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026-113-012
T v f ._ _ n •„ .., .26-113-12 CHARLES C. SMART �• 1994 Esperanza, 'Palermo P .rmit#5129-79E(ele ser. -ch) SF, 26-113-12 2003-90B,E SMART , C.C. 1994 Esperanza, Palermo Of add. bedroom) 4p,.•�5c��3 ' . 03-3690 COMCAST COMM, 3, - SEE ATTACHED, OROVILLE.. Cont:' WESTCOAST COMM , ; PEACE CATV POWER SUPPLY?-" 4 } �wYn.w�wf4. ...�-w��: ��.'.. �-�--+r•e �r� - ��� -�-—��..�.^. -� - r�-.-'r-- �^"...r—+- �- rw�� --ten—ria � � � �... �' n•. O , k- -- { j RESIDENTIAL 4 26-113-12 C 2003-90B,E } SMART, C. C. t 1994 Esperanza, Palermo' (sf add. bedroom) Z. •Ir .. ` L f JOB FIP ALE60ate) { Signature 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: / P'L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance A: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A-1. a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except It'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-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK •-w O=Nott OK - = Nit Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date LIERFLOOR (Plans) OK except #'s 1. oning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grn -3--FTg Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth orches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped �g"5T2Rtavn4ls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped t,-B"Piers-Fe*phtee-Ftg--91eel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 1 Water Pipe; Test -Anchor -Regulator -Service Test 12. lectric; .1 ce nd G 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples �. nsulation Date Card B-1 Date and B_ - Date _ Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or Al -Oven C*rc / ga. Cu or Al. Insulated Neutral 0 Yes No 30. Service -Riser onductor n i nnect 31. Equip. Clearan Is Pan ch. Equip. 32. ClothAs-CI, ight,4tpbyve Ligh Spa Light ., Date Card B-1 Date Card B-1 Date V Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylight s -Plast* 58. S ear Walls; Nailing -Bolts Insulation-Walls-Ceilin s' 60. Infiltration -Wells -Win s A V o. Date 05rd B-1 r Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. - idelight Protection -Landings moke Detector 63. Furnace; Vents- a a e -Comb. Air -Connector - rage; Above Floor-Ducts-Mech. Protection 64 -'Bedroom Exiting ures & Tub Access -Spa 6 ec. Trim & Subpanel; Breaker Sizes & Labels 68.'Fire ve• Clearances -Hearth 69 Elec Ouaets-at-W Panel; Int. & Ext. 7 ppliance; Grnd.-Air Gap -Cooking Clearance 71 e s & Receptacles at Kit Counter 7 ire Door; Swing -Landing -Closer 73-A-Greott-m Garage -Damper 74. Wtr. Htr. ts-Clearance-Comb. Air-Connector-P.R.V. n rage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location 76.�1e cep acles in Garage; (G.F I.)-Romex Protection n- oam-Looked in Attic 11 Yes 7A_jGuarA_BaU& & Deck Construction -Post Caps 9�Fd_n. Vents & Crawl Hole Door -Drainage & Wood -Earth l�I�'dTd7St €'Cooked under Floor 0 Yes 80. Following instld.; Drive O Yes O No; Walks ❑ Yes O No; ters 0 Yes O No 81 St�?rown-Finish 82--A-e-Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ell; Disconnect, Electrical, Plumbing 854<xterior Elec. Trim; G.F.I. Receptacle -Underground 86 V�ilat+� 'errThroughout House - 87Laseection 88 orrections from Previous Inspections 89 Gai�ters Tagged; Gas -Electric 90 'Sewer Connected -C/O to Grade -HD Approval y Compliance Certificate -Other Certificates Date - p- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF, PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE c"� 3 `7D OW44L71IR PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please na,lify this office when correction of work is -completed. If you have any question pertaining to this matter, or need addi ' nal explanation, please contact this offige immediately. -11 Date ,/ ����1� Inspect/ COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND`PERMIT r PERMIT NO. 2003-90 . ASSESSOR PARCEL NUMBER 26-113-12 ZONING U BUILDING PERMIT OWNER C.C. Smart TELEPHONE 534-0364 SO.FT. OCC. BUILDING TION 168 R 672n OWNER'S MAILING ADDRESS P.O. Box 418 Palermo 95968 CONTRACTOR'S NAME unknown TELEPHONE 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 $ 31.2 Energy Plan Checking Fee $ i 5 -no ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1994 Es eranza Permit fee $ 118.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Palermo 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 �ayy USE OF STRUCTURE r SF P• Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition O -X Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: iddi t -i onnl bpdroom-1 9YI 4 _ Permit Fee $ Contractor ELECTRICAL PERMIT ' Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) �I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.g+ ADDNS.A ) NEW , hQsgft 4.20 CONSTR. ULTBI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 1.a0LO 30 Ex. OCCup. OUTLETS P(RESID.)FIXED ARLNS.REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 14.20 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®/I<shall not employ any person in any manner so as to become subject to the W. C laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c asequence of the granting of this permit. X 6 �11�^ � Date Signature of Applicant — Owner [g 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 $ 0_00 OCC CONST TYPE TOTAL FEE $ 1 - HAZ CUA PARK scH P PDQ - M This permit is hereby issued under sions of the Butte County Code and/or work indicated ve f r wh h fees DI OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORK -� �/ Date r/� /U — Receipt No. 66869 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY 10.00 0q2 OF BUTTE -DEPARTMENT OF PUBLIC WORKS NEW CONST. ( DWELLING OCCUP..) OR AD INS. ACC. BLDGS. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 PERMIT NO. Z 003- 2.SOea APPLICATION AND PERMIT ' ASSESSOR PAR L NUMBER J 17 V ' OWNE . C (yt�„n BUILDING PERMIT TELEPHONE SO. /�A(.(DJD1 ESS OWNER'S MAILING FT. OCC. BUILDING VALUATION Ad, l6 ' 9 59 8 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee ARCHITECT OR ENGINEER Permit Fee $ 10.00 i $ LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee I $ BUILDING ADDRESS Penalty Is-,ob $ f Permit fee $ I !! PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 LOT NO. SUBDIVISION NAME Solar or heat pump water heater 20.00 PARCEL MAP WaterP� I In P 9 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SF % Duplex❑ Mobilehome❑ Other Building sewer 5.00 I TYPE OF WORK SPECIFY Mobile Home I S G W 5.00 10.00e New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee 'i Describe work: C(Lp_/�/_f/�Y)/��/�j)I $ I Contractor CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.__. Business and Professions Code for this reason 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. ❑ Ishall 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Receipt No �O%R WHITE-D.P.W.. YELLOW-ASSE330A. PINK -INSPECTOR. GOLD ENROO-APPLICANT ELECTRICAL PERMIT Filing Fee 10.00 Main service 80V OR 0°o AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP..) OR AD INS. ACC. BLDGS. --- I (t �i�S ft NEW E. ULTI.OUT LET NON-RESID. BRANCH CIRC IITS) 2.SOea SIPOWERNGLE AULPARUS h) OTPETATCIR. Ex. Occup(OUTLETS OR FIXTURES 20m70, FIXED APP LN S. OR IIALO 3C Ex. Occup. OUTLETS 1RESID., EA.) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 3 i Contractor MECHANICAL PERMIT FiIingFee 1000 Heating I—I— Cooling Hood 3 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Energy Inspection Fee $ c30 ,cc coNST TYPE TOTAL FEE $ Q00 HAZ CUA I PARK I SCHL FLO I PAq Pp ip ISSUE Th:s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date '' •,„'y's tiFrr-�"•`1YFi'�.��iMY�'�t"• �^-�-�t�t�+iic+nal�.r w!i•, yl� , �i,='��.•x'f=�iri'�"a:r4'�l�'�.k .t r�+ -,.,,. V ^s_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER C•C• SMQAt A. P..No. - &_& - /13'0/2 Proposed Building Use hlal W,�CXIM addL, & Building Inspector & Date Z`I09'96 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees aid ........................................... �n0 �(��'�-�� , School District fees paid ............. . anitation approval from 61M Health Department 0 if 15. City of Chico plumbing/permit..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. 'Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lr o matuauthorization ........................:......... . 17 6. �b 421Z21- 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephones 4-03(64— and hold for pickup at D120 office. Deliver w./inspector. Other r Applicant Date Copy of Haz-Mat form sent Health Dept., Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: .0w Contractor, designer, owner, was advised of above required data by _phone_mail_cou ter by..date D Contractor, designer, owner, was advised of above required data by—phone—mall co nter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW - TO Buildinc Department FROM: Environmental Health SUBJECT:. Sanitation Clearance 7j. - )13 - _..�_ Owner Location �G AP# Plan Approved for: Sewage Disposal Water. Supply Hold final for: - Water Supply Final clearance O.R. for: Water Supply l ( Clearance -for bedroom mobile hcme. Other �— *1 HEATING VENTILATING AIR CONDITIONING SYSTMI ,(A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP i Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y-intercept rated slope' ❑ Other (describe) *1 (B) Cooling Cl Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr ' (cooling capacity at 95'F) ❑ Other (describe) , DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup i (brand and model number) Gallons (tank size). ❑ *2 Active Solar f i (collector brand and model number) i i (rated y-intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt)' ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved 'systzm (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT FORM 7 ADDITIONS TO RESIDENTIAL -BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL.INSULATION (Density) INFILTRATION CONTROL (Weatherstrip..doors, certified windows,.caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 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. +tom x�y9FQ'xQ"t.;�g��'rii%"�«:°'��'� �v�Crlk�t"'�'?"