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027-040-083
,027,-'04-0-083 91=3.795 D I M I CO LARRY & MAR.l L,YN,- CONTR:'- OWNER12o, +A4 OROVI,LLE NEW SINGLE FAMILY 027-04-0-083 93-109 DIMICO, Larry & Marilyn 128 Ma & Pa Ln, Oroville complete/91-3795 027-040-083 94-0596B DIMICO, LARRY & MARILYN 128 MA & PA LN., OROVILLE -COMPLETE BP#93-109 13 -IEFZ- pv'm'Tfa cotv,016fe, ct P- 3 7 5 SF C)w 3^0) 6 ag (CIG ��v . (C� O2� - p'�i0'� i 83 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE y" 1 6 ER >7 S's' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 4 please contact this office immediately. 14 Y4 rz-- J -p /`sem Date —� Inspector REV 11/81 COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891};2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6� 07 CORRECTION NOTICE-7..in C4)f OWNER ' ' v PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work '�S is completed, have any questions pertaining to this matter, or need additional explanation,, please c ct this office immediately.' o Co W/ fa / . RG �', t R_.. .� rim , COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE •P.9"qIxl _/1Qt PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Pu r /-� P� Date A, h, q / 7 Inspector REV 10/92 RESIDENTIAL 04-0-083 91-3795, DIMICO, LARRY & NAR ILYN CONTR: OWNER I JZ& Vh1cl- LLE +- IPA tii OROI NEW SINGLE FAMILY z. V OFFICE COPY Address GAS Meter By Dat ff ELECTRIC Meter By Date OFFICE FICE Copy Address GAS Meter By IC ELECTR'%Dat Meter By Jt ',JOB FINALED (Date) Signature J=OK O = Not OK =Not Ready- ° MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERF OR (Plans) OK except ft's on i ng -Setbacks -Easements -Flood -Slope Main; Soils-Elec. Grnd.-/ " Ftg. Depth Ftg.,_Garage; Soils-Steel-Elec. Grnd.-/jai Ftg. Dept Porches & Decks; Soils-Steelj,�Ftg. Depth -43-Stemwalls, Main; Steel -Bloc kouts-Wrapped .B-Siemwalls, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel .9-'6W.V.; Fall-Fitting-7est-2 Way C/O -Sewer Test F. Gas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. ,1<-G irders-Sills-Ancho" Bolts -Joists -Vents -Cripples 16. Insulation Date /2 2 Card B- Date Card B-1 Date2 2jt-Card B-1 Date Card B-1 Date 104AIMBTI<1G (Permit) OK except h's Itter Htr.: Vent -Access -Combustion Air -Baffle ---- ------------------------ ater Pipe; Test & Anchor -Nail Protection ---------- ---------------------------- W.V.; Test -Fittings & Anchor -Nail Protection -------- --- - ------------- tower Pan: Test. First Floor -Tub Access 27.7 -esu -U4 to & Shower, -Second Floor -Tub Access - ------ -- ------------------ Gas Pipe: Size & Anchors ------- - - - -- - -- - - -- -- Date Card B-1;, Date Card -B- t ----------- --------------------------------- ----- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's �- -2 ixture & Transformer Clearance -Ins. Protection ------ --------------------------------- -- ------------------- - ------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors --- - e Boxes & No. of Conductors -Stapled 25. ex Installed Close to Edge of Studs & C.J. __ __ --- ------------------------------ ------------------------------ 26. Ground made up w!Mech. Fastners-Bond Gas & Water ---- ------------- ---------- ----------- ------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI - -------------------------------•------------------------- 8. Subfeed ire Size r I ga. Cu or AI-A.C. Wire Size�ga. Cu o''04 _24.-4Rnge Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral ❑ Yes ❑ No - - ---L- �---- ---- ----------------------------------------------------------- L---O.- Servi- ce-Riser Conductors & Ground -Main Disconnect ------------------------- -- ----------------------------------------------- U�31. Equi . Clearances Panels-Motors-Mech. Equip. ---------- - - CIOt Closet Licht -Shower Light -Spa Light -------'---% -- ---- Detector = -----------------'------- Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support -------------------------- - ---------------------------- _ 5. Vent Fan Exhaus above insulation ----------- ----------------------------------------------------- 36. Condensate Drain. & Overflow: Size & Grade ----------------------------------------- ------- ----- ---- Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------- XCccess & Platform if Furnance in Attic ----------------------------------- -------------- --------------------------------------------------------------- - Date Card B-1 Date Card -B- I Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except x's 9. Sils. Proper Material & Anchors - - ---------------------------------------------------------------- IIs Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------- -- - ------------------- 1. Beanng Walls over Girders & Floor Nailing ---------- '- --------------- ------------------------------------------------- raft in Walls (rat proof) ---- - ----------------------------------------------------- e -------- ---- ---------------- ----- ------------------ e Stops: Furred Ceilings -Stairs -Chases -Tub -- --- - -- ---- ------ --------------- ---- -------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connect �'CTng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. Fr=place Ties or Type A Flue -Fireplace Throat clearance 4- ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions �!Caraage Fire Protection Framing rty Line Firewall & Openings a� axt. Doors -One T -Check Garage -3rd Story, 2 Exits dth-Headroom-Rise-Run-Landing-Fire Protection mood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ --- Siding-Nailing Veneer 5tumo Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic ear Walls; Nailing -Bolts 9. Insulation -Walls -Ceilings --------- 0. Infiltration -Walls -Windows ---------- laT-° LU G CAM] -- Dat and B-1 ate Card B-1 Date `• /lard B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- - 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Meth. Protection ---------- 64 -Bedroom Exiting - --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---- - --- 66. Elec. Trim & Sub_panel: Breaker Sizes & Labels 67. Stairs & Rails -------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. -------------------------------- ---- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ 71. Elec. Outlets & Receptacles at Kit. Counter - 72 Garage Fire Door Swing -Landing -Closer ------------------------ ---73.-.A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 1 76 Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- - -- 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wcod-Earth Clearance Looked under Floor ❑ Yes --------------------------------------- ------ 80. .------------- ----------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------- 81. ----------------------------------81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ 84. Water Well: Disconnect, Electrical, Plumbing - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .............. -------- -------------------------- 87. Glass Protection -- Eoas rrections from Previous Inspections Test -Meters �d Gas-Eborrc 90. Water & Sewer Connected -C/O to Grade -HD Approval - ----------------------------- 91. Energy -Compliance -Certificate -Other Certificates ------------------------- ------------------- --- -- Date 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: 'r -h, afat. ?Y:Sit''krA'i'.fl i�fj{'•CI.kItF[''�Ei°if "c.