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026-230-044
,� 026'23=0=044 JESUS CARRILLO• 2398 LOUIS>'AVE PALERMO 026-230-044 03-0326 HERING, HSIU-LIN 2398 LOUIS, OROVILLE RE -TAG ELECTRIC 02-230-044 03-0433 HE G, HSIU-LIN 2398 LO VE, PALERMO , REMODEL- ELL G 3%0 3 026-230-044y ,� rLEEl 3� 40 HERING, HSN -LIN LE�2398 LOUIS AVE, OROVI��� REMODEL GUEST HOUS ' ENVIRONMENTALI� HEALTH CLEARARANCE 1 �r DATE �-/g-O'� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-75 PER NO. iia ,.12/96) APPLICATION AND PERMIT 15-:- ASSESSOR PARCEL NUMBER 026-210-044 ZONING AR -5 BUILDING PERMIT OWNER TELEPHONE SO.FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 25 ARJAY RANCH RD, 0E0X7TTJ.E 95965 CON 10 000. 00 CONTRACTOR'S NAME UMNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 10 000.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 117.00 Plan Checkin Fee $ 23.00 2398 IOUIS AVE, OROVII-LE BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 160.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REMODEL GUEST HOUSE Gas piping system 1 - 5 outlets 1 15.00 Building sewer 15.00 19.00 Mobile Home IS I G I W @20.00 PERMIT FEE S 71-00 ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 2ppA OR LESS 23.00 .LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ® I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( y ACC. B<As. s° 3.50FT; NEW CONST.MULTI-OUTLET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @ �:w Ex. Occup. °F"LUT,EF°,s R D.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date /7! y 3 _ kSignature3`of.Ap"plicant` a wrier. i❑Contractorst,❑AgentcAn OSHA permit is required for excavations over 5'0" deep and demolition or constructionof 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 $ c3 CONST. ryPE TOTAL FEE $ 231.00 HAZ. DD FEES ILA FLOQH cOF PARC PD HD uE This permit is hereby issued under of the Butte County Code and/or indicated above forWfees By PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date P; t.) ReceiptNo. S ��� DD WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4-r�t: ♦' ��r-"r - . . vr�....� .`,•r .� ss7r r.. --n m . ..,,.,-_..-...:r �_ : �,.. ..�.,r.` .. ,may . s-. s.. .tial .r. � �*. � w COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION / " 7 County Center Drive, Oioville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ` ,\ I ASSESSOR PARCEL NUMBER (-Y - 6 OWNER:'` +•" G �i:?Pi'oposed Building Use: _ U<te r Technician: Date: Items required in order to apply for a pehnit. All 0* MUST be checked OR marked NA in order V pply. 1. Site plans, 3 or 4 sets, signed by the preparer 6-11he plans. 1 2. Complete planst3 or 4 sets, signed by the preparer of the plans. \, ❑ 3. Engineered plans, 3 or 4 sets, with we signature on plans AND 2 sets of stamped and signed calculations. ❑' 4. Engineered truss details and layouts in duplicate. No faxes! p 5.' Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and�installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permitiwill be indexed and returned to the plan review line-up when' required items are received. 1 Date Received By ; ❑ '8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... Cl12. Hazardous Material Form.............................................................................. ❑ 13. Fire Sprinklers ............................ !................:.............................................. •,. P 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner 'Sent by 0 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 1 Q:;' Fges as shown on the attached Schedule of Fees Due Sheet ....................................... 17. , Stotement of Intent for Non -heated and A/C Buildings .................................... ....... anitation and site plan approval from the Environmental Health Department in �Q.. 19. City of Chico Plumbing permit....................................................................... Q p an approval ❑ paid. Sent by: .......I .............. ❑ 2 . California Department of Forest I �--P-fanning approval for (A) Use. (B)Parking: 0)<, (C) Parcel Check: ❑ 22. Contact Land Development abo Improvements, ❑Drainage ............................... .❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept.,-, ............................ ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given oto owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization ...... k............................................................. ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearancej.............................................................. ❑ 32. Existing violations and/or expired permits.......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: _ When issued Telephone ' r} and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the-abeve- s tuber d: 2. Additional items required Contractor, designer, owner, was advised of the above data byhone, ❑ mail, ❑ counter, by ContrJgtor, designer, owner, was advised of the above data by 6 phone, ❑ mail, ❑ counter, by A Plans reviewed by: Dater I Plans approved by: $tructuralreviewed by: Date: 1 Structural approved by: Note transfer by: 71)e Date:_ / -3-0 Yellow: Building Division t Plan Check Letter i t a t F 1 - t I . i i E.N. 44kE ONLY �aF., `• I - Piot Ran Anechod Floor Plan Attached Sent In ®. / TO: —Building Department 03— o y 33 FROM: Environmental Health SUBJECT: Sanitation Clearance (164 Owner Location AP \ Plan Approved for: Sewage Disposal Water Suppi Public Private Well Clearance for dwelling. Other tv P Hold final for: Final clearance O.K. for: NOTE: � f Environmental Health ;Specialist 8/96 Date V CERTIFICATE OF COMPLIANCE: Residential Page 1 ----------------------------------- CF -1R Project Title: Bob Hering Run: 798 12 -Feb -03 Project Address: 2398 Louis AVe Bob Hering Palermo, CA Total Building Title: Bob Hering Building Permit # Document Author: Don Freemyers R -value Telephone: 