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027-050-051
� , x �,/ 27-055 02�- 0�JO Paradise Apostol!*amp, N.end of Country Club Rd., 4 mi.N.6f- Grubbs Rd.,app.450'E.of Putman Ave., Palermo Permit X97..-77P,E(�}ti1S,MH) ELEC GAS 3"j h•'7 �- two-rr--dam. SUPPORt 'STRUCTURE REQ, .1�41 COMPACTION TEST REQ. /V'd ,,A's/�o� � 27-05 Pc"t': Linco?n Village MH, broville Permit #1103-7-7MHI Issued 27-05-9451 ontr: Lincoln" Village MH Sales Permit #2332-, 8MHI.�,�,0� Issued p�S'� 27-05 X,5r Contr: Lincoln Village Permit #2641-78P(gas line for existing MH site) 27-05-,2(51 < NEW OWNER L-^ .W. STARK 7070 OroCountry Club Rd., Palermo P rmit #3200-79E(ele ser ch)MH Add ROBIN THEVEOS 0�4 OS 7070 Oro Country Club Rd, Oroville Contr: Theveos Const Permit#2644-84B,P,E,M(new single _family) 027-050-051 PERMIT#95-2676 THEVEOS, Robin 7.070 Oro Country C14 Rd., Orovil-le Ele Ser ch/SF v /' B07-1389 027-050-051 MISCELLANEOUS HVAC Change Out HVAC CHAN 7070 COON RY C B D JOHNSTON FAMI Y TRUS, T5 rv- r(FciCY 'r K } X315 -256`i pecK p� r5 4� 3' _ - r '. 9 027-050-051 PERMIT#95-2676 -THEVEOS, Robin 7070 Oro Country Club Rd., Oroville El e Ser ch/SF or- V:cr COPY Address gate - G AS Meter 5V --IG 7 Meter 5V 311 jn �:r:.�•Ti:,�...rY•.�,;.:�4-• .' h•'kalit,rt7k''�4n�..�`fr�,F'�j."I;t,i�.�awar7PrVgt'VYM:�,lR•7i��i 7� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISI0 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT .� 0 TO ASSESSOR PARCEL NUMBER T 027-05-0-051 ZONING BUILD . G PERMIT OWNER ROBIN THEVEOS TELEPHONE 534--8724 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7070 OROVILLE COUNTRY CLUB RD., OROVILLU CA 95966 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER NONE UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Penalty $ BUILDINGADDRESS - 7070 OROVILii ftY CLUB RD. OROVILLE PERMITFEE $ y'w ; PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OFSTRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ IOther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ! • „-, New ❑ Addition ❑ Remodel t]Utilities ❑ ' Installation ❑ Other ❑x Describe Work: MAIN ELE SERVICEIUKRADE ( r Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service ( Zoon oa mss ) 23.00 23, Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in LII force and effect. License Class Lic. No. -Frfr OWNER -BUILDER DECLARATI I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law)or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR )DONS. ( a ) SO. 3.5a FT. TI.TLET NEW CONST. MULTI-OUTLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 APPARATUS ) ( 8 SINGLE LE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES p• ( ) 20 Q 1.00 BAL Ex. Occup. (ouFIXED rusrsjR s o.�Ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ��• PERMITFEE $ 63♦ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier- , , MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Numbei (The above sections need not be.completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) , ❑ 1 certify that in•.the-performance of the work for which this permit is issued, I shall not employ -any -person in,.any mariner;so as to become subject to workers' compensan las of California°," nd ag�ee,that if I should become subject to the workers'�codipensatigrt�prov' los of�section•3700 of the Labor Code, I shall forthwith c fy wif�i ose ovisions.' :.'?% / X t a.` ` _` ' ' r`�_ DateZ21 Signatur,� of Applir,e f - ❑ Owner ❑ C ractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and d molition or construction of structures over 3 -stories in,heiglit,."., _ _ Mobile Home Installation Fee $• :.- Energy Inspection -Fee $ OCC r CONST. TYPE TOTAL FEE•$-, 63:00 n HAZ. r_ d.FEES ,r,- - IMP FL000 - -� cDF PARCEL` PD HD - ISsu This permit is hereby issued under of the Butte County Code and/or indicated.a`bove for which fees hav A� ` By - �1JAif PERMITEXPIRESON the applicable provisions Resolutions to do work b_ee paid. 10/25/95 .•Date 10/25/96 (Date) ReceiptNo. 186220 / I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR )GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California"95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT 101 ASSESSOR PARCEL NUMBER 027-0570-051 ZONING BUILD KG PERMIT OWNER ROBIN THEVEOS TELEPHONE 534-8724 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7070 OROVILLE COUNTRY CLUB RD., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 2Q,Qp Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 7070 OROVILLE COUNTRY CLUB RD., OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF EY Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑X Describe Work: MAIN ELE SERVICE UPGRADE Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( EOOA OR LESS OR LESS ) 200 A 23.00 23.0 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is inJWI force and effect. License Class Lic. No. i 41, OWNER -BUILDER DEC ARAT I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( 8 ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 APPARATUS ) ( 8 SINGLE LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL a .50 Ex. Occup. (GunEP DTs LNS. ea ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0 PERMITFEE $ 63.0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ an person in any manner so as to become subject to workers' -0mpens n I sof California, nd agree that if I should become subject to the worker co ensa ' - n rov' ns of section 3700 of the Labor Code, I shall ' forth th c y h se visions. X Date qo:� Signatur - Appli an - ❑Owner ❑ Contractor ❑ Agent An OSWA permit is required for excavations over 5T deep and molition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE I TOTAL FEE $ 63.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicate ve for whic fees hav By PERMITEXPIRESON applicable provisions Reso tions to do work b n paid. Date 10/25/95 10/25/96 (Date) Receipt No. 186220 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pro erty improvement: YES[ NO[ ]. 2. I HAVE[] HAVE NOT[ ] 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: -e C'� u C . ✓.� ADDRESS: U o ,✓ CITY:� r, P PHONE: 3-0--71e, CONTRA TOR'S LICENSE N0. F4"'`T"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: CONTRACTOR'S 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: SOCIAL SECURITY NUMBER: �-( - DATE: /A A -2 (� — /9 cam_ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER . �, Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Ifthe structure is intended for sale, property owners who are not licensed contractors are allowed to perform :their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to besigned by property owners unless they are performing their own work personally. .Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin 'cbrel ` 1 Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER (E) Thermal mass Type ✓ 1- I -I L� MC= + 32 Location c Type MC= Location Type MC= .3) Location Type MC= ►37 Location._ Type MC= Location _ Type MC= Location - Area Ft.2 HC=R= .Dy4/1a - Area ;s. `,-' Ft. z HC=R= - area _ NA - Area - Area Area r'2 Ft . Z R= Ft. HC= rR= Ft. 2 HC= R= Ft T!'r= R= -�c? 7V0 i : -,% FO 'N� I RESIDENTIAL ENERGY P' ..l CHF X/IIvSPECTICN SU?�ir1RY POwner .- r- Clim to Zone Permit No. Floor Area 10)04 Compliance path: P ckage ❑ A ❑ B ❑ C W.Point System ❑ Budget ■ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling ® Wall R— LED - E❑ 0 Slab Floor Perimeter Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) x,11 swinging= doors and windows leading to unconditioned areas shall be fully weathers tripped. BUTTE COUNT'y Tight - the above standard features p1uU�L®IN(`a (D) Continuous infiltration barrier DEPARTMENT'- ❑ (E) Electrical outlet plate gasket PP (F) Air-to-air heat exchanger LJ ®E (3) GLAZING: 9/ (A) Location Area Glazing 101 r Area Single Double Triple Total Bldg _ North = C _ East I °�►,� �' ® ® _ South' ' i"'' West ❑ Skylights (B) Shading Shading Coefficient Descripti n 13 East - 0 South ❑ West _L_ ❑ Skylights ► i G 9! X11 ❑ (C) South Overhang IPW Length of projection ft. Description ❑ (D) Moveable insulation: Area ft2 Description (E) Thermal mass Type ✓ 1- I -I L� MC= + 32 Location c Type MC= Location Type MC= .3) Location Type MC= ►37 Location._ Type MC= Location _ Type MC= Location - Area Ft.2 HC=R= .Dy4/1a - Area ;s. `,-' Ft. z HC=R= - area _ NA - Area - Area Area r'2 Ft . Z R= Ft. HC= rR= Ft. 2 HC= R= Ft T!'r= R= 0 FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A). -Heating ❑ Central Gas Furnace Fil W (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar ACOP a SE type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector a orientation collector tilt rated y -intercept rated slope Wood 1� f� Other ood X (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr ❑ ❑ p X (cooling Other V kaescrine) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and. fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 e 16) Do t_Sl lC (A) Gas only (brand and model number) Heat Pump w/Electric Backup w% Gallons (tank size) (brand and model number) Gallons (tank size) C3 *2 Active Solar (collector'brand and model number) (rated y -intercept) (rated slope) (solar fraction) . ft (backup heater type, brand and model number) (collector area) (collector orientation) Location of Solar Panel Other JF/edlip I a !) (collector tilt) (Describe) pr„ odc (B) TANK INSULATION. Storage type water heaters and storage andc backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). S (D) -FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or.other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature JO °, elevation ', heating load elevation factor x heating load = maximum outlet capacity gas furnace BTU iillpr lrp�o" Cooling: Summer design temperature °, cooling load BTU (,jQ.d2- *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizinilof solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californi dministration Code. 7/83 SI&ATUR5 OF BUILDING DESIGNER OR APPLICANT 3. (c) x = (d) x = (e) x Total North Glazing = ZiE (SQ.FT.) (a+b+c+d+e) TOTAL NORTH TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR NORTH GLAZING � _ /j x 100 ' `t � 7. SQ.FT. SQ.FT. G .' LY SIZE_ / A(SQ-1,-,'. ") (b) x Total East Glazing 1Q_ (SQ.FT.) 60 TOTAL c EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING x 100 = SQ.FT. , 3-7 South Glazing -8 West Glazing QUNTITY SIZE AREA (SQ.FT.) QUA/TITY -SIZ AREA (SQ.FT.) (a) x .