�r..l«�if! ;+�o..tS,9iFiv.'!t►_� M' ,• ,.-..t,:: 'N,.ty4,�. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 91-3795 ASSESSOR PARCEL NUMBER 27-04;-83 ZONING A*111 :5 A, BUILDING PERMIT OWNER LARRY & MARILYN DIM W, t TELEPHONE 965-4191_ S0. FT, f-jOCC. BUILDING"•VALUAT40N""/O`� OWNER'S MAILING ADDRESS_. A,q D AVE, FAIR OAKS 95628 1960 R 9Q 1 79"t " �;° ,,,. .t _ ,' c { '� CON�TTRA(('�CCpTOR'S NAME l/1'f'1.��R t t TELEPHONE `" .1 CONTRACTOR'S MAILING ADDRESS Fireplace TRUCTION LENDER CONS114 •ADDRESS UNKNOWN Total Valuation $ `� � LENDER'S MAILING ARCH((``I''T''E'j'''''�iC'',T OR ENGINEER LICENSE NO. Filing Fee YJ $ ,,,,_�u.17� Q i Permit Fee J" r w` `$ 2.W Plan Checking Fee ti f $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee 1 $ Penalty $ BUILDING ADDRESS t 128 MA & PA LANE, OROVILLI? Permit fee 1117 � $ _LDO. Q,. PLUMBING PERMIT' Filing Fee 15.00 Each Trap 11 5.00 S5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 8 4r,-' x/ 0 Water piping 7.00 7.00 Each plas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF❑CXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home_ _ S I G I W @:15.00 TYPE OF WORK New } Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: -1 MDR" SINGLE FAMLY r Permit Fee $ 104.M Contractor ELECTRICAL PERMIT: Filing Fee 1,$=0o Main service 200AORLESS 18.50 18.5(1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 -of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑. I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. ( DWELLING o� l�F�ff\ 3.64 sq.ft.�O� �fL OR AODNS. l ACC. BLDGS. L4 / 5�,-- NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 �• � { (SINGLE OUTLET CIR. ) EX. OCCU 20 76 p(ourLETs OR FIXTURES RAL -A Ex. DCCUp. OUTLETS FIXED P(RESID )REA.) 1" 3.00 Temporary service15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare underenalt P y 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 Filirig Fee' 15.00 a Heating 9. GAS PAK Cooling 9; Hood 6.50 • Ventilation it Fee $ 3 • Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws -relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaid County in 7.oTnseq.uenceof the granting of this permit. a// Af ✓ r •l �lf9lf'�i Date L+ -- Al. 2/ ' ❑ ❑ Signature of Applicant — Owner ® Contractor Agent An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S ecti Energy''Inspection Fee $ 40.00 O ; ,,c PE' �/ r OTAL F E $ ""- HAz "� DFE IMP FLOG, CDF - PARCEL PD y , s Er� °�X � This permit is hereby issued under the applic5l5le provi- Bions of the Butte County Code and/or resolutions to do work indicatedlabov'e f •r which fees have been paid. IDOE-1,,OF PUBLIC WORKS By _ t"- Date � PERMIT E 'PIRES Date j(�-7_'�l•Ct'�..-' 101458/10309. /Uj :S i4'/ / , Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1= COUNTY OF BUTTE - DEPARTMENT O0 PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9596 \&phone: 916.'538-7541APPLICATION AND PER ASSESSOR' PARCEL NUMBER _ — 20NING BUILDING PERMIT OWNER, Ari lu n! TELEPH NE &s- / SO. OCC, BUILDING VALUATION a MAILI DORES� / T 1/E_ �' �� i I 1 30, 0 CONTRA'TOR•S NAME We TELEPHONE 42 cONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION %�E N—DER UNKNOWN Total Valuation 4J , Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS jG , /e_ Penalty $ BUILDIN ADDRESS j I r Pe -_A, fee ,ti PLUMBING PERMIT Filing Fee 15.00 Each Trap j/ 5.001J--3- ,' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 3 � 0 Water piping 7.00 L �' Each qas water heater or vent 7.00 40 USE OF STRUCTURE SF 2� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.00 -j-61Z Mobile Home S I G I W I @ 15.00 � TYPE OF WORK New l7.! Addition ❑ Remdel ❑ Uti lities ❑ InstallationC Other ❑ wDkDescribe work: l- % h� Permit Fee $ /nyl Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA1 37.50 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.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. 3.6esq.ft. OR ACDNS. ACC. BLDGS. r NEW CONSTRESIO. RANCH TLET NO N.RES10. BRANCH CIRC ITS @ 5.00 r CIRCUITS) POWER APPARATUS e OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 120 76, FIXED APLNS. EX. Occup. OUTLETS PRESID IREA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 9 Permit Fee $ r / — 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 15.00 Heating 00 f Cooling Hood 6.50 Ventilation perrnit Fee $ I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structuresover3Qstoriesoineheighttions over S'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee �C.�/ZI occ CONST TYPE / HAz 1 0FEES I IMP FLOOD CDF I PARC PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS PFRMIT FXPIRFS r)ate Date Receipt No. > Larry. & Marilyn Dimico 4820 Sanford Ave. Fair Oaks, CA 95628 gutte counfq LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES / COUNTY CENTER DRIVE - OROVILLF, CALIFORNIA 95965.339/ TELEPHONE: (916) 536.7541 FAX: (916) 538-2 i 4O fl September 23, 1992 RE: Building Permit #91-3795 Expiration Date 10--29-92 A.P. # 027-04-0-083 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: bPermit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $15.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, 'no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. 1-1 Yours very•truly, • or JFG:hla I J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments:�JRenewal Application XOwner -Builder Information "IQOwner-Builder Verification Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 iti+'i.:�i+Nn^"rt �rp.�'wR7'',:T`FP°'C1�a3iK.e€F4`P'!"4�xi*ttr'�'i#�W"i�7iZ-g; 4A :.1 ,z„n�3+:�:'��t•'� ! r �«'�+6iq"+�ly�'i,�t`-"4=.ti.4'f$ti'%-. CObNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oro`ville, California 95965 - Telephone (916) 538-7541 PERMIT NO, Yeti, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER' 02%-040—'083 ZONINNGG�S . BUILDING PERMIT OWNER LARRY & MARILYN . D TELEPHONE 534-6695 FT. SQ. OCC. BUILDING VALUATION BUILDINGVALUATION _ OWNER'S MAILING ADDRESS 128 MA'&.PA LANE OROVILLE 95965 EST 00 CONTRACTOR'S NAME NiVER ' TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER - UNKNOWN € Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADOFESS - + Penalty $ BUILDING ADDRESS 28 MA & P E OROV E.' 95965 PERMIT FEE $ 146.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or.heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP -a Each gas water heater or vent 15.00 USE OF STRUCTURE SF © Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst F atio�0 her ❑ Describe Work: PEDaT TO ��i"""; 93"109 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 \ ) Main ServiceOR LESS 200A ( 2001 OR LESS ) 23.00 r� 1 v - Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5Cg0, FT. CONTRACTORS LICENSE LAW } I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C)I am exempt under Sec. Business and Professions Code forthis reason ., . NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.000 FIXED APPS. OR Ex. Occup.W ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 E— WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. i Notice to Applicant: If after making this "statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. — • 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 consequence of the granting of this permit. X /Q!f /.lu�.