530*533-9365 Plan Check / Date Compliance Method: CALRES2 1.4.04, Field Check / Date Climate Zone: 11 0 GENERAL INFORMATION - 3.03 Conditioned Floor Area: 370 ft2 ----------------------- Outside Average Ceiling Feight: 8'0" ft -in 13 Building Type: SFD Single Family Detached Building Front Orientation: 90 deg (East) Outside Glazing Area, % of Floor Area: 4.8% 13 Average Fenestration U-Value:0.50 1=.36 Average Fenestration SHGC: 0.54 Outside Number of Stories: 1 13 Number of Dwelling Units: 1.00 11.36 Floor Construction Type: Slab on grade Outside BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti ---------------------- ------------------------- Slab Yes Grade FENESTRATION Cavity Sheathing Fenestration Exterior Overhang Component Insul Insul Total Assembly and Fins' Type R -value R -value ---- R -value U -value Location/Comments Door 0 -- - 3.03 -------- 0.330 ----------------------- Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 1=.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Ceiling 30 0 32.26 0.031 Outside Floor 0 0 3.38 0.295 Grade FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti ---------------------- ------------------------- Slab Yes Grade FENESTRATION E3UTTE COUNT1r BUILDING DIVISION N D Area Fenestration Fenestration Exterior Overhang Type/Orientation (ft2) U -factor ---------- SHGC Shading and Fins' Window East 13.7 0.50 -------------------- 0.56 BugScrn -------- None Window West 4.0 0.50 0.56 BugScrn None E3UTTE COUNT1r BUILDING DIVISION N D r CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: {,Bob Hering Run: 798 12 -Feb -03 THERMAL MASS Area Thick Type Cover ! (ft2) (in) Location/Comments None f HVAC SYSTEMSk Refrigerant Distribution System Charge and Location Type i Efficiency- Airflow TXV and R -value ---------- ---------------- ---------- ----------- ------------------- Wall heater 0.73 AFUE N/A Air cond. - centralksplit 0.67 SEER No Attic R-4.2 i HVAC DISTRIBUTION EFFICIENCY DETAILS I Duct Leakage Supply Target Duct Surface RCCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM ------------- ------------- -------------- None # I WATER HEATING SYSTEMS I Distrib Water Water # of Energy Volume System Name Type ! Heater Name Heater Type Htrs Factor (gal) ------------ ------ - ------------ ----------------- ---- ------ ------ Gas.62EF Standard GAS.62EF Storage gas 1 0.62 40 i. i SPECIAL WATER HEATING SYSTEM CREDITS i Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------ ----- ----------------------------- Gas.62EF -- No No SPECIAL WATER HEATER/BOILER DETAILS I Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) -----------------T---- ------------------------- ------ GAS.62EF 76% -- 36.00 -- -- -- " r HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value t None j t i C h r CERTIF36ATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: Bob Hering Run: 798 12 -Feb -03 SPECIAL FEATURES, REMARKS, AND NOTES 1. No air conditioning equipment is specified for zone 'Remodel'. Minimum SEER and attic ducts assumed. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR e Certification #: Signed ate ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date DOCUMENTATION AUTHOR Don Freemyers Freemyers Design 575 Nelson Ave., Oroville, CA 530*533-9365 2- 10-493 Signed Date COMPUTER METHOD SUMMARY Page 1 C -2R -------------------------------------------------------------------------------- Project Title: Bob Hering Run: 798 12 -Feb -03 Project Address: 2398 Louis AVe Bob Hering 49.09 Palermo, CA (ft2) ------ Building Title: Bob Hering Building Permit # Document Author: Don Freemyers Gns --- Telephone: 530*533-9365 Plan Check / Date Compliance Method: CALRES2 1.4.04 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 7.52 Space Cooling 19.15 Water Heating 49.09 Total (ft2) ------ 75.77 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones Total Conditioned Volume: Proposed Design --------------- 5.68 21.03 39.32 -------- Complies 66.03 Yes V 370 ft2 8'0" ft -in SFD Single Family Detached 90 deg (East) 4.8% 0.50 0.54 1.00 1 Slab on grade 1 2960 ft3 BUILDING ZONE INFORMATION Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) Remodel 370 2960 Conditioned CEC Standard 210" OPAQUE SURFACES Surface Area U- Insl Total Tru Slr Construction Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm --- Tlt --- Gns --- Type ------------ Zone = Remodel Door 20.0 0.330 0 3 270 90 Yes CEC30-Wood Wall 134.3 0.088 13 11 90 90 Yes W13_2x4.16 Wall 160.0 0.088 13 11 0 90 Yes W13.2x4.16 Wall 124.0 0.088 13 11 270 90 Yes W13.2x4.16 Wall 160.0 0.088 13 11 180 90 Yes W13.2x4.16 Ceiling 370.0 0.031 30 32 -- 0 Yes R30.2x4.24 Floor 370.0 -- 0 -- -- 180 No S1ab140C FJ Location/Comments ------------------- Outside Outside Outside Outside Outside Outside Grade COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: Bob Hering Run: 798 12 -Feb -03 PERIMETER LOSSES Perimeter Length Type (ft) ----------- -------- None FENESTRATION SURFACES Insul F2 Insul Depth Factor R-val (in) ------ ----- ------ Location/Comments ---------------------------------- OVERHANGS Fenestration -------------------------- Length Height Left Right Name Width Height 'H' IVI Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------------------------------- None Fenestration Exterior Shade Over - Fenestration Area --------------- Tru ----------------- hang Name -------------- Type ------ (ft2) ----- U -factor SHGC --------- Azm Tilt Type SHGC /Fins Zone = Remodel ------ --- -------------- ------ ------ FRONT -1 Window 13.7 0.50 0.54 90 '90 BugScrn 0.76 None BACK -1 Window .4.0 0.50 0.54 270 90 BugScrn 0.76 None OVERHANGS Fenestration -------------------------- Length Height Left Right Name Width Height 'H' IVI Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------------------------------- None ' COMPUTER METHOD SUMMARY Water Page 3 C -2R Project Title: Bob Hering System Name Type ------------ -------- Run: 798 12 -Feb -03 HVAC SYSTEMS Factor Refrigerant Minimum GAS.62EF ----------------- Storage gas ---- 1 Charge and Equipment Duct Location System Name ------------ System Type -------------------------- Airflow TXV Efficiency and R-value Zone = Remodel ----------- ---------- ------------- GasFurn.78 Wall heater N/A 0.73 AFUE See Note 1 Air cond. - central split No 0.67 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- None WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type ------------ -------- Heater Name ------------ Heater Type Htrs Factor (gal) Gas.62EF Standard GAS.62EF ----------------- Storage gas ---- 1 ------ 0.62 ------ 40 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.62EF -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ GAS.62EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe System/Name Type Number run (ft) -------------- ------------- ------ -------- None SPECIAL FEATURES, REMARKS, AND NOTES Pipe Insul Insul diam (in) thck (in) R -value --------- --------- ------- 1. No air conditioning equipment is specified for zone 'Remodel'. Minimum SEER and attic ducts assumed. 11 COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: Bob Hering Run: 798 12 -Feb -03 13 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Pae l oft) MFAR Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory treasures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER Building Envelope Measures: ' §150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. ' § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls does nota I to exterior mass walls . \( ' §150(d): Minimum R-13 raised Floor insulation in framed floors. /, § 150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 penTdinch. § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC:), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and scaled. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ------------------------ § 150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. I. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot hghts allowed. \ y Space Conditioning, Water Heating and Plumbing System Measures: § 110-§ 113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. § 150(i): Setback thermostat on all applicable healing and/or cooling systems. § 1500): Pipe and tank insulation I. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55' F insulated. 6. Piping insulated between heating source and indirect hot water tank. January 4, 2001 ENFORCEMENT MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION Space Conditioning, Water Heating and Plumbing System Measures: (continued) . §I50(m): Ducts and Fans L All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, § 114: Pool and Spa Heating Systems and Equipment. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" ofpipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Measures: § 150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen § 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this _requirement allowed in § 150(k)2 • and recessed ceiling fixtures are IC (insulation cnvrrl a,,.,— —A January 4, 2001 DESIGNER I ENFORCEMENT k y'J rd7f n H M m ,o 0 U) 'i I., M 8 0 BUTTESUILD'NG oN1S104 PIPPROvED r�• L) ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 P IT 2/96)160 APPLICe4Tlbld AND PERIVI(Y a� SSORPARCELNUM ER "-7V) ! ZOI/IN � BUILDING PERMIT rE/(uPl� HONo�E F SO. FT. OCC. BUILDING VALUATION 70, 60bA5 G ADD SS RACTOR•S NAME TELEPHONE k, C 6r1 Y� - coNSTRucT1oN LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHTrECT OR ENGINEERS MAKING ADDRESS • Plan Checking Fee $ BULLDINGADDRESS CA_ Energy Plan Checking Fee $ $ 1 rAt-G62y,,tCD t4 PERMIT FEE $ LOT NO. dUBDIVISID NAME�� _�� �� PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Ly—(� (, 7 .. %7 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF A Duplex ❑ Mobilehome ❑ Other Water piping 15.00 f SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ UtirT6es Q Installation ❑ Othet ❑ Building sewer 15.00 1 Mobile Home S G W @20.00 Describe Work: C)" PERMIT FEE s `� ELECTRICAL PERMIT Fling Fee 2.0.00 Main Service 8.00.V. OR LESS 23.00 �•L�� ; ��Q Main Service 200AWRI TO OCU000A 46.00SO 77 -i NEW CONST. pWB11NG ODS. .3 50FSTO: I OR ADDNS. & ACC. BLDS. . y ®� NDN -RES D. -� 6 MULTI-RAICHCIJTI-Er @7.50 snow 1 BPSNER G,0 .E OUTLET CTR. xp 1.00 Ex. Occup. ovn.Er &'IXTURES SAL @ .50 Ex. Occup. UTLETAp IEs DD )ea 5.00 Temporary Service �� \23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECH CAL PERMIT Fling Fee 20.00 Heating Cooling • CJl ✓carom Hood 6.50 Ventilation a PERMIT FEt: $ Mobile Home Installation Fee $ �� •0��� Energy Inspection Fee $ CC TYPE TO)PAL F E $ �_L P NAZ. ESIV 1. FLID CDF PAP6SU �V�• This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50° deep and demolition or construction of structures over 3 stories in height By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Dela ..`C`.-.""�-....r;+r--r,,.r �� t.�. ;-KYrJr 1y,�.... � ��-..---•_+�.-..�,..�.....?........,-_,,.....w�. �... - � ...,�,••- . ,. ... _ ... - ...� _..r.. �..-.. _.. - .. ...f.. COUNWOF BUTTEL- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive, -'Oroville; California 95965• * Telephone (530) 538-75 1 PERMIT NO. --(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-230-044 ZONING AR -5 � , BUILDING PERMIT OWNER HSIU-LIN [MING TELEPHONE 533-2525 SO. FT. OCC. BUILDING VALUATION (jam) (�(J 09000.00 . OWNERS MAILING ADDRESS 25 ARJAY RANCH RD, OROVn T.F- 95%5 CTRRAA�CTTOOR'SNAAME ONfUNKNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 10 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2398 LOUIS AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 160.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REMODEL GUEST' HOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S 71. 