�' D % ✓ (a) li x (b) - J CO = G Y' (b) T— is (c) x = (c) - / x ' eX A'6,*,C = 6 (d) x = (d) x ' (e) x = (e) x s Total South Glazing = (SQ.FT.) Total West Glazing (SQ.FT.) (a+b+c+d+e) (a+b+c+d+e) TOTAL - TOTAL SOUTH TOTAL BLDG CONVERSION TOTAL % WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR SOUTH GLAZING G G✓ FLOOR AREA FACTOR WEST GLAZING -.7% Q x 100 L+3% � 5 Vii• x 100 ice, % SQSQ.FT. SQ.FT. SQ.FT. 3A Skylights QUANTITY SIZE AREA,.,,, (a) x = (b) x (c) x s Total Skyli has = (SQ.FT.) (a+b+c) TOTAL SKYLIGHT TOTAL B!JG COti'VERSION TOTAL % GLAZING FLOOR/AREA FACTOR SKYLIGHT GLAZING r 100 = % .. M. r �! .� c)td:1EFt '_.^CRERM'.AL F 4SS TAktb F• SHEET PEKvJT N0. Thermal mass: Materials which have the ability to store heat (typical types are masonry, brick and ceramic tile). , Thermal mass cannot be insulated from the interior of the building. If covered by car- pet, cabinets, or enclosed in closets the mass is considered insulated). Thermal mass floors -must have an exposed and textured surface or design so that carpeting will not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA Entry Floor;;: L� X. , ESQ. FT.. Bath #1 Floor SQ.FT. Bath #2 Floor SQ.FT. Bath #3 Floor ' x ' a SQ.FT. Kitchen Floor ' x ' _ SQ.FT. Floor. ' x ' a ' _/ __SQ.FT. Floor ' Firepplace �j_-' Fireplace' x x _' Gj Q7 a ' ' �_SQ.FT, Cj r SQ.. FT x a )4:V SQ.FT. Bath #1 Counters ' x ' a ___SQ.FT. Bath #2 Counters ' x ` m SQ.FT. Bath #3 Counters ' x ' ___SQ . FT. Kitchen Counters ' x ' a SQ.FT. Wall Shield ' x ' n SQ.FT. Walls x ' _ I SQ.FT, i Walls ' x ' a SQ . FT . ' Walls '_x ' a SQ.FT. Q -SQ.FT. x SQ.FT. I If compliance method proposed is other than the point system (where thermal mass point charts are available), use calculation methods on reverse of this form to show thermal mass compliance. /(O� 10-1 - /' d S6 -* 71- p Z p , 7/B3 A :+ .ls- I R -Value of Insulstion I I Dtrth, '--I ! 0-2 1 3-4 1 5-6 1 7+ • f I I I : 0= It 1 -S 11 1 -3 I'OINTs OWNERZON PERMIT N0. -' ASSIGUCD ACTUAL i . . SLAB - INSULATION NONE _-+'� i -2 9 0 2. PRISED FLOOR - R-19 1 0 •I 2, R-30 04 G I 11.6 - CEILING - r -I I +4 [ 4, WALt. - 11-19 .• _) O 5. NOP.TH GLAZING - 2.4-3.6: -= -o. >.•, EAST GLAZING - 2.5-3.67 Sit SOUTH GLAZIi1G - 1.6-3.6% 13 T 3 VEST GI,\ZI::G - 2.9-3.6% 9, SKYLIGHT - 0-1.3% �- to. SILADING (Exclude Overhang) EAST - G� .67-.82 ra Q SOUTH - �'73 .19-.427. ( A WEST - 3. 7-.13-.36 1 jrd SKYLIGHT - .37-.57 ---- t. i. HORIZONTAL SOUTH OVERHANG 2' 12. `IUVABLE INSULATION - NONE : I. INFILTRATION (Standardr0)(Tight-+12) 14. THERMAL MASS SF v 15. GAS FUR -"LACE (SE) 71-76% 1,�. HEAT PUMP (EER) 7.5-7.9% / -,-e3- :7. DUAL PACK (SE. SEER) 8.0-8.3/71-76% i3 ACTIVE SOLAR 607 11IN (NONE) n ZONALLY CONTROLLED ELECTRIC i'(1• SOLAR WITH GAS BACKUP (HIJ) OTHER - NO ELLEECTP,IC (HW) ._ A ✓�i � � - Q�� ITEHL HOWN - ZERO POINTS - a --J 3-1. Slab floor_Points e 3-2. Raised P Points A :+ .ls- I R -Value of Insulstion I I Dtrth, '--I ! 0-2 1 3-4 1 5-6 1 7+ • f I I I : 0= It 1 -S 1 -3 1 -3 1 -s 1 12 - 15 1 -S 1 -3 1 -2 1 -1 1 i6 - 19 1 -S i -2 I -1 1 0'•1 70 . I -s I I -1 I 1 0 •I 1 +t ^ t R -Value of I Insulation I Points belov 3 1 -12 I I 22 1 -2 I S-] I -6 I 8 - 12 I -4' i 13 - 18 I T2 I __-L,5+ I 0 I Table 3-3.. Calling Insulation Points R -Value of [nnilatlon I PnInts 1 1 t9 1 -4 I I 22 1 -2 I 30 1 0 I I 24 1 +2 1 49 I I +4 I I I Table 3-4a. Wall Insulation Points I R -Valu• of Insulation I I I Points I I I Area, t I I 19 1 0 1 I 24 1 +2 1 I 30 1 L I +3 1 I Table 3-5. North -Facto Glazing Pts I I Glazing Type 1 I Total I I I 2 of I Sngl, I b6l.Trpl, I Floor l U- l U- I U- I At ea 10.66 10.42- 10.41 I ( 1 1.10 10.65 I down 1 1 0.1- 1.2 1 +4 1 +4 1 +4 1 1.3- 2.3 1 +1 1 +2 1 +2 I I 3. - 4.8 -4 42 -1 I I 4.9- 6.1 I -7 I -4 1 -3 I I 6.2- 7.3 I -9 I -6 I -S I I 7.4- 8.2 1.-12 1 -8' I -7 I I 8.3- 9.7 1 -14 I -10 I' -8 I I 9.8-10.0 I -17 .I -12 I -10 1 110.9-12.0 I -19 I -14 I -12 I 112.1-11.2 I -22 I -16 I -13 I 113.3-L4.5 I -24 I -13 I -15 1 114.6-15.3 I -27 I -20 1 -17 I Table )-6. East-Faclne Glazing Pts I I Glazing Type 1 I Total I I I I of I Snj;1. I Dbl, I Trpl, I Floor I (U - 1 (U - I (U - I I Area 11.10) 1 0.65).1 0.41)1 I `ILolints-I oI tsI oIntel T`o' 1 4 4 1 +.4 1 i t_T I up to 1.3 1 +3 1 +4 1 +4 1 I 1.4- 2.4 1 +1 1 +2 1 +2 1 ( 2.5- 3.6 1 -2 1 0 1 0 1 1 3.7- 4.6 1 -5 1 -2 I -1 I I 4.7- 5.6 I -8 1 -4 I -3 I I 44-44 I_ -10 I 44 -S I I 7.8- 8.7 I -IS 1 -10 1 -8 I 8.8- 9.7 i -17 I -12 1 -10 ) ( 9.8-11.2 I -2i I 015 1 -13 t 111.3-12.7 1 -25 I -18 •1 -13 112.0-14.0 1 -23 I -21 1 -18 114.1-15.3 1 -32 I -24 1 -20 I Tahle 1-7rn.irh-I or I nq CInt In.L - Pts Istle 7-10. Shall^s Coef[lclr�at to: -- _- S T"-T� I I clating hype I I SC by I - i total I _ I I Or ten- I I Floor Are; I Z n/ I-Sn',;1 t _D 1; `-T irpl T 1 tation I I Floor I (u - I (U - I ('1 1 I 1 I Area I I.lo) i 0.651 10.r. -I 1 - Ipolnts I�_a_Iyolnts) I East I I 3.2 '1 ) 0 I +� I +9 1+ 3 r 1 1 0-3.1 1 to 1 6.4 up upT-ta l:irs��.2 I I I I 6.3 I I o I 3.7-- 5.2 1 -4 1 -2' I -2 1 1 I 5.3- 6.5 1 -6 1 -4 ( -3 I I 0 -.19 I 0 I +1 1 +2 I 6.6- 7.7 1 -9 1 -6 I -5 1 1.20--36 I 0 I 0 1 -1 I 7..8- 8.9 I -11 t -8 I -7 1 I'-37--66 I 0 I 0 1 0 I 9.0-10.0 I -13 ► -lo i -9 i t .67-.82 I 0 I 0 1 -1 110.1-11:5 ( -17 I -13 1 -11 I I .83 up I -0 I "-1' I -2 111.6-13.0 I -21 I -16 1 -14 1 I I I I 113.1-14.5 I -25 I -19 1 -16 1 T1- r 114.6-16.0 1 -28 I -22 1 -19 I .I South 1 0 1 3.2 1 6.4 1 9.0 1 I I I I I I I to ( to I to I to I I 13.1 1 6.3 l 7.9 19.5 1 Table 3-8. West -Facing Glazing Pts. I T I 0 -.18 1 0 1 +1 I +2 I +2 1 I 1 Glazing Type I I,19-.42 1 0 1 0 1 0 1 0 1 I Total 1 I ( -43-.66 1 0 1 -1 I -2 I -2 I I of I Sngl. I Dbl. I Trpt.1 I .61 up 1 0 1 -2 1 -4 I -4 1 t Floor I (U - I (U - I (U - I t Area 1 1.10) 1 0.65) 1 0.41)l I I oints I olnts I ointsl West 1 .1 11.6 1 3.2 1 6.4 1 7 0 +s +6 +6 I to I to I to I to I I up to 1.3 1 +5 1 '4 I +6 I 1 1.5 1 3.1 1 6.) 1 7.9 1 1 1.4- 2.2 1 +3 1 +4 I +5 I 1 I 2.S- 2.8 1 0 1 +2. 1 +3 1 F i 2.9- 3.6�_ -3 1 0 l +1 1 0-•12 1 0 1 +1 1 +3 1 46 1 I - - 0 1 .13-.36 1 0 1 o f o f o f I 4.3- 5.0 1 -8 1 -4 1 -2 1 .37-.57 1 0 1 -1 I -3 I -6 1 I 5.1- 5.6 1 -30 1 -6 1 -S .58-.92 1 -1 1 -3 I -6 I -1' I 1 5.7- 6.2 1 -13 1 -6 1 -6 1 .83 up 1 -2 1 -4 T�T'T -16 1 1 6.3- 6.9 I -15 1 -10 1 -7 I 1 1 I 1 I i 7.0•• 7.6 1 -18 1 -12 1 -9 1 skytlgnc 1 .1 I 8 11.6 I 1.2 I- I 7.7- 8.2 I -_J 1 -14 1 -11 I I 8.3- 8.8 I -22 1 -16 1 -13 I I to I to I to I to I I 8.9- 9.5 I -25 I -l8 I -15 I 1 7 1 1.3 13.1 13.9 I I 9.6-i0.1 I -27 -20 1 -16 I -T-fir 110.2-11.0 I -29 I -23 1 -17 I 0-•12 1 0 1 +1 i +3 I +6 I 111.1-11.8 I -35 I -26 1 -21 I .11-.36 1 0 1 0 1 0 1 0 1 1 11.9-12.7 I -33 I -29 1 -24' I .37-.57 1 0 1 -1 1 -3 I -6 I 112.8-13.5 1 -42 1 -32 1 -21 I .58-.82 1 -1 I -3 I -6 I -12 I 113.6-14.3 1 -46 1 -35 1 -29 I .83 up 1 -2 I -4 I -8' 1 -16 I 114.4-15.2 1 -50 1 -35 1 -32 I 1 I I 1 I Table 3-9. Sk_yll.ht Points T I Glazing Type I I Total I I I of T-Sngl, I Dhl, I Trpl,T I Floor 111 - I U- I U- I ( Are.s 10.66- 10.42- 1 0.41 I I 11.10 10.65 I down I T I up to 1.3 I -1 I 0 1 0 1 I 1.4- 2.2 I -3 ( -2 I 2.3- 2.8 I -6 I -4' I -) I I 2.9- 3.6 I -9 I -6 I -5 I I 3.7- 4.2 I -11 I -8 1 -6 I 1 4.3- 5.0 1 -14 I' -10 I -8 I 1 5.1- 5.6 1 -16 I -12 I -10 I 5.7- 6.2 ( -L9 i -14 1 -12 I I 6.3- 6.9 I -21 1 -16 1 -13 1 ( 7.0- 7.6 I -24 I -13 ( -15 I I 7.7- 8.2 I -26 I -20 I -17 I 1 8.3- 8.8 i -28 I -22 I -19 I l 6.9- 9.5 I -31 ( -24 I -21 I 9.A -10-t I -11 _7c ! - -)t t Table 3-11. Horizontal Sout1 Ovetha,e Polntt T_ South Giac(ni T I Length Out I Area, I of Floor i I from Wall I I I ft r I r I 1 0-6.3 I 6.4 up I I I I I 0-0.5 1 - r 10.6 - 1.0 1 -2 I -3 1 11.1 - 1.9 1 -1 I -2 I I 2.0 up 1 0 I 0 I I I I i Table 3-12. Movable Insulation Points I Moveable Insulation I I I Area, t I of Floor I Points I # i 1 I 0- 5.5 i 0 I 1.6 - 11.5 I +2 1 I 11.6 - 17.5 ) +4 [ y C lu.6 •. v Ite, 5� C U V COUNTY OF BUTTE _' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive— (:'4oviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. /Signature of Permitee or Agent Receipt No. r :F t`, 1, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ' / ' ), Date Building permit expires Date r ' - - ' BUILDING Owner �. r i,.a, SQ. FT. OCC. BUILDING VALUATION Mailing Address = ) �' �J �; .� r , j - r Telephone No. L Contractor Mailing Address Fireplace Total Valuation i Telephone No. Permit Fee L Building Address ', o, -7,r)f- L -L „f �• . , ,� r7 Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — f� Zoning &-Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ . r -: x� ,/►e E-r/,.i� l he=- ELECTRICAL No. @ FEE y ❑❑ l j / 7 • 7 — / PERMIT FILING FEE $3.00 r-C� 600V OR LESS - P Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMP60ov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ACCLBLDGS.CCUP. S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTP_ /MULTI -OUTLET NON -REBID (MULTI CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES, BAL�104 FIXED APLNS. Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑'I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ _ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 ,'lcertifythat in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. /Signature of Permitee or Agent Receipt No. r :F t`, 1, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ' / ' ), Date Building permit expires Date r ' - - ' R_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive -' -Oi�)viIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the L;ounty of lsutte to enter upon the above-mentioned property for inspection purposes. X _ Date t ~ /7--00� Signature of Permitee or Agent Receipt No. .2 31161 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BCounty Code and/or resolutions to do work indicated abo f which fees h ve been paid. _OF PUB IC WORKS Date,- Building ate Building permit expires Date BUILDING Owner !" SQ. FT. OCC. BUILDING \kL.WhION Mailing Address Telephone No. Contractor d U)M 7Z.— Mailing Address Fireplace , Total Valuation Telephone No. Permit Fee Building Address �`�✓ Plan Checking Fee&/or Penalty Permit Fee A), ewp 41t1A) 9G141 e.9. /, /l� D PLUMBING No. @ FEE �7tS07� O LvT1i/ — PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. —' S Zoning 8 -Planning Water piping 1.50 Each gas water heater or vent 1,50 Ftegsj W.C.a )on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ L I/C.