��f /Oom 4 Date `3 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height.' Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD I HD I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. /�j gy A/ Y/2 s Date/ !�T ,1 /?0 PERMIT EXPIRES ON / !! l (Date! Receipt .D. 156512 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 027-040-083tF 94-0596B DIMICO, LARRY' &"MARILYN 128 MA & PA LN .f, OROUILLE COMPLETE BP#,.93 X109 `J f 3 _� �S ,� 91- 37 9S- �.3 - IU/' a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-040-083 ZONING ARMH5 6.1 BUILDING PERMIT OWNER LARRY & MARILYN DIMICO TELEPHONE 534-6695 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 128 MA & PA LANE OROVILLE 95965 EST 10,500.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty. $ BUILDING ADDRESS 198 MA & PA LANE OROVILTE, 95969 PERMIT FEE $ 146.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S IS I W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installation O Other O Describework: PERMIT TO COMPLETE 93-109 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '0"ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC U OR ADDNS. I & ACC. BLDS. ) SOP. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTIOUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 Ex. Occu FIXED APPLNS. OR p I OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 10 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /-�� Date — — Signature of Applica t caner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES IMP 00D F1F CD PARCEL I PD I HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been Q By `�_ PERMIT EXPIRES ON ID, l provisions to do work paid. Date 9,7 Receipt No. 156512 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��,,..,v„ �nir�ir,�x'Srk,d�,�y+91.��`'Y'•_'��'��,.w�'P�.'34�Ykis/�(�E�j"i��y.��i�fi'l��M�r'��r.4��1�171�i�;oe.S;r�ila�w�,��,�, yT: �: - ,1' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMEwii+4T'SgRVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Copy - Department of Public Works Z)j/''P C - OWNER A. N r Proposed Building Use�� Building Inspector Date At timeof pe it application, I was advised the following data}must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........... . ........................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Fre-1 nspedion req.u-eT Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ....... :....... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process, as. bllows: ail to owner. Mail to contractor. Telephone ,an�d4hold for pickup at office. Deliver with inspector. Other `! I Parcel Creation Acreage %, ' Applicant A /Gr/�/� 4641% 40/% 4&V 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: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity .to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personallyplan to provide the major labor and materials for construction of the proposed property improvement (yes or no) \ �S 2. I.(nave/have not)- TI signed an application for a building. permit for the proposed -work. 3. I have contracted with the following person (firm) to provide the proposed' construction: Name. Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work f 1 Signed: ` Property Owner Social Se u Number Date T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to. our office before we are per- mitted to issue the permit. 4(Mtr� * 0-7--�_ 93 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 959 `'Te4ephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2,-7-0 O — O G 3 7P, BUILDING PERMIT OWNER � ` ' l im � Vl T5?) E /_ ((� SQ, FT, OCC. BUILDING VALUATION OWNER' MAILI OR CONTRACT S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ D ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME. PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SX Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O O O Addition O Remodel Utilities O Installation Other O �'� Describe Work: =0 �9 n^ � —T7) l � C_1() M 1l✓ f (J ELECTRICAL PERMIT FEE $ Contractor PERMIT Filing Fee 20.00 Main Service ( �1 OR LESS AORLESS ) 23.00 (( Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. I g0, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) D I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date �31rllqcl Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD CDF I exhcil Po NO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON !Dela/ provisions to do work paid. Date_ / S / Receipt No. �D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t�l� i � 4 , COUNTY' -OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538=7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 027,040-083 - -. , �'' ZONING ARNH-5 BUILDING PERMIT OWNER ,- - -' - - "" JArry & MarilynDimico TELEPHONE 534-6695 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 128 Ma & Pa Lane, Oroville 95965 - Est. 101.000.00 CONTRACTOR'5NAME Owner I - . 1• 11 TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 101,000,00 LENDER'S MAILING ADDRESS Filing Fee - $ 15.00 Permit Fee $ CQ1. ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $, ARCHITECT OR ENGINEER'S MAILING ADDRESS- Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS . Permit fee $ 616..00 128 Ma & Pty Lane Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. JSUBDIVISIOINNAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®'" Describe work: Permit -to Complete #91=3795 ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury. (check one): ❑I am licensed under p pfOVISIOnS of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification }� 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 70441 ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business, and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. I DWELLING OCCUP.gd\ s OR ACDNS. ACC, BLDGS. II 3.6Q q.ft. NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC', TS @ 5•�� PO ER APPARATUS y\ SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 becomesubject 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 consequence of the granting of this permit. X ,� /'/L_ 1 /��i/ %i /1Yi'�( � Date - "lq- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 616.00 HAz I DFEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is here y issued under the applicable provi- sions of th uta Coynty Code and/or resolutions to do ��/ Work In • IC t �b0�e for which fees have been paid. I#itf.'IOR OF PUBLIC WORKS By ✓ '� Date/-/' q� PRMIT EXPIRES Date / — /9 — �;y , Receipt No130453 . WNITC-D.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR, f.OLDENROD-APPLICANT g l - 6-7c.5 (z) C)-083 �i � tco', t�,.rn� ZG mo�►�i lin 1218 ('b- Pc. Lcknf-, Orovelle, q3—dog COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ; 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-040-083 ZOO ING ARMH--5 BUILDING PERMI OWNER arr & Marilyn Dimico TELEPHONE 534-6695 SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS 128 Ma & Pa Lane Oroville 95965 CONTRACTOR'S NAME TELEPHONE Owner Fst, 101 000.