00 ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceA aoooR LEss 2o,OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zo,A TO 1000A 46.00 NEW CONST. DW ."NG oCCUP. ( ADDNS.EW 3.5Qso. FT. NOR CONST. MUNiTCICOu�TLS. NON•RESID. cu @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FLxruREs 20 @' °O BAL- @ .s° Ex. Occup. O.R DORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,17 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 411 �---\ "// � ` �`' • � '� `� � � / -3 X ""R' /'~" �+'' - Date `/ Signature of Applicant - O Owner` ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height - - Mobile Home Installation Fee $ Energy Inspection Fee $ e,05, ;� TOTAL FEE $ 231.00 TOTAL HAZ. ,,... D. FEES IMP ✓ FLOOD CDF . PARCEL . PD y' HD ✓ ISSUE �,f This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By A —' EXPIRES ON the applicable provisions Resolutions to do work been paid. �. % Date � /4 j .. I- + Gil (� /046 Det, v r Receipt No. J ` G7�✓�% ©iw4949PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �b.23d—b� ✓p3.2kKb , r i Rr� Q M C) rb O t I o �q � • 3 i NL 1 q . �f L , Vk i IkL v 04 It ! I .� ry ADDRESS .23 IF e ,C40/s MISCELLANEOUS BUILDING 2,o Lew DESCRIPTION OF BUILDINGS RECORD 7- 1"sHEET_d- OF 5 SHCET Bldg. Na Structure Sire Found. b4/o/l 6i Exterior Roof Second Story Year �! Floor B Interior Detail or Loft Built sl. Toj Life Yr. Type Cover R. C. N. N. T7w, � 7o K3A �el 0% Good R.C. N L. N D. Unit Cost Cost % Good NC N, L. N. D Unit Cost /n Good R. N. L. I<•..0. 4°=' Chi S �0O Ov i; 6 s -S 3 D�17 / moi/ 2�FS z i_ &000 125" ?;Uca r a 4127' 3 0 0 0 G sa 3 Z 5 0 SS 1-7 9% -- - U 2%0,,.16'-Z aA 0 FT IF -117-55' ff s�.(� GLcIO[_u--%� n G►, Off' 19,74- COMPUTATION " Appraiser - Dote L3 a31g '.RDL .APR. O 2 1994 19�— 16 33 I ► S /9-30 7c- 34 B/dg. Are® No. Unit Cosl Cost �� Good R. C. N. N. Unit 'Cost Cosi 0% Good R.C. N L. N D. Unit Cost Cost % Good NC N, L. N. D Unit Cost /n Good R. N. L. I<•..0. 4°=' Chi S �0O Ov i; 6 s -S 3 D�17 / moi/ 2�FS z i_ &000 125" ?;Uca r a 4127' 3 0 0 0 G sa 3 Z 5 0 SS 1-7 9% -- - ff s�.(� GLcIO[_u--%� n G►, Off' ' lot Total /700 S,9- 3rvc) ri'o0o 45 0 Appraiser- Date 19 19 19 19 No Area Unt Cost '/p . C. N.� Cast/o nl P Cost ._-'/o R Unit Cost .!...._------- -------- -- --- roto! ------- — -- - ------- All 1J1•ri Y•'40 KC3IUCIV 1 IAL t3UILUINU Kr -t -U / PARCEL 4&2�6�:? 'W',���`� ADDRESS SHEET 2"" OF � SHEETS SAE DAS AH530A 1971 ' DESCRIPTION OF BUILDING LA: , SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF TYPE WIRING HEATING ROOM AND FINISH DETAIL _ ::�,,1-•06c- Sub Standard From ��} Zl} F L R Gable IStandard Stucco flat Nip Cable K 6 T Cent. Force IShed Conduit lWoll I 1G,,v.. ROOMS FLOORS B IN I FLOOR FINISH TRIM INTERIOR FINISH Material I Gr. Walls Ceilings I STORIES Above-Slond. Sheathing Dormers 220 Floor I Perim Typical Siding Poor I i Spec. Bs.Bdj jElect. DESIGN I USE FOUNDATION Block Rollers Ent.Holl Single Concrete LIGHT FIXTURES H. Pump Living Convent. Brick Brick ROOF PITCHFew' Econ. Dining Modern ric Bk Wood Low Med. HMany I ISpec. COOLING Family Piers floor Joist Hi h C Relr. Bed Multiple WINDOWS ROOF CO ER PLUMBING Wall HRoof Evo Bed Reinforced Sub Floor AAetol Wood Shin a I Water Heater Motel Slidin D.H. Shake Hillside Conc. Floor Casement Tile Sink FIREPLACE Utility INSULATION Few I JEcon. Com o.IT Kitchen �Na Units Liqhtj I eavyl ICeilingl-Woll Many I Luc. LovndrX I I Drain .1 Material: 1,4 L the Ft Slosh: CONSTRUCTION RECORD NORMAL A GOOD Permit EFF. APPR. Remain- Amount Dote YEAR YEAR Age in?Table No. For LiloE,1. RATING IF.A.G.) Condition Work• Slarage Space— `% monW ship Cupbd. Closes We 61A -a; BATH DETAIL Fl. NoFIN SH FIX URES SHOWER W T S s .f, j.fi 11AA> - A s - SPECIAL FEATURES Oven Fan Intercom Ran a Disposal Pullman Hood Dishwasher COMPUTATION Appraiser and Dote L9530V ftD ,ff ,Q._, 4- z -P1 D� 33 II -S --m Te 86 4131o( . Unit Unit Area Cost (_Osl Unil UniI Unil Unit Cost— Cost Cost COSI Cost Cost Dost Unit Cost Cost Unll Unit Cast Cost COsI Coll Cost 2 Eco 2 69 2a .2SO00 25,41 27000 G (N(�f' �2 ��.�' 24'OU Zito 3Co y %Z�D /NC L � ar.corsr•r,Q,�, 0S t In or- 3 Zv uu TOTAL A? Q ZSODU NORMAL ': GOODS, ems' 7v R C.L N D. /Zd 3� �Z�O� a�jpOc7 �/U00 SAE DAS AH530A 1971 WX ...... jjj; ........ ............ ........... . ....................... ...................... .. ............... ............ . ....................... ................... .......... ................ ............ .. ....... ........... ................ ........ I .... ::,. . - ................ ........... .. ..... . . ............ ......................... ...... ....... ...... . ....... ... • ........ .... ............. ... .................................................... ................. ..... .............................. ... ......... ............ ------------- ----------- - ..... ....... ..... . . . . . . . ........................ ............... ............ . ............ ...... ............. ............. ................... . . ...... ..... ................... ................ .... .... .. .... ..................... .. ................ .......... ......... ..... ......... : . ............... . . . . . . ................ ..... ............ . ............... ............. . ..... ...... .............. . . . . . . . . . . . . . . . :... E ........... r- - ----------------- .. ... ..... ..... .... ... ........ ... .... . ........... .......................... ........... ............. ... ....................Sh., ..... .... .q0t ........ ........... OW; ........... Aice o ........ ....... w0b, ..: ::: ............. ......................................... .......... ............ .......... .......... . ......... .......... ........... ... . . ....... ........ ...... .... .......... ------------- --------------- ............. .... ............. .... .... .................. ...... . ........................ .......................................... ..... ..... - - - - - - - - - - - - - - ------------- ........ ...... ................ --------------- ............. ............ ............. ............ .......... .. . . . ........... ................ ............................. -------------- ........... ...................... . ..................... ........ ............. ................ ............ . ............ • ........................ --------------- ----------- --------------- ................ -- - ------- ................. .......... 1V I APPR�OoVED covin ovin�y��lth EnvlronnPnt te 4X+ V vta ig natirel c\ v Ll 0 k)'( sf: r� O� N � �a � . a •; c ,..- fir. (f, t 379 3k' r� i � o _ cn c i c v+ ; 7 0. a: v^ 4 t Imo^ 1 _ I 4 1 APPR�OoVED covin ovin�y��lth EnvlronnPnt te 4X+ V vta ig natirel c\ v Ll 0 k)'( sf: r� O� N � �a � . a •; c ,..- fir. (f, t 379 3k' r� 11 I O E2 11 I 4,� 1 1 I 1 1 Ar e County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Robert Hering ADDRESS: 25 Arjay Ranch Road IMPORTANT: CITY s STATE: Oroville, CA 95965 SEE INSTRUCTIONS DATE OF CLAIM: 3/4/2[)0$ ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SFRV1r_Fc DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Reason for the QWnerS unable to build Refund: - EslagPermitpp No.: 03-0433 AP No: 026-230-044. Receipt No.: 370097 Receipt Date: 2/13/03 Bldg Permit Fees: $421.50 Owner's Name: HSiu-Lin Hering TOTAL FEES PAID: $421.50 TOTAL FEES RETAINED (Breakdown Below): $151.00 Building Permit Filing Fees: $20..00 Plan Checking Fee: $46.00 Plumbing Permit Filing Fees: $.20:00' Energy Plan Checking Fee: Electrical Permit Filing Fees: $20:00 Refund Processing Fee: $25.00 Mechanical Permit Filing Fees: $20.00 Inspection Fee: SRA Fee: $270.50 I, the undersigned, declare under penalty of perjury that the services or articlesclaimedhave been performed or delivered, and that this claim istrueandcorrect as stated Dated this /7i¢/dG IJ day of 7 2003, at `��Od/CG�� Calif._ �5�`> r. f �• qj/.�c.�� Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or del" red and that there is a Budget Appropriation or Specific a Ap rova C eck one) for the same. Dated this day of PAPE , 2003, at _Oroville Calif. Depart4nt Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Const ion Permits FUND Dept. Code Exp. Code PAYABLE FR4M FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT& SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. FOR BUILDING DIVISION USE ONLY.- Receipt NLY: Receipt Information: Number: 3 7d O -7 Date: (;� / 3 Issued To: `klk� Amount: Fees Retained: # 03-64 3 /pr'o'cessing Fee: $ c /Bldg Filing Fee: $ c-9-0 Plbg Filing Fee: $ 0 ✓Elec Filing Fee: $ a` 0 t/Vlech Filing Fee: $ Energy P/C Fee: $ Cl_�an Check Fee: $ —1 C� Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ TOTAL REFUND DUE:$ Amount from 440-001 Amount from BP# Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: SRA P/C Fee: Other: Amount from Amount from J:\A4y DocumentAREFUND CLAIM APPLICATION.doc 12/17/02 �UTtF Butte County Department of Development Services ° Building Division cOUNty REFUND CLAIM APPLICATION REQUEST FOR REFUND' Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 341(t)] CLAIMANT'S NAME: �i�E2r �% �jt�,vG �iL f�Siu �� ✓ /.P�,v G MAILING ADDRESS: a �/z✓ �r �A �c ��/ ASSESSOR'S PARCEL #: 0.2 G 3- 3 BUILDING PERMIT #: � 3 y33 RECEIPT NUMBER(S): - 3 7a 0 g 7 A request for refund,,of fees paid on the above receipt number(s) is for the following reasons: 7 o u Ly -- �t/o T �o,vv62 % 0l, - Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded) (� Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ()<) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date �� 3 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 Mobile Home Installation Fee $ o � Energy inspection Fee IS *Pscwr oec eoNSLrrPE TOTAL FEE $ A TO W W � CO "AL n r£a 00 FLOOD MFPARrf1 Po 10esu irThis pennit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resotut'rons to do work Indicated above for which fees have been paid. By Re=eipft. PERMIT EXPIRES ON WHITE-0.04A.D. CANARY.ASSESSOR PINK -INSPECTOR GOLDENROD•APPUCAW Date LINTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 8-1541 -• PERMIT N0. APPLICATION AND PERMIT b. ORPARMLNUMBERm . a3 �, - Nwv BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION .OMMM MUM ADORM D V C014R4=R% 1 TTMZ ►Kg m Y\, Cofayo_ DRS kqLM ADDR =M'MUCnW =ER uemars WAM ADDREss Fireplace Total Valuation S AR*U=ORENGMM Filino Fee $ 20.00 AACIC= DR erGDJE85 manM ADQR=.s- — -- - - Permit Fee S -� -� Pian Checkin Fee S v euaADnREss �� )Energy Plan Checking Fee S PERMIT FEE S keO -� torr& stQ30=cmumm - PARCEL YAP PLUMBING 'PERBAIT Filing Fee 20.00 Each T 7.00 USEOFSTRUCTURE Solar or heat purnp water heater 23.00 SF � Duplex D Mobiiehome 0 Other Water piping 15.00 sP Each cas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New 0 AddiSan 0 Rerltodel4 Utirm 0 hsWdm 0 Olhar 13 ------Building sewer 15.00 ✓ Describe Work /'(k , o/ �, Q", "It'l(� 1�. , Lobb Home IS I G I W @20.00 44 d PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 'ce 20M OR 29.00 Maim servi mm To +M► 4x.00 • NaN CaNm 'D=WP. OR ADOM ( a m= 9• FT. J. @7S0 • PDvvst APPARiQ'D9, • a sv+ctl: ou►L�s CtI� Ex • Occup, 0=Er OR FaetmEs °L BALM M QM r Ex. Oeeu auM' Z 5.00 *PERMIT FEE PUD $ TemporaryTmnporary Service .oD �L Mobile Home Facilities 20.0 Mise. Whing 23.0 .�9.�E�FF $ • OTt1Gfl $ PERMIT FEE S `+ �� MECHAMCAL PERMIT Filing Fee 20.00 $ Heating S -- $ Coorm Hood 6.50 • / � I Ven51e5on �i> AMOUNT RICUVIEb $ oL V � Mobile Home Installation Fee $ o � Energy inspection Fee IS *Pscwr oec eoNSLrrPE TOTAL FEE $ A TO W W � CO "AL n r£a 00 FLOOD MFPARrf1 Po 10esu irThis pennit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resotut'rons to do work Indicated above for which fees have been paid. By Re=eipft. PERMIT EXPIRES ON WHITE-0.04A.D. CANARY.ASSESSOR PINK -INSPECTOR GOLDENROD•APPUCAW Date �.. �r'+�.fK��•���'/�i�`'d.