;�'-^"�" sp^'x:o�i�+t6�7`�"''"'..,:,.:� -. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number Building Department No. School District City Q County Ez Jurisdiction Property Owner / /f Project Location/Address Subdivision Lot Number Residential Development.: Sq. Footage.,�.q,,p # of Living MHI Addition (Group R) Units f Commercial/Industrial:, Sq. Footage New Addition (Including Exterior Roofed Areas) r, Building Department Representative, Date 1 District Id No School District -certifies that Applicant N (Street Address Phone Number Y) ( State) ( Zip Co has complied with the requirements of Resolution No. 416 by the payment of $ J&oz -�--representing, $U, square feet. Sohool District Representative Date PAID BY CHECK NO. REMARKS:* BANK NO PAID BY CASH z white -applicant, yellow -building department, pink -school district SCHOOL . FEE ( 5/88) s t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Mark Dalrymple 526 Social Hall Rd. Gridleym CA 95948 With reference to the above subject: / / Attached is: [�_J' tuDki / DATE Deeeinber 27,' 999 RE: 4359-90 (new s.f.) A . 2. 1� 22-33-23 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced 7//We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement'. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and talcs in by registered engineer or architect. Energy.design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. �- Recorded copy of deed showing 60' r/w to a public road Recorded copy of agricultural acknowledgement statement. / / OTHER Should you have any questions concerning the above, please contact Jim Glander of this office. JFG/aj Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector i CBC NEW FNUM RPDOIRSMS FOR RFSIDMIAI. Design Requirements for now Residential Buildings. 1. The builder shall provide the original occupant with a list of beating, cooling, w[ter heating, lighting systems and conservation or solar devices Installed and instructions on how to use thea efficiently. (Certification prior to request for final inspection). 2. 'Equipment which requires preventative maintenance for efficient operation must be furnished with complete necessary maintenance information. (Certification, prior to request for fins2 inspec- tion). OTE: All new resider gs subject to these standards must contain the following features and devices regardless of the compliance approach used. MA.YDATOR2 nA7URES MID bEV-1C .S Building ,c'weloae 1 • Minima Ceiling Insulation, 11-19 weighted average* 2.'Minima `Mall Insulation in framed walls R-11 weighted average* . 3. Ducts constructed installed and insulated per Chapter 10 of 19'7 •WHIG. be Doors and windows, Weather-stripped S. AU joints and penetrations caulked and sealed b.. Doors and windows certified and labeled 7. Exhaust Fans and fan slsteos, have dampest controls Se alasonry and Fact0z7 Built Fireplaces 1. Tight fitting, closable metal er., glass door. s $. 'Outside air intake with damper, ao part of 'the intake is to be more thea 129 -above the bottom. _. . . 'Flue damper. �. tinuous burnim CU p1lot.t prohibited, log lighter notperaittsd. r '9• ppr Barriers '(Cliaste bones -I* I ,ted 46 'oa.7) • . x ' ` : ^N• � . ,i•�.. •ter M m t k S 1. Setback Theraostat (aleetrie heat pumps exempt), 2e SMAC Dpdpment, indicate an pians and certified, bly CECe Domestic Vater Heating - Rates 1* Tank LmUtion has azternal_ blanket, &12 or. greater, , 2e Hot aster inlet and outlet pipe insulated, ester` nallx wrapped, with A-3 or greater (first five fast in uncondition space* 3e 'Mater Heating Hgnipment, indicate on plans and certified b7 CZC* 1.. Shoverheads and Faucets, indicate on plans and certified bf CDC I Li&tim Etficieac� 1. General Lighting for Kitchens and Nthroom9, 25 lwaWwatt or,greatero Gas Cooking Amliances 1. Appliance has intermittent ignition device. • I teas to be field checlwd at the time of a final inspection. NOTE: All windows to be covered with mini -blinds. 