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 101 000.00 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ 601.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 616.00 Ile PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: Permit to Complete #91-3795 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare underenalt of p y perjury y (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO 1000A) 37,50 NEW CONST. ( DWELLING OCCUP.&) 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR U TI -OUTLET NO N.RES'D BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES20 76 FIXED APPLNS. OR \ EX. OCCUp. OUTLETS (RESID.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 15.00 Heating Cooling Hood 6.50 Ventilation -- -- Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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—Y��Date /--/Z/-C1-3 Signature of Appy nt — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $616.00 HAz DFEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is here y issued under the applicable provi- sions of th t ty Code and/or resolutions to do work in c o for which fees have been paid. OR OF PUBLIC WORKS By Date/ P RMIT EXPIRES Date / Receipt No. 1304 S� WHITE-D.P,W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -.r• ,4rY�r'Li'y .i t.`, ::`n., .. -ii '.i'N a.y'.:.y.,.(�t,,... pt=ir.�r iS�.ii.. _ COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,1 �1L:If?ORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1 / �_ /Z - Proposed Building Use Building Inspector Date At time ofper t application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by,preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $....................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit.* ................ 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for required. .. oe�iia�9 Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. .......................................... 29. Documentation of legal access. !.................................... . 30. Documentation of 50% subdivisiondeveloped or (A) Road improvements completed and (B) Parcel meets zoning a6ea and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. .......... /........................................ 33. 34. / t ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other I , Parcel Creation • 7N0�k AM440 T�77 Acreage � 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: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californi ia 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR P RC NUZI — ` Z INf /q BUILDING PERMIT OWNER �J . .�4 /N.9�2t.L,�ry Ql�'yi lLc� TELEPHONE 3 �Gq $Q, FT. OCC. BUILDING VALUATION OWp1E�J'5 MAILING ADD "ESS CONTRA T R• AMIr TELEPHONE . CONTRACTOR'S MMA/ICING ADDRESS ' Fireplace CONSTRUCTION LENDER _ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ O Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP - Water piping , 7.00 Each qas water heater or vent 7.00 USE OF *STRUCTURE SF)(Duplex❑ Mobilehome❑ Other /////C\CCC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ` Utilities ❑ Installation Other Describe work:_ �/% �-/� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V SS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslme$S 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) FJ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. DWELLING OCCUR.&) OR AODNS. ACC. B3.6Q sq.ft.LDGS. / NEW CONST FL ULTI-OUTLET NO N.R ESID BRANCH CIRC ITS @ 5•�� POWER APPARATUS &\ SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 @ 76d FIXED APPLNS, OR Ex. Occup. OUTLETS IRESID,I Fr. I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 mEking 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply tc 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 a ains; all liabilities, judgments, costs, and expenses which may in an way ccrue against said County in consequence of the granting of this permi / X Date / signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �(� HAz 0FEES I IMP FL00D CDF PARCEL P D SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. tO S WHITE-O.P.W., YELLOW -ASSESSOR. P%NK-INSPECTOR, GOLD ENROO-APPLICANT COUNTY OF BUTTE - Department of Public Works 7•County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: ' An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return.this information at your earliest opportunity to avoid unnecessary delay.in process-ing.and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvement (yes or no) 2.. I (have/have no Z signed an application for a building permit for the proposed work. 3. I have contracted with'the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address. City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Z22 Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19.832 -of -the California.Health and Safety Code. This verification must be completed and returned to our office before we are per - witted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 91-379.5 i ASSESSOR PARCEL NUMBER 27-04-83 ZONING ARMH 5 BUILDING PERMIT OWNER LARRY & MARILYN DIMICO TELEPHONE 96.5-4191 s°• FT. occ. BUILDING VALUATION` 1960 R 99,960 OWNER'S MAILING ADDRESS ANFORD AVE FAIR OAKS 95628 988 17,;94 CON TOR'S NAME 01-INER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - NONE UNKNOWN Total Valuation Is 1126 LENDER'S MAILING ADDRESS Filing Fee g $ 15.00 Permit Fee $69 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee .00 $ 346-00 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS PA LANE OROVILLE Permit fee $ 1,073.00 PLUMBING PERMIT Filing Fee 115.00 r Each Trap 5-00155.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAMEPARCEL MAP 83-40 Water piping 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF ❑Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3 HEDROOM_SINCLE FAMILY _ Permit Fee $ 104.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages,as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP &\ OR ADDNS. 1 ACC. / 3.6Q sq.ft. I NEW CONST R. ULTI.OUT LE NON.R ESI BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (SING LE OUTLET CIR. Ex.CCu O p OUTLETS OR FIXTURES 20 76 FIXED APLN5. Ex. DCCUp. OUTLETS (PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 Permit Fee $ 36170 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9,00 GAS PAK Cooling 9.00 Hood 6.501 6,.50 Ventilation penult Fee $ 39.50 Contractor 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 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 [.u[I .JliYl?(,,!°oDate Signature of Appl' ant - Owner ® Contractor El ❑ An OSHA permit is required for excavations aver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy InspectionFee $ 40.00 o 2 7 CoNsrrT PE �/ OTAL FEE $ 1 193.20 I HAz I D71 IMP FL00 CDF PARCEL PD I This permit is hereby issued under the sions of the Butte Count Code and/or work indicate bov f r which fees E PUBLIC / BY PERMIT EX'PIRES' Date applicable provi resolutions to do have been paid: WORKS Date/!i- .`�� Receipt No. 101458/1,309.70//101478/83.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • • {E � '�HH^%Fj � T'q-'. 'Jf �K "." '1y.'