{r�l�+t�}7����wiT+n�1}'t�b%ir�Y`��'���'� ^ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET •) OWNER: � � ASSESSOR PARCEL NUMBER � � �D • �� G • G `� Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR mar ed NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. -r 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received - By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 1 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings.............................:..0 I .....I 16. Sanitation and plot plan approval from the Environmental Health Department in V ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry lana approval ❑ paid. b ...........� y P n7' P PP P � Y� �19. Planning approval for(A)Use: �_(B)Parking: (C) Parcel Check-2s� y fsr0/mom ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ Worker's Compensation Carrier d Policy Number ..............:.............................. Owner -Builder Verification ( iven to owner, ❑ Mailed to owner)..........: ❑ 6. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: I.. When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: =---7—��1 Date: 1. Index permit application for the above items numbered:-' d% & I -e &0"', ik. ,t'p Plan Check Letter 2. Additional items required Contractor, design , owne was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by , _Date: /9/ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by-. Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT dF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 3- 01 5 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE Sp. Fr, OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 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 Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000R LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO +000A 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. ( & ACC. BLD S. so 3.5¢FT. t10"�..ESIDT' MULTI.OUTLET @7.50 8 OLET OWER APUTPARATUCIR.S Ex. Occup. oLmFT OR FaruREs 20 @ 1.00 BAL o .so FIXI Ex. Occup. oiintTs AEEsID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not ¢mploy any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date o?�3 ,: �� Signature of Applicahtt'- ❑ ' nw ear O Contractor ill Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE It HAZ. I D. FEES IMP I FLOOD CFF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 0I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES A NO O L2> I HAVEJ4 HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: AME: CITY: CONTRACTOR'S LICENSE NO. 4. I plan toOvide portions of this work, but I have hired the following person to coordinate, supervise, provide the major work: NAME: ADDRESS: PHONE: 5. I will provide some of the the work indicated: NAME CITY: CONTRACTOR'S LICENSE NO. k but I have contracted (hired) the following persons to provide PHONE TYPE OF WORK DATE::.1-% t4 Tp NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, �, p /w Mic el C. Vi ira, C.B.O. LM ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• N- � „ n �7 �'I/Z✓%T /�/�/.vGle �d 33 3r. i ' . - ,� *. , . I � � , ` � � 1 } .: � •� Hillside 'el ADDRESS ~'' ` lz5 (SHEET 2 OF SHEETS I JSink FIREPLACE utility DESCRIPTION OF BUILDING INSULATION -LA. SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF TYPE MIRING HEATING ROOM AND FINISH DETAIL 9-0 Sub-Standord Standord Frome JCS 24 F L R Stucco Goble Flat I jHip Coble I I K & T Force ROOMS FLOORS Grov. Shed Conduit B 1 2 FLOOR FINISH TRIM Material Gr. INTERIOR FINISH Walls Ceilings Drain Bd. Material: STORIES Above -Stand. Sheothin qFloor Dormers 220 Perim T icalPoor RATING (F.A.G.) !P?v' ;_�A).'r BATH DETAIL Permit t No. For Amount Dote ec. Elect. Condition Work• Storage Space mon Int. Ext. chip Cupbd. Closet F1. Na FIN SH /�tlG DESIGN I USE FOUNDATION Block Rollers Ent.Hall _ -) c:__r_ k7l ab r ------- 1i iruT otYTuocc I H P..,..., I ; SHE DAS AH530A 1971 Hillside I I Conc. Floor I icasement I I Tile I JSink FIREPLACE utility INSULATION I JF,w I Econ. Com o. Kitchen 1 1/1 1 1 41A)O Units I IlLighil Imeavyl ICeilingiWall Many I ec. I Drain Bd. Material: (d l_the,t Fil 5 losh: CONSTRUCTION RECORD NORMAL %GOOD RATING (F.A.G.) !P?v' ;_�A).'r BATH DETAIL Permit t No. For Amount Dote EFF. APPR. Remain• YEAR YEAR Age inpp Table % Lile Condition Work• Storage Space mon Int. Ext. chip Cupbd. Closet F1. Na FIN SH /�tlG Fl RES SHOWER VI W T 5 �',� >L ! ..Finis IK - SPECIAL FEATURES Oven I 1F.n Intercom Range I I Disposal P ll EJEI I Hood I I Dishwasher COMPUTATION Appraiser and Dole �q I , s%- z - R1 Z)Pj 33 It--- -,D JC '64 .Q 3101 Unit Area Unit Cott Cost Unit Cost Cost Unit Cost Cost Cost Unit Cost Cost Cost Unit Cost Cost Unit Cost Cost Cosh Coss 4'5f-% 600 y Co 2 _75000 2 .11/ Z!5000 (49 112 / l2 2400 asp 0 AJ( L eads �— ti - - -- - a floa&.1io of 3 Z0/c, (i TOTAL a y O Z 5-000 NORMAL ': GOOC F-yr�, r/p !�1/�j%L /y 000 R C.L N D. .70DO /000 SHE DAS AH530A 1971 MISCELLANEOUS BUILDING R GOOD ADDRESS DESCRIPTION OF BUILDINGS SHEET_I!E_OF SHi;'ETs Bldg. No Structure Size Found. Roo!` Wall 6} Exterior Type Cover Floor 8 Interior Detail Second Story or Loft Year Built EstTot. Life Yrs /IMEE 7o l(3a lo�cJC�,e,4MC- �° Good R. C. N. N. Q. Unit Cost Cao- % Gaod G'�a, Unit Cost Cost % Good R.C.N. L. N. D Unit' Cost Cost 14T,46 CO O o CSO2 4 '� C 4 5� O O OCA /C' 6 =' s -S- /� 3 -ems �// 2 7 z 3-� &00 O / Z a Uc� a _L,�,-I':.w.0.� '!i l Z -5- 3 0 0 4� 3 Z S' ca Ss i 7 F-7 97 -- ¢ �S COMPUTATION Appraiser- Dote 3 317 ..RDL .APR. 0 2 19911 - � � � z� 19, F5, aQ, 33 /► S 19 �30 OZ -? Bldg• Area /Vo. Un%P Cost Co l �° Good R. C. N. N. Q. Unit Cost Cao- % Gaod R.C.N L. IN D. Unit Cost Cost % Good R.C.N. L. N. D Unit' Cost Cost Good CO O o CSO2 4 '� C 4 5� O O OCA /C' 6 =' s -S- /� 3 -ems �// 2 7 z 3-� &00 O / Z a Uc� a _L,�,-I':.w.0.� '!i l Z -5- 3 0 0 4� 3 Z S' ca Ss i 7 F-7 97 -- i I TOO 17aOS'� ,a� �L7 (?000 45 0 4F- ZWgo ,5,4Y en r'o e> Appraiser- Date 19 19 19 19 Bldg. No Area Unit Cost % C. N. Un t Cost �° �t _0 -Uhii Cost °� R. C. N. a N. D. Unit Cos �° R.