# �t5 ELECTRICAL No. @ FEE S6 PERMIT FILING FEE $3.00 ot7 V OR Main service 100 AMP ORSLESS 5.00 00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADONS.NEW CONST. ACCLBLDGS.LING CCUP. 4 20sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW RESID,CONSTBRANCOUTLET NON-RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. OUTLETS OR FIXTIIRES(50@?SC Ex. OCCUD1 BA FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 QO License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ a?j $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of ❑ Wor men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the L;ounty of lsutte to enter upon the above-mentioned property for inspection purposes. X _ Date t ~ /7--00� Signature of Permitee or Agent Receipt No. .2 31161 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the BCounty Code and/or resolutions to do work indicated abo f which fees h ve been paid. _OF PUB IC WORKS Date,- Building ate Building permit expires Date ..Q BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 7070 COUNTRY CLUB RD Owner: Permit No: B07-1389 APN: 027-050-051 JOHNSTON FAMILY TRUS, Permit type: MISCELLANEOUS 7070 COUNTRY CLUB RD Issued Date: 06/26/2007 By KEJ Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 06/25/2008 Description: HVAC CHANGE OUT (530) 533-4160 Occupancy: Zoning: Contractor Applicant: Square Footage: SIERRA REFRIGERATION HEATING A SIERRA REFRIGERATION H) Building Garage RemdUAddn 6899 -B -CLARK ROAD PARADISE, CA 95969 (530)877-0022 6899 -B -CLARK ROAD PARADISE, CA 95969 Other Porch/Patio Total (530)877-0022 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA REFRIGERATION HEA 452376 I C 20 C 38 / 02/29/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force effect X �LL-24J UAL 06/26/2007 Contractors Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier: PREFERRED EMPL(Policy Number. WKN1282291 E p. Date:07/01/2007 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 06/26/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 06/26/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property ow ed to act on the property owners behalf .�err or am aulhori yd _ ❑ Owner ❑ Contractor OR. Agent for Owner ErAgent for FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name �D First Name Mailing Address I� -7070 Czx,>n—bre 0>R� City / State Zip Phone Lr 11 Fax E-mail CONTRACTOR Name Address City State Zi Phone Fax E-mail Lic. #� Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE XWAII PROJECT LOCATION AP# O05) Property Address 70 70a ,,.1,�� City d U�0 �'" PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ai2v�L 4 k& Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. I PERMIT N0. 2644-84B2P,E31M ( PERMIT EXPIRES ' OWNER ROBIN THEVEOS CONTR.. The veos. Const Y ASSESSOR PARCEL 27-05-09 LOCATION 7070 Oro Country Club Rd, Oroyille i} OFFICE COPY Address .�� CAS Meter By ELECTRIC Date- F j, Meter By Da�t f f � , s Temp. Power Pole Called PG&E Temp. Elec. Service 1 • a. Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) • { Signature t Robin and Debbie Theveos 7070 Oro Country Club Rd. Oroville, Ca. 95965 Butte County Planning Commission To Whom it may concern: This is to confirm that the mobil home on said property, no longer exists,and that the existing dwelling will be abandon upon completion of new home. vvNGl. 11endt NF11-' p, il'ICAT,ON LOCAT DESCitIPTION OF ROOF INSULATION Material Thickness(inches) EXTERIOR WALL Material Fiberglass Thickness(inches) CEILING Batt or Blanket lype. Fiberglass Thickness(inches) Loose Fill Type_ Ebc-r.glass - Minimum Thicknes(Inches) - Area covered(ft. ) ` FLOOR, ELEVATED '- Material Fiber -, lass Thickness(inches) („ % FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) I h A. P. No. L'rand Name Thernwl Resistance (R Value)_` Brand Name Certainteed Thermal Reiatance(R Value) Brand Name Certainteed Thenual R se istance(R Value) Brand Name Certainteed -- Number of Bab Wt. per bag - 1b. Thermal Resistance(R Value)____�q� Brand Name, Certainteed Thermal Resistance(R Value)'_ Brand Name Thern►al Resietanee(R Value)-- Brand alue) Brand Name__ Thturmal Resistance(R Value)__ ereby certify that tiw above insulatit)n .aas installed in the above building In conformance with tl�u State of California Energy R,equdraants. Hawkins Insulation Co., Inc. 378407 FIRM NAME/OWNER CONTRACTOR'S LICENSE; 1Q. SIGNATURE OF INSTALLATION APPLICA'rUlty- DAi'E I hereby certify th,. above insulation and all required items as shown on the Building Department approved plans ar.l.attachments have been installed as required by the State of California Energy Requirements. All equipment, deviec:s and materials are of the quality preacribed or are specifically approved by the StaLi4 of Cali fnrni n 1fL-KA(;10R/OWN 'R i ea _v /J--- STATE CONTRACTOR.'g LICENSE N0. %-zs— DATE THIS CERTIFICATE MUST BL ON Fl1.E WITH 'r11E BUILUING DEP, 1NSPECTION APPROVAL ANU A COPY SHALL BE' 1'US'1LD WITHIN �EBUILDSNGG,It TO FINAL J::uua:cy 1Ji,+ F L y� ATE OF T148 ? o a � c W -1 MA CS GERYIFICATE OF T-1LIFIEDkzCONFORMANCE /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has been at our plant in Drain, OR , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by -such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: Sequoia Supply for Stock Beams JOB LOCATION: Fairfield, CA CUSTOMER'S ORDER NO. PO # 90-18360 DATE 9-26-84 MFGR'SORDER NO. 6162-D 24F -V4, WP Glue, Arch & Indust & A/rs App., Bundle & Individ, Wrap, SIGNATURE .�rr1 Eye COMPANY. Duco-Lam TITLE Quality Control ADDRESS PO Box 297, Drain, OR DATE October 18, 1984 AI TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. 10460 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION © 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION The glulam members of the job covered by thi11ant ped with one of the following type quality marks. Each qualifieChas ani individual qualification designation. The designation "P-143" shown on the typical quality marks below is not assigned to any plant and is used only for the purpose of illustration. A TYPICAL CUSTOM PRODUCT -QUALITY MARK QUALITY �0 INSPECTED Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC P-143 AITC designation of qualified licensed plant ANSUAITC A 190.1-1983 Indicates conformance to ANSI/AITC A190.1-1983, Structural Glued Lamin- ated Timber A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK Identification of structural use, desig- riated by symbols: B—simple span bending member; C— compression member; T—tension mem- ber: CB—continuous or cantilever span U S" E ARCH C u Lfl bending metuber. S" M IIDesignates appearance ppearance grade. IND— P-143 Industrial. ARCH—Architectural. PREM—Premium � NI I V I SPECIES QUALITYUR000-00 OOF� / INSPECTED ANSI/AITC A190.1-198. .� f. Indicates that the designated licensed plant has met all requirements for qualification ana maintains an acceptable quality control system which is periodically inspected by AITC Indicates conformance to ANSI/AITC A190.1-1983, Structural Glued Lamin- ated Timber AITC designation of qualified licensed plant and wet -use adhesives. When dry -use adhesives are used, the letter D is added Name of wood species used Designates applicable AITC late specification and combinations bol; for example: "117-82 24F or 11 3" 0, For custom products, the details covering the product are included in applicable' documents. ► For non -custom products, essential details are included on the stamp. V _ ,OK. , 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready Im MISCELLANEOUS 'f, r Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer: Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Local ion -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J VP OK 0 = Not OK - = Not Applicable * = Not Ready C RESIDENTIAL' (Single and Duplex) Date UNDERF OOR Plans OK exce t#'s Date FRA NG Continued 1. nin uirements-Setbacks E ements . Property Line Firewall & Openings 2. Main; Soils -Steel -Ele rnd.- / Ftg. Depth 4 x1. Doors -One 3' -Check Garage -3rd story, 2 exits arage; Soils -Steel= / /" Ftg. Depth 5 tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4V51f, Porches & Decks; Soils -Steel- / /" Ftg. Depth Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 5L/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5k aiding -Nailing -Veneer .6 alts, Garage; Steel-Blockouts-Wrapped-Slab 53. IStucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers-F4fep4aee-Ptg.-Steel 54/Glazing Area -Glass Protection -Skylights -Plastic $'rD:W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9.14�3as Pipe; Size -Anchors 1 ater Pipe; Test -Anchors -Regulator -Service Test 1je�tlectric; Underground 12: Plenums & Ducts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Zftl Date/ - Card -B Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card 1 ate and -BI Date Date FI (Plans) OK except H's C d -BI oVV Date and -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air Ext. Steps -Door & Sidelight Protection -Landings moke Detector -68r-Fdcnace; Vents -Clearance -Comb. Air-Connector- I arage; Above Floor-Ducts-Mech. Protection ater Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection om Exiting 1 hower Pan; Test, First Floor -Tub Access 2QQ12rF.I. & Bath Fixtures & Tub Access 1 est Tub & Shower, 2nd Floor -Tub Access . Elec. Trim & Subpanel; Breaker Sizes -Labels 19. 1 Gas Pipe; Size & Anchors , *rs & Rails E' replace or Stove; Clearances -Hearth qomco'Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date � Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66!�c. Outlets & Receptacles at Kit. Counter Date ELECTRICAL-' Acarlt OK except q's ,. Garage Fire Door; Swing -Landing -Closer t in Garage -Damper fixture & Transformer Clearance -Ins. Protection 9 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 1. Elec. Receptacles Spacing -Lights &Switches at Doors 7 I lec. &Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled Ele eceptacles in Garage; (G.F.I.)-Rome Protec. omex Installed Close to Edge of Studs & C.J. 240." Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 ulation-Foam-Looked in Attic es 7 , Guard Rails &Deck Construction -Post Caps Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size r-7 ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7q�,F�dn. 1Cents & Crawl H le Do Drainage & Wood -Earth Clearance fv� Looked under Floor es 27. Range Circ. / / ga. Cu or�-, �Oven Circ. / i, / ga. Cu Insulated Neutral ❑Yes t1�0 7 ollowing instld.: Drive es ❑ No; Walks ❑Yes [Q Pi6; Planters ❑Yes o 28. Service -Riser Conductors & Ground -Main Disconnect c76o; rown-Finish 29—.Equip. Clearances; Panels-Motors-Mech. Equip. , Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 3e --Clothes Closet Light -Shower Light Vgwrs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 40rWell; Disconnect, Electrical, Plumbing 8"x or Elec. Trim; G.F.I. Receptacle -Underground Card B -I ate �ri- R�eand BI Date `- g ''ation throughout House Card B -I Date Date and -BI Date MECHANICAL (Permit) OK except N's 3 A.C. Ducts; Insulation & Support g , s P otection C ections from Previous Inspections eters Tagged; Gas -Electric 8 r & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulationat,-*tnergy 33. Condensate Drain & Overflow; Size & Grade Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI T9P Date Card -BI Date Card-BIDate Card -BI Date Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING FOdns OK except N's Comments at Final: ills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3@,/Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Phases -Tub (4,"A Header ea Size & Bearing y,, 4 Hangers -Post Caps-Anchors -C nnectors 434/G`Ing. Joist-Rftr. Ties-;Purl'n-Roof_Brac.-Truss-Shthng.-Rfng.__ 44. Fireplace Ties or Type ue-Fireplace Throat 45!Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOT E: An entry must be made each time you vis it job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cilifornia 95965 - 'telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A35 FiSSo1PAR�CE�UMo6ER d�\ zo G ANT 14 1+,BUILDING PERMIT o LEPHONE TELEPHONE! _yr SQ. FT. OCC. BUILDING VAL ATFON OW ER MAILING ADDRESS (/�J _ V rp CONR CTO NAME g ITELEPHONE CON RAC O ILING DRESS 1�779 l U Fireplace 1 1.`4 1, (O 0 o CONSTRUCTION LENDER UNKNOWN„ L� Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty C $ ff ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS dA PLUMBING PERMIT Filing Fee 10.00 Each Trap fl 2.00 DD Solar Water Heater 20.00 - Water piping 5.00 8D LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Add ition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: A Permit Fee $ 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 tp Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLI G OR ADDNS. k ACC. B 2/4sgft i (01 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ©__1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 31 �i �5/� Classification Z ❑ 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 CON5TR U TI. UT E 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. IPOWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES BAL@@g OQ FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 Misc. Wiring 1 15.00 Permit Fee $ ' Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Q pv Hood 3.00 ` Ventilation permit Fee $ (� 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 relatingh to building construction, and hereby authorize representatives of the Countyot Butte to enter upon theabove-mentioned property for inspection purposes. 1 also agree o save, indemnify and keep harmless the County of Butte against all liabil' a ,judgments, posts, and expenses which may in any way accrue against ai oun y-' co quence of the granting of this permit. .X -- Date --ZD Signature of Applicant — Owner ❑ Contractor X 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 S0 TOTAL P IT FEE $' OCCUP. GROUP (2,J TYPE 01- CONST. PAR EL PD D ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTO OF PUBLIC By PE E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t/ Date �� •'� O V Receipt No.Q< [ V' WHITE-D.P.W., YELLOW-ASSZSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 1-1 M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-05-09 ZONING BUILDING PERMIT OWNER Robin Theveos TELEPHONE 534-8724 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7070 Oro Country Chub Rd. Oroville CONTRACTOR'S NAME Theveos Construction Co. TELEPHONE 533-0716 1st renewal permit # CONTRACTOR'S MAILING ADDRESS 1900 Oro Dam Blvd. #7 B Oroville Fireplace. CONSTRUCTION LENDER II���5.� K wf OWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 146.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 7070 Oro Country Club Rd., Orovi 11 a Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 iUSE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea i TYPE OF WORK ' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe worn: _ 1R* *enetaal Permit 99644-84ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Le Main service 100V OR LESS I00 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thi reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. B 2/z¢sgft ULT-OLIT NEW RESID,CONSTBRANCH2.50 ea NON•RESID BRANCH CIRC ITS /POWER APPARATUS 0 l SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200500 eAL030 FIXED PR Ex. Occup. OUTLETS 1RESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undef Nnalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 Inst said County in consequence of the granting of this permit. Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 156.25 OCCUP. CONST.TYPc I FL000J PARCEL I PD I ND 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 BY R Date PERMIT EXPIRES Date 8-27-86 Receipt No. wHITE-D.P.W.. FELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Robin and Debbie Theveos 7070 Oro Country Club Rd. Oroville, Ca. 95965 Butte County Planning Commission To Whom it may concern: This is to confirm that the mobil home on said property, no longer exists,and that the existing dwelling will be abandon upon completion of new home. o 'DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT "WCEO ALL alfaw 4, FOR RESIDENTIAL DEVELOPMENT PO�+O# '��'-,�;�:t Section 26-8.1,of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 2.►# ?�t, The property described herein is adjacent to land or included' within an area zoned for agricultural purposes, and residents of this 'property may be subject to inconveniences or discomfort arising from S4--30678 the use of agricultural chemicals, including, but not.limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited :to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm:operations. All that real property situate in the County of Butte, State of California, described as follows: See Attached. Date: 8-27-84 PROP WNERS . Robin K. Theveos Deborah L. Theveos � State of Ca. ) On this the day of _ 19 before ers SS. me, the undigned Notary Pu lic, pe sonally appeared County of Ruttp ) / Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) aubscribed,to the within instrument and acknowledged that —ca executed the same for the purposes therein contaimled, �•. IN WITNESS WHEREOF, I hereun set my hand and official seal. , rn tar ublic j Present A.P. No . OFFICIAL SEAL i v SARAH S SAPP CZ "NOTARY PUBLIC - CALIFORNIA 9e V` PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES DEC. 9,'1985 A parcel; thence leave said ib st line North 15" 57' East, 306-79 feet; thence North 50 32' East, 200.01 feet; thence North 10 42' East., 100.46 feet; thence North 00 40' West, 405.44 feet to the point of beginning. ALSO EXCEPTING THEREFROM all that portion conveyed to the County of 'K + PARCEL 1: A portion of Lots 4 and 5 of Palermo Citrus Tract Subdivision No. 4, i} recorded July 26, 1890,in the office of the Recorder of the County;of i} Butte, State of California, described as follows: ry BEGINNING at the corner common to Lots 9, 10, 4.and 5 of Subdivision 4 1 .s of the Palermo Citrus Tract in Butte County, California, as the same are laid d6wn and numbered on the official Hap of -the aforesaid Subdivision filed as of record July 26, 1890, in the office of the Recorder of Butte ' County, California; thence along the line between Lots 5 and 9 .iouth i .4 890 30' East, 655.0 rest to a post; thence North 9" 24' East, 1039.48 t feet to a point in centerline of "North Road"; thence along centerline ` of said North Road, North 590 37' West 591.79 lc et; thence continulnE along the centerline of said road, and along the line between Lots) 2 and 5 of said Subdivision, North 890 30' West, 330.100 feet to post ; at corner of Lots 2, 3, 4 and 5 of said Subdivision; thence South 5" n 49' West, 1327.44 feet to a post in line between Lots 4 and 10 of said ;{ J 'bdliision; t`c-n:c Soutii-851 30' East, 'i52.10 feet to the point of ia3 p� Dcginning. to the Northwesterly corner of said parcel; thence along the We:ter!ly . g parcel of land: r EXCEPTING THEREFROM the following described f Southerly corner of said parcel; thence South 00" 40' East.120.0 feet VI BEGINNING at the Northwest corner of Parcel 2 of that certain parcel of land described in Deed to Erich R. Roemelt, et ux, recorded June !,h 2G, 1952, in Book 635 of Official Records, page 545; said North rest corner being also the corner commoe, to Lo1,s 2, 3, 4 and 5 of said Subdivision; 'I•I thence South 5" 49' West 1005 06 feet alon the West line of �Iid Remelt parcel; thence leave said ib st line North 15" 57' East, 306-79 feet; thence North 50 32' East, 200.01 feet; thence North 10 42' East., 100.46 feet; thence North 00 40' West, 405.44 feet to the point of beginning. ALSO EXCEPTING THEREFROM all that portion conveyed to the County of Ruttei by Deed r.rrorde:d,June 18, 1932, in Book 86, Butte County Offi.ciai Records,'at page 54.