4 NOTE: All certifications are required after the' installation of the required equipment aw or material and prior to a request for a final inspection, AREA - vi LiVA SQ. PoRcH �- sQ.FT. �- �LAZ.I NGr .. ALLowLP a 14% -SQ- rel . ACT U AeL was- . FT.. k 5/89 RESIDENTIAL PLAN CHECKING GUIDE _.- __._.._..__.......--._. - •- 1 MISCELLANEOUS ITEt°1S TO LOOK OUT - FOR (CONT �►�E.cterior plaster -,weep screeds (Sec. 4706 ). 32) . roper roof pitch S/ for. roof covering (Chap. _ Roof covering type - (fire. hazard)._ Rafter ties or beri aring dge beam. orch header sizes.. ,.._ 8. Garage door. or p :.... over arage -complete 1 -hour separation-.required•on.garage side Adequate bracing. �! Livingarea .o g including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 &see Mezannines - 1716). • Attic ac� and ventila, (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air, for fuel burning appliances. +-- - _ Noise requirements on duplexes. pecial foundation design.. Adobe soils -s Retaining walls requiring design.. n usual shape, size, or split level house requiring- lateral'..design.:. openings. Flashing at' all exterior RESIDENTIAL PLAN CHECKING GUIDE 5/89 (S.F. , DUPLEX & MISC. Q\[LY) Bldg. Permit a OWNER A.P. # —z�d6-:s 3 - . 3 GENERAL /Y. Zoning requirements: (sideyards and number of permitted living units).. -; Valuation. _.. 13_-__�Plans signed by designer. .�` Energy Design and Compliance. Existing violations on property. (Jb. Items on data sheet. . /D /3 Cyt 1 yr PLOT PLAN _ omplete parcel size and dimensions. etbacks, sideyards, easements,. etc. S2t .. _ Other buildings or structures. - Grading, fills, drainage. a' Flood hazard. - jSpecial conditions on creation map or -compliance documeac. " `1/ FAU & FAS road. setback.. FLOOR PLAN ,,_ Complete to scale plan with dimensions. Required windows for light and ventilation'(Sec 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207).. / GFCIs.in baths, garage, and exterior outlets (Article .210-8)' Light;.fixt.ures,..switches,_:receptacles, and exterior receptacles for maintenance of: mechanical: equipment -_ _ .:.....:. Locations of water ak ter, heating and cooling. equipment, other electrical or-' as equipment, and plumbing fixtures. JL• v rage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). 1111 ireplace and wood stove location, alcoves, andclearance. moke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. loor 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. Fireplace construction detailsand calcs if necessary. MISCELLANEOUS ITE4S TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). Brick_ or.. -stone veneer (Chapter 30) . . E: 9F-00572 tul' to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT ction 26-8.1 of the Butte County 'Code equires this acknowledgement be recorded rior to issuance of a building permit.- F__ The property described herein is adjacent 91-000572 Rec Fee '7 *,06 to land or included within an area zoned 't Cash. 7, 00 for agricultural. purposes, and residents + Recorded ` of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, F' Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 11-: 42am 4 -Jan -91 XX but not limited to cultivation, plowing, — -- ---- --- ---4Nr spraying, pruning, and harvesting which occasionally generate dust., smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'flzat .nedl.:property:`-situate in the County of Butte, State of California, described as follows: Date: See, mach eco lean l A -5c,- �1on �rharked �eGteaale 4f State of L/ ) SS. County o �2 ) PROPERTY OWNERS: On this the J day of 19 9l , before me, the undersigned Notary Public, personally ppeared X_ OFFIC:L.BLEDSOE EAL EJ Personally known to me.