('. N Ali 531.11 9•'46 1 , L . f 14, j ..1. •� _ - - ., �-�' y to , 1mv r-, .77 + J. 1T :1L ! I T: 1 ! tLi- I'J :1 a DT - 0-H 11.-� _3 II -I- !...' -"j i. ;�rj- 1, 1.. f..%U�'J/�. �:..i.. fX' }�.!� ..�.!_L'�'izl-_l,�t_ .. __I _!:'! .-L_!...1._(._I__!.L_'_ _I._L. __I._!_. I__ _I:�-!-- - -- -l..�i ,!�.I_� I . _f �'�,.:-.i: • i !...i..! .I _!_ ! _!. �L-I-1--!..J..! I -! '- I- ! ' ! I:! i � i !' ! i , I i .. . dad--.- J 4 lu ldc UP Eli .. ... !i i I J FM p 1 i 1 pol Imo' I i i, A I [71 71 A 1�_ nor-. PIT �j -I r 1, O al i 1.: 11-_- D, J I IT - 1. 1- _1 FFI-411, _T: 1 E q. nrl.-. 2I.L J, TL". J: I.J.. rl [H J I' 131 ty POW I —.1 1-1-J.': 11 RESIDENTIAL BUILDING RECORD PARCEL /1! e ,3-0-�� / - ADDRESS ISFIEET y" OF •S SHEETS SBE DAS AH530A 1971 DESCRIPTION OF BUILDING LA: .SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF TYPE MIRING HEATING ROOM AND FINISH DETAIL Sub-Stondard >< FromeW24 F LIR Standord I Stucco Goblel Flat jHip IK&T Cent.1 IShed Conduit Wall IForce Grov. ROOMS F OORSI B 1 2 FLOOR FINISH TRIM INTERIOR FINISH Material Gr. Walls Ceilin s I STORIES Above•Stond. Sheothin Dormers 220 Floor Perim Typical �0•- �- fZ>4ASiding Poor Spec. Bs.Bd Elect. DESIGN I USE FOUNDATION Block Rafters Ent.Holl Single V 314 Concrete LIGHT FIXTURES 1H. Pump Living Convent. Brick Brick ROOF PITCH Few' JEcon. Dinin Modern I Med. IMany I ISpec. COOLING Family Piers Floor Joist Hi h C Relr. Bed Multiple WINDOWS ROOF COYER PLUMBING Wall I lEvop. Bed Reinforced Sub Floor Metal Wood Shin 1 Water Heater Roof Motel• I Slidin D.H. Shake • Hillside A Conc. Floor Casement Tile Sink FIREPLACE Utility INSULATION Fey, I lEcon.. Compo. Kitchen //vd Units Li ht Hea lCeilingi lWall Man ec. Loundr Drain .1 Material: /L' L the Ft lash: CONSTRUCTION RECORD NORMAL % GOOD RATING (F.A.G.) 614-10- BATH DETAIL Permit No. For Amount Dote EFF. APPR. Remain- Condition Work Storage Space Age Table' % man YEAR YEAR g '"� Int. Ext. ship Cupbd. Close) Li e FI. NoFloors ANO W W T S S� / �a .� R C�_: .111L.} f f S (R - SPECIAL FEATURES Oven Fan Intercom Ran a Disposal Pullma HoodElij Dishwasher COMPUTATION Appraiser and Date c 531V DL �/} �. 4- D 33 II -S �itD JC 36 9 3�0/ Unit Area Unit Cosl Cost Unit Cost Cost Unit Cost Unit Cast Cost Cost Unit Cost Cost Unit Cost Co Unit Cost Cost Unit Cost Cost 2 Ga o 2 GO ,2a —?SOa0 2 .q/ 250-0 4.5-m'.19' /� d 80 toko /50LD /•/CL 2400 2�= -3 i x500 /A/C L �I--TF-I- ii r% �?2 L � °Lr- LGv A7oN5 of 1.3 Zv uv TOTAL ZSOvO NORMAL GOOD �yrv,eWw '76 !moi/?j/L (p 000 R C.L N D.1Z6p(� es6"o �c-JODo 0/000 ' SBE DAS AH530A 1971 MISCELLANEOUS BUILDING RECORD P,���� � �'�`�- ADDRESS r`'�0/'S 4Z SHEET 4- -5 SHEET5 DESCRIPTION OF BUILDINGS Bldg.To No Structure Size Found. Wo/l Exterior Roof Floor Q Interior Detail Second Story Year or Loft Built Est. t. Life Yrs Type Cover 7L 3e 4/3/0/ ®idg. Area 1410. Unit Co t Cost % Good R. C. N. N. — G'��.67- 0 Good R. C. N L. N. D- Unit Cost Cost % R C N Good L. N. D Unit Cost /° Good R. C. N. L. N. D. // ai SD o 4 °� 2S� 25" Dc� 6� --- -- /Z s ?750 0 3� — 41 Z _ 19Y¢ - FS COMPUTATION Appraiser -Date j53i7 RDL APR. 0 2 1291 z9 19,55— 19,30 7L 3e 4/3/0/ ®idg. Area 1410. Unit Co t Cost % Good R. C. N. N. Unit Cost Cost 0 Good R. C. N L. N. D- Unit Cost Cost % R C N Good L. N. D Unit Cost /° Good R. C. N. L. N. D. // ai SD o 4 °� 2S� 25" Dc� 6� --- -- /Z s ?750 0 3� — 41 Z _ Sli (� CLI. LOLL r� a. o-' Total /%©O$'�- JS_Z�D 1?000 45 0 3 zo/ou `may 6 00 0 -Appraiser-Dote _—.- _ — —_' _ _ 19_ _ .— _ _ 19 _ 19 19 No ' Area Unit Cost % C. N. Un t Cost — — % Sz . Unit t Cost % R. C. N. Unit Cost % �t R. C. N. To to! All 531.11 9-'46 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 rettim 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 a major labor and materials for construction of the proposed property improvement: YES NO ❑ I HA HAVE NOT ❑ signed an application for a building permit for the proposed wo k 3,,,l have contracted with the following person (firm) to provide the proposed construction: ME: CONTRACTOR'S LICENSE NO. T—plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work. NAME: DRESS: t CITY: rrly h: CONTRACTOR'S LICENSE NO. 5. I willp vide some of the work but I have contracted (hired) the following persons to provide the rk indicated: N I ADDRESS PHONE TYPE OF WORK i i SIGNED: PROPERTYOWNER: T DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returnedtoour office before we are permitted to issue the permit. OVER OWNER BUIELDER INFORMATION Dear Property Owner. o.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourselly you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Ifthe structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ly, iViic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. 7h is Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. , PRE -INSPECTION REPORT OWNER LOCATION: a���L_r)-1A i.?:;>�� PRE-INSPETION FOR: ) Q DATE TO PERMIT HISTORY:( ) NONE P4 AS BUILDMG IIYSPECTOR'S REPORT BdIding Daeription: Electrk: Gas: ResidentinUg of Units: -�� Currently Occupied AbandonedtVacant L Yes No Electric currently On Off Condition of Electric DATE: A.P. #D6-,�3z)- b 44 ZONING: tG Natural Propane None Currently On Off Obvious Problems: Sanititloc: Plumbing Working Well Working Potable Water Obvious SewageProblems - ACTION RECOMMENDED: ISSUE: HOLD FOR YAA1*'kLA0& Ins Date Sketchvbuildings on reverse and indicate location on proper' (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calffornia 95965 • Telephone (530) 538-1541 APPLICATION AND PERMIT PERMIT N0. ,=SM=PQRCe.NU6aEri o a �.a ,� m o BUILDING PERMIT D'"Rmt �� „ �� kip,�� "ONE - S0. Fr. OCC. BUILDING VALUATION (} , OWtMM !ln=nRESSG k �( �►-` cowwcrO TELPHONE C^ ^ ( Y ` eaeaaA-=s MQ= ADDR= C0r67RU6n0NUW R L2 OMM MULM ADDRESS Fireplace Total Valuation S ARCH= Dui QNGINM urM= rte • Firma