� (r'f .l "���.' �`•tl... , BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (oneEorm per Building). �9� A.P. Number,"tom Building Department No. School District/ 2 le'j (//1/ S City D CountyJurisdiction Property Owner " Dz/yz / r Project-Location/Address Subdivision Lot Number Residential Development: lasq. Footage -z4z • #of Living MHI Addition (roupR ) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) Date -•-,,-(.F.loor-Pl-ans,,revie-wed by School District, Personnel). f. District Id No. 1, � U s � Schoo District certifies that Applican p, (Street •dress) Q one Number (City) (State) (Zip Code) has complied with the.requiremen s of Resolution No. 8` by the payment of $ � � � 0 representing H square feet. School District Re resentative Date A / REMARKS: & BANK NO PAID BY CASH v �J white -applicant, yellow-bul ing department, pink -school district { 0 SCHOOL.FEE .(8/88) W l; ; 6f�?,; _i,i: ..„w,......._....,s, pT -c 1.Yaf':w�'F'�'94iv'" ;K; ,fah'Ae` `, i'yT""S'''�15'"�"`r"'�:cat*1/l•t^.,�/-+rftih�:i' "y's:'•-titi"r.t`rS'p+'v:;� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM One Formper .Building) Q Y� A.P. Number 02 _Q $"3 Building Department No. School District L.%;pYi 4� J. City L::], ,County Jurisdiction Property Owner /'_IV 26 NA %n � � m rcQ Project Location/Address Subdivision f) Oro 0 Lot Number Residential.Development: a Sq. Footage-� r # of Living MHI Addition (Group R) Units Commercial/Industrial: a New uilding Department Representative .Sq. Footage " Addition (Including Exterior! Roofed Areas) - C 00 (Floor Plans reviewed by School District Personnel) District Id No. ,/1 a cant Name reet Atdress Sch of istrict certifies that a • w i (Phone Number) =(City) (State) (Zip Code) has complied with he requirements of Resolution No. by the payment of % representing Lfr, square feet. 10, -91 18chool Dis -ict Representative Date PAID BY CHECK NO . '-; BANK NO— PAID BY CASH REMARKS: white -applicant, yellow -building department, -pink -school district SCHOOL.FEE (8/88) t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER % A. P. NO. % PROPOSED BUILDING USE �j DATE 7 REC. # DATE REC School Distric Fees OIL O (,//y f �j (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential .......... _X .3Coa =$ �(p� unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) -x =$ # units amt. Commerical( per._ sq . f t. ) X =$ sq.ft. amt. 4. Recreation District Fees" (paid at District.Office) .......................... 5., Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 1,-0 0299 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER4r Wl I C,O A.P. NO . _ PROPOSED BUILDING USE �� IA ZJE DATE /(9 I REC. # DATE REC 1. School DistrictFees 0('0 % 4010A' 00A (paid at District Office) ................ 2. Sheriff Fees rl(paid ���������� at Building Department) t4 ' I Resident_ ial ......... (. X �� / _$_ �0! �S �f lob unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per.sq.ft.) X =$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees .(Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE /D Return to DPW AGRICULTURAL, STATEMENT OF ACUOWLEDGZ'-= FOR RESIDENTIAL DEVELOPMENT Section. 26-8._1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91_044941 1 Rec Fee 5.00 to land or included 'within an area zoned I Check 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including,XX 2:16pm 24 -Oct -91 i 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property.''situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain Parcel Map being a portion of the P. C. Drescher Tract, Subdivsion No's. 1 and 2, which map was filed in the office of the Recorder of the County of Butte, State of California, on July 7, 1981 in Book 83 of Parcel Maps, at page 40. TOGETHER WITH a right of way 60 feet in width for road and . public utility purposes as shown on that certain Parcel Map being a portion of the P.C. Drescher Tract Subdivision No's. 1 and 2, which map was filed in'the office of the Recorder of the County of Butte, State of California, on June 22, 1979 in Book 71 of Parcel Maps, at page 45. Date: /D -4-y- Cl/ PROPERTY OWNERS: State ofC.'.c_\.On this the 2L _ day of 19c'tl before me, the SS. undersigned Notary Public, personally appeared County of`au-�.� ) • c� Personally known to me. 0 Proved to me on the basis ■■■■■■■■■■■■■■■■■■■�■�■■ of satisfactory evidence. DONNA CROSBY :to be the person(s) whose name(s) r S ,mss ;•' NOTARY PUBLIC -CALIFORNIA :subscribed to the within instrument and acknowledged that ;V, r� ButteCounty■executed the same for the purposes therein contained. IN WITNESS My Commission Expires Aug. 3.1982 ■ •WHEREOF, I hereunto set my hand and official seal. Present A.P. No. f; 7 ' C), Notary Publi 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 J1m t A. P. No. 0a27-,ew6 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) _ 9. Mobilehome installation data including manufacturer's installation instructions �10.. Fees of .o. .....................................'. l — a 1, W Y,: 11. Chico Urban Area fees paid ....................................... 12. Park fees paid aJql 3 h !/(�!1 /�l School District fees paid ............... O tL 4: Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of s (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) a 20. Pre -Inspection for required Pre-Inspec. r nest to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 723. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... -x`24. Recorded copy of Agricultural Acknowledgment Statement ......... X25. Letter oA signat " a author'za n 26. '.27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant !/17'1 Date /D X47-9/ 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 perrsuance: (Circ) new,`•item not checked above). 1. Index permit for above items No. 61N 1:1 2. Additional items required:. rs Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date— Sets ate Sets of plans on hold in File cabinet AP folder Copy -DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 0 -2- g13 owner locatiocr AP # t Driveway permit //LcT22 �� has been issued for the above property. Y si ature date 9 TO Buildinc Department ,FROM: Environmental Health SUBJECT: Sanitation Clearance - ri atio APatio# O er Loc Plan Approved for: Sewage Disposal 'Rater Supply Water Supply Hold final for: 7inal clearance O.K. for: Water Supply Clearance for bedroom home. Other NOTE *** i IJ�a /ISSI o — Date b Sanitarian COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _E N(3 Vr-_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner 222aLL&�, Dzjyyz Social Security Number Date //' 9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. d (c7dz000 �5� COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-75415--- L'` �5 APPLICATION AND PERMIT ` ASSESSOR' PARCEL NUMBER — _ ZO k,0,2 5 BUILDING PERMIT OWNER ari _ TEL PH SO. FT. OCC. BUILDING VALUATION O OWNER' MAIOLI DOR ES Ave i ' s CONTRA, TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIOON I,-_E�NOER UNKNOWN Total Valuation $ - LENDE 'S MAILING ADDRESS Filing Fee$ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ •��%V Energy Plan Checking Fee $ v ARCHITECT OR ENGINEER'S MAILING ADDRESS 6 Penalty $ BUILDIN AooREss II 4� Permit fee$ PLUMBING PERMIT Filing Fee 15.00 9 1,2_t Each Trap 1/1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i�. Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFoe- Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �ov Building sewer 1 15.00 Mobile Home S G W 015.00 TYPE OF WORK New Addition ❑ Rem del❑ Utilities❑ Installation❑ Other[] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR 00V OR LESS 18.50 ISM CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000AI 37.50 NEW CONST.DWELLING OCCUP 3.64 sq.ft. OR AODNS. ( ACC. BLDGS. - NEWCONSTR MULTI -OUTLET NO 14-R ES ID, BRANCH CIRCUITS5.00 /S FJ POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 P 76d FIXED APLN5 Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �yirin g •15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Departments 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.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Permit Fee $ L Contractor , I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 3Qstories oinehe ght ions over 5't)" deep demolition or construct• Mobile Home Installation Fee $ Energy Inspection Fee $ Q.60 01 YP "0170 TOTAL FEE $ I HATJ 0FEES I IMP FLOOD coF PARC PDA This permit is hereby issued under the app able sions of the Butte County Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date HO ISSUE _r ul provi to do paid. Receipt No. J7 7y— d Z S� WHITE-O.P.W.. YELLOW-^SS&330R, PINK -INS PC CTOR. GOLDENROD -APPLICANT , RESIDENTIAL PLAN CHECKING GUIDE 8/91. (S.F., DUPLEX & MISC. ONLY) %J Bldg. Permit # OWNER if{ l�/l'IZ�/',/� A.P. # a �O - GENERAL Plan Checker ;('Cl Zoning requirements: (sideyards and number of permitted living units). Valuation. lans signed by designer. • Proper description of work on application. sting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN fu omplete parcel size and dimensions. etbacks, sideyards, easements, etc. ther buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- stible,'and foundations). AU & FAS road setback. uilding or utilities across lot lines (Record form). FLOOR PLAN k mplete to scale plan with dimensions. quiredwindows for light and ventilation (Sec. 1205).. quired Zndows for second exit (Sec. 1204):;ylights (Chapter 34 & Sec. 5207). man impactglass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- enance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). ireplace and wood stove location, alcoves, and clearance. mo . detectors (Sec. 1210). lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS tandard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. '-�37' Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. ,5 ---Foundation plan complete enough to construct building. -6'.— Floor construction details complete enough to construct building. 'Elevations and wall construction details complete u&-. Roof construction details complete enough to .A-' Fireplace construction details and talcs if Rafter ties or bearing ridge beam. 1-�- Garage door or porch header sizes. ,L2,rStud heights. -1-3-Adobe .soils - special foundation design. 14 --.Retaining walls requiring design. 1 -5, -.—Special Inspection required. enough to construct building construct building. necessary. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). oam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation including supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Attic access and ventilation (Sec. 3205). nderf loor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances - L.P.G. ise requirements on duplexes. Energy design. __�lashing at all exterior openings. DF responsible area requirements. 8/91 required on garage side Mezannines - 1716). requirements. f Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOP`ENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent 91-04 4941 1 Ree Fee to land or included within an area zoned I Check for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte 1 but not limited to herbicides, pesticides, and fertilizers; and from the .pursuit Candace Grubbs of agricultural operations 'including, I Recoo Grubbs 1 b 1'4 2 2:16pm 24 -Oct -91 I 5.00 5.00 XX 1 ut not united to cultivation, plowing, spraying, pruning, and harvesting' which occasionally generate dust, smoke,' noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .real :property:`-"situat6-in .the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain Parcel Map being a portion of the P. C. Drescher,Tract, Subdivsion.No's..l and 2, which map was filed in the office of.the''Recorder of the County of Butte, State of California, on.July 7, 1981 in Book 83 of Parcel Maps, at page 40. TOGETHER WITH a right of way 60 feet in width for road and public utility purposes as shown on that certain Parcel Map being a portion of the P.C. Drescher Tract Subdivision No's. 1 and 2, which map was _ filed in'the office of the Recorder of the County of Butte, State of California; on June 22, 1979 in Book 71.of Parcel Maps, at ,page 45. Dat e: PROPERTY OWNERS: State ofOn this the _2LJ day of , 19q 1 before me, the SS. undersigned Notary Public, personally appeared County Personally known to me. 14 Proved to me on the basis 1•■■�0000■■■■■■■■■■■■■■■■� of satisfactory evidence. ■ ■ DONNA CROSBY ito be the person(s) whose name(s) / f, ■ ■ ,�� NOTARY PUBLIC -CALIFORNIA subscribed to the within instrument and acknowledged My Commission Expires Aug. 3,1992 that S�-e— Butte• couroy ■executed the same for the purposes therein contained. IN WITNESS • ,. ■ • ■WHEREOF, I hereunto set my hand and official seal. Present A.P. No. MEN-&.% — Notary Publi END 0 DOCUMENT i—eruiicaw tVaaaaA"tr- c.uut: 11 is r iiia f ZVw AL 4-061 0462 Documentation Author Telephone BUELDING DATA Co 5ea 9� S1 /Raised Floor Sin a Euntly Detached (SFD) (] Single Family Attached (SFA) (] Multi -Family (MF) 95 Building P t • Check- By /.Date Fsforeet eau Agency alae anlp Glass Area .......b G North_ Number of Stories East Number of Units South [ ] Addition Alone West [ ] Existing Building SkyliSkylight C2_ O [ ] Existing -Plus -Addition ea or.-" B UELD LNG SHELL INSULATION Component Insulation Lo=fionle: tnrne=. Tv^e R -Value (oma :a sea a =i=t. etc.) Wall .............. Wall .............. Roof ..............3 Roof ... `+ Floor ............ Floor.: ........... Slab Edge ..... . GLAZ'IN'G Shading Devtrss Glazing Area Glass Type Interior Exterior Ovetfiang Framing Type Orientation (sr) (sin double) (roller blind etc.) (shadeserem ere.) emino) (meuW-ood) Norvh Nor,h ( ) (� Ease a < ) •• •r East` SouUh ( ) •• �• Sou L -h ( ) West ( ) •• off West '( ) t • ► S Skylight....... p'. 