� Proved to me on the basis " REBECCAof satisfactory evidence. NOTARYPULIFORNIA to be the person(s) whose name(s) ��BUTTY subscribed to the within instrument and acknowledged thatNiytbmm.Eb.1.1993 executed the same for the purposes therein contained. IN WITNESS _ w.. WHEREOF, I hereunto set my hand and official seal. Present A.P.���?.�l'� C���fti2,n� Notary Public -- V _.---•� -__---_ Number of stories -48 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 .1 R-38 0 0 0 U -value 2 0.50 -- ••-: 0.50 _176:...:.. 84 _,_....,-.. =54.:• . 0.30 -102 -49 32 0.10 .26 -13 -8 0.08 -18 -9 -6 . O.C6 -11 -5 -4 0.04 -4 .2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -58 -20 Single- Single - -3 5 Family Family Muld- R-value Detached Attached Family R-0 -68 -51 .34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -8 .1 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 15 21 Insulation in Floor .7 .2 Number of stories 10 R -value One Two Three R-0 -17 -8 -5 R-11 .3 .2 -1 R-19 0 0 0 R-30. 3 1 1 U -value -26 3 0.60 , -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 -2' 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 4 Number of stories 11 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 .1 -2 -2 4. Slab Edge Insulation 10 -3 ' Number of Stories 11 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -14 -48 -69 0.90 -4 3 -1 0.80 -1 -1 0 _ 0.70 - - ' 2 - 2 - .r. 1 _ 0.60 6 4 2 0.50 9 6 3 ' 0.40 12 8 4 z.lintiltratlon (Air Leakage) SQedfication Points ... Standard ; 4:: 0 6. Glass Heat Loss I!. Shading (Shade Closed) Effective Percent Clea (percent glass x SC) Effective %Gins Nonh East South West &q*t 18 -14 -48 -69 U -value ..... .------ Percent .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 .26 .14 3 8 35 -75 -29 -19 .9 1 10 30 -61 . -21 -13 .4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 - -52 -17 .9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 .5 1 8 14 23 .. -40 -11 -4 2 8 15 22 37 -9 3 3 • 9 15 21 34 .7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 .17. 16 -20 0 4 9 13 17' ' 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 1 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 , 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 .2 12 14 16 18 20 7 0.95 8.71 20 18 15 13 11 7..Shading (Shade Open) Effective SE or HSPF 24 Zonal Control Adjustment --Etfectlre Percent Class 3 - SE HSPF less -15 -5 +5 +15 more 0.30 275 (perreot Shalt x SC) .30 na 3.41 Effective -24 -18 . 0.40 3.67 -34 -30 -26 -22 -18 -14 %Glass North East South :West Skylight 18 5 1 4 5 5 4 3 1 na 16 4 2 5 0.80 7.33 .1 na 14 4 2 5 13 1 na_ 12 3 3 5 2200 2 na 11 3 3 - 5 4 2 na 10 2 3 5 2699 2 1 g 2 3--.. 5 0 2 2". 8 2 .3 5--- 5 2 2- 7 1 3 4" 3 2 2 6 1 3_- 4 2 ._ 2 3 5 1 2 4- 3 2 3 4 0 2 3 -15 1 3 3 0 1 2 0 1 3 2 0 0 1 -7 0 3 1 -1 -i -1 -10 -1 2 0 -1 .2 -4 -7 .2 0 na = not allowed -5 .3 -2 -2 -2 I!. Shading (Shade Closed) Effective Percent Clea (percent glass x SC) Effective %Gins Nonh East South West &q*t 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 .26 -36 -33 na 10 -6 .23 31 .29 .74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11' -15 -14 '38 5 -2 -9 -11 -10 -30 4 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -i -2 .1 .9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not aibwed 9. Interior Thermal Mass. " SCORE CARD interior Slab Floor -:Raised Flo Mass -: Stories _ = :Stories -. =:-_.. /CFA One Two Three One ' Two -Three' Ceiling Insulation 0.0 -8 -5 -4 .2 -1 -1 9.1 -8 -5 3 -1 0 0 0.3 - . -7 -4 -2 0 1 1 0.5:-.-6 : �.:3 - -1 1 12 SEER less 0.7� i -5 2-- 0.9 .5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5. 20 -1 2 4 5 6 7 .25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass ;25% Exterior Single- Single - 40% 45% SOY. Wall Family Family Mui6 Mass Detached Attached Family 0.00 0 0 0 xdud efficiency) 0.20 3 2 1 9m of 7-10 0.40 5 -43 Effective -25 or -24 to -1410 0.60 8 6 _ ,- 4 SEER less 8 A '5 +5 - .1.00 -.