- 4.PARCEL PARCEL2: An easement for pipe line over a 4 foot strip of land lying Eas,:eri'y of and adjacent to the following described line: COMMENCING at the Northwest corner of Parcel 2 of that certain parcel of land described in deed to Erich R. Roemelt, et ux, recorded .lune 26, 1952, under Recorder's.Serlal No. 17939, said northwest cor;er�beir,g also the corner common to Lots 2, 3, 4 and 5, of said Sutdivisi,:n No. 4; thence along the West line of said Roemelt parcel South 5" 40' Hest 1327.44 feet to a point in the line between Lots 4 and 10 of said Subdivision and the true point of beginning for the following d>Scribed line; thence from said point of beginning South 70 42' 30" West 400 feet; thence South 4011 25' West 699.13 feet to the most Easterly corner of that T certain parcel. of land described in deed from John M. GslcPpi, a single man to Erich R. Roemelt, c;t ux, dated May 5, 19:8 and r•ecr.'rd-d ra June 13, 1958, in Book 944 of the Official Records; on page 551; thence ia3 along the t;orLnerly line of said parcel South 6u' 09' West, 71.5' feet to the Northwesterly corner of said parcel; thence along the We:ter!ly line of said parcel, South 30" 34' West 309.38 feet to the most 1• ' Southerly corner of said parcel; thence South 00" 40' East.120.0 feet to the end of said line. WO U; �:�Cr:.bT1t 'I•I GY , END OF DOCUMENT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) ' Bldg. Permit # �e�cJ 5 A.P. # r2 17 --0 S_ e A. GENERAL 1. Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLO PLAN � Complete parcel size and dimensions. ✓z• Setbackq, sideyards, easements, etc. 3 Other buildings or structures. N Grading, fills, drainage. C. FLOOR PLAN ,/ mplete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). �uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). .Y-G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exp-necepta— Fc—mf meed Af. Locations of wate heater, heat¢ & npA Ag_eequ,*p__g, other electrical or gas equipment, and plumbing fixtures. i:�arage firewall, door size, and closer (Sec. 503(d)(4)). _l - 3'0" exterior exit door (Sec. 3303d). ;�_.Fireplace location. .,> Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. ��Floor construction details complete enough to construct building. /Elevations and wall construction details complete enough to construct building. /4. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. ��tairway details (Sec. 3305). ,!;�Guardrail details (Sec. 1716). *0_0Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. arage door or porch header sizes. .,Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting >j, wails and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). f� 1 A V" l •� :. LAND CF NATURAL WEALTH AND BEAUTY DEPARTMENT OF HEALTH PUBLIC HEALTH SERVICES DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 (N 7 County Center Drive • ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/343-4211, Ext. 62 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 10 May 1978 The Reverend Nathan J. Mc Farland 1052 East Ninth Street Chico) CA* 95926 Subject: Paradise Apostolic Camp, Inc. 7070 Country Club Drive, Oroville Assessor's Parcel,Number 27-05-09 Dear Reverend Mc Farland: During our telephone conversation of 5 May 1978 regarding the above premises, you indicated that you do not intend to operate the Paradise Apostolic Camp, Inc., Organized Camp this year. You stated that you are in the process of selling the property. if the property is not.utilized as.an organized camp, the facilities are not required to be in compliance with the California State Laws and Regulations Relating to Organized Camps. However, this department was,advised by the Butte County Department of Public Works that those buildings constructed or relocated on the premises without permits are in violation of local building code requirements. The specific requirements depend on the proposed use or occupancy. You are advised to contact the Butte County Department of Public Works, 7 County Center Drive, Oroville, at once and obtain the required building permits. You should also advise the new property owner of the building code violations for his follow-up. Very truly yours, Thomas.Reid, R.S. Sanitarian TR:dsd Ref: 1 -122 -HC cc: Building Department 0 LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH Richard H. Svlhus, xwjaaoa9o9mzrwL M.D., M.P.H., DIRECTOR DIVISION: OF ENVIRONMENTAL HEALTH Address 7 County Center Drive, Oroville, California 95965 - Telephone: 916/534-4281 Reply to ❑ 747 Elliott Road,. Paradise, California 95969 -.Telephone: 916/877-0852 The Reverend Nathan J. McFarland 1052 E. 9th Street Chico, California 95926. Dear Reverend McFarland: September 16, 1977 Me 17 Re: Paradise Apostolic Camp,'Inc. 7070 Country Club Drive' A.P.. No. 27-05-09 on August 11, 19779 Mr. Ken Shersick of the.State Fire Mershall's office, Por. Jim Glander of the Butte County Building Department and I went with you and representatives.of your camp to make a complete inspection of your camp, This -inspection was a follow—up to our partial inspection of June 30, 1977, and our letter of July 1, 1977. As a result of our joint inspection, it was agreed that the following items were in need of corrections and that all items listed would be corrected before the camp is occupied again. 1. Remove all "old labor camp" cabins or completely rehabilitate and bring up to code. 2. Remove the existing illegally constructed shower building. and provide adequate shower and toilet facilities. 3. Provide general clean—up of approved shower building. (sanitation,. plumbing, electrical).. 4. Remove the "candy store" or rehabilitate to conform.to code. 5. Rehabilitate or remove the staffts sleeping building. 6. Repair the listing wall in the craft's building. Frovide - proper electrical wiring; provide standard 310" -door. 7. Provide hood and exhaust fan over cooking equipment in kitchen; provide temperature and pressure relief valve - for water heater; provide general electrical clean—up. r The Reverend Nathan J. McFarland Chico, California 95926 ai September 16, 1977 Page Two 8. Provide overall electrical clean-up of.entire electrical system. 9. Discontinue use:of well by creek, except for irrigation.. Building, plumbing, electrical and sewage disposalpermits will be required and may be obtained at 7 County Center Drive, Oroville. Please secure the appropriate permits before doing any work.. If you have any questions, please feel free to contact use Very truly yours, 4er E. Vanhart, R.S.vising Sanitarian LEV:bws cc: Fire Marshalls Office 33 County Center Drive Oroville, Calif, Building Department Olt CONGtd Sc a .a ✓ (�. � _ � r� � • .� �l A J 1 �\ ! z y • 'JAN ��'►i�1 ✓ i c lam— .s-/�`�/ � vv L�.. i.A' % T . �. _ p � - _� .. a July 1, 1977 Reverend `athew J. McFarland 1052. Fast 9th Street Chico, California. 95926 Dear Reveres McFarland: Re: Paradise Apostolic Camp 7070 Country Club Drive, Palermo I_. response to a referral from the office of the State Fire Marshall, Mr. Jim Glander, Chief Building Inspector and I. made a partial inspection_ of your camp Meeting on Qune 30, 1977. During that -inspection, many violations of the laws and regulations relating to organized camps were noted, including but not lLm.ited to: 1. Failure to notify the Health Officer of your intent to operate a cam -P. 2.. Inadequate sleeping and housing facilities. 3. Inadequate seirage disposal. . New buildings and/or additions having been built or under construction without permits or approval of plans. As a result of this partial inspection, it was agreed with you that a detailed joint. inspection with the State Fire 'Marshall's office, the Cotunty Building Department and our department should be made as soon as possible. It was further agreed at that`:time that the ca -1p should not.be occupied again until the inspection is made and compliance obtained. _T an proposing the date of July 20, 1977 as a date for re -inspection. Will you please immediately contact either myself or 'Jr. Glander whether or not this date is satisfactory with you. Will you please bring with you a plot plan shoving which buildings you wish to utilize and those that you plan to remove. Auo �,� LAND OF NATURAL WEALTH AND BEAUTY DEPARTMIZENT OF REAL,t'H'SERVICES PUBLIC HEALTH DIVISION RALPH F. ERLINGHEUSER, M.D., M.P.R., DIRECTOft' ENVIRONMENTAL HEALTH WIT . Address ❑ 695 Oleander Avenue, P. 0. Bar 1100 97 County. Canter Deive ❑ 747 Elliott food Reply to Chico, California 95927 Oroville, Colifornio 9596!i Parrdiso;. California 95969- 5969Telephone: Telephone:916/343.4211 Telephone- 916/534-42&-1 T'olophone: 916/877'•0852 July 1, 1977 Reverend `athew J. McFarland 1052. Fast 9th Street Chico, California. 95926 Dear Reveres McFarland: Re: Paradise Apostolic Camp 7070 Country Club Drive, Palermo I_. response to a referral from the office of the State Fire Marshall, Mr. Jim Glander, Chief Building Inspector and I. made a partial inspection_ of your camp Meeting on Qune 30, 1977. During that -inspection, many violations of the laws and regulations relating to organized camps were noted, including but not lLm.ited to: 1. Failure to notify the Health Officer of your intent to operate a cam -P. 2.. Inadequate sleeping and housing facilities. 3. Inadequate seirage disposal. . New buildings and/or additions having been built or under construction without permits or approval of plans. As a result of this partial inspection, it was agreed with you that a detailed joint. inspection with the State Fire 'Marshall's office, the Cotunty Building Department and our department should be made as soon as possible. It was further agreed at that`:time that the ca -1p should not.be occupied again until the inspection is made and compliance obtained. _T an proposing the date of July 20, 1977 as a date for re -inspection. Will you please immediately contact either myself or 'Jr. Glander whether or not this date is satisfactory with you. Will you please bring with you a plot plan shoving which buildings you wish to utilize and those that you plan to remove. Reverend i� athew J .. HcFarla*nd Page Two July 1. 1977 Enclosed for your convenience is a. copy of the laws and regulations relating. to organized camps. Very truly yours, Lynn Vanhart, R.S. Supervising Sanitarian LEEj1/J r cc: 4-Bluli lding Department State Fire "Arshalls Office enclosure OFFICE OF THE•STATE.-FIRE MARSHAL INSPECTION LOG d -7-,o Paradise Apostolic Camp File BU 181 C 7070 Country Club Road, Palermo, 95968 Date 6-28-77 Rev. Nathan J. McFarland. -- 1052 East 9th St., Chico Cursory inspection of camp made on 6/21../77 revealed only Mr„ Pederson, the caretaker, on the premises, He advised the camp_ Tvould be in:session the week of Jude 27th to July 1st. Called. at. the camp this date and found a few campers on the grounds Mr, . ificFarland was not on the premi ses Another look at this site and especially at the many slf-spinet cabins which have apparently been moved on over a period of snypra1 years and. are in a deteriorating condition, 'moved me to__hav2 a conference with Jim Glander, Board of Public Works and Lynn 3Lan;g-rt, Butte Coanty Sanitarian. It was decided during the discussion that an insnar.i i wa1 ,1d 'he made arid, preferably_, during the time the camp was in session. By copy of this.report a request is made for.this inspection to evaluate this camp for conformance with local building and. sanitation regulations. Please send a copy of your findings to the Office of the State Fire Marshal. Skarsick Deputy G0-6 2-69 �� • �Y 77 4`e n� �j.