`F�dt'Fi<.�'"%v�f �i�Lil'`�'�!�!`T�'T�t4�'°fii"�c '�•,=s"e'�+r�'Y�°:.rj2�{� ,y�r4�""v .,'.W�rui'++'+rr.',r!": �vr.��..;r1i.,c'^,,�.y; .:. � aa,• �a BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P..Number02(e_1'-3-Q!Z �� Building Department No:, School District CPO- MLZj' O City n County:© Jurisdiction Property Owner C.0 - srn AE r _ Project Location/Address 1994- ECRO"3Q : Subdivision Lot Number Residential Development: a a Sq. Footage �p8 # of Living MHI Addition (Group R). Units Commercial/Industrial.: a New aSq .Footage Addition (Including Exterior Roofed Areas) V. Buildi g Department Representative Date (Floor Plans reviewed by'School District Personnel) IT$cf-ri r- i- T Nn _ `91 0 0 O 1 6 ' School District certifies that (City) \,� ,. (St has complied with the requirementsof R Phone Number) tion No. - i_ , PAID BY CHECK NO. REMARKS: Ce^ BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application ,9 ocb 3 -- 9 � at ` A. P. #02` _ , f 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. to 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. COUNTY OF BUTTE — ' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephQne: 534-4541 APPLICATION AWD PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 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 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans RecdParcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 V OR LE Main service 1000 AMP ORSLFSS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD -1- 100 AMP 1.00 NEW CONST. DWELLING OCCUP. S+ OR ADDNS. ( ACC. BLDGS. 2¢Sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTP- MULTI.OUTL T (BRANCH CIRCUITS 2.50ea ..NON.RESID. NEW CONSTR. (POWER APPARATUS C NON.RESID. SINGLE OUTLET CIR. Ex. OCCUr)(OUTLETS OR FIXTIIPES iou BAL@10Q FIXED LNS Ex. Occup.(OUTLETSP(RES(D)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E I 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. 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 Land Development Fee $ TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — D-EPi RTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 297 APPLICAtION AND PERMIT / Owner Mailing Address Telephone No. Contractor Mai I i ng Address Telephone No. Building Address Z 40, A. P. No. 21 Ja Zoning & Planning F,ks- 1ltfCC!_ S3nTiatbn- Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements ani eca I Parcel A roval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 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 of: License No. Classification 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. ❑I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. 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-mentioned property or inspection purposes. x Date �� fL��_-�� y Signat re of Permitee or Agent Receipt No. 9.,�" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BUILDING SQ. FT. OCC, I BUILDING VALUATION Fireplace Total Valuation Permit Fee P I an 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 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST../ DWELLING OCCUP. S S FEE $3.00 1.50 1,50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 00 5.00 4C>b 2.50 25.00 1.00 EX. OCCUp OUTLETS OR FIXTIIRES °1 e @ BAL@1 FIXED APPLNS, OR EX. Occup. (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL JNoJ @ PERMIT FILING FEE $3.00 Heating Cooling Venti Iation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIRE PUBLIC WORKS By Date � ' 7l � �41/ding permit expires Date f'7, 2"—� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. � Z � (Rev. 12/96) APPLICATION AND PERMIT -T,--,- - , G`. - ASSESSOR PARCEL NUMBER SEE A ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4390 PETI, 12 SACRAMEN111 CA 95838 CONTRACTOR'S NAME TELEPHONE 1341-9473 CONTRACTOR'S MAULING ADDRESS 140 MEYERS STREET CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MaUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 9 PALERMO LOCATIONS SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR IES' 9 23.00 207.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, and my license in II force and effect. n / /� license Class Lil —I D Lic. No. / L., t i L G OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P J rY P 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT: NEW CONS . .=OUTLET NON RESID. 97.50 FOWER APPARATUS a SINGLE OurLET CIR. Ex. OCCu OUTLET OR FIXTURES BAL Ex. Occup. nXED ARES. OR OUTLETS PUNS E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 227,QQ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ,Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' o ply w' th rovisions. X Date I I" Z " Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00, Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $227.00 HAZ D FEES LMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. - D to off4 /0 c t PERMIT EXPIRES ON 1 L9 111D. 1111� ReceiptNo.LL 1-4w WHITE-D.D.S.-B.D. NARY-SSESS PINK -INSPECTOR GOLDENROD•APPLICANT