- .. 13 _ _10' 7 . 1.20 13 12 8 -13 1.40 12 13 9 -11 1.60 10 13 11.... 4 1.80 10 12 12 -4 200 - 10 11 13 j 11. Heating System 0 0 0 SE or HSPF 0 8.0 (assumes ducts In attic) 8 6 5 _ Sum of 1-6 3 9.0 -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 - 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 15 Effective SE or HSPF 24 Zonal Control Adjustment (SE or HSPF x duct efficiency) 3 Effective -25 or -2410 -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 38 .30 na 3.41 -45 -39 -34 -29 -24 -18 . 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15. Zonal Control Adjustment 2200 System Type Heater Credit -or Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 4 .12. Cooling Syst.!ri " SCORE CARD 10. Exterior Wall Mass - - Measures SEER - Ceiling Insulation 11. Heating System or (assuma ducts In attic) = coo l R -value 1381 U -value (0.030) Sten of 7-10 Wall Insulation_ 12. Cooling System�i� or -25 or -24 b X14 b -4 b +6 to 16 or SEER less -15 i -5 +5 +15 more - - 8.0:- _.,,._ 14 ...----.....- .12 . -10 ........ _...__ -8 .._...... . 4 ....... -4 " .. 8.5 -9 -7 -6 .5. -4 -3 8.9 -5 -4 -4 -3 .2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 = 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 20% ;25% 30% 35% 40% 45% SOY. 55% 60% 61y. Effective SEER 7S% 80% 85% 90% (SEER xdud efficiency) 01f. 0 0.2 9m of 7-10 0.6 0.8 Effective -25 or -24 to -1410 -4b +6 b 16 or SEER less -15 .5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 24 Zonal Control Adjustment 28 3 10 8. 7` "6 4- 3 4.S No Coolin;; System Installed 5.1 -Stories 50% 0.9 1.1 One -5 -4 4 .3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Uetached and Attached 4.8 • Unit Size (sf) 5.5 Water 59 ;199 120'; 1700 2200 2700 Heater Credit -or b to to or Type Type toss ;1699 2199 2699 more SG None 0': 0 0 0 0 or Solar 12 "' 8 6 5 4 HP HWR 8 5 4 3 3 3.5 WSB 5 3 3 2 ._ 2 4.9 POU 8._ _ 5 4 3 3 SE None -37 -24 -18 -15 .12 23 24 Solar .1 -1 .1 0 0 3.8 HWR -18 -12 -9 -7 -6 5.2 WSB -25 -16 -12 -10 .8 1.2 POU -18 ..-12 .9 -7 -6 IG None -5 .3 -2 -2 -2 4 4.1 Solar 7 5 4 3 2 55 POU 3 6.1 1 1 1 IE None .28 _2_ 19 .14 -11 .9 3 Solar 8 5 4 3 3 4.4 POU .10 -6 -5 .4 .3 58 Multi -Family (Individual units) 64 Unit Size (sq Water Heater Credit 700 1200 1700 2200 Type Type or less b 1199 to 1699 to 2199 or more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.3 WSB 9 4 3 2 2 5.8 POU 9 5 3 2 2 SE None -45 -23 -15 11 .9 11 Solar 2 1 1 0 0 4.6 HWR -23 -12 -8 3 .5 6.1 WS8 _25 . -13 ....-8 _.. 3.-- :5-- 2 RQU _-23 --12.. *8 .6 -5 n None -8 -4-2 3 -2 4.7 4.9 Solar 6 3 2 1 1 64 POU 1 '30 0 . 0 0 0 IE None 28 x-15 -10 .8 -6 3.8 Solar 18 9 6 4 4 5.2 POU -8 1-4 :3 .2 ' .2 roini System summary: L1lmate Gone 11 SCORE CARD 10. Exterior Wall Mass TYPE 2 MASS AREA a Measures Exterior Wall Mass 1. Ceiling Insulation 11. Heating System or Interior Mass/CFA = coo l R -value 1381 U -value (0.030) 2. Wall Insulation_ 12. Cooling System�i� or S rn[ 7 PASS R -value [ 11] . U -value 10.0981 3. Raised Floor Insulation 13. Water Heating or R -value [ 191 U -value 10.0371 4. ^Slab* Edge Insulation G or R -value [O] F2 factor [0.77] ll.7W IK�.. t1 "ty Io.<pec.d .�.0 t erre 1 WS (UW • 4.2. !e: e=poaed•slab) ' 0% S% 10% 1S% 20% ;25% 30% 35% 40% 45% SOY. 55% 60% 61y. 70% 7S% 80% 85% 90% 95% IWY- 105% 110% 115% 120% 125- 01f. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5 3 to/. .._0.2....0.4 -20X. --0.3 0.6"'0. 0.6.... 8 0.8...._1.._.1.2...1:! 1 1.2 ' ... 1.6...:.1.9: il.._.23....25....21. _.2.9..31...3.3._.3.S- 3.7 ... .4.....---4.2--4:4:--4.6- . .... !.8 S .._-_ S2 •.-. 56 - 1.! 1.6 1.8 2 22 24 21 8 29 9.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 S S 2 5.4 56 40% 0.7 0.9 1.1 1.3 15 1.7 1.9 22 24 26 28 3 3.2 3.4 3.6 3.8 3. 