4 • ,. ., THERMAL MASS '~• 75 '+r�' Type: Covering '%31 • ~� Area Thickness • •� (slab/exposed. tile, etc.) R, (Sf) (inches) U:k-ation/Dcscriction (kitchen, bath. etc.) JVA- Y j V71''r °i ` t i i a HVAC SYSTEMS ' Mini mtun 'Duct Type (Furnace, air Efficiency Location Duerr, Output Manufacturer /Model # conditioner. heat flume) (SE.'SEER.HSPF1•. (attic:, eta) R -Value (Btuh) (or ar)roved equal) d ' —Z- . _t It Maximum Furnace Heating Output Btuh .t- i+ HOT WATER SYSTEMSTank t Manufacturer/Model # . - Svstem T (stars a eas. etc.) Capacity or aoomved equal) Soecial Feature(s). c- A SPECIAL FEATURES/REMARKS (Add extra sheets if, necessary) .A Mandatory Measures Checklist: Residential MF -1R NOTE . Lawns residotnal buildings sublet u the Standards rmtm twin Nae melamea net=dlm of the oaaplinnQ wprmcm aired. Items maraed w,N aA astenst (,)may be aroasdod by bade tahtngtTt eomWiart¢ ra4urocw Ofd on nc Coula=tc of Comdun¢ when tial cw••kUst u ireer9Qa ul into 04 pamst documc mu, the kmua Maud sfall be consndacd by all oaru= as bang mmhmom component performance tocol ••••n• for the manduory mo nno - wnalter then trC sttowm rlseonere hn the daaanmu cr an this CJlack m QdT. - oEiCRflmoN I DESICM I Qrwu>Jtorr- auildint Esvrlotsr Measures • 12.5352(a): Mintmun ceiling nm+lasrow R-19 wattled average 12.5352fb): torso fill i—talon ma clam='s tabelnd R -value • 12.5352(cr Minunum ..all insulanon in famed walls R-11 werghted 2vQ+6e (does not apply b estenor mat -WUL 12.5352(k): Stab dgc mulaimn - sato absxvL%at rate no pryer them 0.3.1:, wua •ataa taasmuss n ate no pato than 2.0 panuincb. 12.5311: lmaulauom spoorsed ar insn)Id mets California Energy Comumisaat (C= quality Aanaardt (nine type and tom. 12.5752((: Vaom earners manaatdry in Climate Iona 14 ad 16 aniy. §2.5317: lnfilw3tsorvEiriltadon conwts a. Doors and wv0ows bo-cca caw+uoned and tteorditiored spaces designed to limit am Icatar- b. Doors and vtinam" courted. L Doors and wuwmn .outerse ippea as Joints and peneo ens caulked and st" t -A 12-5352(c): Sp=alinfduatsonbarrieruncalled tocompiywith 12.5351mocuCECquality andard. 12.5352(d): Intonation o(Fi cplatrs 1. Matonrr and factory -built ruepta= have L Tnghht rwnt, closable meat or glass dorn 0. Outside air intake with damper and conal e Flm aamoa and mmol 2. No conanumn ounung gas pilots alba d. HVAC ud Plumbing System Measures 12-5352(y and 2-5303: Sparc conditioning I qui; sizing: auacb oiodaooat 12•5352(b) and 2.5315- Setback thcrmcat e on all apoiaNc hating systaat --52-5316(a)-. Ducts c wanrctcd. installed and inarbtd per Chapter 10. I976 UMC. §2.5316(blt Eihhaust systems have damps eonools. §2.5314(c): Gas -fused space heating cquipment hos inu minetu ignition davirst. 12-531a: 1iV AC c*pencM Water heaters. showahcads and (autos cenified by the CEr. §2.53520 Wato hot= insulation blanko (R-12 or paster) or combined inmriomitwior insdatron (R. 16 or p+ato); rust 5 fen of pipes clnsea to ani insulated (R-3 or pato). n §2.5312(Esecption fk Pipe inudaLion on shorn and steam eordenate raum tit tsdreulating p""r- i §2.531 R(d): S+immmt Pool Htoting 1. System hdc a. Orloff switch an horst. b. Weww roof ntsaucntan plate an heato. e Plumbed to al:w for solar. • 2. 75 percent tmcmnal rlGoarcy. 3. Pool cover. a. Ttmc clock 5. Dwactsonal -*to inla ' lighting and Agpfiance Measures ' i r 12.5352(x Ughunt - 25 yaw nshau or pcua for tones) lighting in kitchau and buNoomtz i 12-5314(c): Gas rad appliances alnoppd with imomivatt ignition devices 12.5314(at Rdriga a%. mirigoator-freoers.fm=crsand 0uotaeohttampbill= certified by the CEC. iMtam mute and model oumbet. COMPLIANCE STATEA10ENT This C=-mfic= of compriaace lists the btulding featurts =nd performance spedfic:ttiorss ntxded to comply with Title 24. Chapter 2-53 and True 20. C1>4 v.; 2. Subchapw 4. Article 1 of the California Administrative code- This certif cart has been signed by the itVIM6ual with overall design rt:sparmbrlrty and the building owner. who shalt f retain a copy of it and transmit the =rtif tate to say subsequent pard -ser of the building. Designer Building Owner Name t Nance rak/R. Addrem Tidcr-u t Add m= Tck ho= Tckplwnc d` tic. (sirn■nue) may -91 (date) (sagnauae) (date) Documentation Author Enforctment Agency Name Name Tide4Fum; ACQhry: Addre=: T -t.- :.....� - Floor Insulation Numoer of s=nes Single- R -value One Two Three R-0 -103 -49 32 R-19 -8 -i •2 R30 .2 .1 .1 R38 0 0 0 U -value 4. Slab Edge Insulation •p_e0 - -- - • ... -•-114 - -- 0.So -176 -84 .54 0.30 -102 _is 0.2 0.10 -26 .13 3 US -18 .9 -6. Us -11 •5 .4 0.04 4 .2 -t O.C2 4 2 1 O.CO 11 5 3 a 2 1 0.60 2- Wall Insulation Floor Insulation &MIM. Single- Single. ` Family Family Mui1i- R-value Oetacned An= -ed Fam0 A-0 -68 -51 34 0 0 0 2 2 1 ...__.�. R-19..:.-..-.....8 3 Uvwue - - U•vaius 4. Slab Edge Insulation •p_e0 - -- - • ... -•-114 - -- -144 .lp 31 38 �6 030 ;7 36 -24 0.10 0 0 p 0.08 4 3 2 _ . O.C6 9 7 5 004 14 0.08 7 j 0.02 9 -0.06. 10 O.CO .4 3 12 0 0.02 N ..-.3. Raised Floor Insulation &MIM. Number of dories Inmiadon In Floor ` One Number of s=ries Three R-vaiue One Two Three R-0 -17 •8 .5 R-11 3 .2 .1 R-19 0 0 0 R-30 3 Z - - U•vaius 4. Slab Edge Insulation 4 - -_0.60 . -144 .lp Number of Stones 0.50 -120 -Se 38 0.40 -95 .t6 vb 0.30 -69 34 .22 020 --:3.21 -14 0.10 .17 -8 .5 0.08 -it -6 -4 -0.06. { -3 .2 0.C4 q 0 0 0.02 4 -55 0.00 10 5 3 Controlled Ventilation Crawispace Srgle- &MIM. Number of dories Um R•valua One Two Three R-0 -11 -7 -S R -S .4 ::4 3 R-11 .40 lass 50 R-19 .1 Z .2 4. Slab Edge Insulation 4 - - -90 Number of Stones •26 R -value One Two Three -75 -29 -19 •9 R-5 8 5 2 R-7 8 6 3 F2 `ac=r 29 -58 -20 0.90 -1 3 •1 28 -55 .18 -10 0.70 2 2 1 0.60 6 4 2 0.50 9 26 -1.9 0.40 12 8 4 zi. inuttratloa (Air LC;IKabe) Speaikaton Points Slsrrdard 0 6. Glass Heat Loss Total Srgle- &MIM. Interior Um U.vaius Glass Percent East South .5t •D .41 to .31 to 0.30 or Glass Single Double .60 M .40 lass 50 -121 -53 -39 -24 •10 4 40 -90 J7 •26 •14 3 8 35 -75 -29 -19 •9 1 10 30 -61 •21 -13 .4 4 12 29 -58 -20 .12 3 5 12 28 -55 .18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -1.9 -15 -8 .1 7 14 25 -6 -14 .7 0 7 14 24 -43 .12 •5 1 8 14 23 -1.0 -11 .4 2 8 15 22 37 -9 3 3 9 15 21 34 .7 •2 4 10 15 20 31 3 0 5 10 16 19 -29 -i 1 6 11 16 11 5.0 -3 2 - 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 -•15 -;7 1 6 10 14 17 14 •14 3 7 10 14 18 13 -12 4 8 11 15 18 12 A 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 i4 16 -18 20 7. Shading (Shade Open) Etra:dve Pereatt Class (Peemt `lassx SC) CIE E9ecdve Srgle- &MIM. Interior Um Slab Floor Glass North East South : west S1tyright 18 5 1 4 1 na 16 4_2. 5 _. 1 ., , na IA 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3' 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 d 2 3 5 _ 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 .1 .1 .1 2 0 .1 .2 -1 .2 0 na - not allowed 7 9 9 10 $. Shading (Shade Closed) Effective Percent Glass • (Percent rtase x SC) %Glass Nardil 18 -14 16 •12 14 •10 12 3 11 -7 10 -6 9 -5 8 •5 7 -I 6 3 5 2 a a 3 0 2 1 0 2 no . not e11c-nd East South -is -69 .42 -59 35 -50 .29 -1.0 -26 36 •23 31 •20 -27 .17 .23 -14 .19 it -15 3 -11 b A i -5 1 -2 1 -1 3 i West 9Y602 64 na 55 na -i6 na -37 na 33 na -29 - "14 -25 35 -21 •56 -is d7 .14 38 •7 .23 t •9 3 0 7. interior I hermal Mass Srgle- &MIM. Interior Um Slab Floor Raised Floor mass .25 or -24 to Slones Atm Faam4 Slixies 0 iCFA One Two Three One Two Three 0.0 -8 -5 .4 .2 -1 .1 0.1 -8 -5 3 .1 0 0 0.3 .7 .4 .2 0 1 1 0.5 3 3 .1 1 1 2 0.7 -5 •2 -1 1 2 2 13 11 9 7 2 3 3 18 15 13 11 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 S 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 35 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 55 5 8 9 11 12 12 6.0 5 8 10 12 13 13 65 6 9 10 12 13 13 7.0 6 9 11 13 13 14 75 6 10 11 13 14 14 8.0 7 10 11 13 14 14 85 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Esterior Wad Srgle- &MIM. Sum of 1.6 Um F Demctwd d One .25 or -24 to -14 to -t to Atm Faam4 0.00 0 0 a am 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 120 13 12 8' 1.40 12 13 9 1.60 10 13 1L. 