�, r� i 3 u ° Ca ..� f7' !� s yr ti✓iv rt c r l Cil 4/ io /��o �o 04 +.0 ,4 j 41 GWe /Y�-vi u J `14 L� G!/L�✓I a c✓ �-- tr�.� o �1,,,. k�L e- -i wt. S'4---A44 42411 �-►- �- l "�-e "�.� LG ,re J2 Lfl -,4,n. —( J,rit 1 !tet"L .,.+ o �-�- a b-1 w v.. l c� '► �--� 4A— J / 0 v PERMIT NO. 970-77P,E ` f�HERMIT EXPIRES ,OWNER Paradise Apostolic Camp, Inc. CONTR. owner LOCATION (A.P. 27-05-9 N/end of Country Club Rd., 4 mi.N.of Grubbs R app.450'E.o Putm Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. CCalled PG&E og p� FINALED (Date)' (Signature) 9. Electrical A Is seivice Large enotiglt to provide adequate amperage to mobilel-iome (must equal rating of mobilehome with a. :ninu!:um o 100 amp) and other facilities; on lot, i.e., water pumps, garage, cabana, etc. r Yes No� B. Is there proper clearances around panels? Yes ( No C. Is power supply cord or feeder assembly properly fused? Yesx No D. Is continuity test satisfactory as per the following procedure? Yes-No- 1. es�X No_ 1. De -energize electrical wiring, systems of the mobilehome at the pe ectal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4.• Connect one le.. -id of a test instrument to the mobilehome grounding conductor and_ ply ' the oLher llead t•.o each wobilelfio-ite supply co'njuctOr, including neaLral. G�, i l � 5. All nor. -current, carrying metal pargs of the mobilehome (aluminum siding, gas line, water line), including fixtures. and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall -be connected to the site service equipment. A further continuity tes=t shall then be made between the grounding electrode and the chassis of the Mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equi.pment may be approved for energizing. 10, Is job-card•si ned by stealth Department for water and sanitation? 1.1. If everything okay, sign off card and t.a- services. MO$ILlriIOML DATA Manufacturer and/or Namest:yle Length Width_ Vehicle Serial No. State Identification No. A.Rlitional Information or Comments: 'MOBIf EHOa.E INSTALLIIF10N INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YesNo . A 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footint,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If more a_n a single unit, are cro connections properly installed? (Sec. 5088) Yes No 5. Water A. Is fle ible. connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesXNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�-No C.'s State of California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 1" per foot slope and is it properly supported? YesX No C. Are any leaks detected in drainage system after runnin�_ 3_ -gallons of water through each fixture including washing machine standpipe? Yes No D. I \ is -not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as .large as the mobilehome gas line inlet without reductions other than the mobilehome connector., Yes—Y No B. Test OK as per following procedure? Yesk,No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT, OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING AV BUILDING (Cont'd) A PLUMBING / rurmp I Farqpets At Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Siding To out Slab Roof Sheakna Water Plpikg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicapped Conformance of ex. structure Appliances Gas PiDing & Test Temp. Gas Slab Final Sanitation Patio REP ACE Final Footin s Footing EJfECTRIg L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKI-Elh Motors Framing Test Water Htr. Stucco Final SubDanel HANICAL I Grd. F Servici Pole Fin I sh DtAts 11nderground In rior Lath N I entilation Permanent oor Closer Final kinal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service / Elec. Pedestal -777- Water Piping %Xr Sewer 7 Gas Piping E ME INSTALLATION - -a - - - - - - - - - - - Support Elec. Continuity Water Piping` //V'7 Drainage ' j// ' % Gas Piping DATE REMARKS OR CORRECTIONS :..�//y/�� t�'C2�/di' - _ � � ^SGC• (NOTE: An entry must be made on this form each time you visit the job site.) CUUNT`( OF BUTTE — DEPJriTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 970-7 7 n above for which fees have been paid. DIRECTOVsD PUBLIC WORKS I 1 -/ � r wf ate va, v / t4 signature o, /�•er it or Agent Receipt No. 1460 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Date3- "Q - 7 7 wilding permit expireate 3-f, 7 _F i BUILDING wo Owner SQ. FT. ' OCC. BUILDING VALUATION Mailing Address170 to Telephone Wo. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,6'0 Ril 1. Each Trap '1.50 19 114.Water Repair drainage or vent piping 1.50 piping 1.50 D Each gas water heater or vent 1.50 A. P. ( C� S�-C� n9 Gas piping system 1 - 5 outlets 1.50 D •v0 Each additional outlet .30 F s S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcelLawn Declaration Parcel Map 60' R/W Improv nts sprinkler system 2.00 Bldg. ans Recd arcel Approval Vol Plans Approval Permit Fee $ (t}1 NEW ❑ ADDITION ❑ UTILITIESS OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Main service 10ov OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home' Others ❑ Main service EA, ADD'L 100 AMP 1.00 500 SQ. FT. MINIMUM NEW CONST. OR ADDNS. ( ACC. BLDGS.LING CCUP, &\ 20sq ft / NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR./POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @�1¢ BAL@ FIXED APLNS. Ex. Occup.(OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Zi cense No. Classification Misc. Wiring 6.25 • I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,Q C $ 3 0,l MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r--1 1•have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. f I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the �-mnentioned prher,,,forinspectionn purposes. above �. TOTAL PERMIT FEE $ . r7 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOVsD PUBLIC WORKS I 1 -/ � r wf ate va, v / t4 signature o, /�•er it or Agent Receipt No. 1460 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Date3- "Q - 7 7 wilding permit expireate 3-f, 7 _F i fhis set of. plans and spee,� MUST be kept on the job at all times and .it is unlawful' to 176) 1-7( make any changes or alteraticns on same without writtem permisson from the Department of Public 17 Works, County of' Butte. i%112C127-- NOTE:—All v� NOTE:—AII Materials & Wgrkmonship Shrsll Be in Accordance with Recoan -ed Good P•rac fices and of a qualify prescribed fe t°,e Ji.., :i'rie a use i � the Uniform Buiidi�,g, Plum bing & Mechanical Codes and fhe Nationbil Elecrrical Code. A 770 - 7r? /-\Ii /utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of.the mobile home. The Bldg. Setback shall be 5 ft, from the side property line and 50 ft. from the centerline of the road, permitting a maxi- nIurn of a 2 ft. eave overhang but entirely out of all easements. �I, a}o' h 'fob. o Q o 04 .�` V I Septic s stem y a444�'�- kz@to be as per a Butte County Health Dept. Re- quirements. n r U 7 BUTTE COUNTY. B.UILDING DXPARTMEN7 3 APPROVED --r l % COUNTY OF BUTTE — DEPF RTMENT OF PUBLIC WORKS 7 County Center Drive - 0Urovill'e, California 95965 Telephone: 534-4541 / '7 APPLICATION AND PERMIT 3J p .,,r. ............. ..... ... .. ... vwu,,ay v. uuaw w cn— upvn u,c above -m ntioned property for inspection purposes. M1 F ti't4 %_ - Date . W Sidnap&re of Permi ee or Agent Receipt No. /4& t3 � 5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date tfding permit expires Date ',/, o— i BUILDING Owner..� SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address IVI"k- r V 0 `S ? hone No. Fireplace Contractor C/L 4 r,,P Total Valuation Mailing Address g4 ;L fti L'a e-tl0 Permit Fee Plan Checking Fee &/orPenalty I/ 4 `� I� �{� Tellepho"e 6 % Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �7�i ' 7V1 sT/ (!�W / JP Each Trap 1.50 Repair drainage or vent piping 1.50 - Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 2 vs- O Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. PI eecl Porcel oval proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 1 OR LESS 5.00 / f T ! Main service EA. ADD'L too AMP 2.50 VR Main service 100EAMP OR ESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ADWECCLBLOGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &,' NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the na a style of: f Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL 1 FIXED LNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 ' Mobile Home Facilities 15.00 License No. Classification � _ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. MI have placed on file with the County of Butte a certificate of . Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 4.4 $ (9 f " $ _30— TOTAL PERMIT FEE $ "- .,,r. ............. ..... ... .. ... vwu,,ay v. uuaw w cn— upvn u,c above -m ntioned property for inspection purposes. M1 F ti't4 %_ - Date . W Sidnap&re of Permi ee or Agent Receipt No. /4& t3 � 5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date tfding permit expires Date ',/, o— i MOBILEHOME SUPPORT DATA Mobilehvme Mfr,�S�// Setup Model No. Year//•yG Width t.) Length (ft.) Expando Size `6'—ft.x '" .ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not .on .file with the County of Butte). - Sin le - Footings (check, one) A- W 1. Wood. either —— pressure treated or Center Cente upport fdn.. grade. Support Foog Sizes Locations (in.) 2. Concrete pad. x / / 3. Other,:specify - g3. nn. A ISupports (check one) 4 7V 1. Concrete block r / / 2. Concrete piers �in (in.�(in,) . 3. Steel piers } 4. Other, specify _ Typical Support Footing Size. ( LX1 in. in. in. (in.)(im.) Max. Pier - .. .. 101( Spacing i n.) I (i (in.) Max: Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING' DEPARTMENT APPROVED �- 1. Owner's name:. L .