4 9 4.3 4.S 4.7 4.9 5.1 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.5 3.8 4 42 4.4 4.6 4.8 • 5.3 5.5 5 7 59 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 . 1.4 1.6 1.8 2 2.2 24 2.5 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6 2 60% 65% 1 1.1 1.2 1.3 1.4 1.5 1.7 1.7 1.9 1.9 21 22 23 24 25 2.6. 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 70% 1.2 1.4 1.6 1.8 2 22 2S 27 28 2.9 3 3.1 3.2 3.3 3.4 3.S 3 6 3.7 3.8 3.9 4 4.1 4.3 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 4.8 4.8 5 5.1 S.2 5.4 5.6 58 6 62 64 5.3 5.5 5.1 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 62 64 66 65% 90y. 1.4 1.5 1.7 1.7 1.9 2 • 2.1 2.2 2.3 24 25 26 2.7 2.8 2.9 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 9S% 1.6 1.8 2 22 2.5 27 29 3 3.1 3.2 3 3 3.4 3.5 3.6 3.7 3.8 3.9 4.1 4.1 4.3 4.5 4.7 4.9 S.1 53 5.5 5.7 5.9 6.2 64 66 66 100% 1.7 1.9 21 2.3 2S 28 3 3.2 3.4 3.6 3.8 4 42 4.3 4.4 4.6 4.6 4.8 4.9 5 5.1 5.2 5.4 5.6 5.8 6 6.2 6.4 6 7 6 9 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6 6 6 8 1 110Y. 1.9 2.1 2.3 2.5 27 29 9.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 120% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 125% 2 21 2.3 23 2.5 25 2.7 2.8 2.9 3 3.1 3.2 3.3 3.4 3.5 3.8 3.7 3.8 3.9 .4.1 4.4 4.5 4.8 S 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 7.3 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 - 74 roini System summary: L1lmate Gone 11 SCORE CARD 10. Exterior Wall Mass TYPE 2 MASS AREA a Measures Exterior Wall Mass 1. Ceiling Insulation 11. Heating System or x -a- = coo l R -value 1381 U -value (0.030) 2. Wall Insulation_ 12. Cooling System�i� or R -value [ 11] . U -value 10.0981 3. Raised Floor Insulation 13. Water Heating or R -value [ 191 U -value 10.0371 4. ^Slab* Edge Insulation G or R -value [O] F2 factor [0.77] i ra ion 6. Glass Heat Loss 7: Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass O iZU-value [0.65] % To�1 % Glass SC Eff. % Glass - ...s/ x_ x = O r o20 r3� x = .3,37 0<3s- x =� % Glass SC Eff. % Glass p x = d X 011 G _ G x _ i(C__ �oo4 �1, 3F x 6 C_ _ --�9 - oL3s- x ,77 = o-Rr- TYPE 1 MASS AREA 1S Point Scores C2 0 .Sum 1•b C�- T Sum 7-10 Point Total:��, Yt-eriorW:iss/CFA GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA a Exterior Wall Mass ND. L OR AREA 11. Heating System 66 x -a- = coo l Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or 12. Cooling System�i� [0_72/6.6] Zonal Control? ( Y / N) SEER [9Sj D ct Efficiency [0.74] Effecti o�03] 13. Water Heating S Type [SG] Credit [none] 0 .Sum 1•b C�- T Sum 7-10 Point Total:��, Certificate of Compliance: Residential Climate Zone 11 Documentation Author Telephone EdOManent ARencv Use BUILDING DATA Conditioned Floor Area ` Q Number of Stories lab 'sed Floor Number of Units MA Ingle Family Detached (SFD) [ ] Addition Alone ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Glass Area % Glass North S2p East /03 _42�,57 South 49_ - 1 West fGo Z,/,.�� Skylight Total :21.7 G.. BUII,DING SHELL INSULATION. Component Insulation Location/Commerxts Type R -Value (atdc, to garage, ripiccl, etc.) - Wall .............. Orientation (Sf) (single, double) koller blind, etc) (shwk=een, etc) Wall ............. (tnetal/wood) Roof ............. Roof ............. North Floor ............. Floor ............. Slab Edge..... BUTTE COUNTY "" BUILDING DEPARTMENT APPROVED GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) koller blind, etc) (shwk=een, etc) (yes/no) (tnetal/wood) North ( ) _C!) , A& e North East East South ( ) —� _CtB1t1tL�_ South ( ) ✓ /r�� fr West bl� WestSkylight ....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent uln) (SE, SEER,HSPF) (attic, etc.) R -Value huh or approved equal) i67 Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # -System Type (storage gas, etc.)_- Capacity.. - .(or approved equal) - -.---•------------Special Features) --= = --- -- les SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE Lowrise residential buildings subject to the Standards must contain these mezavcs regardless of the compliance approach used Iters marked with an asterisk (•) may be superseded by more stringent compliance requatments listed on the Ccrufieate of Compliance When this Checklist is ircorpc»ted into the permit docume ns, the fnlures noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures _.._.-wheaher fty-areshwn elsewhere in the documents or on this ehoddist only:... --. _ -..--. _. — _................_-.._.. _....- .. - _.... .. - _ %--•- . _c . . DESCR MON DESIGNER ENFORCEMENT Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weithted avenge. 62.5352f . Loose fill instrlation manufacturet's labeled R -values • §2.5352(c): Minimum wall insulation in framed walls R• 11 weighted avenge (does not apply to exterior mus walls). §2.5352fk}. Slab edge insulation - water absorption rate no greater than 0.3%, water, vapor transmission rate no greater than 2.0 permlmch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((} Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infhltration/Exfrltration Controls a. Doors and windows between Conditioned and unconditioned spaces designed to limit air leakage- b. eakageb. Doors and windows ccnirtcd. c. Doors and windows weatnerstrippe:d. all )Dims and penetrations caulked and scald 62-5352(c): Special infiltration barrier installed tocomply with 02-5351 meetsCECquality standards. 12.5352(d), Installation of Facplaces 1. Masonry and factory -built fueplaces have: a Tight fitting• closeable metal or glass door b. Outside air intake with damper and control e 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 siring: attach calculation, §2.5352(h) and 2-5315: Setback thermostat on all applicable beating systemts. • §2-5316(a): Ducts constructed, installed and insulacod pas Chapter 10. 1976 UMC. §2.5316ft Exhaust systems have damper controls. i 62-5314(c): Gas-fired space heating equipment has intermittent ignition deviCCL 62-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. 12-5352(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). 62.5312(Exeeption 1): Pipe insulation on steam and steam condensate return & recirculating 1 piping. §2.5318(dr Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures h §2.5352((): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. §2-5314(c): Gu fired appliances equipped with intermittent ignition devices. §2.5314(x): Refrigerators, refrigerator-frtcurs, freezers and fluorescent lamp ballasu certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This crstifcate of compliance lists tin building featitte3 and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptrx2. Subchapter4, Article I of the California Administrative code. This certificate has been signed by the individual with overall design rmpcnsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purcimser of the building. Designer Building Owner Name: Name: Tulc/Fiz= Ttk/Finw Addre= Addmn: Tekowtne 4_)� tic 4: {si6rtataue) (dart) (date) Documentation Author Enforcement Agency Nam= Nang: Titic/Fism Ag—r Adders:: Tckptwrc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PER IT NO. 916/538-7541 ASSE SO PAE UMB Z�N BUILDING PERMIT OWNER( - 1 s f Vn es '`/'`Jt • TELEPH E / SO. FT. OCC. BUILDING VALUATION OR: AILING � R 3 S CONTRACTORSNAM TEL PH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Pian Checking Fee $ Penalty $ BUILDING ADDRESS IL I r w 15/SEach Permit fee $ PLUMBING PERMIT FIIingFee 10.00 Trap 2.00 ` Solar or heat pump water heater 20.00 OT tRT BDIVISIONINAME IU PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5.00 -J USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Jp CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.eI , New DONS. A ) /20sgft MULTI -OUTLET NON-RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. 20®50t Ex. OCCUp(OUTLETS OR FIXTURES SAL930 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00t- Misc. Wiring 9 15.00 oR - Permit ee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fid I shall not employ any person in any manner so as to become subject y 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. G.cuLFacter� i MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all abilities, judgments, costs, and expenses which may in any way accrue ag in t said County in conseq ce of tht granting of this permit. X /,9 _ , _�� i ature of Applicant - Owner Contractor 1:1 Agent ❑ ion ofstructures permitis requiredfor xcavheigt ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP. CONST-TYPE SCHOOL FLOOD PARCEL PD ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which F PUBLIC By BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date lZ-Z2- b0 /Z�22- Receipt No. l[J "ZA WHITE-D.P.W., YELLOW-ASSE330K, PINK -INSPECTOR. GOLDENROD -APPLICANT `— ..r• 3 .i 14 :. ♦`.. i. .., .e. t. #: - ;,t a x.. a.,�y oil COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTERaDRIVE = OROVIILL£,`CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Cy Proposed Building Use,,' Q 9FZt u. Building Inspector'9Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: I DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on 'plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . `. 10. Sanitation approval from Health Dept. 1. Planning approval for (A) Use: (B) Parking: 1.2. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15.' Improvements may be required. . . . . . . . . . . . 16. ",Mobilehome Installation Data. . . . . .•. . 17. Pre -Inspection for 'Pre-Inspec. request to (Date) - Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot'plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: /Mail to owner, Mail to contractor. s .Telephone """"" and hold for pickups office, Deliver w/inspector. Other ,F Appl is Copy of plans sent; Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: t Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder e Copy—DPW COUNTY 01�BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541, OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature-. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major, labor and materials for construction of the proposed proper improvement (yes or.no) 2. I (have/have not) signed an application for a building permit for the propos.ed work. 3. I have.contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner 1 Social Securit umb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPUCATION AND PERMIT ASSE 5 PA E UM OW NE�R ZONING TELEPHONE _ 7 A-9/ BUILDING PERMIT $O, FT. OCC. BUILDING VALUATION ,VN OER' AILING I A,O R 5 .s CONTRACTOR'S NAME TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty Permit fee $ $ r w PLUMBING PERMIT Filing Fee 10.00 . Each Trap 2,00 Solar or heat pump water heater 20.00 OT NO. UBOIVISION AME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 *01 OR 00 AMP ORLESS10.00 Main service 1 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed. contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a OR ADDNS. ACC. BLOGS. , /z2sgit NEW CONSTR ULTI-OUTLET NON.RESIO BRANCH CIRCU ITS 2.50 ea/POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20930t DALC 30 FIXED APPLNSOR EX. Occup. OUTLETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 F. T a , 62) Permit'Fee' 16_ js WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ContI;2GA r 120 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Balsoutte tagreeer upon to save, indemnify and keep harmless for the Countyinspection of Bute against all 'abilities, judgments, costs, and expenses which may in any way accrue ag in t said County in consequence of the, granting of this permit. p� X Date �� '.Z JIFF i azure of Applicant — Owner)N Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE J L R100D PARCEL P� MD 39U[ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PFO C BAIT i DI RES note the applicable provi- resolutions to do tees have been paid. WORKS Date Receipt No. 271 / WWT►--O.P.W.. vT.LLOW-%sSf.