Fee S 20.00 ARL7C= OR SIMM M UUM ADDRE56 Permit Fee S Plan Cheddn Fee $ at1�NSAODRESS ��� Lot.., �� ` ��.J Energy Plan Cheddng Fee $ 5 PERMIT FEE S LDTND. SDBOIVISIDRIB N4EAE PARCEL 1W PLUMBING'PERMIT Filing Fee 20.00 Each T 7.00 USEOFSTRUCTURE Soler or heat pump wader heater 23.00 SF C Duplex D Mobilehome O Other Water piping 15.00 S� Each as water heater or vent 15.00 TYPE OF WORK Gas olving rystem 1 - 5 outlets 15.00 N w O Addition O Remodel C UMF= O Installation C Other CBuild sewer 15.00 Describe Work -T-1 _ Mobiia Home S G W @20.00 *PSWIT FEE PAM SRA SNER.IFF , OTM. AMOVW RICE 0 *A5CWT NVOMM To as KM ZHTO COMM Receipft. wHM-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1PERMIT FEE I $ ELECTRICAL PERMIT I I FTmo Feel 20.00 Service ( MIA is 10M ) I I 46.00 H . PERMIT FEE ( S �_ 0l0 � I MECHAMCAL PERMIT FiFinng Fee I2o.o0T 6.50 PERMIT FEE: $ Moblle Home Installation Fee $ Energy Inspection Fee S 0 — I —` "r` ITOTAL FEE $ ( pK-,o `' I PAL I D. FEB I WF I FLOOD I =F I PARCEL I pD I HO I WLJE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. BY • Date PERMIT EXPIRES ON JESUS CARRILLO 026-23-0-044 2398 LOUIS AVE PALERMO 3�� rY kit vi � =��.+._r'.'_ � � �•9-:11:. 3'i. �.�c - t'; - r . y . "'+�",t`�. (.3, t .:h -rX, �:t M� K 'k2 �t� a if COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/9�) APPLICATION AND PERMIT 03-03?6 ASSESSOR PARCEL NUMBER — 0/2-E-210-044 ZONING BUILDING PERMIT OWNER T q —T T 1! LT.�'i T� T TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 25 Tny Tk�ANC.U-PT, CONTRACTOR'S NAME UENOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 939,3 1()IJTS t.T Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF p Duplex ❑ Mobilehome ❑ Other i SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities F Installation ❑ Other ❑ Describe Work: Ci ff Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date�� 03 Signature of Ap r ❑ Contractor ❑ Agent An OSHA permit is required for excav tions over 5'0" deep and demolition or construction of structures over 3 to es in ig J 14 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLD.. s0 3.5¢FT; NON -RES D. CONSMULTI-OUTLET @7,50 APPARATUs 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES @ '•50 SAL 20 20 .00 Ex. Occup. ° FIXED Ra EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 nn T T PERMIT FEE $ 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 $ 66.00 HAZ, 1 0. FEES IMP I FLOOD I CDF PARCEL I Po HD UE This permit is hereby issued under the applicable provisions of"ica and/or Resolutions to do work inees have been paid. ByDate PERMIT SPIRE Dafe COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING) VISION f.f 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 - PERblir No. (R.34. 12/9 APPLICATION AND PERMIT ASSESSORPARMNUMER O / I / v 2OMM BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION � F3SG � .OWtiEAS fd46JNr 7,(:,-IA IV�'t ELECTRICAL PERd(tIT Filing Fee 20.00 5 ��1 t CDtiniAG7D1�'S N4mE` t� �<� ^ / TELEPHONE 29.0 \ =WR4CTDRS MMM ADDRESS Main Service 200A 70100°x► 46.00 • CONS7R=ZNLENDER Hav cDM OVWELLM 00CWP. DRAMM A AOC. M" 9.5C�• LEMErts MAR= ADORESs Naruaam O� Fireplace • 6 SPIGLE Bunzr cut Total Valuation $ ARCO= OR 8MM UCO" No. Finn Fee $ 20.00 ARCM= OR ercwMM UUM ADDRESS - Ex. OCCU R®APPUS. OR Permit Fee $ $ Temporary vice Ser Pian C haekin Fee $ $ 8!>D.=AWREss ( �� 1 Mobile Home Facilities -n Energy Plan Checking Fee $ �IilfSc: W 29.0 _ PERMIT FEE PERMIT S $ LarNa stmDNtsmNSNA►eE PAiG°- MAP PLUMBING �+ ��� Fwmg Fee 20.00 MECHANICAL PERMIT Each T 7.00 USEOFSTRUCTURE Heating $ Cootm Solar or heat pump water heater 23.00 SF D Duplex D Mobilehome D Other Hood Water piping 15.00 SPS Each gas water heater or vent N�A� RE�b 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 •New D Addition D Remodel D U5G6es D InsfeOafion D Other D Building firer 15.00 I Mobile Home Instatialion Fee $ Moblb Home I S I G W *R @20.00 Describe Work / _ _, y Inspection Fee $ comr rtm i'�i i ( TOTAL FEE $ • O W � � CONAZ MM ` v PERMIT FEE S 1 ELECTRICAL PERd(tIT Filing Fee 20.00 Mels Service 29.0 Main Service 200A 70100°x► 46.00 • Hav cDM OVWELLM 00CWP. DRAMM A AOC. M" 9.5C�• Naruaam O� 07.30 • 6 SPIGLE Bunzr cut 1 •Occu . OUTLET OR FD.'7URE3m ® 0 AD H4L JD Ex. OCCU R®APPUS. OR *PERJV�T FEE PNT'1lb $ Temporary vice Ser 0 23.00 .5� $ Mobile Home Facilities -n 20.00 �IilfSc: W 29.0 _ �'1T $ PER rT FEE S �' �+ ��� MECHANICAL PERMIT Filing Fee 20.00 $ Heating $ Cootm Hood 6.50 VeMrleSon N�A� RE�b PERMIT FEE S Mobile Home Instatialion Fee $ *R �j C) 1 y Inspection Fee $ comr rtm i'�i i ( TOTAL FEE $ • O W � � CONAZ MM D. Fc'S D!P FiOOD COF r PARCEL PD ND 65UE rmit is hereby Issued under the applicable provisions Butte County Code and/or Resolutions to do work .d above for which fees have been paid. By . Date ReceiptNo. PERMIT EXPIRES ON WMITE•D.D.S.•B.D. CANARY -ASSESSOR PUNK -INSPECTOR G0LDENR00-APPUCANT P '"S 4 MO 23 < 77. rl (V 0 0 C., LAj 77 ------------ 5 4L :> LLJ. 'Z C -,09.2f < 6 > .2171 I 78 Z 1. (46 X5 cv! .4 II,_ 4C)(,) %52 -1117-1! 2294,- I a. -29A- CD! 4 Pit PM 8 -42 w 78 Tq -7.--:7 CD N 71/ 2 3 A hr) v c 1-v —47 0 - - 4 E. '798,6 NO. 2: -5 El E 870-4-3-i PALERMO CITRUS TR. J, A 11 NO. I M.C.R. 6 WALL 2 PALERMO CITRUS Lc) 4'. rwi NO. 2 . . . . . . . . . . . . 3 9.60 . ... ....... .... .......... -:1 -9 6 A 77 :74 794P 2 + > NO. 9 -z (5 C5 56 4! or�� ; ""- i i� 40 '93 83 1 539.49 5'949 5 _z 7 949 11 '798,6 NO. 2: -5 El E 870-4-3-i PALERMO CITRUS TR. SUB. NO. I M.C.R. WALL NO: 3 PALERMO CITRUS TR. SUB. NO. 2 M C R WALL NO. 9 751 42 052) ilia 10 '00 21oz, 0 '3 OJ 5 4 C 1z 7r� PALERMO f f 217 C/ Tl?zls I ---I 'k— , 14 4 rP 17 z 5"0,> 509.44 TRA C 7- SUB. i� 2600 9 11 NO. Assessor's Mop No. 26-23 County Of Butte, Collf. MAR. , 1951 cf, v Via' - •- s i I I I I 11-4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 . 11 if III If I I III I I I I ol , rE COUNTY BUILDING APP DIVIe% ION 0 ROVED