*0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps' 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes-/ / No / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 7a 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas ..or less -than 50 ft, on LPG.) I?Y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5, unde%permit number�.?9 -'" for the following location: Owners Owner's Address tri ( 'AU m [ -�Pu ( - it A; T)V-- T nk-+%1i Mobilehome Mfg. I C�t�tciC4f 1, 1 Model YearLv Insignia No. Serial No. //"10 It is hereby certified for occupancy at the above described location and may be occupied. _ Director -of Public. Work's Date ��� J Q 7 By �. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY ` This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under_permit number'6 A-?.)'-�N for the following location: � ,Owner..c_i.�L+n+ .� 1 Owner's Address�%i77�Fl)�-i� flAs#14� "1011iU INV- i-l)',,Vb','ri tMobilehome Mfg. "R I I Model Year Insignia No. Serial No.n r It is hereby certified for occupancy at the above described location and =-may be occupied. 1 - t Q Director,of Public Work Date (O' / 7 By (-/i.�'t�/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISfRELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. F E s PERMIT NO. 2332-78MHI PERMIT EXPIRES OWNER PARADISE APOSTOLIC CAMP .TNC CONTR. - Lincoln Village Mobile Home LOCATION (A.P. 27-05-09 ) N%end of Country Club Rd, �4-.mi..N of Grubbs Rd, app 4501E of Putnam Ave, Palermc t • 5 J f y r l: s i a 1 �t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E oe Temp. Gas Serv. — Z ? Called PG&E JOB FINALED__ 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of -00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes :No D. Is continuity test satisfactory as per the following proced, re?Yes No 1. De -energize electrical wiring system of the mobilehome at the pe tal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral. conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord'or feeder assembly conductors shall be connected to the site service equipment. A further continuity, test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA 1 /g�. ' Manufacturer and/or Namestyle Length J"7 Width Vehicle Serial No.55'0� State Identification No. Additional Information or Comments: J MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located 14Prequired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesM No = 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes -0 No 5. If kioft than a single unit, are crossov r connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fie ible connector of adequate size and properly installed (1/2" ID mein.)? (Sec. 5566) Yes No B. Test - Does water piping withstand workin ressure or 50 lbs. air test? Ye No C. Backflow - If coach is not State o C. ifo is approved, does station have backflow device and pressure -relief valve?,Yes No'` 7. Wastes and Drains A. Is connection made with Schedule WV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- allons of water through each fixtureWinci g washing machine standpipe? Yes_ No.D. If coacf tate of Californiaapproved, does sta ion have required trap and vent? Yes 8,. Gas Piping�Ed 'as Vents , A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mo i ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per ,ollowing procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE, — DEpARTI14,ENT QF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - Water Piping Support Drainage Elec. Continuity Gas Piping i DATEy REMARKS OR CORRECTIONS 0 (NOTE: An entry must be made on this form each time you vislt the job site.) Owner f ,599i11)16S Mailing Address —) e Contractor 0( / k/ Mailing Address R 64 iQ &(, I (-1�__+ Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 6roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. &CII V A. P. No. Zoning & Planning Fire Dept. FireZone Use Permit EQA I Parking Plans I Declaration P P Parcel Parcel Ma 60' R/W I Improvements ec Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5t Single Family ❑ Duplex ❑ Mobil Home R Others ❑ 0 _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD.L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OC CUP.k ACC. BLDGS. CONTRACTORS LICENSE LAW NEW CONSTR MULTI.OUTL T NON-RESID. � BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 6 I am licensed under the provisions of Chapter 9, Div. 3, of the NON.RESID. SINGLE OUTLET CIR. State of California Business & Professions Code under the n me Ex. OCCUD(OUTLETS OR FIXTURE; FIXED APPLNS. OR style Z1A1(2e-(M /EX. Occup. OUTLETS (RESID.) EA l.� l (.t. 1(C Temporary service Mobile Home Facilities Misc. Wiring License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information -is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -mention' property for inspection purposes. Date nature Permitee or Agent Receipt No. —77 ��S White-D.P.W. — Yellow-A55il nk-I pector cant FEE $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 .50ea 2.00 10.00 15.00 6.25 MECHANICAL IMI G Irtt PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboV'I�pr which fees have been paid. Building permit expires Date I COUt4TY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 s Telephone: 534-4541 / APPLICATION AND PERMIT =e-me'oned vc0 UI LIM IaUUrlly UI DUIIV LU Cllltll UNUII IIIC rty f rinspe tion purposes.a e (� 0 ignaturoermitee orAgent Receipt No./ ? 9 C, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Z") WREO�0`1 OF PUBLIC WORKS Building r l .:; BUILDING Owner /.USC CII10L1e'Nl SO. FT. OCC. BUILDING VALUATION Mailing Address O Q/& 7 alga Telephone o. y Fireplace Contractor -- Total Valuation Mailing Address (Qu-FIl►v 04LI-t Permit Fee Plan Checking Fee &/or Penalty O�^1y�� 1 1 Tele hone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 r ✓_ ����� /. �-y, / Repair drainage or vent piping 1.50 Water piping 1.50 B v , rQ tomtit 0 Each gas water heater or vent 1.50 A.`P.�No. �� �� O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F84elSsffi-ttrt n FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 �Pl�ans Bldg. Pis Recd Parcel royal Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �g �?yr �/� r'Y1hc T- Main service 00v OR LESS 5.00 1 100 AMP OR LESS yyy y�6,.�� i 22 9-)6 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home NZ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP. &) 20sgft NEWCONSTR. MULTI.OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of ))) %� Z/A,&& ///� / G//�6J✓710C- Ex. Occup(OUTLETS OR FIXTURES) 2@51104 Ex. OCCU / FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 �j � License No. / Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work rf's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby moi, /!� I TOTAL PERMIT FEE $ 13 =e-me'oned vc0 UI LIM IaUUrlly UI DUIIV LU Cllltll UNUII IIIC rty f rinspe tion purposes.a e (� 0 ignaturoermitee orAgent Receipt No./ ? 9 C, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Z") WREO�0`1 OF PUBLIC WORKS Building r l .:; 5 of u fvuv Woo 4�1 This set of plans and'specifications MUST, b.6 11 kepi on tl,e job at b'.I, times and it is unlawful to make any bon n s or clter;:tions on same without t issio�l from the Departmerrk of Pub- writ4en perm Q lic Works, County of Buttes t , k } All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile I home, a The Setback shall be 5 ft. from the y side property line and SO ft; from the I� f centerline of the road mum of a 2 ft, eave overhang a maxi - out of all easementbut entirely t 'i du 1 -TE, CDUN•l r s. BUILDING 'DEPART z MEN r ir' . _ _ __._ . t MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. & �C 14,4ii)),J J m furnish Setup Model No. Year. Width %el (ft.) Box Length %�'l (ft.) Tagalong or Expando Size l ft. x JZ) ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structurdl setup sheets (if not on file with the County of Butte). .All center supports measured from front of mobilehome unless otherwise specified. -) 1"5s c ec one Single 1. Wood either AA- pressure treated o; NN foundation grade. (ft.)(in ) x (in.) (in E] 2. Other (specify) Center support Center pport locations* footin sizes' Supports (check one) (i',) ® l: Concrete block. 2. Other (specify) x (ft.)(in.) ( n.) (in.) t 4—Tagalong or Expando, show'..support details. (ft.)(in.) (in. (in.) J� -- Typical Support (in.) (in.) Footing Size x (ft )(in.) (in.) (i .)` -- Max. Pier Spacing F—x -- Max. Overhang _J ® (ft.) (in.) (in.) (in.) (ft.)(in.) bU 1T.E COUNTY 6UILDING DEPARTMENT APPROVED. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: /! 4kn o ok— N�' m i u C.,/-Tlv ..zx/v, 2. Installer's name: / ���� �/ (_LIT c=y(/w/ 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes C / No site service? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) No !F —_AmP s) 9. What is the mobilehome site gas pipe size? --------------------- /`` (in �) 10. What is the type of gas service? -----------=-------------- -- Natural / / LPG 11. What is the gas pipe length .from meter or tank to the mo ilehome. /� (ft.) 12. What is the mobilehome gas demand? -------------------- --------- A (BTU) (This information not required if pipe length less han fttura or less than 50 ft. on LPG.) i (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / /' No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- AN Amps 6. What is the mobilehome site service rating? ------------------=-- ,i 0,0 Amps 7. What is the mobilehome site circuit breaker rating.? ---------- --- 101A) Amps 8. Is there any other electric load"to be served by the mobilehome site service? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) No !F —_AmP s) 9. What is the mobilehome site gas pipe size? --------------------- /`` (in �) 10. What is the type of gas service? -----------=-------------- -- Natural / / LPG 11. What is the gas pipe length .from meter or tank to the mo ilehome. /� (ft.) 12. What is the mobilehome gas demand? -------------------- --------- A (BTU) (This information not required if pipe length less han fttura or less than 50 ft. on LPG.) i C% IP < BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:530.538.4365 OFFICE #: 530.538.7601 FAX#: 530.538.2140 or 530.538.7785 ivarnv Rrrf ef'mintar not/rlric PROJECT INFORMATION Site Address: 7074 COUNTRY CLUB RD Owner: Permit No: B15-2564 APN: 027-050-051 JOHNSTON FAMILY TRUS, Issued Date: 10/15/2015 By CJ Permit type: MISCELLANEOUS 7070 COUNTRY CLUB RD Subtype: WOOD DECK OROVILLE, CA 95966 Expiration Date: 10/14/2016 Description: DECK (100) Occupancy: Zoning: Contractor Applicant: Square Footage: TOM'S MOBILE SPECIALTIES PENNY ENGLAND Building Garage Remdl/Addn 6366 LINCOLN BLVD 6366 LINCOLN BLVD 0 0 0 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total 5305339117 5305339117 0 0 . 0 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for TOM'S MOBILE 865359 / C47 / 10/31/2015 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professions Cade, and my license i State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and in full force and effect. Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. X Any violation of Section 7031.5 by any applicant for a peril subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contractors Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do:ej. all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not DECLARATION WORKERS' COMPENSATION apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the _ I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section E]I improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of thero e p p rty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State have and will maintain workers' compensation insurance, as required by Section 3700 of License Law does not apply to an owner of property who builds or improves thereon, and who the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor pursuant to the Contractors' State License compensation insurance carrier and policy number are: Law.). Carrier. Stafp Fund Policy Numb46100D0653 Exp. (W1p2016 ❑ I am exempt from licensure under the Contractors' Stale License Law for the following I certify that, in the performance of the work for which this permit is issued, I shall not reason: y any person in any manner so a to become subject to the workers' om nsation laws of Calitomia, and ree that, if I should become subject to the workers' X comp nsation provisions of c n 370 f the Labor Code, I shall forthwith comply with those rov' s. Owner's Signature Date X5p X /at' S PERMIT APPLICANT DECLARATION Si at re Date By MY . nature below, I certify to each of the following: WARNING: FAIL E TO SE WORKERS' COMPENSATION COVERAGE IS I arT� a California licensed contractor or L) the property owner" or (� authorized to UNLAWFUL, AND SHALL S ECT AN EMPLOYER TO CRIMINAL PENALTIES act o the property owner's behalf"'. I have read this construction permit application and the information I have provided is AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN correct. ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN t agree to comply with all applicable city and county ordinances and state laws relating SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. to building construction. I authorize representatives of this city or county to enter the above -identified property for ins, ction purposes. C lifornia Licensed Contractor, Property Owner" or Au z d AgenY': 'requi es separate vefifrcation form "requires separate CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the aut nz tion form performance of the work for which this permit is issued (Section 3097, Civil Code). 1 Lender's Name and Address X t it a e erm' a [S ] rint Date Lender's Name 8 Address City State Zip FEE INFORMATION Total Fees: $231.49 Fees Paid: $231.49 Balance Due: (None) Job Value: $4,500.00 -4 ram KIM Rd gas • A Q Ito :BtyT)F .0 0 U z BUTTE -COUNTY PERMIT NO: FORM NO DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* - JBIN NO; DBP -1 Phone: (530) 538-7601 Fax (530) 538-21 Website: www.buttecounty.nettdds Payment of Fees Required at Time of Application PLEASE PRINT CLEARLY ,MA �XA_R PRGUECT-1. OW��- APN -) Property Address _702W &1,-4,V a LJ City Location must not be in the city lirnitsTf Chico, Gridley, Oroville or Paradise, dick below for parcel Information hiT/sk.chicoin-ar)works.com/ MMWM9P_ROFERTY�OW EMNFQKMATIONMM5NW Last Name First Name City -0A rv� , I Zip -1 . Mailing Address Mg Address VW Cell ) no City State City state Izip )vNN t -eSS Phone t Phone Fax Open Area: L, . S33— L4) 6t) Email cell Email Ceg w Cr^ lass PPL"-ICANT,��SIGNA-.T--UjfRME�AN N J DATE E Date: V lit Name: - 'g en filed, this application d all supporting material becomes subject to the California Public Records Act. AgAublic information related to this application is subject to public inspection and will be posted on the County's website for electronic access K:lFoffnsfBuild'mg Forms/Building Permit Application 1109 N%'T1IJ_()NMm� °a' � Policy Number Carrier If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit issuance LENDINWAGEN0Mi?.t','P' Name Name City State Zip Phone Fax Mg Address VW Cell CA State License No. City State Imp V, n _ § Phone Fax Garage: Open Area: L, Covered Area: Email cell rxwL: i e ima b: Ieg-j yc, License No.rc w Cr^ lass TOTAL SQ: SOS S I Ago PPL"-ICANT,��SIGNA-.T--UjfRME�AN N J DATE E Date: V lit Name: - 'g en filed, this application d all supporting material becomes subject to the California Public Records Act. AgAublic information related to this application is subject to public inspection and will be posted on the County's website for electronic access K:lFoffnsfBuild'mg Forms/Building Permit Application 1109 N%'T1IJ_()NMm� °a' � Policy Number Carrier If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit issuance LENDINWAGEN0Mi?.t','P' Name Mailing Address City State Zip Phone Fax Email Cell CA State License No. PPL"-ICANT,��SIGNA-.T--UjfRME�AN N J DATE E Date: V lit Name: - 'g en filed, this application d all supporting material becomes subject to the California Public Records Act. AgAublic information related to this application is subject to public inspection and will be posted on the County's website for electronic access K:lFoffnsfBuild'mg Forms/Building Permit Application 1109 N%'T1IJ_()NMm� °a' � Policy Number Carrier If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit issuance LENDINWAGEN0Mi?.t','P' Last Name EA" C, First Name YK Mailing Address LIL6 f6c' City Oro 1)i If State zip cffli Phone Fax Email Cell PPL"-ICANT,��SIGNA-.T--UjfRME�AN N J DATE E Date: V lit Name: - 'g en filed, this application d all supporting material becomes subject to the California Public Records Act. AgAublic information related to this application is subject to public inspection and will be posted on the County's website for electronic access K:lFoffnsfBuild'mg Forms/Building Permit Application 1109 N%'T1IJ_()NMm� °a' � Policy Number Carrier If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit issuance LENDINWAGEN0Mi?.t','P' Name Mailing Address City State zip 9- ESCRIM(DN ;-G.R-,SCOPE=OFMRKi,--> y Mobile Home permits (other than instanation, foundation, utififies & non-attached u structures) are Issued by the State. Tell staff if this permit Is for a Mobile Home. Click z below to see Manufactured Home Alterations and Permit Guidelines at: http:/ANww.hed.ca.ncrv/bDdes/fnhp/HCD Phone, (916) 2552501 /0 1�Cj 0 JOWNALWATION-g-kn"" tabor JOB; 4- �_ W - V, n _ § Living Area: Garage: Open Area: L, Covered Area: El Structure Built without permits TOTAL SQ: I Ago LJ Proposed Change of Occupancy/Use - Note previous/cunent use below: i F I , C-Ef U.$J6.., ONLY_':,, Zoning: Flood Zone: SRA: QYES EINO NPDES U YES UNO Code Ent- LJ YES LJ NO Legal Lot LJ YES LJ NO Occupancy Type Construction Permit Tech: Date: 15-15 to =15— a Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 530.538.7601 Telephone 530.538.7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS FOR OVER-THE-COUNTER PERMITS" PERMIT EXPIRATION" Application for which a permit has not been issued will expire one year after date of application. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit (per Butte County Code Chapter 26, Article 1, Section 263.1). In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. REFUND POLICY" Refunds may only be made upon written request by the person who originally paid the fees. A refund processing fee will be charged in the amount of $127.00. Refunds for permit applications or permits cannot be made after 180 days from the date of fee payment. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. The current refund processing fee is $127.00. Refunds on permits (issued) may be requested provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hiip://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B15-2564 Date: 10/15/2015 Location: 7074 COUNTRY CLUB RD Parcel Number: 027-050-051 Owner Name: JOHNSTON FAMILY TRUS, Phone: Applicant Name: PENNY ENGLAND Description: DECK (100) Signature of Applicant: 'V IT /V'V-'-_gV' Date: 10/15/2015 :",� a 's *.� o* X���L'7k }'ts•s.�"xw•3 y 3" �� k �"' s, x � z. ���3 �� iki{ 'n � > � � �� �5+:%t tk 7°� � "�tl 9� �F: i C r,, , �, - i. Y -+^ . $' 7�'w! '. i �ti i k Jf'4 4,��hyi�,, ' •f .. } '1 ';' kF 1 ,�.i .,kT ''•'i6 .r!"K �F`kA'S 3, . .. .fi 4 , Jk• Fifft'`£ ���Y ' �'kY � ��.{�'.az"' �gs,,i � , f fr-.}�+S'k'r,�i�k�� '� t , ' .. �• '%P 'V� i�. - �" � y �.s7.r fit• t b ->y -pis b. �. 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'�-v''�;�� �� �u° i�y,`���s •' u;��'i�°�c yc�' '��fw` •r vs�'n � �� f SITE PLAN Butte County Department of Development Services PERMIT CENTER 7'County Center Drive, Oroville, CA 95965 Main Phone (530) 538-7601 Fax (530) 538-7785 t\ount:�.nri,•"das APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS Assessor's Parcel Number: c 0 CD F-] 0 0— 0 0 e FORM NO DBP -3 Permit # The 2013 CBC, CMC, CPC, CEC, CFC, CGBC and 2013 California Energy Standards as amended by the jurisdiction ...... .... i.......e.............. apply to this project PERMIT # BUTTE COUNTY 6EVELOPMENT SERVICES / CCt t'V R FR ANCE C/ DATE - NFPA 58 LPG tank location, minimum distance from property lines and structures for 4Eq2 gallons or less LPG tank shall be feet NO CONSTRUCTION IN EASEMENTS ALL PORTIONS OF STRUCTURE TO BE OUT OF EASEMENT -INCLUDING FOOTINGS, FOUNDATIONS, WALLS, EAVES AND ROOF SKIRTING REQUIRED FOR 5� MANUFACTURED HOME, DECKS AND j PORCHES Owner Name: Scale 1" — Address / Ph'one; '--? (: c% 0"C 3 Site Location: Contact Name: ��;��.,�� r��� Phone: K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP-03_ Site _Plan-Paper_REV'D_8.13.14_AKM.doe Page 1_of 1 0