-. -+CR. r•'4R-IN9P��TOP.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATiON•ARD PERMIT PERMIT NO. ASSE 5 PA�"LIM: LJ _J{ ZONING BUILDING PERMIT OWNER=PHONE �c�.lm es (,� s , - � SO. FT. OCC. BUILDING VALUATION NOER' AILING S CONTRACTOR'5 NAME �, TELEPM NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ; ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS Permit fee $ w •c2a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 eOT NO. BDIVISION AME IU PARCEL MAP Water piping 55,00 Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee ; Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11011 oR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sc.le compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 f ' NEW CONST. ( DWELLING oCCUP.. , OR ADDNS. C ACC. BLDGS. h2sq ft NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea `POWER APPARATUS e) SINGLE OUTLET CIR. P 200sot Ex. OCcU OUTLETS OR FIXTURES eAL©3o FIXED APPLNS, OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 t: I . Permit ee WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becc;me subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CaaUaGI-er 0 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State La,vs relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 'abilities, judgments, costs, and expenses which may in any way accrue ag In t said County in consequence of they granting of this permit. p p� %� Date �� ".�� BOJ i ature of Applicant — OwneA Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C TOTAL PERMIT FEE $ J OCCUP. CONST.TYPE ISCIIOOLIF140111PIIRCELI PD No 13711E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By Ol: G1aAtT Gv{plpcG r1.-.�n the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. y l 1 wNITc-e. A. w..-u_t_nw-♦-----nw P,....i..oe.....- �... --., ..,... ........- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County -Center -Drive, Oroville, CA. 95965 PHONE: 916-534-4541 Ira M. Jensen r 1327 E. Center Springville, Utah 84663 With reference to the above subject: W / Attached is: DATE February 15, 1980 RE: RECENT CORRESPONDENCE A. P. # 22-33-23 Application for permit XXX Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information•Sheet Engr. Calcs XXX Typical Plan Sheet Labor Code Information List of Codes Enforced OTHER kCX / We need the following information: ' Permit application signed and completed where indicated with all copies returned. Fees of $ -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; talcs, sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 695 Oleander Ave,, Chico XXX 7 County Center Dr., Oroville 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 _ XXX /' OTHER 'Your proposal to have a house and a mobilehome on this property, which is presently, zoned A-2, would presently be permitted subiect.to the anuroval of the Butte Countv Health iv& oi'+WCWV uaoyvona 0y016G4U13. Gdhen applying for the required permits, we need three copies of plot plans for the, mobilehome and two complete sets of plans for the house. Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Publi Works . Glan er JFG:dd Chief Building Inspector I , I I _ r - i I h I I I _ I - L__I � __I_ �.-.-. -1 -_ -1-._• I'-i--i-..�..__ -1.- T-. I' j.�_y-._-1.__�. rt-�- �-�`_�__1-�._-._ -. - ;_ I__ +- -} �, � I I i I II I I li I 1-