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts in a dc) Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Other 6 5 'A 3 2 2 1. C0o[ing Syst:m Sum of 1.6 SEER One .25 or -24 to -14 to -t to +6 to 16 or SE HSPF less -;5 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 1 2 1 0.80 7.33• 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 8 10.5 7 EfTective SE or HSPF 4 3 (SE or HSPF x duct elnci ney) 11.0 Efleeive -25 or -24 to .14 b -410 +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 34 •56 -17 38 .30 na 3.41 -LS -39 -34 .29 .24 .18 0.40 3.67 •34 30 -26 -22 -18 .14 0.-0 4.58 -10 •9 -8 -7 -5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.--0 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 X16 13 10 0.90 8.25 32 28 24 c0 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Other 6 5 'A 3 2 2 1. C0o[ing Syst:m SEER One -5 1 .i 3 (&==asducU in attic) Two + 3 3 Stm o(7-10 2 2 1 Steele -Family Detached and -25 or -24 b 04 In -4 To +6 to 16 or SEER .)NS -15 1 -6 +5 +15 man 8.0 .14 .12 -10 3 •6 -4 8.5 g .7 .6 .5 .4 J 8.9 .g -A •4 J .2 •2 9.0 .1 3 3 -2 •2 .1 9.5 p 0 0 0 0 a 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 i0 9 7 6 4 3 1 ZO 15 13 11 9 7 5 13.0 -18 17 14 12 9 6 .1 .1 S a 0 1-3 1.1 is 1.1 1.2 2.1 HWR -,,a Etferdre SEER A .7 -6 (SEER xisd e8ldeney) WSa -25 .16 Arlt of 7-10 -;0' -a 4.2 44 4.5 47 1.9 i1 Ef[ecive-?S or -24 to •14 b -410 +6 b 16 or SEER tea -15 3 . +5 +15 mon 5.0 30 -25 41 .17 .13 •9 6.0 -12 .11 -3 .7 3 -t 6.6 -5 -t .4 3 -Z -2 . 7.0 p 0 a 0 0 0 8.0 3 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 6 C I t2 6.2 i3 23 19 15 12 8 12a ^6 0 26 22 18 14 9 130 33 29 24 ZO 15 10 Zonal Coocroi adjustment 10 8 7 6 4 3 No Coolirr System Installed -Stories One -5 1 .i 3 -2 -2 Two + 3 3 ., 2 2 2 1 Steele -Family Detached and Attached ! Unit size (so Water 1.199 1200 1700 22oo 2700 Heater credit or • b to to - or _Type Type less 1699 2199 2699 more SG None 0- r 0 a. 0 0 cr Solar 12 ' i d 6 5 4 HP HWR 8 5 4 3 3 0% WSS 5 3 3 2 2 3S% POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 0% 10% 20% 30% 40'1. W% Solar .1 .1 .1 a 0 1-3 1.1 is 1.1 1.2 2.1 HWR -,,a -12 A .7 -6 27 2f at 12 14 U WSa -25 .16 -12 -;0' -a 4.2 44 4.5 47 1.9 i1 POS1 -18 -42 -9 -7 -6 )G None .5 -3 •2 .2 .2 26 21 2/ 2f 3 Solar 7 5 •4 3 2 4.1 42 43 4.] 4A POU 3 2 1 1 1 IE None .28 .19 -14 -11 •9 2 11 12 22 2.3 Solar 8 5 a 3 3 IS 3.5 19 17 11 POU .10 -6 .5 -4 3 49 S if 12 5.3 Multl.Fatait7 (indt�lduai units) 39 S 6 37 5.8 5.9 5.8 S 9 S.9 6 it 6 C I t2 6.2 i3 62 61 64 6.4 63 Unit Size (sf1 105% 1107: 915t 120% 125% Water Heater Credit 649 700 1200 1700 2200 Type Type or lass b 1199 to 1690 b 2190 or more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP WSS WR 9 5 3 2 2 9 a 3 2 2 POU 9 5 3 2 2 SE Scla2 Sone -L5 -23 •15 -11 •9 HWR .23 1 -12 t -8 0 •6 0 S WSB•25 •13 .8 -6 •5 IG -P2U None .a a -=z 1 a .3 .6 •2 .5 -2 Sciar 6 3 2 1 1 POU 1 0 0 0 p IE None .;O -; 5 -:O -a -6 Foar u a -4 5 _ a •2 Point System Summary: Climate Zane 11 �. . SCORE CARD 1. CeiIingInsulation 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. GIass Heat Loss ?. Shading (Shade Open) a. North b. Fast c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. • West e- Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Vater Heating Measures Or R -value 1381 11 -value (0.0301 Or -value(111 U-vaiuc[0.0981 Q* � or R -value (191 U -value [0.0371 or R-vshte (01 F2 factor 10.771 Standard Type (d-wil:1 U-vaitu (O GSj % Tout Glass (161 % G SC Eff.S GlassX . 11 = 7 X • _ --�� -- X =_ % GB= SC Eff. g'o Glass 191. X X 4 +7 X -j2_ X = TYPE 1 MASS AREA COND. FLOOR AREA it Interior h/uarCFA TYPE 2 `BASS AREA � Ezi rot Wad �1ass COND. r L O R dRF..\ is '7ja X SE or Ata Efficfency 10.781 Effective [0-72/6.61 HSPF IQ -%5.151 SE X r S 19-51' Ara Eltiumry (0.74) Effemve'SEM 17.031 TYTC 1 l Credu (none) Point Scores 0 .fin t�- Sum I. Sum V Point Total: Interior MassICFA • r+.. r w.ss ir. r-.�c•a. n TT►e I mss (ttlwt' 1, 1.2. lei as stab) a 0% 5% toe 13% 20% 2S% Sox 3S% 407E AST'. Sox 55% box K4 7o% 7sx 10% a% 00% 9S% tt10y. tos7•. tt0x1.20% 0% 10% 20% 30% 40'1. W% 0 tI2 0.3 1.13 07 09 U %4 ai 111 of Ll 0.4 06 0.1 kf 1.1 1.3 0.0 0.4 1 1.1 1.3 13 as 1 1.2 1.4 1.5 1.1 1.1 1.2 1.4 1.6 1.7 19 1-3 1.1 is 1.1 1.2 2.1 13 1.6 1.1 2 22 2.3 1.7 IJ 2 Z2 24 25 1.9 2.1 22 24 26 27 2.1 23 24 26 2.1 3 23 2S Zl 21 3 l2 25 27 29 3 12 14 27 2f at 12 14 U 2.1 21 33 13 16 a/ 12 23 ss it 18 4 14 15 17 39 4 42 16 17 19 4.1 4.3 4.4 16 4 4.1 4.3 4.S 4.6 4 4.2 43 45 4.7 41 4.2 44 4.5 47 1.9 i1 44 46 4.8 49 5.I 5.3 •4.5 -4.8. 5 5.1 S.3 S.S .4.1 S 52 5.3 33 V7 5 52 5.4 so S.7 S.9 SM 60% 65% 70% 75% 0.9 1 1.1 12 1-3 L1 12 l3 1.1 1S 1.4 1.4 1.5 1.6 1J 1.6 1.7 1.7 1./ 1J 1.8 1.9 1.9 2 Z1 2 2.1 22 22 2.3 22 13 24 25 25 24 25 26 LI Z7 26 21 2/ 2f 3 28 29 3 11 12 3 at 12 0.3 14 32 33 14 23 15 15 3.5 36 17 l8 17 ad 31 It 4 22 4 4 l/ 42 4.1 42 43 4.] 4A 47 4A 43 4.6 4.6 4.5 46 47 41 4.8 4.7 4.8 ' 4.9 S 5.1 4.9 S 11 S.2 S3 S.1 12 $3 5.4 _ 15 53 S.4 55 5.d 157 S6 S.6 5.7 58 19 5.1 5.9 5.9 6 6.1 6 6 1 61 62 d.3 W- as% 90T-' %7: 10077 1.4 1.4 1.5 1.6 1.7 1.6 1.7 V U t9 1./ 1-2 2 2 11. 2 11 12 22 2.3 22 13 14 ZS 2.5 24 25 2e 2.7 28 26 27 21 29 3 28 2f 3 11 32 3 11 32 33 3A 13 13 14 15 36 IS 3.5 19 17 11 17 3,111 14 12 4 39 4 4.1 41 42 11 4.2 4.3 42 41 43 41 4.5 4.6 46 45 46 47 4./ 49 4.7 4/ V S Si 49 S if 12 5.3 5.1 32 53 5.4 SS S 4 54 . SS 5.6 5.7 39 S 6 37 5.8 5.9 5.8 S 9 S.9 6 it 6 C I t2 6.2 i3 62 61 64 6.4 63 64 6 S s6 6.7 6.7 105% 1107: 915t 120% 125% 1.8 1.9 2 2 11 2 V 22 23 23 72 22 21 1S ZS Z4 ZS 2d 27 Z/ 26 27 2d 19 3 Zd Z9 1 11 3.2 3 &i 12 13 3A 13 13 0.4 25 16 35 36 ss 3.7 It 17 3.1 28 19 4 19 4 1.1 4.1 42 4.1 42 43 41 4.4 4.3 41 4S 4.6 41 4s 46 4.7 4.8 V 47 4./ 4.9 S 11 49 S S.1 12 13 S1 52 S3 14 SS 14 5.4 SS S.6 s.7 So S.7 5.7 So 5.9 e 1 19 SA 6 6.1 6 S1 6.2 [2 63 6.2 6 ] 6.4 6.S 6S 6.4 6.S 6.6 6.7 6.7 96 6.7 6.1 6.9 7 go 6 9 7 7.1 7.2 Point System Summary: Climate Zane 11 �. . SCORE CARD 1. CeiIingInsulation 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. GIass Heat Loss ?. Shading (Shade Open) a. North b. Fast c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. • West e- Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Vater Heating Measures Or R -value 1381 11 -value (0.0301 Or -value(111 U-vaiuc[0.0981 Q* � or R -value (191 U -value [0.0371 or R-vshte (01 F2 factor 10.771 Standard Type (d-wil:1 U-vaitu (O GSj % Tout Glass (161 % G SC Eff.S GlassX . 11 = 7 X • _ --�� -- X =_ % GB= SC Eff. g'o Glass 191. X X 4 +7 X -j2_ X = TYPE 1 MASS AREA COND. FLOOR AREA it Interior h/uarCFA TYPE 2 `BASS AREA � Ezi rot Wad �1ass COND. r L O R dRF..\ is '7ja X SE or Ata Efficfency 10.781 Effective [0-72/6.61 HSPF IQ -%5.151 SE X r S 19-51' Ara Eltiumry (0.74) Effemve'SEM 17.031 TYTC 1 l Credu (none) Point Scores 0 .fin t�- Sum I. Sum V Point Total: